FHIR IG analytics| Package | de.gematik.elektronische-versicherungsbescheinigung |
| Resource Type | Bundle |
| Id | Testdatensatz_Wayne_Bruce.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "bcb6e562-ea4c-40a0-adee-d8ababb73f7f",
"meta": {
"profile": [
"https://gematik.de/fhir/eeb/StructureDefinition/EEBBescheinigungBundle"
]
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:bcb6e562-ea4c-40a0-adee-d8ababb73f7f"
},
"type": "message",
"timestamp": "2025-07-02T16:19:45+02:00",
"entry": [
{
"fullUrl": "https://gematik.de/fhir/MessageHeader/7f17157d-1a87-432a-b851-c3d7996cfc48",
"resource": {
"resourceType": "MessageHeader",
"id": "7f17157d-1a87-432a-b851-c3d7996cfc48",
"meta": {
"profile": [
"https://gematik.de/fhir/eeb/StructureDefinition/EEBBescheinigungHeader"
]
},
"eventCoding": {
"system": "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
"code": "1.2.276.0.76.4.59",
"display": "Betriebsstätte Kostenträger"
},
"source": {
"endpoint": "https://kbvbc-appliance01-ru-rz05.app.rtu.kbvbc.vrz0506.riseops.de/KIM/risePkvDemo"
},
"focus": [
{
"reference": "Patient/018abbc9-72c1-4959-b954-4a5c13bc39b2"
},
{
"reference": "Coverage/55acaeb8-881b-427b-831a-3c288fec5bdd"
}
]
}
},
{
"fullUrl": "https://gematik.de/fhir/Patient/018abbc9-72c1-4959-b954-4a5c13bc39b2",
"resource": {
"resourceType": "Patient",
"id": "018abbc9-72c1-4959-b954-4a5c13bc39b2",
"meta": {
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.1.0"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "PKV"
}
]
},
"system": "http://fhir.de/sid/pkv/kvid-10",
"value": "X110670799"
}
],
"name": [
{
"use": "official",
"family": "Wayne",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Wayne"
}
]
},
"given": [
"Bruce"
]
}
],
"birthDate": "1970-02-19",
"address": [
{
"type": "both",
"line": [
"Gotham Boulevard 1a",
"Block 2"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Gotham Boulevard"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "1a"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
"valueString": "Block 2"
}
]
}
],
"city": "Gotham",
"postalCode": "12345",
"country": "D"
}
]
}
},
{
"fullUrl": "https://gematik.de/fhir/Coverage/55acaeb8-881b-427b-831a-3c288fec5bdd",
"resource": {
"resourceType": "Coverage",
"id": "55acaeb8-881b-427b-831a-3c288fec5bdd",
"meta": {
"profile": [
"https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageEgk"
]
},
"extension": [
{
"url": "http://fhir.de/StructureDefinition/gkv/version-vsdm",
"valueString": "5.2.0"
},
{
"url": "https://gematik.de/fhir/eeb/StructureDefinition/PersoenlicheVersichertendaten",
"valueBase64Binary": "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"
},
{
"url": "https://gematik.de/fhir/eeb/StructureDefinition/AllgemeineVersicherungsdaten",
"valueBase64Binary": "H4sIAAAAAAAAA42SUU/CMBSF3/kVS99Zt8kCmq4EgRiCCAGdxpelbpdtYdyZtaDy692Q6AZT7MOanHP7nfbusu77OtG2kMk4RYeYukE0QD8NYgwdMlpMm52Ofdk0baJJJTAQSYrgkA+QpMsb7KHv9ZIkhDXECG5B8SPINhjKQCjAp8mt1h9MPHc4X4ymdw6xdatIyDNROiRS6vWK0jep5wSh4pUeAF0KupXBuvjQbV5PeEPLF/umK8i+pKpchEo/2qjdj7uvuIYwRuSWYdlG+8Jk9CBUq8apzC+sMgFhmV/vrwAxz+Om0TKstt1qMVrrn8EkAjCALO828MERouydYu7EGvh8tBhq9yCVNhu7jO616qPoL69i9M+2seeNFGoX4zKVR8SSczN2a25W+k0oMsXNUtZBOj1Uonq9lwz8qGifV5uwP/A4nXHDYLTYT3H0v7xKZcWtOIcJpNURZPT89PPGJ8dRN6VhAwAA"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
"code": "PKV",
"display": "private Krankenversicherung"
}
]
},
"beneficiary": {
"reference": "Patient/018abbc9-72c1-4959-b954-4a5c13bc39b2"
},
"period": {
"start": "2025-07-31",
"end": "2025-07-31"
},
"payor": [
{
"identifier": {
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "168149993"
},
"display": "RISE Test PKV"
}
]
}
}
]
}