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Packagekbv.ita.vos
Resource TypeBundle
Idexample-ak2-aufruf-bundle-basisinformation.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "example-ak2-aufruf-bundle-basisinformation",
  "meta": {
    "profile": [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Bundle_PVS_VoS|2.2.0"
    ]
  },
  "identifier": {
    "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_VoS_BundleID",
    "value": "Test-ID-PVS"
  },
  "type": "document",
  "timestamp": "2025-10-15T13:35:03+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:54ef329e-48a1-4733-a751-7f3a7bc193b7",
      "resource": {
        "resourceType": "Composition",
        "id": "54ef329e-48a1-4733-a751-7f3a7bc193b7",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:03+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Composition|2.2.0"
          ]
        },
        "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"
            }
          },
          {
            "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_StartUp_Context",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_VoS_StartUp_Context",
                  "code": "2",
                  "display": "Erstverordnung"
                }
              ]
            }
          }
        ],
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11503-0"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:371cf692-89dd-4a19-a180-d78991a32950"
        },
        "date": "2025-10-15T13:35:03Z",
        "author": [
          {
            "reference": "urn:uuid:f2ea54b9-ab1a-43d9-8727-fa24c61c820d",
            "type": "Practitioner"
          },
          {
            "reference": "urn:uuid:a65abf38-c8b5-465b-89a9-c5b823f01dbe",
            "type": "Device"
          },
          {
            "reference": "urn:uuid:e120bfbc-604d-4f82-bd21-313aad02fa76",
            "type": "PractitionerRole"
          }
        ],
        "title": "Aufruf der VoS",
        "custodian": {
          "reference": "urn:uuid:8d9fc65d-7baa-4b44-be96-5874b94c6471"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_VoS_SectionType",
                  "code": "Additional patient information"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:5caa1f52-b926-4331-9e66-6768e6f083e7"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:f2ea54b9-ab1a-43d9-8727-fa24c61c820d",
      "resource": {
        "resourceType": "Practitioner",
        "id": "f2ea54b9-ab1a-43d9-8727-fa24c61c820d",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Practitioner|2.2.0"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "LANR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
            "value": "754236701"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Schulz",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Schulz"
                }
              ]
            },
            "given": [
              "Ben"
            ]
          }
        ],
        "qualification": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
                  "code": "00"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
                  "code": "Berufsbezeichnung"
                }
              ],
              "text": "Facharzt für Allgemeinmedizin"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:8d9fc65d-7baa-4b44-be96-5874b94c6471",
      "resource": {
        "resourceType": "Organization",
        "id": "8d9fc65d-7baa-4b44-be96-5874b94c6471",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Organization|2.2.0"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "BSNR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value": "724444400"
          }
        ],
        "name": "Hausarztpraxis",
        "telecom": [
          {
            "system": "phone",
            "value": "030321654987"
          },
          {
            "system": "email",
            "value": "hausarztpraxis@e-mail.de"
          }
        ],
        "address": [
          {
            "type": "both",
            "line": [
              "Herbert-Lewin-Platz 2",
              "Erdgeschoss"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "2"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Herbert-Lewin-Platz"
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
                    "valueString": "Erdgeschoss"
                  }
                ]
              }
            ],
            "city": "Berlin",
            "postalCode": "10623",
            "country": "D"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a65abf38-c8b5-465b-89a9-c5b823f01dbe",
      "resource": {
        "resourceType": "Device",
        "id": "a65abf38-c8b5-465b-89a9-c5b823f01dbe",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Device_PVS|2.2.0"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
            "value": "Y/70/2207/36/ID"
          }
        ],
        "deviceName": [
          {
            "name": "KBV-PVS",
            "type": "manufacturer-name"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/11000274103/version/20240515",
              "code": "463916008",
              "display": "Physician-practice-management information system application software (physical object)"
            }
          ]
        },
        "contact": [
          {
            "system": "phone",
            "value": "030/4005-0"
          },
          {
            "system": "email",
            "value": "ita@kbv.de"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e120bfbc-604d-4f82-bd21-313aad02fa76",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "e120bfbc-604d-4f82-bd21-313aad02fa76",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_PractitionerRole|2.2.0"
          ]
        },
        "practitioner": {
          "reference": "urn:uuid:f2ea54b9-ab1a-43d9-8727-fa24c61c820d"
        },
        "organization": {
          "reference": "urn:uuid:8d9fc65d-7baa-4b44-be96-5874b94c6471"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5caa1f52-b926-4331-9e66-6768e6f083e7",
      "resource": {
        "resourceType": "Coverage",
        "id": "5caa1f52-b926-4331-9e66-6768e6f083e7",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Coverage|2.2.0"
          ]
        },
        "extension": [
          {
            "url": "http://fhir.de/StructureDefinition/gkv/einlesedatum-karte",
            "valueDateTime": "2025-10-01"
          },
          {
            "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": "01"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
              "code": "1"
            }
          }
        ],
        "status": "draft",
        "type": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "code": "GKV"
            }
          ]
        },
        "beneficiary": {
          "reference": "urn:uuid:371cf692-89dd-4a19-a180-d78991a32950"
        },
        "payor": [
          {
            "identifier": {
              "system": "http://fhir.de/sid/arge-ik/iknr",
              "value": "108018347"
            },
            "display": "AOK Baden-Württemberg"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:371cf692-89dd-4a19-a180-d78991a32950",
      "resource": {
        "resourceType": "Patient",
        "id": "371cf692-89dd-4a19-a180-d78991a32950",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-10-15T13:35:00+00:00",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://kbv-testpraxis.de/patient-identifier",
            "value": "P47-03"
          },
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
                  "code": "KVZ10"
                }
              ]
            },
            "system": "http://fhir.de/sid/gkv/kvid-10",
            "value": "K220645122"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Schuhmann",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Schuhmann"
                }
              ]
            },
            "given": [
              "Sahra"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1970-12-24",
        "address": [
          {
            "type": "both",
            "line": [
              "Berliner Straße 1"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "1"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Berliner Straße"
                  }
                ]
              }
            ],
            "city": "Husum",
            "postalCode": "25813",
            "country": "D"
          }
        ]
      }
    }
  ]
}