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Source1

{
  "resourceType": "ServiceRequest",
  "id": "3204",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-09-15T13:12:00+00:00",
    "profile": [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenbefoerderung|1.2.0"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "status": "completed",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Ressourcentyp",
        "code": "Krankenbefoerderung"
      }
    ]
  },
  "subject": {
    "reference": "Patient/3181"
  },
  "encounter": {
    "reference": "Encounter/3188"
  },
  "occurrenceDateTime": "2018-08-06",
  "performer": [
    {
      "extension": [
        {
          "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Krankenbefoerderung_Ort_Zusatzinformation",
          "extension": [
            {
              "url": "hinfahrt",
              "valueBoolean": true
            },
            {
              "url": "rueckfahrt",
              "valueBoolean": true
            },
            {
              "url": "wartezeit",
              "valueString": "max. 3 Stunden"
            },
            {
              "url": "anzahl_Mitfahrer_bei_Gemeinschaftsfahrten",
              "valueString": "1-2 Personen"
            }
          ]
        },
        {
          "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Krankenbefoerderung_Befoerderungsmittel_med_technische_Ausstattung",
          "extension": [
            {
              "url": "ausstattung_notwendig",
              "valueBoolean": true
            },
            {
              "url": "tragestuhl",
              "valueBoolean": false
            },
            {
              "url": "nicht_umsetzbar_aus_Rollstuhl",
              "valueBoolean": false
            },
            {
              "url": "liegend",
              "valueBoolean": false
            },
            {
              "url": "andere",
              "valueString": "Kabinenpolsterung"
            }
          ]
        },
        {
          "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Krankenbefoerderung_Befoerderungsmittel_med_fachliche_Betreuung",
          "extension": [
            {
              "url": "betreuung_notwendig",
              "valueBoolean": true
            },
            {
              "url": "beschreibung_der_betreuung",
              "valueString": "Begleitperson ohne besondere Qualifikation"
            }
          ]
        },
        {
          "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Krankenbefoerderung_Befoerderungsmittel_Start_Zielort",
          "extension": [
            {
              "url": "startort_von",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Krankenbefoerderung_Befoerderungsmittel_Von_Nach",
                    "code": "Wohnung"
                  }
                ]
              }
            },
            {
              "url": "zielort_nach",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Krankenbefoerderung_Befoerderungsmittel_Von_Nach",
                    "code": "Arztpraxis"
                  }
                ]
              }
            }
          ]
        },
        {
          "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Krankenbefoerderung_Performer_Begruednung",
          "extension": [
            {
              "url": "freitext",
              "valueString": "Pat. hat keine Fahrerlaubnis"
            }
          ]
        }
      ],
      "reference": "Device/3175"
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Krankenbefoerderung_Hauptleistung",
          "code": "Ambulante_Operation_Vor_oder_Nachbehandlung"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Krankenbefoerderung_Hauptleistung",
          "code": "Ambulante_Behandlung_beim_Vertragsarzt"
        }
      ]
    }
  ]
}