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Scope package:kbv.ita.eau@1.2.0
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<Bundle xmlns="http://hl7.org/fhir">
  <id value="09dc423a-8539-4e84-97e7-c8d33514d090" />
  <meta>
    <lastUpdated value="2025-09-08T09:46:05Z" />
    <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_EAU_Bundle|1.2" />
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:uuid:09dc423a-8539-4e84-97e7-c8d33514d090" />
  </identifier>
  <type value="document" />
  <timestamp value="2025-09-08T09:46:05Z" />
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Composition/6b5e51b4-1181-46b6-870d-aec131aeda5a" />
    <resource>
      <Composition xmlns="http://hl7.org/fhir">
        <id value="6b5e51b4-1181-46b6-870d-aec131aeda5a" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_EAU_Composition|1.2" />
        </meta>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_STATUSKENNZEICHEN" />
            <code value="00" />
          </valueCoding>
        </extension>
        <status value="final" />
        <type>
          <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_EAU_AU_Type" />
            <code value="FOLGE" />
          </coding>
          <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_FORMULAR_ART" />
            <code value="e010" />
          </coding>
        </type>
        <subject>
          <reference value="Patient/e995d51a-2395-47de-9aea-32c34384780b" />
        </subject>
        <date value="2025-09-08" />
        <author>
          <reference value="Practitioner/994fb9e8-b9be-42c9-9447-e4ca8892e19e" />
          <type value="Practitioner" />
        </author>
        <author>
          <type value="Device" />
          <identifier>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer" />
            <value value="Y/80/2107/36/223" />
          </identifier>
        </author>
        <title value="Arbeitsunfähigkeit" />
        <custodian>
          <reference value="Organization/f2633f32-bc99-4fd3-8ac3-855db43cf9fc" />
        </custodian>
        
        <section>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type" />
              <code value="ICD" />
            </coding>
          </code>
          <entry>
            
            <reference value="Condition/d7a1da9d-8c83-4e5d-88e3-e2c6d2915489" />
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type" />
              <code value="AU_Condition" />
            </coding>
          </code>
          <entry>
            
            <reference value="Condition/2a54b0b6-05b3-4278-b74e-fdc07159664f" />
          </entry>
        </section>
        
        <section>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type" />
              <code value="Coverage" />
            </coding>
          </code>
          <entry>
            
            <reference value="Coverage/e96a7d77-e304-4d08-9aed-631e72302105" />
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Patient/e995d51a-2395-47de-9aea-32c34384780b" />
    <resource>
      <Patient xmlns="http://hl7.org/fhir">
        <id value="e995d51a-2395-47de-9aea-32c34384780b" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.2" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
              <code value="KVZ10" />
            </coding>
          </type>
          <system value="http://fhir.de/sid/gkv/kvid-10" />
          <value value="G572659372" />
        </identifier>
        <name>
          <use value="official" />
          <family value="Wierzapf">
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
              <valueString value="Wierzapf" />
            </extension>
          </family>
          <given value="Michi" />
        </name>
        <birthDate value="1971-09-01" />
        <address>
          <type value="both" />
          <line value="Am Leimbachring 30" />
          <city value="Zeiskam" />
          <postalCode value="67478" />
          <country value="D" />
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Practitioner/994fb9e8-b9be-42c9-9447-e4ca8892e19e" />
    <resource>
      <Practitioner xmlns="http://hl7.org/fhir">
        <id value="994fb9e8-b9be-42c9-9447-e4ca8892e19e" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.2" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="LANR" />
            </coding>
          </type>
          <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR" />
          <value value="776299002" />
        </identifier>
        <name>
          <use value="official" />
          <family value="TEST-ONLY Côllins">
            <extension url="http://fhir.de/StructureDefinition/humanname-namenszusatz">
              <valueString value="TEST-ONLY" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
              <valueString value="Côllins" />
            </extension>
          </family>
          <given value="Brunhild" />
          <prefix value="Dr. med.">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC" />
            </extension>
          </prefix>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type" />
              <code value="00" />
            </coding>
          </code>
        </qualification>
        <qualification>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung" />
              <code value="Berufsbezeichnung" />
            </coding>
            <text value="Arzt" />
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Organization/f2633f32-bc99-4fd3-8ac3-855db43cf9fc" />
    <resource>
      <Organization xmlns="http://hl7.org/fhir">
        <id value="f2633f32-bc99-4fd3-8ac3-855db43cf9fc" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.2" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="BSNR" />
            </coding>
          </type>
          <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" />
          <value value="391234511" />
        </identifier>
        <name value="Praxis Topp-Glücklich" />
        <telecom>
          <system value="phone" />
          <value value="123" />
        </telecom>
        <telecom>
          <system value="fax" />
          <value value="123" />
        </telecom>
        <telecom>
          <system value="email" />
          <value value="Brunhild Côllins@KBV-Testpraxis.de" />
        </telecom>
        <address>
          <type value="both" />
          <line value="Neukarten Straße 9">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="9" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Neukarten Straße" />
            </extension>
          </line>
          <city value="Waldorf" />
          <postalCode value="69277" />
          <country value="D" />
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Condition/2a54b0b6-05b3-4278-b74e-fdc07159664f" />
    <resource>
      <Condition xmlns="http://hl7.org/fhir">
        <id value="2a54b0b6-05b3-4278-b74e-fdc07159664f" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_EAU_Condition_AU|1.2" />
        </meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
          <valueDateTime value="2025-09-08" />
        </extension>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
            <code value="active" />
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status" />
            <code value="confirmed" />
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_FHIR_DOKUMENTTYPE" />
            <code value="eAU" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/e995d51a-2395-47de-9aea-32c34384780b" />
        </subject>
        <onsetPeriod>
          <end value="2025-09-11" />
        </onsetPeriod>
        <asserter>
          <reference value="Practitioner/994fb9e8-b9be-42c9-9447-e4ca8892e19e" />
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Coverage/e96a7d77-e304-4d08-9aed-631e72302105" />
    <resource>
      <Coverage xmlns="http://hl7.org/fhir">
        <id value="e96a7d77-e304-4d08-9aed-631e72302105" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.2" />
        </meta>
        <extension url="http://fhir.de/StructureDefinition/gkv/besondere-personengruppe">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE" />
            <code value="00" />
          </valueCoding>
        </extension>
        <extension url="http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DMP" />
            <code value="00" />
          </valueCoding>
        </extension>
        <extension url="http://fhir.de/StructureDefinition/gkv/wop">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP" />
            <code value="00" />
          </valueCoding>
        </extension>
        <extension url="http://fhir.de/StructureDefinition/gkv/versichertenart">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS" />
            <code value="1" />
          </valueCoding>
        </extension>
        <status value="active" />
        <type>
          <coding>
            <system value="http://fhir.de/CodeSystem/versicherungsart-de-basis" />
            <code value="GKV" />
          </coding>
        </type>
        <beneficiary>
          <reference value="Patient/e995d51a-2395-47de-9aea-32c34384780b" />
        </beneficiary>
        <payor>
          <identifier>
            <system value="http://fhir.de/sid/arge-ik/iknr" />
            <value value="101560000" />
          </identifier>
          <display value="DAK-GESUNDHEIT" />
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    
    <fullUrl value="http://pvs.universitaetsklinik-im-taltest-only.local/fhir/Condition/d7a1da9d-8c83-4e5d-88e3-e2c6d2915489" />
    <resource>
      <Condition xmlns="http://hl7.org/fhir">
        <id value="d7a1da9d-8c83-4e5d-88e3-e2c6d2915489" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_EAU_Condition_ICD|1.2" />
        </meta>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
            <code value="active" />
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status" />
            <code value="confirmed" />
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <extension url="http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit">
              <valueCoding>
                <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT" />
                <code value="G" />
              </valueCoding>
            </extension>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm" />
            <version value="2022" />
            <code value="K81.0" />
          </coding>
        </code>
        
        <subject>
          <reference value="Patient/e995d51a-2395-47de-9aea-32c34384780b" />
        </subject>
        
        <asserter>
          <reference value="Practitioner/994fb9e8-b9be-42c9-9447-e4ca8892e19e" />
        </asserter>
      </Condition>
    </resource>
  </entry>
</Bundle>