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Packagede.gematik.elektronische-versicherungsbescheinigung
Resource TypeBundle
IdTestdatensatz_Wayne_Bruce.json
FHIR VersionR4

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Source1

{
  "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"
          }
        ]
      }
    }
  ]
}