<Bundle xmlns="http://hl7.org/fhir">
<id value="UC1-3-Alt-Delivery-Dispense-Request-To-Pharmacy"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-message-container"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:fa23be14-c00a-4ddc-8128-82ace2f9a80b"/>
</identifier>
<type value="message"/>
<timestamp value="2025-05-14T08:23:12+02:00"/>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/MessageHeader/UC1-Alt-Delivery-HealthCareService-to-Pharmacy-MessageHeader"/>
<resource>
<MessageHeader>
<id
value="UC1-Alt-Delivery-HealthCareService-to-Pharmacy-MessageHeader"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-request-header"/>
</meta>
<eventCoding>
<system
value="https://gematik.de/fhir/atf/CodeSystem/service-identifier-cs"/>
<code value="eRezept_Rezeptanforderung;Abgabeanfrage"/>
</eventCoding>
<destination>
<name value="Test Apotheke"/>
<endpoint value="mailto:pharmacy@test.kim.de"/>
</destination>
<sender>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="5-test-telematik-id"/>
</identifier>
<display value="Pflegeheim Immergrün"/>
</sender>
<source>
<name value="HealthCare-Source"/>
<software value="HealthCare-Software"/>
<version value="1.0.0"/>
<contact>
<system value="email"/>
<value value="info@healthcare_ps_solutions.com"/>
</contact>
<endpoint
value="https://healthcare_ps_solutions.com/jira_helpdesk"/>
</source>
<responsible>🔗
<reference
value="Organization/Example-HealthCareService-Organization"/>
</responsible>
<focus>
<reference
value="ServiceRequest/UC1-Alt-Delivery-Initial-Dispense-Request"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Organization/Example-HealthCareService-Organization"/>
<resource>
<Organization>
<id value="Example-HealthCareService-Organization"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-organization"/>
</meta>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="123456789"/>
</identifier>
<type>
<coding>
<system
value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/>
<code value="1.2.276.0.76.4.245"/>
<display
value="Betriebsstätte Gesundheits-, Kranken- und Altenpflege"/>
</coding>
</type>
<name value="Pflegeheim Immergrün"/>
<address>
<type value="both"/>
<line value="Musterstr. 2"/>
<city value="Berlin"/>
<postalCode value="10623"/>
</address>
<contact>
<telecom>
<system value="phone"/>
<value value="0301234567"/>
</telecom>
<telecom>
<system value="email"/>
<value value="arbeitsplatz-1@test-pflegeheim.kim.telematik"/>
</telecom>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/ServiceRequest/UC1-Alt-Delivery-Initial-Dispense-Request"/>
<resource>
<ServiceRequest>
<id value="UC1-Alt-Delivery-Initial-Dispense-Request"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-dispense-request"/>
</meta>
<extension
url="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex">
<valueIdentifier>
<system
value="https://gematik.de/fhir/erp/sid/NamingSystemEPrescriptionToken"/>
<value
value="Task/169.100.000.000.002.36/$accept?ac=777bea0e13cc9c42ceec14aec3ddee2263325dc2c6c699db115f58fe423607ea"/>
</valueIdentifier>
</extension>
<extension
url="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/alternative-delivery-address-ex">
<valueAddress>
<line value="Hauptstraße 1"/>
<line value="Zimmer 123"/>
<city value="Berlin"/>
<postalCode value="12345"/>
<country value="Germany"/>
</valueAddress>
</extension>
<identifier>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/RequestIdentifier"/>
<value value="2"/>
</identifier>
<requisition>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/ProcedureIdentifier"/>
<value value="GroupID-UC1"/>
</requisition>
<status value="active"/>
<intent value="filler-order"/>
<priority value="urgent"/>
<code>
<coding>
<system
value="https://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs"/>
<code value="dispense-request"/>
</coding>
<coding>
<system
value="https://gematik.de/fhir/erp-servicerequest/CodeSystem/delivery-type-cs"/>
<code value="delivery-to-alternative-address"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Example-Patient"/>
</subject>
<authoredOn value="2025-05-14"/>
<requester>🔗
<reference
value="Organization/Example-HealthCareService-Organization"/>
</requester>
<note>
<time value="2025-05-14T08:22:05+02:00"/>
<text value="Bitte um schnelle Bearbeitung"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Patient/Example-Patient"/>
<resource>
<Patient>
<id value="Example-Patient"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-patient"/>
</meta>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X234567890"/>
</identifier>
<name>
<use value="official"/>
<family value="Königsstein">
<extension
url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Königsstein"/>
</extension>
</family>
<given value="Ludger"/>
</name>
<birthDate value="1935-06-22"/>
<address>
<type value="both"/>
<line value="Musterstr. 1">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Musterstr."/>
</extension>
</line>
<city value="Berlin"/>
<postalCode value="10623"/>
</address>
</Patient>
</resource>
</entry>
</Bundle>