<Bundle xmlns="http://hl7.org/fhir">
<id value="UC1-4-Alt-Delivery-Fullfilled-DispenseRequest-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:ebad657e-589f-4386-ad81-19352ca21310"/>
</identifier>
<type value="message"/>
<timestamp value="2025-05-14T08:30:12+02:00"/>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/MessageHeader/UC1-Alt-Delivery-Pharmacy-to-HealthCareService-MessageHeader"/>
<resource>
<MessageHeader>
<id
value="UC1-Alt-Delivery-Pharmacy-to-HealthCareService-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;Abgabebestaetigung"/>
</eventCoding>
<destination>
<name value="Pflegeheim Immergrün"/>
<endpoint value="mailto:healthcare-service@test.kim.de"/>
</destination>
<sender>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="3-test-telematik-id"/>
</identifier>
<display value="Test Apotheke"/>
</sender>
<source>
<name value="Pharmacy-Source"/>
<software value="Pharmacy-Software"/>
<version value="1.0.0"/>
<contact>
<system value="email"/>
<value value="info@avs_solutions.com"/>
</contact>
<endpoint value="https://avs_solutions.com/jira_helpdesk"/>
</source>
<responsible>
<reference value="Organization/Example-Pharmacy-Organization"/>
</responsible>
<focus>
<reference
value="ServiceRequest/UC1-Alt-Delivery-Response-Dispense-Request"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Organization/Example-Pharmacy-Organization"/>
<resource>
<Organization>
<id value="Example-Pharmacy-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="1.2.276.0.76.4.54"/>
<display value="Öffentliche Apotheke"/>
</coding>
</type>
<name value="Test Apotheke"/>
<address>
<type value="both"/>
<line value="Musterstr. 2"/>
<city value="Berlin"/>
<postalCode value="10623"/>
</address>
<contact>
<telecom>
<system value="phone"/>
<value value="0301234567"/>
</telecom>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/ServiceRequest/UC1-Alt-Delivery-Response-Dispense-Request"/>
<resource>
<ServiceRequest>
<id value="UC1-Alt-Delivery-Response-Dispense-Request"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-dispense-request"/>
</meta>
<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="completed"/>
<intent value="filler-order"/>
<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"/>
<supportingInfo>🔗
<reference value="MedicationDispense/UC1-Medication-Dispense"/>
<type value="MedicationDispense"/>
</supportingInfo>
<note>
<time value="2025-05-14T08:27:05+02:00"/>
<text value="Lagert vor Ort. Kommt mit Extra Botendienst."/>
</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>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/MedicationDispense/UC1-Medication-Dispense"/>
<resource>
<MedicationDispense>
<id value="UC1-Medication-Dispense"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-medication-dispense"/>
</meta>
<identifier>
<system
value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="169.100.000.000.002.36"/>
</identifier>
<status value="completed"/>
<medicationReference>🔗
<reference value="Medication/Example-Initial-Medication"/>
</medicationReference>
<subject>🔗
<reference value="Patient/Example-Patient"/>
</subject>
<quantity>
<value value="1"/>
<unit value="Packung"/>
</quantity>
<dosageInstruction>
<text value="1-1-1-0"/>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Medication/Example-Initial-Medication"/>
<resource>
<Medication>
<id value="Example-Initial-Medication"/>
<meta>
<profile
value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.3"/>
</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/11000274103/version/20240515"/>
<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"/>
</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="R05CA12"/>
</coding>
<text value="Hederae folium (Extr.sicc.(5-7.5:1))"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="7"/>
<unit value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="ml"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
</Bundle>