<custodian> <reference value="Organization/d2b30a70-9830-4968-ab97-688472b6f9a3" /> </custodian> <section> <code> <coding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type" /> <code value="Prescription" /> </coding> </code> <entry>  <reference value="MedicationRequest/06dc1594-509a-4f4c-ada7-dfd477a02d86" /> </entry> </section> <section> <code> <coding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type" /> <code value="Coverage" /> </coding> </code> <entry>  <reference value="Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/MedicationRequest/06dc1594-509a-4f4c-ada7-dfd477a02d86" /> <resource> <MedicationRequest xmlns="http://hl7.org/fhir">  <id value="06dc1594-509a-4f4c-ada7-dfd477a02d86" /> <meta> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.2" /> </meta> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment"> <valueCoding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_StatusCoPayment" /> <code value="1" /> </valueCoding> </extension> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee"> <valueBoolean value="false" /> </extension> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER"> <valueBoolean value="false" /> </extension> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription"> <extension url="Kennzeichen"> <valueBoolean value="false" /> </extension> </extension> <status value="active" /> <intent value="order" /> <medicationReference> <reference value="Medication/f568397d-7ba2-46ac-904b-02caec933b42" /> </medicationReference> <subject> <reference value="Patient/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" /> </subject> <authoredOn value="2024-05-20" /> <requester> <reference value="Practitioner/e33d2afd-44c8-462b-80e5-52dbe5ebf359" /> </requester> <insurance> <reference value="Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" /> </insurance> <dosageInstruction> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag"> <valueBoolean value="true" /> </extension> <text value="2mal tägl. 5ml" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="1" /> <unit value="Packung" /> </quantity> </dispenseRequest> <substitution> <allowedBoolean value="true" /> </substitution> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/Medication/f568397d-7ba2-46ac-904b-02caec933b42" /> <resource> <Medication xmlns="http://hl7.org/fhir"> <id value="f568397d-7ba2-46ac-904b-02caec933b42" /> <meta> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.2" /> </meta> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Medication_Type"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <version value="http://snomed.info/sct/900000000000207008/version/20240201" /> <code value="763158003" /> <display value="Medicinal product (product)" /> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category"> <valueCoding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Category" /> <code value="00" /> </valueCoding> </extension> <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine"> <valueBoolean value="false" /> </extension> <extension url="http://fhir.de/StructureDefinition/normgroesse"> <valueCode value="N1" /> </extension> <code> <coding> <system value="http://fhir.de/CodeSystem/ifa/pzn" /> <code value="08585997" /> </coding> <text value="Prospan® Hustensaft 100ml N1" /> </code> <form> <coding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM" /> <code value="FLE" /> </coding> </form> <ingredient> <itemCodeableConcept> <coding> <system value="http://fhir.de/CodeSystem/ask" /> <code value="11704" /> </coding> <text value="Efeublätter, TE mit Ethanol/Ethanol-Wasser" /> </itemCodeableConcept> <strength> <numerator> <value value="7" /> <unit value="mg" /> </numerator> <denominator> <value value="1" /> </denominator> </strength> </ingredient> </Medication> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/Patient/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" /> <resource> <Patient xmlns="http://hl7.org/fhir"> <id value="512ab5bc-a7ab-4fd7-81cc-16a594f747a6" /> <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="M310119802" /> </identifier> <name> <use value="official" /> <family value="Erbprinzessin von und zu der Schimmelpfennig-Hammerschmidt Federmannssohn"> <extension url="http://fhir.de/StructureDefinition/humanname-namenszusatz"> <valueString value="Erbprinzessin" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"> <valueString value="von und zu der" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name"> <valueString value="Schimmelpfennig-Hammerschmidt Federmannssohn" /> </extension> </family> <given value="Ingrid" /> </name> <birthDate value="2010-01-31" /> <address> <type value="both" /> <line value="Anneliese- und Georg-von-Groscurth-Plaetzchen 149-C"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"> <valueString value="149-C" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"> <valueString value="Anneliese- und Georg-von-Groscurth-Plaetzchen" /> </extension> </line> <line value="5. OG - Hinterhof"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"> <valueString value="5. OG - Hinterhof" /> </extension> </line> <city value="Bad Homburg" /> <postalCode value="60437" /> <country value="D" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/Practitioner/e33d2afd-44c8-462b-80e5-52dbe5ebf359" /> <resource> <Practitioner xmlns="http://hl7.org/fhir"> <id value="e33d2afd-44c8-462b-80e5-52dbe5ebf359" /> <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="456456534" /> </identifier> <name> <use value="official" /> <family value="Weber"> <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name"> <valueString value="Weber" /> </extension> </family> <given value="Maximilian" /> <prefix value="Dr."> <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="Facharzt für Kinder- und Jugendmedizin" /> </code> </qualification> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/Organization/d2b30a70-9830-4968-ab97-688472b6f9a3" /> <resource> <Organization xmlns="http://hl7.org/fhir"> <id value="d2b30a70-9830-4968-ab97-688472b6f9a3" /> <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="687777700" /> </identifier> <name value="Kinderarztpraxis" /> <telecom> <system value="phone" /> <value value="09411234567" /> </telecom> <address> <type value="both" /> <line value="Yorckstraße 15"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"> <valueString value="15" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"> <valueString value="Yorckstraße" /> </extension> </line> <line value="Hinterhaus"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"> <valueString value="Hinterhaus" /> </extension> </line> <city value="Regensburg" /> <postalCode value="93049" /> <country value="D" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="http://pvs.praxis.local/fhir/Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" /> <resource> <Coverage xmlns="http://hl7.org/fhir"> <id value="df0f2536-97b9-4bae-99cc-83ba2e8371e4" /> <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="72" /> </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="3" /> </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/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" /> </beneficiary> <period> <end value="2040-04-01" /> </period> <payor> <identifier> <system value="http://fhir.de/sid/arge-ik/iknr" /> <value value="108416214" /> </identifier> <display value="AOK Bayern Die Gesundh." /> </payor> </Coverage> </resource> </entry> </Bundle>


        
        
          
            
            
          
        
        
          
        
        
        
          
          
        
        
          
          
            
            
          
        
        
        <custodian>
          <reference value="Organization/d2b30a70-9830-4968-ab97-688472b6f9a3" />
        </custodian>
        <section>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type" />
              <code value="Prescription" />
            </coding>
          </code>
          <entry>
            <!-- Referenz auf Verordnung (MedicationRequest) -->
            <reference value="MedicationRequest/06dc1594-509a-4f4c-ada7-dfd477a02d86" />
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type" />
              <code value="Coverage" />
            </coding>
          </code>
          <entry>
            <!-- Referenz auf Krankenkasse/KostentrĂ¤ger  -->
            <reference value="Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" />
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/MedicationRequest/06dc1594-509a-4f4c-ada7-dfd477a02d86" />
    <resource>
      <MedicationRequest xmlns="http://hl7.org/fhir">
        <!--Beispiel MedicationRequest für eine PZN-Verordnung -->
        <id value="06dc1594-509a-4f4c-ada7-dfd477a02d86" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.2" />
        </meta>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_StatusCoPayment" />
            <code value="1" />
          </valueCoding>
        </extension>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription">
          <extension url="Kennzeichen">
            <valueBoolean value="false" />
          </extension>
        </extension>
        <status value="active" />
        <intent value="order" />
        <medicationReference>
          <reference value="Medication/f568397d-7ba2-46ac-904b-02caec933b42" />
        </medicationReference>
        <subject>
          <reference value="Patient/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" />
        </subject>
        <authoredOn value="2024-05-20" />
        <requester>
          <reference value="Practitioner/e33d2afd-44c8-462b-80e5-52dbe5ebf359" />
        </requester>
        <insurance>
          <reference value="Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" />
        </insurance>
        <dosageInstruction>
          <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag">
            <valueBoolean value="true" />
          </extension>
          <text value="2mal tägl. 5ml" />
        </dosageInstruction>
        <dispenseRequest>
          <quantity>
            <value value="1" />
            <unit value="Packung" />
          </quantity>
        </dispenseRequest>
        <substitution>
          <allowedBoolean value="true" />
        </substitution>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/Medication/f568397d-7ba2-46ac-904b-02caec933b42" />
    <resource>
      <Medication xmlns="http://hl7.org/fhir">
        <id value="f568397d-7ba2-46ac-904b-02caec933b42" />
        <meta>
          <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.2" />
        </meta>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Medication_Type">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <version value="http://snomed.info/sct/900000000000207008/version/20240201" />
              <code value="763158003" />
              <display value="Medicinal product (product)" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category">
          <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Category" />
            <code value="00" />
          </valueCoding>
        </extension>
        <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine">
          <valueBoolean value="false" />
        </extension>
        <extension url="http://fhir.de/StructureDefinition/normgroesse">
          <valueCode value="N1" />
        </extension>
        <code>
          <coding>
            <system value="http://fhir.de/CodeSystem/ifa/pzn" />
            <code value="08585997" />
          </coding>
          <text value="Prospan® Hustensaft 100ml N1" />
        </code>
        <form>
          <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM" />
            <code value="FLE" />
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://fhir.de/CodeSystem/ask" />
              <code value="11704" />
            </coding>
            <text value="Efeublätter, TE mit Ethanol/Ethanol-Wasser" />
          </itemCodeableConcept>
          <strength>
            <numerator>
              <value value="7" />
              <unit value="mg" />
            </numerator>
            <denominator>
              <value value="1" />
            </denominator>
          </strength>
        </ingredient>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/Patient/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" />
    <resource>
      <Patient xmlns="http://hl7.org/fhir">
        <id value="512ab5bc-a7ab-4fd7-81cc-16a594f747a6" />
        <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="M310119802" />
        </identifier>
        <name>
          <use value="official" />
          <family value="Erbprinzessin von und zu der Schimmelpfennig-Hammerschmidt Federmannssohn">
            <extension url="http://fhir.de/StructureDefinition/humanname-namenszusatz">
              <valueString value="Erbprinzessin" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
              <valueString value="von und zu der" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
              <valueString value="Schimmelpfennig-Hammerschmidt Federmannssohn" />
            </extension>
          </family>
          <given value="Ingrid" />
        </name>
        <birthDate value="2010-01-31" />
        <address>
          <type value="both" />
          <line value="Anneliese- und Georg-von-Groscurth-Plaetzchen 149-C">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="149-C" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Anneliese- und Georg-von-Groscurth-Plaetzchen" />
            </extension>
          </line>
          <line value="5. OG - Hinterhof">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator">
              <valueString value="5. OG - Hinterhof" />
            </extension>
          </line>
          <city value="Bad Homburg" />
          <postalCode value="60437" />
          <country value="D" />
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/Practitioner/e33d2afd-44c8-462b-80e5-52dbe5ebf359" />
    <resource>
      <Practitioner xmlns="http://hl7.org/fhir">
        <id value="e33d2afd-44c8-462b-80e5-52dbe5ebf359" />
        <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="456456534" />
        </identifier>
        <name>
          <use value="official" />
          <family value="Weber">
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
              <valueString value="Weber" />
            </extension>
          </family>
          <given value="Maximilian" />
          <prefix value="Dr.">
            <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="Facharzt für Kinder- und Jugendmedizin" />
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/Organization/d2b30a70-9830-4968-ab97-688472b6f9a3" />
    <resource>
      <Organization xmlns="http://hl7.org/fhir">
        <id value="d2b30a70-9830-4968-ab97-688472b6f9a3" />
        <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="687777700" />
        </identifier>
        <name value="Kinderarztpraxis" />
        <telecom>
          <system value="phone" />
          <value value="09411234567" />
        </telecom>
        <address>
          <type value="both" />
          <line value="Yorckstraße 15">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="15" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Yorckstraße" />
            </extension>
          </line>
          <line value="Hinterhaus">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator">
              <valueString value="Hinterhaus" />
            </extension>
          </line>
          <city value="Regensburg" />
          <postalCode value="93049" />
          <country value="D" />
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://pvs.praxis.local/fhir/Coverage/df0f2536-97b9-4bae-99cc-83ba2e8371e4" />
    <resource>
      <Coverage xmlns="http://hl7.org/fhir">
        <id value="df0f2536-97b9-4bae-99cc-83ba2e8371e4" />
        <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="72" />
          </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="3" />
          </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/512ab5bc-a7ab-4fd7-81cc-16a594f747a6" />
        </beneficiary>
        <period>
          <end value="2040-04-01" />
        </period>
        <payor>
          <identifier>
            <system value="http://fhir.de/sid/arge-ik/iknr" />
            <value value="108416214" />
          </identifier>
          <display value="AOK Bayern Die Gesundh." />
        </payor>
      </Coverage>
    </resource>
  </entry>
</Bundle>