E-T-Rezept Datenaustausch
Version 1.1.0 - release

Test Case 03

Seiteninhalt:

Beispiel 3: Freitext Verordnung

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

StructureMap Transformation Report

Summary

Anwendungsfall: Verschreibung und Abgabe eines Freitext-Medikaments und Transformation in einen digitalen Durchschlag.

Beispiel-Artefakte:

Resource Mapping Details

Medication

Source: Medication/a3ca01a4-92c1-422a-87d9-ef046e94527f

Target: rxPrescription.medication:Medication (Medication)

Source Field Source Value Target Field Target Value Status
code.text Thalidomid 50 mg Hartkapseln 28 Stück code.text Thalidomid 50 mg Hartkapseln 28 Stück ✅
id a3ca01a4-92c1-422a-87d9-ef046e94527f id a3ca01a4-92c1-422a-87d9-ef046e94527f ✅
code.coding[0].code freitext - - ⚠️
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 - - ⚠️

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 28 amount.numerator.extension[0].valueString 28 ✅
amount.numerator.unit St amount.numerator.unit St ✅
code.coding[0].code 16880629 code.coding[0].code 16880629 ✅
code.coding[0].system http://fhir.de/CodeSystem/ifa/pzn code.coding[0].system http://fhir.de/CodeSystem/ifa/pzn ✅
code.text THALIDOMID BMS 50 mg Hartkapseln code.text THALIDOMID BMS 50 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 Thalidomid ingredient[0].itemCodeableConcept.text Thalidomid ✅
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 50 ingredient[0].strength.numerator.value 50 ✅
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
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 ✅
id a7e1d25f-0b0a-40f7-b529-afda48e51b46 - - ⚠️
identifier[0].system https://gematik.de/fhir/erp/NamingSystem/GEM_ER… - - ⚠️
identifier[0].value 166.100.000.000.001.39 - - ⚠️
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/7d871b93-e18c-4865-bad0-6b55196be46b

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 9 dispenseRequest.expectedSupplyDuration.value 9 ✅
dispenseRequest.quantity.unit Packung dispenseRequest.quantity.unit Packung ✅
dispenseRequest.quantity.value 1 dispenseRequest.quantity.value 1 ✅
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 false extension[0].extension[1].valueBoolean false ✅
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… ✅
intent order intent order ✅
medicationReference.reference urn:uuid:a3ca01a4-92c1-422a-87d9-ef046e94527f medicationReference.reference urn:uuid:a3ca01a4-92c1-422a-87d9-ef046e94527f ✅
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 false - - ⚠️
id 7d871b93-e18c-4865-bad0-6b55196be46b - - ⚠️
insurance[0].reference urn:uuid:e51239e1-ba74-48e0-97fb-9754d2b05c60 - - ⚠️
requester.reference urn:uuid:0c4e1a54-8a42-4d3d-a12c-0bbf2db48570 - - ⚠️
subject.reference urn:uuid:30635f5d-c233-4500-94e8-6414940236aa - - ⚠️
substitution.allowedBoolean true - - ⚠️

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 - - ⚠️

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