TIFlow - Verordnungen für Arzneimittel
Version 2.0.0-ballot.1 - ci-build

Bundle: 44420ed9-7388-4be5-acc5-9c124fad9f34

Document Details

version: 1

Profile: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle|1.4

Final Document at 2024-05-20 08:00:00+0000 by Practitioner Paul Freiherr von Müller (official), Identifier: https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer/Y/400/2107/36/999 for Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( Krankenversichertennummer)


Document Subject

Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( Krankenversichertennummer)


Contact DetailBlumenweg Esens 26427 D

Document Content

Prescription

Coverage


Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:000abe24-f690-481e-9a9f-1cd0eb434e2f

Resso}:

de/StructureDefinition/KBV_EX_FOR_StatusCoPayment: KBV_CS_FOR_StatusCoPayment: 0 (0)

de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee: false

de/StructureDefinition/KBV_EX_FOR_SER: false

de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription

  • Kennzeichen: false

de/StructureDefinition/KBV_EX_ERP_DosageFlag: false

basedOn: Identifier: https://gematik.de/fhir/sid/emp-identifier/8cc8e04b-6df7-43b5-b847-508268e95ba7

status: Active

intent: Order

subject: Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( Krankenversichertennummer)

authoredOn: 2024-05-20

requester: Practitioner Paul Freiherr von Müller (official)

insurance: Coverage: extension = 00 (KBV_CS_SFHIR_KBV_PERSONENGRUPPE#00),05 (KBV_CS_SFHIR_KBV_DMP#05),17 (KBV_CS_SFHIR_ITA_WOP#17),5 (KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS#5); status = active; type = gesetzliche Krankenversicherung

DispenseRequests

-Quantity
*1 Packung

Substitutions

-Allowed[x]
*true

Entry 3 - fullUrl = urn:uuid:47076fb4-dc5c-4f75-85f6-b200033b3280

Resso}:

de/StructureDefinition/KBV_EX_Base_Medication_Type: Medicinal product (product)

de/StructureDefinition/KBV_EX_ERP_Medication_Category: KBV_CS_ERP_Medication_Category: 00 (00)

de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine: false

ExtensionNormgroesseDeBasis: N1

code: Januvia® 50 mg 28 Filmtabletten N1

ingredient


Entry 4 - fullUrl = urn:uuid:93866fdc-3e50-4902-a7e9-891b54737b5e

Resso}:

Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( Krankenversichertennummer)


Contact DetailBlumenweg Esens 26427 D

Entry 5 - fullUrl = urn:uuid:bc329f24-3d65-4286-bf06-b54dd6cad655

Resso}:

identifier: Lifelong physician number/123456628

name: Paul Freiherr von Müller (Official)

qualification

code: 00

qualification

code: Facharzt für Innere Medizin: Kardiologie


Entry 6 - fullUrl = urn:uuid:5d3f4ac0-2b44-4d48-b363-e63efa72973b

Resso}:

identifier: Primary physician office number/721111100

name: MVZ

contact

telecom: ph: 0301234567, fax: 030123456789, mvz@e-mail.de

address: Herbert-Lewin-Platz 2 Berlin 10623 D


Entry 7 - fullUrl = urn:uuid:1b89236c-ab14-4e92-937e-5af0b59d0cd4

Resso}:

ExtensionGkvBesonderePersonengruppe: KBV_CS_SFHIR_KBV_PERSONENGRUPPE: 00 (00)

ExtensionGkvDmpKennzeichen: KBV_CS_SFHIR_KBV_DMP: 05 (05)

Kennzeichen Wohnortprinzip (WOP): KBV_CS_SFHIR_ITA_WOP: 17 (17)

Versichertenart GKV: KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS: 5 (5)

status: Active

type: gesetzliche Krankenversicherung

beneficiary: Ludger Königsstein (official) (no stated gender), DoB: 1935-06-22 ( Krankenversichertennummer)