<Bundle xmlns="http://hl7.org/fhir">
<id value="UC4-2-Prescription-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:c80f6c55-92f8-4518-ba66-cb193da09336"/>
</identifier>
<type value="message"/>
<timestamp value="2025-05-14T08:15:12+02:00"/>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/MessageHeader/UC4-2-Practitioner-to-Pharmacy-MessageHeader"/>
<resource>
<MessageHeader>
<id value="UC4-2-Practitioner-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_ParenteraleZubereitung;Rezeptbestaetigung"/>
</eventCoding>
<destination>
<name value="Test Apotheke"/>
<endpoint value="mailto:pharmacy@test.kim.dee"/>
</destination>
<sender>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="1-test-telematik-id"/>
</identifier>
<display value="Praxis Hans Topp-Glücklich"/>
</sender>
<source>
<name value="Practitioner-Source"/>
<software value="Practitioner-Software"/>
<version value="1.0.0"/>
<contact>
<system value="email"/>
<value value="info@pvs_solutions.email"/>
</contact>
<endpoint value="https://pvs_solutions.com/jira_helpdesk"/>
</source>
<responsible>
<reference value="Organization/Example-Practitioner-Organization"/>
</responsible>
<focus>
<reference
value="ServiceRequest/UC4-Response-Prescription-Request"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Organization/Example-Practitioner-Organization"/>
<resource>
<Organization>
<id value="Example-Practitioner-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="1.2.276.0.76.4.50"/>
<display value="Betriebsstätte Arzt"/>
</coding>
</type>
<name value="Test Arztpraxis"/>
<address>
<type value="both"/>
<line value="Musterarztstr. 3"/>
<city value="Berlin"/>
<postalCode value="10623"/>
</address>
<contact>
<telecom>
<system value="phone"/>
<value value="0307654321"/>
</telecom>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/ServiceRequest/UC4-Response-Prescription-Request"/>
<resource>
<ServiceRequest>
<id value="UC4-Response-Prescription-Request"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-prescription-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/169.100.000.000.004.36/$accept?ac=777bea0e13cc9c42ceec14aec3ddee2263325dc2c6c699db115f58fe423607ea"/>
</valueIdentifier>
</extension>
<identifier>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/RequestIdentifier"/>
<value value="1"/>
</identifier>
<identifier>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/patient-id"/>
<value value="Patient-ID-e15232e9-01e0-4ce8-b628-71adb9023b21"/>
</identifier>
<identifier>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/case-id"/>
<value value="Case-ID-85d39ff7-2f02-4bfc-85d5-0ba2752f6076"/>
</identifier>
<identifier>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/process-id"/>
<value value="Process-ID-db6fd21d-cc85-4411-8567-479a7dc1ef74"/>
</identifier>
<identifier>
<system value="https://my-very-own-zyto-identifier"/>
<value value="My-ID-bdbdf8a1-ffa4-4f16-a6c4-38e690ac5548"/>
</identifier>
<basedOn>
<reference
value="MedicationRequest/Example-Zyto-Medication-Request"/>
</basedOn>
<requisition>
<system
value="https://gematik.de/fhir/erp-servicerequest/sid/ProcedureIdentifier"/>
<value value="GroupID-UC4"/>
</requisition>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system
value="https://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs"/>
<code value="prescription-request"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Example-Patient"/>
</subject>
<authoredOn value="2025-05-13"/>
<performer>🔗
<reference value="Practitioner/Example-Practitioner"/>
</performer>
</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/Practitioner/Example-Practitioner"/>
<resource>
<Practitioner>
<id value="Example-Practitioner"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-practitioner"/>
</meta>
<identifier>
<system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/>
<value value="838382202"/>
</identifier>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="1-838382202"/>
</identifier>
<name>
<use value="official"/>
<text value="Dr. med. Hans Topp-Glücklich"/>
<family value="Topp-Glücklich"/>
<given value="Hans"/>
<prefix value="Dr. med."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/MedicationRequest/Example-Zyto-Medication-Request"/>
<resource>
<MedicationRequest>
<id value="Example-Zyto-Medication-Request"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-medication-request"/>
</meta>
<status value="active"/>
<intent value="order"/>
<medicationReference>🔗
<reference value="Medication/Example-Zyto-Medication"/>
</medicationReference>
<subject>🔗
<reference value="Patient/Example-Patient"/>
</subject>
<authoredOn value="2022-05-20"/>
<substitution>
<allowedBoolean value="false"/>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://erp-servicerequest-test.de/Medication/Example-Zyto-Medication"/>
<resource>
<Medication>
<id value="Example-Zyto-Medication"/>
<meta>
<profile
value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|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="1208954007"/>
<display value="Extemporaneous preparation (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>
<code>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type"/>
<code value="rezeptur"/>
</coding>
</code>
<form>
<text value="Infusionslösung"/>
</form>
<amount>
<numerator>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize">
<valueString value="500"/>
</extension>
<unit value="ml"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<text value="Etoposid"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="180"/>
<unit value="mg"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</strength>
</ingredient>
<ingredient>
<itemCodeableConcept>
<text value="NaCl 0,9 %"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="500"/>
<unit value="ml"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
</Bundle>