: Example Outgoing Referral Proof Bundle - JSON Representation
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{
"resourceType" : "Bundle",
"id" : "example-outgoing-referral-bundle",
"type" : "collection",
"entry" : [
{
"fullUrl" : "https://fhir.cognovis.de/praxis/ServiceRequest/example-outgoing-referral",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "example-outgoing-referral",
"meta" : {
"profile" : [
🔗 "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-referral-de"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_example-outgoing-referral\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example-outgoing-referral</b></p><a name=\"example-outgoing-referral\"> </a><a name=\"hcexample-outgoing-referral\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-praxis-referral-de.html\">Praxis Referral DE</a></p></div><p><b>identifier</b>: Placer Identifier/REFERRAL-2026-3001</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/referral-assignment-type consultation}\">Consultation</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{https://example.org/fhir/CodeSystem/service-catalog orthopedic-consultation}\">orthopedic-consultation</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>occurrence</b>: 2026-07-28 --> 2026-08-28</p><p><b>authoredOn</b>: 2026-07-28</p><p><b>requester</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner Markus Schoell (official)</a></p><p><b>performer</b>: <a href=\"Organization-example-referral-recipient.html\">Organization Example Specialist Center</a></p><p><b>reasonReference</b>: <a href=\"Condition-example-referral-diagnosis.html\">Condition M25.56</a></p><p><b>insurance</b>: <a href=\"Coverage-example-coverage-gkv-wop.html\">Coverage: extension = Nordrhein (KBV_CS_SFHIR_ITA_WOP#38); identifier = Gesetzliche Krankenversicherung; status = active; type = gesetzliche Krankenversicherung</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Observation-example-referral-finding.html\">Observation knee-range-of-motion</a></li><li><a href=\"MedicationStatement-example-referral-medication.html\">MedicationStatement: status = active; medication[x] = ibuprofen-600; effective[x] = 2026-07-20 --> (ongoing)</a></li></ul></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "https://example.org/fhir/NamingSystem/order-id",
"value" : "REFERRAL-2026-3001"
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.cognovis.de/praxis/CodeSystem/referral-assignment-type",
"code" : "consultation",
"display" : "Consultation"
}
]
}
],
"priority" : "urgent",
"code" : {
"coding" : [
{
"system" : "https://example.org/fhir/CodeSystem/service-catalog",
"version" : "2026-01",
"code" : "orthopedic-consultation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example-patient"
},
"occurrencePeriod" : {
"start" : "2026-07-28",
"end" : "2026-08-28"
},
"authoredOn" : "2026-07-28",
"requester" : {
🔗 "reference" : "Practitioner/example-practitioner"
},
"performer" : [
{
🔗 "reference" : "Organization/example-referral-recipient"
}
],
"reasonReference" : [
{
🔗 "reference" : "Condition/example-referral-diagnosis"
}
],
"insurance" : [
{
🔗 "reference" : "Coverage/example-coverage-gkv-wop"
}
],
"supportingInfo" : [
{
🔗 "reference" : "Observation/example-referral-finding"
},
{
🔗 "reference" : "MedicationStatement/example-referral-medication"
}
]
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Condition/example-referral-diagnosis",
"resource" : {
"resourceType" : "Condition",
"id" : "example-referral-diagnosis",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_example-referral-diagnosis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition example-referral-diagnosis</b></p><a name=\"example-referral-diagnosis\"> </a><a name=\"hcexample-referral-diagnosis\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm M25.56}\">M25.56</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"version" : "2026",
"code" : "M25.56"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example-patient"
}
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Observation/example-referral-finding",
"resource" : {
"resourceType" : "Observation",
"id" : "example-referral-finding",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_example-referral-finding\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation example-referral-finding</b></p><a name=\"example-referral-finding\"> </a><a name=\"hcexample-referral-finding\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://example.org/fhir/CodeSystem/clinical-findings knee-range-of-motion}\">knee-range-of-motion</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>effective</b>: 2026-07-27</p><p><b>value</b>: Flexion limited to 90 degrees</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://example.org/fhir/CodeSystem/clinical-findings",
"version" : "2026-01",
"code" : "knee-range-of-motion"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example-patient"
},
"effectiveDateTime" : "2026-07-27",
"valueString" : "Flexion limited to 90 degrees"
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/MedicationStatement/example-referral-medication",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "example-referral-medication",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_example-referral-medication\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement example-referral-medication</b></p><a name=\"example-referral-medication\"> </a><a name=\"hcexample-referral-medication\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <span title=\"Codes:{https://example.org/fhir/CodeSystem/medication-catalog ibuprofen-600}\">ibuprofen-600</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>effective</b>: 2026-07-20 --> (ongoing)</p></div>"
},
"status" : "active",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "https://example.org/fhir/CodeSystem/medication-catalog",
"version" : "2026-01",
"code" : "ibuprofen-600"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example-patient"
},
"effectivePeriod" : {
"start" : "2026-07-20"
}
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Patient/example-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "example-patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_example-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient example-patient</b></p><a name=\"example-patient\"> </a><a name=\"hcexample-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Thomas Weber (official) Male, DoB: 1975-06-15</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr></table></div>"
},
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Weber",
"given" : [
"Thomas"
]
}
],
"gender" : "male",
"birthDate" : "1975-06-15"
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Practitioner/example-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "example-practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_example-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner example-practitioner</b></p><a name=\"example-practitioner\"> </a><a name=\"hcexample-practitioner\"> </a><p><b>active</b>: true</p><p><b>name</b>: Markus Schoell (Official)</p></div>"
},
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Schoell",
"given" : [
"Markus"
],
"prefix" : [
"Dr."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Organization/example-referral-recipient",
"resource" : {
"resourceType" : "Organization",
"id" : "example-referral-recipient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_example-referral-recipient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization example-referral-recipient</b></p><a name=\"example-referral-recipient\"> </a><a name=\"hcexample-referral-recipient\"> </a><p><b>active</b>: true</p><p><b>name</b>: Example Specialist Center</p></div>"
},
"active" : true,
"name" : "Example Specialist Center"
}
},
{
"fullUrl" : "https://fhir.cognovis.de/praxis/Coverage/example-coverage-gkv-wop",
"resource" : {
"resourceType" : "Coverage",
"id" : "example-coverage-gkv-wop",
"meta" : {
"profile" : [
🔗 "https://fhir.cognovis.de/praxis/StructureDefinition/fpde-coverage-gkv"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_example-coverage-gkv-wop\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage example-coverage-gkv-wop</b></p><a name=\"example-coverage-gkv-wop\"> </a><a name=\"hcexample-coverage-gkv-wop\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fpde-coverage-gkv.html\">FPDE Coverage GKV</a></p></div><p><b>Kennzeichen Wohnortprinzip (WOP)</b>: <a href=\"https://simplifier.net/resolve?scope=kbv.all.st-combined@1.49.0&canonical=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP#KBV-CS-SFHIR-ITA-WOP-38\">KBV_CS_SFHIR_ITA_WOP: 38</a> (Nordrhein)</p><p><b>identifier</b>: Gesetzliche Krankenversicherung/A123456789</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/versicherungsart-de-basis GKV}\">gesetzliche Krankenversicherung</span></p><p><b>beneficiary</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>payor</b>: AOK Rheinland/Hamburg</p></div>"
},
"extension" : [
{
"url" : "http://fhir.de/StructureDefinition/gkv/wop",
"valueCoding" : {
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
"code" : "38"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code" : "GKV"
}
]
},
"system" : "http://fhir.de/sid/gkv/kvid-10",
"value" : "A123456789"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/versicherungsart-de-basis",
"code" : "GKV"
}
]
},
"beneficiary" : {
🔗 "reference" : "Patient/example-patient"
},
"payor" : [
{
"display" : "AOK Rheinland/Hamburg"
}
]
}
}
]
}
