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Packagede.gematik.vsdm2
Resource TypeBundle
IdBundle-019aa696-cb86-73e1-868c-f7d408bf40ad.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "019aa696-cb86-73e1-868c-f7d408bf40ad",
  "meta": {
    "profile": [
      "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMBundle|1.0.0-rc7"
    ],
    "lastUpdated": "2025-07-14T15:16:17.890+01:00"
  },
  "type": "collection",
  "timestamp": "2025-07-14T15:16:17.890+01:00",
  "entry": [
    {
      "fullUrl": "https://gematik.de/fhir/Patient/019aa693-6fb9-7553-a456-b40a01819bad",
      "resource": {
        "resourceType": "Patient",
        "id": "019aa693-6fb9-7553-a456-b40a01819bad",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMPatient|1.0.0-rc7"
          ]
        },
        "identifier": [
          {
            "system": "http://fhir.de/sid/gkv/kvid-10",
            "value": "D456789013"
          }
        ],
        "name": [
          {
            "use": "official",
            "prefix": [
              "Dr. rer. nat."
            ],
            "_prefix": [
              {
                "extension": [
                  {
                    "valueCode": "AC",
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
                  }
                ]
              }
            ],
            "text": "Dr. rer. nat. Dara Dohle",
            "family": "Dohle",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Dohle"
                }
              ]
            },
            "given": [
              "Dara"
            ]
          }
        ],
        "address": [
          {
            "type": "physical",
            "line": [
              "Dohlenallee 4-6"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "4-6"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Blumenweg"
                  }
                ]
              }
            ],
            "city": "Darmstadt",
            "postalCode": "64297",
            "country": "Deutschland",
            "_country": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "DE",
                    "system": "urn:iso:std:iso:3166"
                  }
                }
              ]
            }
          },
          {
            "type": "postal",
            "line": [
              "Postfach 405060"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox",
                    "valueString": "Postfach 405060"
                  }
                ]
              }
            ],
            "city": "Darmstadt",
            "postalCode": "64283",
            "country": "Deutschland",
            "_country": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "DE",
                    "system": "urn:iso:std:iso:3166"
                  }
                }
              ]
            }
          }
        ],
        "birthDate": "1970-01-20",
        "gender": "other",
        "_gender": {
          "extension": [
            {
              "url": "http://fhir.de/StructureDefinition/gender-amtlich-de",
              "valueCoding": {
                "code": "X",
                "system": "http://fhir.de/CodeSystem/gender-amtlich-de",
                "display": "unbestimmt"
              }
            }
          ]
        }
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Coverage/019aa695-0ba8-79d0-8126-05de77db0da8",
      "resource": {
        "resourceType": "Coverage",
        "id": "019aa695-0ba8-79d0-8126-05de77db0da8",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMCoveragePKV|1.0.0-rc7"
          ]
        },
        "type": {
          "coding": [
            {
              "code": "PKV",
              "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "display": "private Krankenversicherung"
            }
          ]
        },
        "extension": [
          {
            "url": "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMTarifartPKV",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PKV_TARIFF",
              "code": "01",
              "display": "Individualtarif"
            }
          },
          {
            "url": "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMVersichertenartPKV",
            "valueCoding": {
              "code": "VN",
              "system": "http://fhir.de/ValueSet/pkv/Versichertenart",
              "display": "Versicherungsnehmer"
            }
          },
          {
            "url": "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMKrankenhausleistungenPKV",
            "extension": [
              {
                "url": "allgemein",
                "valueUnsignedInt": 100
              },
              {
                "url": "zweibett",
                "valueUnsignedInt": 50
              },
              {
                "url": "wahlarzt",
                "valueBoolean": false
              },
              {
                "url": "belegarzt",
                "valueBoolean": false
              }
            ]
          }
        ],
        "status": "active",
        "beneficiary": {
          "reference": "https://gematik.de/fhir/Patient/019aa693-6fb9-7553-a456-b40a01819bad"
        },
        "period": {
          "start": "1980-01-01"
        },
        "payor": [
          {
            "reference": "https://gematik.de/fhir/Organization/019aa691-1976-7d0c-9698-44625e754464",
            "identifier": {
              "value": "168145671"
            },
            "display": "Privatversicherung Saturn"
          }
        ]
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Organization/019aa691-1976-7d0c-9698-44625e754464",
      "resource": {
        "resourceType": "Organization",
        "id": "019aa691-1976-7d0c-9698-44625e754464",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMPayorOrganization|1.0.0-rc7"
          ]
        },
        "identifier": [
          {
            "system": "http://fhir.de/sid/arge-ik/iknr",
            "value": "168145671"
          }
        ],
        "address": [
          {
            "country": "Deutschland",
            "_country": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "DE",
                    "system": "urn:iso:std:iso:3166"
                  }
                }
              ]
            }
          }
        ],
        "name": "Privatversicherung Saturn"
      }
    }
  ]
}