Bundle UC1-Storno-1-Cancellation-Of-Prescription-Requester of type message

Entry 1 - fullUrl = http://erp-servicerequest-test.de/MessageHeader/UC1-HealthCareService-to-Practitioner-MessageHeader-Storno

Resso}:

Profile: ERP Service Request Nachrichten-Header

event: Anwendungskennzeichen (CS) eRezept_Rezeptanforderung;Rezeptanfrage_Storno: Stornierung der Rezeptanfrage

Destinations

-	Name
*	Praxis Hans Topp-Glücklich

sender: Pflegeheim Immergrün (Identifier: https://gematik.de/fhir/sid/telematik-id/5-test-telematik-id)

Sources

-	Name	Software	Version	Contact
*	HealthCare-Source	HealthCare-Software	1.0.0	info@healthcare.email

responsible: Organization Pflegeheim Immergrün

focus: Bundle: identifier = UUID:29888885-6639-481c-934e-4b7b51745084; type = message; timestamp = 2025-05-13 15:32:12+0200

Entry 2 - fullUrl = http://erp-servicerequest-test.de/Organization/Example-HealthCareService-Organization

Resso}:

Profile: ERP Service Request Organisation

identifier: https://gematik.de/fhir/sid/telematik-id/123456789

type: Betriebsstätte Gesundheits-, Kranken- und Altenpflege

name: Pflegeheim Immergrün

contact

address: Musterstr. 2 Berlin 10623

contact

telecom: ph: 0301234567, arbeitsplatz-1@test-pflegeheim.kim.telematik

Entry 3 - fullUrl = http://erp-servicerequest-test.de/ServiceRequest/UC1-Cancelled-Prescription-Request

Resso}:

Profile: ERP Service Request Rezeptanforderung

identifier: https://gematik.de/fhir/erp-servicerequest/sid/RequestIdentifier/1

basedOn: MedicationRequest: status = active; intent = order; medication[x] = ->Medication 08585997

requisition: https://gematik.de/fhir/erp-servicerequest/sid/ProcedureIdentifier/GroupID-UC1

status: Entered in Error

intent: Order

code: No display for ServiceRequest.code (concept: Anfrage für ein Rezept)

subject: Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( http://fhir.de/sid/gkv/kvid-10#NamingSystemKVID#X234567890)

authoredOn: 2025-05-13

requester: Organization Pflegeheim Immergrün

performer: Identifier: https://gematik.de/fhir/sid/telematik-id/1-test-telematik-id

note: @2025-05-13 15:31:12+0200

Bitte um stornierung der Anfrage.

Entry 4 - fullUrl = http://erp-servicerequest-test.de/Patient/Example-Patient

Resso}:

Profile: ERP Service Request Patient

Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( http://fhir.de/sid/gkv/kvid-10#NamingSystemKVID#X234567890)

---

Contact Detail

Musterstr. 1 Berlin 10623

Entry 5 - fullUrl = http://erp-servicerequest-test.de/MedicationRequest/Example-Initial-Medication-Request

Resso}:

Profile: ERP Service Request Medikationsanforderung

status: Active

intent: Order

subject: Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( http://fhir.de/sid/gkv/kvid-10#NamingSystemKVID#X234567890)

DispenseRequests

-	Quantity
*	1 Packung

Entry 6 - fullUrl = http://erp-servicerequest-test.de/Medication/Example-Initial-Medication

Resso}:

Profile: KBV_PR_ERP_Medication_PZNversion: null1.3.2)

KBV_EX_Base_Medication_Type: Medicinal product (product)

KBV_EX_ERP_Medication_Category: KBV_CS_ERP_Medication_Category 00: Arzneimittel oder in die Arzneimittelversorgung nach § 31 SGB V einbezogenes Produkt

KBV_EX_ERP_Medication_Vaccine: false

ExtensionNormgroesseDeBasis: N1

code: Prospan® Hustensaft 100ml

ingredient