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Source1

{
  "resourceType": "Coverage",
  "id": "e9553161ca3c-413a-48fe-b908-04159be709fb",
  "meta": {
    "profile": [
      "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageNoEgk"
    ]
  },
  "status": "active",
  "extension": [
    {
      "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
      "valueCoding": {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
        "code": "1"
      }
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/wop",
      "valueCoding": {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
        "code": "38",
        "display": "Nordrhein"
      }
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
      "valueCoding": {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
        "code": "06",
        "display": "BVG"
      }
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus",
      "extension": [
        {
          "url": "status",
          "valueBoolean": true
        },
        {
          "url": "gueltigBis",
          "valueDate": "2020-12-31"
        }
      ]
    }
  ],
  "payor": [
    {
      "extension": [
        {
          "url": "http://fhir.de/StructureDefinition/AbrechnendeIK",
          "valueIdentifier": {
            "system": "http://fhir.de/sid/arge-ik/iknr",
            "value": "756756324"
          }
        }
      ],
      "identifier": {
        "system": "http://fhir.de/sid/arge-ik/iknr",
        "value": "12345678"
      },
      "display": "Test Krankenkasse"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
        "code": "GKV"
      }
    ]
  },
  "period": {
    "start": "2022-04-01",
    "end": "2022-07-31"
  },
  "beneficiary": {
    "reference": "Patient/d62d9d82-2396-4c64-a656-2e67b5761523"
  }
}