{ "resourceType" : "Bundle", "id" : "Recare-patient-request-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-patient-request-event"] }, "identifier" : { "system" : "http://fhir.recareai.com/CodeSystem/event_type", "value" : "patient_request" }, "type" : "collection", "timestamp" : "2026-03-20T09:00:00.000+01:00", "entry" : [{ "fullUrl" : "urn:uuid:48a3f985-28a7-417a-b5cf-faf4ed3282ca", "resource" : { "resourceType" : "ServiceRequest", "id" : "ServiceRequest-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-patient-request"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest ServiceRequest-12345

Profile: Recare Patient Request

identifier: RecareSearchId/12345

status: Completed

intent: Directive

category: Pflege, Versorgungsanfrage

code: Langzeitpflege

orderDetail: Braucht Hilfe beim Gehen, Betreuung bei Demenz benötigt, Dement, Keine Infektion bekannt, Wird von Angehörigen gepflegt, Grundpflege: Große Körperpflege

subject: Vorname Nachname (official) männlich, DoB: 1950-05-15 ( Einrichtungsinterne Patienten(-Akten-)Nummer)

occurrence: Events: 2026-05-01 , Morning, Once per 1 day

requester: RelatedPerson Vorname-Partner Nachname-Partner (official)

performer: Organization Seniorenresidenz Am Stadtpark

reasonCode: Pflegegrad-Erhöhung beantragt

note:

Start date is flexible

\n
" }, "identifier" : [{ "system" : "http://fhir.recareai.com/sid/search-id", "value" : "12345" }], "status" : "completed", "intent" : "directive", "category" : [{ "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/transfer-type", "code" : "care", "display" : "Care" }], "text" : "Pflege" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/request-type", "code" : "patient-request", "display" : "Patient Request" }], "text" : "Versorgungsanfrage" }], "code" : { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/care-type", "code" : "inpatient-long-term-care", "display" : "Inpatient Long-Term Care" }], "text" : "Langzeitpflege" }, "orderDetail" : [{ "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/patient-mobility-assessment", "code" : "requires-assistance", "display" : "Requires assistance" }], "text" : "Braucht Hilfe beim Gehen" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/patient-special-care-needs-assessment", "code" : "dementia", "display" : "Dementia care needed" }], "text" : "Betreuung bei Demenz benötigt" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/patient-mental-assessment", "code" : "dement", "display" : "Patient is dement" }], "text" : "Dement" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/patient-infection-status", "code" : "no", "display" : "has no infection" }], "text" : "Keine Infektion bekannt" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/current-care-type", "code" : "informal-family-care", "display" : "Care provided by relatives" }], "text" : "Wird von Angehörigen gepflegt" }, { "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/care-service", "code" : "basic-full-body", "display" : "Full personal hygiene" }], "text" : "Grundpflege: Große Körperpflege" }], "subject" : { "reference" : "urn:uuid:a1c2e4f6-8b3d-4e5f-9a7c-2d1b0e3f4a5b" }, "occurrenceTiming" : { "event" : ["2026-05-01"], "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["MORN"] } }, "requester" : { "reference" : "urn:uuid:d7e8f9a0-1b2c-3d4e-5f6a-7b8c9d0e1f2a" }, "performer" : [{ "reference" : "urn:uuid:b2c3d4e5-f6a7-8901-bcde-f23456789012" }], "reasonCode" : [{ "coding" : [{ "system" : "http://fhir.recareai.com/CodeSystem/patient-request-reason", "code" : "increase-needed", "display" : "Care Level increase is needed" }], "text" : "Pflegegrad-Erhöhung beantragt" }], "note" : [{ "text" : "Start date is flexible" }] } }, { "fullUrl" : "urn:uuid:3e1f9ba1-e227-4745-9f53-af9b30272822", "resource" : { "resourceType" : "Observation", "id" : "Observation-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-care-level", "http://fhir.de/StructureDefinition/observation-de-pflegegrad"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-12345

Profiles: Recare Care Level, Pflegegrad, deutsches Basisprofil

status: Final

code: Pflegegrad [Typ]

subject: Vorname Nachname (official) männlich, DoB: 1950-05-15 ( Einrichtungsinterne Patienten(-Akten-)Nummer)

effective: 2026-03-11 14:32:00+0100

value: Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 3

note: ,

Im Eilverfahren

\n

Erhöhung wurde beantragt

\n
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "80391-6", "display" : "Pflegegrad [Typ]" }] }, "subject" : { "reference" : "urn:uuid:a1c2e4f6-8b3d-4e5f-9a7c-2d1b0e3f4a5b" }, "effectiveDateTime" : "2026-03-11T14:32:00+01:00", "valueCodeableConcept" : { "coding" : [{ "system" : "http://fhir.de/CodeSystem/bfarm/ops", "version" : "2026", "code" : "9-984.8", "display" : "Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 3" }] }, "note" : [{ "text" : "Im Eilverfahren" }, { "text" : "Erhöhung wurde beantragt" }] } }, { "fullUrl" : "urn:uuid:cd06bf40-a847-4ca6-8191-3f5aa40a7551", "resource" : { "resourceType" : "Coverage", "id" : "Coverage-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-statutory-health-insurance", "http://fhir.de/StructureDefinition/coverage-de-basis"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage Coverage-12345

Profiles: Recare Statutory Health Insurance, Coverage, deutsches Basisprofil

status: Active

type: gesetzliche Krankenversicherung

beneficiary: Vorname Nachname (official) männlich, DoB: 1950-05-15 ( Einrichtungsinterne Patienten(-Akten-)Nummer)

payor: ?rref?

" }, "status" : "active", "type" : { "coding" : [{ "system" : "http://fhir.de/CodeSystem/versicherungsart-de-basis", "code" : "GKV", "display" : "gesetzliche Krankenversicherung" }] }, "beneficiary" : { "reference" : "urn:uuid:a1c2e4f6-8b3d-4e5f-9a7c-2d1b0e3f4a5b" }, "payor" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] }] } }, { "fullUrl" : "urn:uuid:b2c3d4e5-f6a7-8901-bcde-f23456789012", "resource" : { "resourceType" : "Organization", "id" : "Organization-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-care-provider", "https://gematik.de/fhir/isip/v1/Basismodul/StructureDefinition/IsipOrganization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization Organization-12345

Profiles: Recare Care Provider, IsipOrganization

identifier: ArgeIkIknr/100004712, RecareCareproviderID/1234

active: true

type: Nursing home

name: Seniorenresidenz Am Stadtpark

" }, "identifier" : [{ "system" : "http://fhir.de/sid/arge-ik/iknr", "value" : "100004712" }, { "system" : "http://fhir.recareai.com/sid/careprovider-id", "value" : "1234" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "42665001", "display" : "Nursing home" }] }], "name" : "Seniorenresidenz Am Stadtpark" } }, { "fullUrl" : "urn:uuid:11111111-1111-1111-1111-111111111111", "resource" : { "resourceType" : "Binary", "id" : "Binary-secrets-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-encrypted-secrets"] }, "contentType" : "application/x-recare-encrypted-secrets", "data" : "e30K" } }, { "fullUrl" : "urn:uuid:22222222-2222-2222-2222-222222222222", "resource" : { "resourceType" : "Binary", "id" : "Binary-encdata-12345", "meta" : { "profile" : ["http://fhir.recareai.com/StructureDefinition/recare-encrypted-data"] }, "contentType" : "application/x-recare-encrypted-data", "data" : "e30K" } }] }