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Packagede.gematik.vsdm2
Resource TypeBundle
IdBundle-019aa697-19f6-77e3-a394-ea9948e9e019.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "019aa697-19f6-77e3-a394-ea9948e9e019",
  "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-bff6-7e85-9a84-e4ad7f8dd48c",
      "resource": {
        "resourceType": "Patient",
        "id": "019aa693-bff6-7e85-9a84-e4ad7f8dd48c",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMPatient|1.0.0-rc7"
          ]
        },
        "identifier": [
          {
            "system": "http://fhir.de/sid/gkv/kvid-10",
            "value": "O567890128"
          }
        ],
        "name": [
          {
            "use": "official",
            "text": "Oliver Ortolan",
            "family": "Ortolan",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Ortolan"
                }
              ]
            },
            "given": [
              "Oliver"
            ]
          }
        ],
        "address": [
          {
            "type": "physical",
            "line": [
              "Gartenammerstraße 15",
              "Vorderhaus"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "15"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Gartenammerstraße"
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
                    "valueString": "Vorderhaus"
                  }
                ]
              }
            ],
            "city": "Offenburg",
            "postalCode": "77654",
            "country": "Deutschland",
            "_country": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "DE",
                    "system": "urn:iso:std:iso:3166"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "D",
                    "system": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen"
                  }
                }
              ]
            }
          }
        ],
        "birthDate": "2009-06-08",
        "gender": "male"
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Coverage/019aa695-6296-743f-a1d0-f3a354ed1475",
      "resource": {
        "resourceType": "Coverage",
        "id": "019aa695-6296-743f-a1d0-f3a354ed1475",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMCoverageGKV|1.0.0-rc7"
          ]
        },
        "type": {
          "coding": [
            {
              "code": "GKV",
              "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "display": "gesetzliche Krankenversicherung"
            }
          ]
        },
        "extension": [
          {
            "url": "http://fhir.de/StructureDefinition/gkv/wop",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
              "code": "52",
              "display": "Baden-Württemberg"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
            "valueCoding": {
              "code": "3",
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
              "display": "Familienangehoerige"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus",
            "extension": [
              {
                "url": "status",
                "valueBoolean": true
              },
              {
                "url": "gueltigBis",
                "valueDate": "2027-06-09"
              }
            ]
          }
        ],
        "payor": [
          {
            "identifier": {
              "system": "http://fhir.de/sid/arge-ik/iknr",
              "value": "107668422"
            },
            "reference": "https://gematik.de/fhir/Organization/019aa691-efa4-7cfc-8f83-82387d397bce",
            "display": "Beispielkostenträger Offenburg"
          }
        ],
        "status": "active",
        "beneficiary": {
          "reference": "https://gematik.de/fhir/Patient/019aa693-bff6-7e85-9a84-e4ad7f8dd48c"
        },
        "period": {
          "start": "2009-06-08"
        }
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Organization/019aa691-efa4-7cfc-8f83-82387d397bce",
      "resource": {
        "resourceType": "Organization",
        "id": "019aa691-efa4-7cfc-8f83-82387d397bce",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMPayorOrganization|1.0.0-rc7"
          ]
        },
        "identifier": [
          {
            "system": "http://fhir.de/sid/arge-ik/iknr",
            "value": "107668422"
          }
        ],
        "address": [
          {
            "country": "Deutschland",
            "_country": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "DE",
                    "system": "urn:iso:std:iso:3166"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
                  "valueCoding": {
                    "code": "D",
                    "system": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen"
                  }
                }
              ]
            }
          }
        ],
        "name": "Beispielkostenträger Offenburg",
        "contact": [
          {
            "purpose": {
              "coding": [
                {
                  "code": "BILL",
                  "system": "http://terminology.hl7.org/CodeSystem/contactentity-type"
                }
              ],
              "text": "Kontakt für Abrechnungsfragen"
            },
            "telecom": [
              {
                "system": "phone",
                "value": "+4952116391643"
              },
              {
                "system": "email",
                "value": "contact@kostentraeger.invalid"
              }
            ]
          }
        ]
      }
    }
  ]
}