E-T-Rezept Datenaustausch
Version 1.1.0 - release

Test Case 02

Seiteninhalt:

Beispiel 2: Wirkstoff Verordnung

Dieses Beispiel demonstriert das Mapping einer E-T-Rezept Wirkstoff-Verordnung mit allen Quellressourcen in den digitalen Durchschlag.

StructureMap Transformation Report

Summary

Anwendungsfall: Verschreibung und Abgabe eines Wirkstoff-Medikaments (Lenalidomid) und nachfolgender Transformation in einen digitalen Durchschlag.

Beispiel-Artefakte:

Resource Mapping Details

Medication

Source: Medication/a3ccc266-b033-47cc-9361-98ec450f7db9

Target: rxPrescription.medication:Medication (Medication)

Source Field Source Value Target Field Target Value Status
amount.denominator.value 1 amount.denominator.value 1 ✅
amount.numerator.extension[0].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… amount.numerator.extension[0].url https://gematik.de/fhir/epa-medication/Structur… ✅
amount.numerator.extension[0].valueString 21 amount.numerator.extension[0].valueString 21 ✅
amount.numerator.unit Stück amount.numerator.unit Stück ✅
form.text Retardtabletten form.text Retardtabletten ✅
id a3ccc266-b033-47cc-9361-98ec450f7db9 id a3ccc266-b033-47cc-9361-98ec450f7db9 ✅
ingredient[0].itemCodeableConcept.text Lenalidomid ingredient[0].itemCodeableConcept.text Lenalidomid ✅
ingredient[0].strength.denominator.unit Stück ingredient[0].strength.denominator.unit Stück ✅
ingredient[0].strength.denominator.value 1 ingredient[0].strength.denominator.value 1 ✅
ingredient[0].strength.numerator.unit mg ingredient[0].strength.numerator.unit mg ✅
ingredient[0].strength.numerator.value 2.5 ingredient[0].strength.numerator.value 2.5 ✅
code.coding[0].code wirkstoff - - ⚠️
code.coding[0].system https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medic… - - ⚠️
extension[0].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[0].valueCoding.code 02 - - ⚠️
extension[0].valueCoding.system https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medic… - - ⚠️
extension[1].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[1].valueBoolean false - - ⚠️
extension[2].url http://fhir.de/StructureDefinition/normgroesse - - ⚠️
extension[2].valueCode N1 - - ⚠️

Source: Medication/8e2e5e65-4c5d-49f2-8efc-c30e40838273

Target: rxDispensation.dispenseInformation.medication:Medication (Medication)

Source Field Source Value Target Field Target Value Status
amount.denominator.value 1 amount.denominator.value 1 ✅
amount.numerator.extension[0].url https://gematik.de/fhir/epa-medication/Structur… amount.numerator.extension[0].url https://gematik.de/fhir/epa-medication/Structur… ✅
amount.numerator.extension[0].valueString 21 amount.numerator.extension[0].valueString 21 ✅
amount.numerator.unit St amount.numerator.unit St ✅
code.coding[0].code 17629624 code.coding[0].code 17629624 ✅
code.coding[0].system http://fhir.de/CodeSystem/ifa/pzn code.coding[0].system http://fhir.de/CodeSystem/ifa/pzn ✅
code.text Lenalidomid Ethypharm 2,5 mg Hartkapseln code.text Lenalidomid Ethypharm 2,5 mg Hartkapseln ✅
form.coding[0].code TAB form.coding[0].code TAB ✅
form.coding[0].display Tabletten form.coding[0].display Tabletten ✅
form.coding[0].system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV… form.coding[0].system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV… ✅
id 8e2e5e65-4c5d-49f2-8efc-c30e40838273 id 8e2e5e65-4c5d-49f2-8efc-c30e40838273 ✅
ingredient[0].itemCodeableConcept.text Lenalidomid ingredient[0].itemCodeableConcept.text Lenalidomid ✅
ingredient[0].strength.denominator.unit Tbl. ingredient[0].strength.denominator.unit Tbl. ✅
ingredient[0].strength.denominator.value 1 ingredient[0].strength.denominator.value 1 ✅
ingredient[0].strength.numerator.unit mg ingredient[0].strength.numerator.unit mg ✅
ingredient[0].strength.numerator.value 2.5 ingredient[0].strength.numerator.value 2.5 ✅
batch.lotNumber A123456789-1 - - ⚠️

MedicationDispense

Source: MedicationDispense/a7e1d25f-0b0a-40f7-b529-afda48e51b46

Target: rxDispensation.dispenseInformation.medicationDispense:MedicationDispense (MedicationDispense)

Source Field Source Value Target Field Target Value Status
dosageInstruction.doseAndRate.doseQuantity.code 1 dosageInstruction[0].doseAndRate[0].doseQuantity.code 1 ✅
dosageInstruction.doseAndRate.doseQuantity.system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP… dosageInstruction[0].doseAndRate[0].doseQuantity.system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP… ✅
dosageInstruction.doseAndRate.doseQuantity.unit Stück dosageInstruction[0].doseAndRate[0].doseQuantity.unit Stück ✅
dosageInstruction.doseAndRate.doseQuantity.value 1 dosageInstruction[0].doseAndRate[0].doseQuantity.value 1 ✅
dosageInstruction.timing.repeat.frequency 1 dosageInstruction[0].timing.repeat.frequency 1 ✅
dosageInstruction.timing.repeat.period 1 dosageInstruction[0].timing.repeat.period 1 ✅
dosageInstruction.timing.repeat.periodUnit d dosageInstruction[0].timing.repeat.periodUnit d ✅
extension[0].url http://hl7.org/fhir/5.0/StructureDefinition/ext… extension[1].url http://hl7.org/fhir/5.0/StructureDefinition/ext… ✅
extension[0].valueMarkdown 0-0-1-0 Stück extension[1].valueMarkdown 0-0-1-0 Stück ✅
extension[1].extension[0].url algorithmVersion extension[0].extension[0].url algorithmVersion ✅
extension[1].extension[0].valueString 1.0.0 extension[0].extension[0].valueString 1.0.0 ✅
extension[1].extension[1].url language extension[0].extension[1].url language ✅
extension[1].extension[1].valueCode de-DE extension[0].extension[1].valueCode de-DE ✅
extension[1].url http://ig.fhir.de/igs/medication/StructureDefin… extension[0].url http://ig.fhir.de/igs/medication/StructureDefin… ✅
medicationReference.reference urn:uuid:8e2e5e65-4c5d-49f2-8efc-c30e40838273 medicationReference.reference urn:uuid:8e2e5e65-4c5d-49f2-8efc-c30e40838273 ✅
quantity.unit Packung quantity.unit Packung ✅
quantity.value 1 quantity.value 1 ✅
status completed status completed ✅
whenHandedOver 2025-10-30 whenHandedOver 2025-10-30 ✅
dosageInstruction.timing.repeat.when EVE - - ⚠️
id a7e1d25f-0b0a-40f7-b529-afda48e51b46 - - ⚠️
identifier[0].system https://gematik.de/fhir/erp/NamingSystem/GEM_ER… - - ⚠️
identifier[0].value 166.100.000.000.021.76 - - ⚠️
performer[0].actor.identifier.system https://gematik.de/fhir/sid/telematik-id - - ⚠️
performer[0].actor.identifier.value 3-07.2.1234560000.10.789 - - ⚠️
subject.identifier.system http://fhir.de/sid/gkv/kvid-10 - - ⚠️
subject.identifier.value X234567890 - - ⚠️
substitution.wasSubstituted true - - ⚠️

New fields created by transformation:

Target Field Target Value Status
performer[0].actor.reference Organization/3-07.2.1234560000.10.789 🆕

MedicationRequest

Source: MedicationRequest/0886a530-68ef-4517-9999-b24f79b08da1

Target: rxPrescription.medicationRequest:MedicationRequest (MedicationRequest)

Source Field Source Value Target Field Target Value Status
authoredOn 2025-05-20 authoredOn 2025-05-20 ✅
dispenseRequest.expectedSupplyDuration.unit Woche(n) dispenseRequest.expectedSupplyDuration.unit Woche(n) ✅
dispenseRequest.expectedSupplyDuration.value 3 dispenseRequest.expectedSupplyDuration.value 3 ✅
dispenseRequest.quantity.unit Packung dispenseRequest.quantity.unit Packung ✅
dispenseRequest.quantity.value 1 dispenseRequest.quantity.value 1 ✅
dosageInstruction[0].doseAndRate[0].doseQuantity.code 1 dosageInstruction[0].doseAndRate[0].doseQuantity.code 1 ✅
dosageInstruction[0].doseAndRate[0].doseQuantity.system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP… dosageInstruction[0].doseAndRate[0].doseQuantity.system https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP… ✅
dosageInstruction[0].doseAndRate[0].doseQuantity.unit Stück dosageInstruction[0].doseAndRate[0].doseQuantity.unit Stück ✅
dosageInstruction[0].doseAndRate[0].doseQuantity.value 1 dosageInstruction[0].doseAndRate[0].doseQuantity.value 1 ✅
dosageInstruction[0].timing.repeat.frequency 1 dosageInstruction[0].timing.repeat.frequency 1 ✅
dosageInstruction[0].timing.repeat.period 1 dosageInstruction[0].timing.repeat.period 1 ✅
dosageInstruction[0].timing.repeat.periodUnit d dosageInstruction[0].timing.repeat.periodUnit d ✅
dosageInstruction[0].timing.repeat.when[0] MORN dosageInstruction[0].timing.repeat.when[0] MORN ✅
extension[4].extension[0].url Off-Label extension[0].extension[0].url off-label ✅
extension[4].extension[0].valueBoolean false extension[0].extension[0].valueBoolean false ✅
extension[4].extension[1].url GebaerfaehigeFrau extension[0].extension[1].url childbearing-potential ✅
extension[4].extension[1].valueBoolean true extension[0].extension[1].valueBoolean true ✅
extension[4].extension[2].url EinhaltungSicherheitsmassnahmen extension[0].extension[2].url security-compliance ✅
extension[4].extension[2].valueBoolean true extension[0].extension[2].valueBoolean true ✅
extension[4].extension[3].url AushaendigungInformationsmaterialien extension[0].extension[3].url hand-out-information-material ✅
extension[4].extension[3].valueBoolean true extension[0].extension[3].valueBoolean true ✅
extension[4].extension[4].url ErklaerungSachkenntnis extension[0].extension[4].url declaration-of-expertise ✅
extension[4].extension[4].valueBoolean true extension[0].extension[4].valueBoolean true ✅
extension[4].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… extension[0].url https://gematik.de/fhir/epa-medication/Structur… ✅
extension[6].url http://hl7.org/fhir/5.0/StructureDefinition/ext… extension[2].url http://hl7.org/fhir/5.0/StructureDefinition/ext… ✅
extension[6].valueMarkdown 1-0-0-0 Stück extension[2].valueMarkdown 1-0-0-0 Stück ✅
extension[7].extension[0].url algorithmVersion extension[1].extension[0].url algorithmVersion ✅
extension[7].extension[0].valueString 1.0.0 extension[1].extension[0].valueString 1.0.0 ✅
extension[7].extension[1].url language extension[1].extension[1].url language ✅
extension[7].extension[1].valueCode de-DE extension[1].extension[1].valueCode de-DE ✅
extension[7].url http://ig.fhir.de/igs/medication/StructureDefin… extension[1].url http://ig.fhir.de/igs/medication/StructureDefin… ✅
intent order intent order ✅
medicationReference.reference http://pvs.praxis.local/fhir/Medication/a3ccc26… medicationReference.reference urn:uuid:a3ccc266-b033-47cc-9361-98ec450f7db9 ✅
status active status completed ✅
extension[0].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[0].valueCoding.code 0 - - ⚠️
extension[0].valueCoding.system https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Statu… - - ⚠️
extension[1].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[1].valueBoolean false - - ⚠️
extension[2].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[2].valueBoolean false - - ⚠️
extension[3].extension[0].url Kennzeichen - - ⚠️
extension[3].extension[0].valueBoolean false - - ⚠️
extension[3].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[5].url https://fhir.kbv.de/StructureDefinition/KBV_EX_… - - ⚠️
extension[5].valueBoolean true - - ⚠️
id 0886a530-68ef-4517-9999-b24f79b08da1 - - ⚠️
insurance[0].reference http://pvs.praxis.local/fhir/Coverage/da80211e-… - - ⚠️
requester.reference http://pvs.praxis.local/fhir/Practitioner/d6f3b… - - ⚠️
subject.reference http://pvs.praxis.local/fhir/Patient/ce4104af-b… - - ⚠️

New fields created by transformation:

Target Field Target Value Status
subject.identifier._system.extension[0].url http://hl7.org/fhir/StructureDefinition/data-ab… 🆕
subject.identifier._system.extension[0].valueCode not-permitted 🆕
subject.identifier._value.extension[0].url http://hl7.org/fhir/StructureDefinition/data-ab… 🆕
subject.identifier._value.extension[0].valueCode not-permitted 🆕

VZDComposite

Source: VZDComposite/VZD-SearchSet-Bundle

Target: rxDispensation.dispenseOrganization:Organization (Organization)

Source Field Source Value Target Field Target Value Status
address.city Großostheim address[0].city Großostheim ✅
address.country DE address[0].country DE ✅
address.line[0] Schwarzwaldstr. 18 address[0].line[0] Schwarzwaldstr. 18 ✅
address.postalCode 63762 address[0].postalCode 63762 ✅
address.state Bayern address[0].state Bayern ✅
address.text Schwarzwaldstr. 18 63762 Groß… address[0].text Schwarzwaldstr. 18 63762 Groß… ✅
address.type postal address[0].type postal ✅
address.use work address[0].use work ✅
id VZD-SearchSet-Bundle id 3-07.2.1234560000.10.789 ✅
identifier[1].system https://gematik.de/fhir/sid/telematik-id identifier[0].system https://gematik.de/fhir/sid/telematik-id ✅
identifier[1].value 3-07.2.1234560000.10.789 identifier[0].value 3-07.2.1234560000.10.789 ✅
name Schwarzwald Apotheke name Schwarzwald Apotheke ✅
telecom[0].system phone telecom[0].system phone ✅
telecom[0].use work telecom[0].use work ✅
telecom[0].value 1234 telecom[0].value 1234 ✅
identifier[1].type.coding[0].code PRN - - ⚠️
identifier[1].type.coding[0].system http://terminology.hl7.org/CodeSystem/v2-0203 - - ⚠️
sourceResources[2] Location - - ⚠️

Zurück zur Test-Übersicht