Transaction Bundle

The bundle of type 'transaction' is used to collect the set of resources as part of the GECCO dataset into a single instance for data exchange.


Profile - GECCO Bundle

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/gecco-bundle

Snapshot

identifierΣ0..1Identifier
typeS Σ1..1codeBindingFixed Value
timestampS Σ0..1instant
totalΣ I0..1unsignedInt
relationΣ1..1string
urlΣ1..1uri
fullUrlΣ0..1uri
resourceΣ1..1Resource
modeΣ0..1codeBinding
scoreΣ0..1decimal
methodΣ1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
signatureΣ0..1Signature


Profile - GECCO Bundle NUM-CODEX

This is a GECCO-Bundle for the NUM-CODEX use case. The bundle requires that at least a consent for data sharing is included. It is intended to use this bundle internally in the Data Sharing Framework. In contrast to the previous bundle, the type is set to 'batch'.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/gecco-bundle-codex

Snapshot

identifierΣ0..1Identifier
typeS Σ1..1codeBindingFixed Value
timestampS Σ0..1instant
totalΣ I0..1unsignedInt
relationΣ1..1string
urlΣ1..1uri
fullUrlΣ0..1uri
resourceΣ0..1Resource
modeΣ0..1codeBinding
scoreΣ0..1decimal
methodΣ1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
fullUrlΣ0..1uri
resourceS Σ I1..1Consent Management: Consent
modeΣ0..1codeBinding
scoreΣ0..1decimal
methodΣ1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
signatureΣ0..1Signature


Examples

Bundle
Example bundle shortened for display purposes (uses literal references)

{
    "resourceType": "Bundle",
    "id": "gecco-bundle",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/gecco-bundle"
        ]
    },
    "type": "transaction",
    "timestamp": "2020-11-10T15:50:41+01:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:b1128693-372d-469b-8288-04cf091e7553",
            "resource": {
                "resourceType": "Patient",
                "id": "b1128693-372d-469b-8288-04cf091e7553",
                "meta": {
                    "profile":  [
                        "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/Patient"
                    ]
                },
                "extension":  [
                    {
                        "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/ethnic-group",
                        "valueCoding": {
                            "code": "26242008",
                            "system": "http://snomed.info/sct",
                            "display": "Mixed (qualifier value)"
                        }
                    },
                    {
                        "extension":  [
                            {
                                "url": "dateTimeOfDocumentation",
                                "valueDateTime": "2020-10-01"
                            },
                            {
                                "url": "age",
                                "valueAge": {
                                    "value": 67,
                                    "code": "a",
                                    "system": "http://unitsofmeasure.org",
                                    "unit": "years"
                                }
                            }
                        ],
                        "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/age"
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "code": "MR",
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                                }
                            ]
                        },
                        "system": "https://www.charite.de/fhir/CodeSystem/medical-record-numbers",
                        "value": "43814872",
                        "assigner": {
                            "reference": "Organization/Charité"
                        }
                    }
                ],
                "birthDate": "1953-09-30"
            },
            "request": {
                "method": "PUT",
                "url": "Patient/b1128693-372d-469b-8288-04cf091e7553"
            }
        },
        {
            "fullUrl": "urn:uuid:8d4c2cbb-bc80-4e5a-82f0-0babf997660e",
            "resource": {
                "resourceType": "Condition",
                "id": "8d4c2cbb-bc80-4e5a-82f0-0babf997660e",
                "meta": {
                    "profile":  [
                        "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/chronic-lung-diseases"
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "code": "418112009",
                                "system": "http://snomed.info/sct",
                                "display": "Pulmonary medicine"
                            }
                        ]
                    }
                ],
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed",
                            "display": "Confirmed"
                        },
                        {
                            "system": "http://snomed.info/sct",
                            "code": "410605003",
                            "display": "Confirmed present (qualifier value)"
                        }
                    ]
                },
                "clinicalStatus": {
                    "coding":  [
                        {
                            "code": "active",
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "code": "413839001",
                            "system": "http://snomed.info/sct",
                            "display": "Chronic lung disease"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/b1128693-372d-469b-8288-04cf091e7553"
                },
                "recordedDate": "2020-11-10T15:50:41+01:00"
            },
            "request": {
                "method": "POST",
                "url": "Condition"
            }
        },
        {
            "fullUrl": "urn:uuid:cabb511a-07be-4f2d-9444-54a4171a45a4",
            "resource": {
                "resourceType": "Observation",
                "id": "cabb511a-07be-4f2d-9444-54a4171a45a4",
                "meta": {
                    "profile":  [
                        "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/sars-cov-2-rt-pcr"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "OBI"
                                }
                            ]
                        },
                        "system": "https://www.charite.de/fhir/CodeSystem/lab-identifiers",
                        "value": "94500-6_SARS-CoV-2-RNA-Presence-in-Respiratory-specimen",
                        "assigner": {
                            "reference": "Organization/Charité"
                        }
                    }
                ],
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://loinc.org",
                                "code": "26436-6"
                            },
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "code": "94500-6",
                            "system": "http://loinc.org",
                            "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
                        }
                    ],
                    "text": "SARS-CoV-2-RNA (PCR)"
                },
                "status": "final",
                "subject": {
                    "reference": "Patient/b1128693-372d-469b-8288-04cf091e7553"
                },
                "effectiveDateTime": "2020-11-10T15:50:41+01:00",
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "code": "260373001",
                            "system": "http://snomed.info/sct",
                            "display": "Detected (qualifier value)"
                        }
                    ],
                    "text": "SARS-CoV-2-RNA positiv"
                }
            },
            "request": {
                "method": "PUT",
                "url": "Observation/cabb511a-07be-4f2d-9444-54a4171a45a4"
            }
        }
    ]
}


Bundle
Example bundle as used in NUM-CODEX (uses logical references)

{
    "resourceType": "Bundle",
    "id": "gecco-bundle-num-codex",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/gecco-bundle-codex"
        ]
    },
    "type": "batch",
    "entry":  [
        {
            "fullUrl": "urn:uuid:dfd5edc6-3a8a-4796-a9bb-f9572cf15c96",
            "resource": {
                "resourceType": "Consent",
                "id": "dfd5edc6-3a8a-4796-a9bb-f9572cf15c96",
                "meta": {
                    "lastUpdated": "2021-05-19T17:50:23.000+02:00",
                    "profile":  [
                        "http://fhir.de/ConsentManagement/StructureDefinition/Consent"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://fhir.de/ConsentManagement/StructureDefinition/DomainReference",
                        "extension":  [
                            {
                                "url": "domain",
                                "valueReference": {
                                    "reference": "ResearchStudy/593d66f3-3654-4e8a-9524-3bcd78a363bb"
                                }
                            },
                            {
                                "url": "status",
                                "valueCoding": {
                                    "code": "active",
                                    "system": "http://hl7.org/fhir/publication-status"
                                }
                            }
                        ]
                    }
                ],
                "status": "active",
                "scope": {
                    "coding":  [
                        {
                            "code": "research",
                            "system": "http://terminology.hl7.org/CodeSystem/consentscope"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "code": "57016-8",
                                "system": "http://loinc.org"
                            }
                        ]
                    }
                ],
                "patient": {
                    "reference": "Patient/c183799b-9fd8-416c-a826-e3c69a2a6c6d",
                    "display": "Pseudonym dic_charite/dic_C7H2E9"
                },
                "dateTime": "2021-05-19T00:00:00+02:00",
                "organization":  [
                    {
                        "display": "MII"
                    }
                ],
                "sourceReference": {
                    "reference": "QuestionnaireResponse/example"
                },
                "policyRule": {
                    "text": "Patienteneinwilligung MII|1.6.f"
                },
                "provision": {
                    "type": "deny",
                    "period": {
                        "start": "2021-05-19T17:50:22+02:00",
                        "end": "2051-05-19T17:50:23+02:00"
                    },
                    "provision":  [
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "IDAT_bereitstellen_EU_DSGVO_konform",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Herausgabe identifizierender Daten (IDAT)[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.5",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "IDAT_erheben",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Erfassung neuer identifizierender Daten (IDAT)"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.2",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "IDAT_speichern_verarbeiten",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Speicherung und Verarbeitung identifizierender Daten (IDAT)[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.3",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "IDAT_zusammenfuehren_Dritte",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Zusammenführung identifizierender Daten (IDAT)[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.4",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_erheben",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Erfassung medizinischer Daten"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.6",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_speichern_verarbeiten",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Speicherung_Verarbeitung von medizinischen Daten[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.7",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_wissenschaftlich_nutzen_EU_DSGVO_konform",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Bereitstellung medizinischer Daten (MDAT)[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.8",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_zusammenfuehren_Dritte",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Zusammenführung medizinischer Daten (MDAT)[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.9",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "Rekontaktierung_Verknuepfung_Datenbanken",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Rekontaktierung zur Verknüpfung[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.27",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "Rekontaktierung_weitere_Erhebung",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Rekontaktierung bezüglich Erhebung zusätzlicher Daten"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.28",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "Rekontaktierung_weitere_Studien",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Rekontaktierung bezüglich Information[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.29",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_GECCO83_bereitstellen_NUM_CODEX",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Medizinische Daten des GECCO83 Datensatz[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.33",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_GECCO83_speichern_verarbeiten_NUM_CODEX",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy",
                                            "display": "Medizinische Daten des GECCO83 Datensatz[...]"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.34",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_GECCO83_wissenschaftlich_nutzen_COVID_19_Forschung_EU_DSGVO_konform",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy/MII",
                                            "display": "Nutzung des Covid-19-Datensatzes[...]"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "MDAT_GECCO83_wissenschaftlich_nutzen_Pandemie_Forschung_EU_DSGVO_konform",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy/MII",
                                            "display": "Nutzung des Covid-19-Datensatzes[...]"
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "type": "permit",
                            "period": {
                                "start": "2021-05-19T17:50:22+02:00",
                                "end": "2051-05-19T17:50:23+02:00"
                            },
                            "code":  [
                                {
                                    "coding":  [
                                        {
                                            "code": "Rekontaktierung_Zusatzbefund",
                                            "system": "https://ths-greifswald.de/fhir/CodeSystem/gics/Policy/MII",
                                            "display": "Rekontaktierung bezüglich Zusatzbefund"
                                        }
                                    ]
                                },
                                {
                                    "coding":  [
                                        {
                                            "code": "2.16.840.1.113883.3.1937.777.24.5.3.31",
                                            "system": "urn:oid:2.16.840.1.113883.3.1937.777.24.5.3"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "PUT",
                "url": "Consent/dfd5edc6-3a8a-4796-a9bb-f9572cf15c96"
            }
        },
        {
            "fullUrl": "urn:uuid:c183799b-9fd8-416c-a826-e3c69a2a6c6d",
            "resource": {
                "resourceType": "Patient",
                "id": "c183799b-9fd8-416c-a826-e3c69a2a6c6d",
                "meta": {
                    "profile":  [
                        "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/Patient"
                    ]
                },
                "extension":  [
                    {
                        "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/ethnic-group",
                        "valueCoding": {
                            "code": "26242008",
                            "system": "http://snomed.info/sct",
                            "display": "Mixed (qualifier value)"
                        }
                    },
                    {
                        "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/age",
                        "extension":  [
                            {
                                "url": "dateTimeOfDocumentation",
                                "valueDateTime": "2020-10-01"
                            },
                            {
                                "url": "age",
                                "valueAge": {
                                    "value": 67,
                                    "code": "a",
                                    "system": "http://unitsofmeasure.org",
                                    "unit": "years"
                                }
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "code": "ANON",
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                                }
                            ]
                        },
                        "system": "http://www.netzwerk-universitaetsmedizin.de/sid/dic-pseudonym",
                        "value": "dic_charite/dic_C7H2E9"
                    }
                ],
                "birthDate": "1953-09-30"
            },
            "request": {
                "method": "PUT",
                "url": "Patient?identifier=http://www.netzwerk-universitaetsmedizin.de/sid/dic-pseudonym|dic_charite/dic_C7H2E9"
            }
        },
        {
            "fullUrl": "urn:uuid:12987d1f-7ce6-4d3a-993e-2cd553081092",
            "resource": {
                "resourceType": "Condition",
                "id": "Inline-Instance-for-bundle-num-codex-example-1",
                "meta": {
                    "profile":  [
                        "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/chronic-lung-diseases"
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "code": "418112009",
                                "system": "http://snomed.info/sct",
                                "display": "Pulmonary medicine"
                            }
                        ]
                    }
                ],
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed",
                            "display": "Confirmed"
                        },
                        {
                            "system": "http://snomed.info/sct",
                            "code": "410605003",
                            "display": "Confirmed present (qualifier value)"
                        }
                    ]
                },
                "clinicalStatus": {
                    "coding":  [
                        {
                            "code": "active",
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "code": "413839001",
                            "system": "http://snomed.info/sct",
                            "display": "Chronic lung disease"
                        }
                    ]
                },
                "subject": {
                    "identifier": {
                        "system": "http://www.netzwerk-universitaetsmedizin.de/sid/dic-pseudonym",
                        "value": "dic_charite/dic_C7H2E9"
                    }
                },
                "recordedDate": "2020-11-10T15:50:41.000+01:00"
            },
            "request": {
                "method": "PUT",
                "url": "Condition?category=http://snomed.info/sct|418112009&code=http://snomed.info/sct|413839001&recorded-date=2020-11-10&subject:identifier=http://www.netzwerk-universitaetsmedizin.de/sid/dic-pseudonym|dic_charite/dic_C7H2E9"
            }
        }
    ]
}