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Packagede.gevko.evo.hlm
Resource TypeBundle
IdBundle-example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "0528d416-149e-48a4-977c-Bundle-Muster13",
  "meta": {
    "profile": [
      "https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_Bundle|0.9.3"
    ]
  },
  "identifier": {
    "system": "https://gematik.de/fhir/NamingSystem/PrescriptionID",
    "value": "9876543210"
  },
  "type": "document",
  "timestamp": "2020-05-06T10:12:21Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-0000000C",
      "resource": {
        "resourceType": "Composition",
        "id": "0000000C",
        "meta": {
          "profile": [
            "https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_Composition|0.9.3"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_STATUSKENNZEICHEN",
              "code": "00"
            }
          }
        ],
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt",
              "code": "e13A"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich",
                "code": "PHYS",
                "display": "Physiotherapie"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "date": "2020-05-06T12:30:02Z",
        "author": [
          {
            "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002",
            "type": "Practitioner"
          },
          {
            "type": "Device",
            "identifier": {
              "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
              "value": "00998877665544332211"
            }
          }
        ],
        "title": "elektronische Heilmittelverordnung",
        "custodian": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Organization-00000003"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type",
                  "code": "Coverage"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-Coverage-00000004"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type",
                  "code": "ICD"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-Condition-00000005",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type",
                        "code": "ICD"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_Section_Type",
                  "code": "Diagnoseschluessel"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-Condition-00000006"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type",
                  "code": "HLM"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-ServiceRequest-00000008",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type",
                        "code": "Zusatzinfos"
                      }
                    ]
                  }
                }
              },
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-ServiceRequest-00000007",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type",
                        "code": "HLM"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_Section_Type",
                  "code": "Therapieziele"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:0528d416-149e-48a4-977c-Observation-00000009"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001",
      "resource": {
        "resourceType": "Patient",
        "id": "00000001",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.0.3"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
                  "code": "GKV"
                }
              ]
            },
            "system": "http://fhir.de/NamingSystem/gkv/kvid-10",
            "value": "X123456789"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Schwanenstein",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Schwanenstein"
                }
              ]
            },
            "given": [
              "Karl"
            ]
          }
        ],
        "birthDate": "1985-09-07",
        "address": [
          {
            "type": "both",
            "line": [
              "Musterweg 42"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "42"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Musterweg"
                  }
                ]
              }
            ],
            "city": "Berlin",
            "postalCode": "10787"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002",
      "resource": {
        "resourceType": "Practitioner",
        "id": "00000002",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.0.3"
          ]
        },
        "identifier": [
          {
            "type": {
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                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "LANR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
            "value": "838382202"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Sommer",
            "given": [
              "Franz"
            ],
            "prefix": [
              "Dr. med."
            ],
            "_prefix": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode": "AC"
                  }
                ]
              }
            ]
          }
        ],
        "qualification": [
          {
            "code": {
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                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
                  "code": "00"
                }
              ]
            }
          },
          {
            "code": {
              "text": "Hausarzt"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Organization-00000003",
      "resource": {
        "resourceType": "Organization",
        "id": "00000003",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.0.3"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "BSNR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value": "987654321"
          }
        ],
        "name": "Arztpraxis am Jungbrunnen",
        "telecom": [
          {
            "system": "phone",
            "value": "0301234567"
          }
        ],
        "address": [
          {
            "line": [
              "Arztpraxenstr. 2"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Arztpraxenstr."
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "2"
                  }
                ]
              }
            ],
            "city": "Berlin",
            "postalCode": "10864",
            "country": "DE"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Coverage-00000004",
      "resource": {
        "resourceType": "Coverage",
        "id": "00000004",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.0.3"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
              "code": "00"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DMP",
              "code": "00"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/wop",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
              "code": "03"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
              "code": "1"
            }
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "code": "GKV"
            }
          ]
        },
        "beneficiary": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "payor": [
          {
            "identifier": {
              "system": "http://fhir.de/NamingSystem/arge-ik/iknr",
              "value": "104212059"
            },
            "display": "AOK Rheinland/Hamburg"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Condition-00000005",
      "resource": {
        "resourceType": "Condition",
        "id": "00000005",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_EAU_Condition_ICD|1.0.2"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "extension": [
                {
                  "url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
                  "valueCoding": {
                    "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT",
                    "code": "G"
                  }
                },
                {
                  "url": "http://fhir.de/StructureDefinition/seitenlokalisation",
                  "valueCoding": {
                    "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION",
                    "code": "B"
                  }
                }
              ],
              "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
              "version": "2020",
              "code": "L21.9"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "asserter": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Condition-00000006",
      "resource": {
        "resourceType": "Condition",
        "id": "00000006",
        "meta": {
          "profile": [
            "https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_Condition_Diagnoseschluessel|0.9.3"
          ]
        },
        "code": {
          "extension": [
            {
              "url": "https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik",
              "extension": [
                {
                  "url": "leitsymptomatik_a",
                  "valueCoding": {
                    "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik",
                    "code": "a"
                  }
                },
                {
                  "url": "patientenindividuelle_Leitsymptomatik",
                  "valueCoding": {
                    "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_patientenindividuelle_Leitsymptomatik",
                    "code": "0"
                  }
                }
              ]
            }
          ],
          "coding": [
            {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE",
              "code": "EX"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "asserter": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-ServiceRequest-00000007",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "00000007",
        "meta": {
          "profile": [
            "https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_ServiceRequest|0.9.3"
          ]
        },
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type",
                "code": "HLM",
                "display": "Heilmittel"
              }
            ]
          }
        ],
        "code": {
          "text": "KG"
        },
        "quantityQuantity": {
          "value": 3,
          "system": "http://unitsofmeasure.org",
          "code": "{count}"
        },
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "requester": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002"
        },
        "reasonReference": [
          {
            "reference": "urn:uuid:0528d416-149e-48a4-977c-Condition-00000006"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-ServiceRequest-00000008",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "00000008",
        "meta": {
          "profile": [
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          ]
        },
        "extension": [
          {
            "url": "https://fhir.gevko.de/StructureDefinition/EVO_EX_Ursache_Unfall_BVG",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Ursache_Type",
              "code": "1"
            }
          },
          {
            "url": "https://fhir.gevko.de/StructureDefinition/EVO_EX_Zuzahlungsstatus",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_StatusCoPayment",
              "code": "0"
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "priority": "routine",
        "code": {
          "coding": [
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              "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type",
              "code": "Zusatzinfos"
            }
          ]
        },
        "orderDetail": [
          {
            "coding": [
              {
                "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Therapiebericht",
                "code": "0"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "occurrenceTiming": {
          "repeat": {
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            "periodUnit": "wk"
          }
        },
        "requester": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002"
        },
        "locationCode": [
          {
            "coding": [
              {
                "system": "https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch",
                "code": "0"
              }
            ]
          }
        ],
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        ]
      }
    },
    {
      "fullUrl": "urn:uuid:0528d416-149e-48a4-977c-Observation-00000009",
      "resource": {
        "resourceType": "Observation",
        "id": "00000009",
        "meta": {
          "profile": [
            "https://fhir.gevko.de/StructureDefinition/EVO_PR_FOR_Hinweise_Freitext|0.9.0"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34819-3",
              "display": "Pathology Note"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:0528d416-149e-48a4-977c-Patient-00000001"
        },
        "performer": [
          {
            "reference": "urn:uuid:0528d416-149e-48a4-977c-Practitioner-00000002"
          }
        ],
        "valueString": "Hier stehen Theapieziele, med. Befunde und Hinweise"
      }
    }
  ]
}