<Parameters xmlns="http://hl7.org/fhir">
<id value="TRP-Carbon-Copy"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-t-prescription/StructureDefinition/erp-tprescription-carbon-copy|1.0"/>
</meta>
<parameter>
<name value="rxPrescription"/>
<part>
<name value="prescriptionSignatureDate"/>
<valueInstant value="2026-04-01T08:23:12Z"/>
</part>
<part>
<name value="prescriptionId"/>
<valueIdentifier>
<system
value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="166.100.000.000.001.39"/>
</valueIdentifier>
</part>
<part>
<name value="medicationRequest"/>
<resource>
<MedicationRequest>
<id value="TRP-Carbon-Copy-MedicationRequest"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-t-prescription/StructureDefinition/erp-tprescription-medication-request"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension">
<extension url="off-label">
<valueBoolean value="true"/>
</extension>
<extension url="childbearing-potential">
<valueBoolean value="true"/>
</extension>
<extension url="security-compliance">
<valueBoolean value="false"/>
</extension>
<extension url="hand-out-information-material">
<valueBoolean value="false"/>
</extension>
<extension url="declaration-of-expertise">
<valueBoolean value="true"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
<valueMarkdown value="1-0-1-0 Stück"/>
</extension>
<extension
url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
<extension url="algorithmVersion">
<valueString value="1.0.1"/>
</extension>
<extension url="language">
<valueCode value="de-DE"/>
</extension>
</extension>
<status value="completed"/>
<intent value="order"/>
<medicationReference>
<reference value="Medication/TRP-Carbon-Copy-Medication"/>
</medicationReference>
<subject>
<identifier>
<system>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="not-permitted"/>
</extension>
</system>
<value>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="not-permitted"/>
</extension>
</value>
</identifier>
</subject>
<authoredOn value="2025-05-20"/>
<dosageInstruction>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="MORN"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Stück"/>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="EVE"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="2"/>
<unit value="Stück"/>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="1"/>
<unit value="Packung"/>
</quantity>
<expectedSupplyDuration>
<value value="3"/>
<unit value="Woche(n)"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationRequest>
</resource>
</part>
<part>
<name value="medication"/>
<resource>
<Medication>
<id value="TRP-Carbon-Copy-Medication"/>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N1"/>
</extension>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="19201712"/>
</coding>
<text value="Pomalidomid Accord 1 mg 21 x 1 Hartkapseln"/>
</code>
<form>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<code value="HKP"/>
</coding>
</form>
<amount>
<numerator>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension">
<valueString value="21"/>
</extension>
<unit value="Stück"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<text value="Pomalidomid"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="1"/>
<unit value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="Stück"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</part>
</parameter>
<parameter>
<name value="rxDispensation"/>
<part>
<name value="dispenseOrganization"/>
<resource>
<Organization>
<id value="8b416995-852f-4933-99bf-c71ad76abae3"/>
<meta>
<profile
value="https://gematik.de/fhir/erp-t-prescription/StructureDefinition/erp-tprescription-organization"/>
</meta>
<identifier>
<value value="Organisation 3-2arvtst-ap000053"/>
</identifier>
<name value="Stadt Apotheke"/>
<telecom>
<system value="phone"/>
<value value="1234"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<type value="postal"/>
<line value="Schwarzwaldstr. 18"/>
<city value="Großostheim"/>
<state value="Bayern"/>
<postalCode value="63762"/>
<country value="DE"/>
</address>
</Organization>
</resource>
</part>
<part>
<name value="dispenseInformation"/>
<part>
<name value="medicationDispense"/>
<resource>
<MedicationDispense>
<id value="TRP-Carbon-Copy-MedicationDispense"/>
<status value="completed"/>
<medicationReference>
<reference value="Medication/TRP-Carbon-Copy-D-Medication"/>
</medicationReference>
<performer>
<actor>
<reference
value="Organization/8b416995-852f-4933-99bf-c71ad76abae3"/>
</actor>
</performer>
<whenHandedOver value="2026-04-01"/>
</MedicationDispense>
</resource>
</part>
<part>
<name value="medication"/>
<resource>
<Medication>
<id value="TRP-Carbon-Copy-D-Medication"/>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N1"/>
</extension>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="19201712"/>
</coding>
<text value="Pomalidomid Accord 1 mg 21 x 1 Hartkapseln"/>
</code>
<form>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<code value="HKP"/>
</coding>
</form>
<amount>
<numerator>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
<valueString value="21"/>
</extension>
<unit value="Stück"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
</Medication>
</resource>
</part>
</part>
</parameter>
</Parameters>