Implementation Guide
E-T-Rezept Datenaustausch
Version 1.1.0-ballot-1 - ballot

: Beispiel digitaler Durchschlag E-T-Rezept - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "TRP-Carbon-Copy",
  "meta" : {
    "profile" : [
      "https://gematik.de/fhir/erp-t-prescription/StructureDefinition/erp-tprescription-carbon-copy|1.0"
    ]
  },
  "parameter" : [
    {
      "name" : "rxPrescription",
      "part" : [
        {
          "name" : "prescriptionSignatureDate",
          "valueInstant" : "2026-04-01T08:23:12Z"
        },
        {
          "name" : "prescriptionId",
          "valueIdentifier" : {
            "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
            "value" : "160.100.000.000.001.39"
          }
        },
        {
          "name" : "medicationRequest",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "TRP-Carbon-Copy-MedicationRequest",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "Off-Label",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "GebaerfaehigeFrau",
                    "valueBoolean" : false
                  },
                  {
                    "url" : "EinhaltungSicherheitsmassnahmen",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "AushaendigungInformationsmaterialien",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "ErklaerungSachkenntnis",
                    "valueBoolean" : true
                  }
                ],
                "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Teratogenic"
              }
            ],
            "status" : "completed",
            "intent" : "order",
            "medicationReference" : {
              "reference" : "Medication/TRP-Carbon-Copy-Medication"
            },
            "subject" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "not-permitted"
                }
              ],
              "display" : "DataAbsentReason-Extension: #not-permitted, dieser Wert wird leer gelassen"
            },
            "authoredOn" : "2025-05-20",
            "dosageInstruction" : [
              {
                "extension" : [
                  {
                    "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageCategory",
                    "valueCoding" : {
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Dosage_Category",
                      "code" : "DAILY_FOUR_SCHEME"
                    }
                  }
                ],
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d",
                    "when" : [
                      "EVE"
                    ]
                  }
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "Stück",
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                      "code" : "1"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest" : {
              "quantity" : {
                "value" : 1,
                "unit" : "Packung"
              },
              "expectedSupplyDuration" : {
                "value" : 3,
                "unit" : "Woche(n)"
              }
            }
          }
        },
        {
          "name" : "medication",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "TRP-Carbon-Copy-Medication",
            "extension" : [
              {
                "url" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N1"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "19201712"
                }
              ],
              "text" : "Pomalidomid Accord 1 mg 21 x 1 Hartkapseln"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "HKP"
                }
              ]
            },
            "amount" : {
              "numerator" : {
                "extension" : [
                  {
                    "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension",
                    "valueString" : "21"
                  }
                ],
                "unit" : "Stück"
              },
              "denominator" : {
                "value" : 1
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "text" : "Pomalidomid"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 1,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Stück"
                  }
                }
              }
            ]
          }
        }
      ]
    },
    {
      "name" : "rxDispensation",
      "part" : [
        {
          "name" : "organization",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "TRP-Carbon-Copy-Organization",
            "name" : "Organisation 1-2arvtst-ap000053",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "1234",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "use" : "work",
                "type" : "postal",
                "text" : "Schwarzwaldstr. 18
63762
Großostheim
Bayern
DE",
                "line" : [
                  "Schwarzwaldstr. 18"
                ],
                "city" : "Großostheim",
                "state" : "Bayern",
                "postalCode" : "63762",
                "country" : "DE"
              }
            ]
          }
        },
        {
          "name" : "medicationDispense",
          "resource" : {
            "resourceType" : "MedicationDispense",
            "id" : "TRP-Carbon-Copy-MedicationDispense",
            "status" : "completed",
            "medicationReference" : {
              "reference" : "Medication/TRP-Carbon-Copy-D-Medication"
            },
            "performer" : [
              {
                "actor" : {
                  "reference" : "Organization/3-SMC-B-Testkarte-883110000095957"
                }
              }
            ],
            "whenHandedOver" : "2026-04-01"
          }
        },
        {
          "name" : "medication",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "TRP-Carbon-Copy-D-Medication",
            "extension" : [
              {
                "url" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N1"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "19201712"
                }
              ],
              "text" : "Pomalidomid Accord 1 mg 21 x 1 Hartkapseln"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "HKP"
                }
              ]
            },
            "amount" : {
              "numerator" : {
                "extension" : [
                  {
                    "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                    "valueString" : "21"
                  }
                ],
                "unit" : "Stück"
              },
              "denominator" : {
                "value" : 1
              }
            }
          }
        }
      ]
    }
  ]
}