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

: 4863d1fb-dc26-4680-bb35-018610d1749d - JSON Representation

Raw json | Download

{
  "resourceType" : "Bundle",
  "id" : "4863d1fb-dc26-4680-bb35-018610d1749d",
  "meta" : {
    "versionId" : "1",
    "profile" : [
      "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle|1.4"
    ]
  },
  "identifier" : {
    "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
    "value" : "160.100.000.000.023.70"
  },
  "type" : "document",
  "timestamp" : "2025-05-20T08:30:00Z",
  "entry" : [
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Composition/5877784c-ca07-4cc8-a58f-1517ddc24055",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "5877784c-ca07-4cc8-a58f-1517ddc24055",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Composition|1.4"
          ]
        },
        "extension" : [
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_STATUSKENNZEICHEN",
              "code" : "00"
            }
          }
        ],
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_FORMULAR_ART",
              "code" : "e16A"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f"
        },
        "date" : "2024-05-20T08:00:00Z",
        "author" : [
          {
            "reference" : "Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb",
            "type" : "Practitioner"
          },
          {
            "type" : "Device",
            "identifier" : {
              "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
              "value" : "Y/400/2107/36/999"
            }
          }
        ],
        "title" : "elektronische Arzneimittelverordnung",
        "custodian" : {
          "reference" : "Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b"
        },
        "section" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
                  "code" : "Prescription"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "MedicationRequest/2979e8a3-352e-4d17-8e06-b356666e4daf"
              }
            ]
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
                  "code" : "Coverage"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Coverage/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/MedicationRequest/2979e8a3-352e-4d17-8e06-b356666e4daf",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "2979e8a3-352e-4d17-8e06-b356666e4daf",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.4"
          ]
        },
        "extension" : [
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_StatusCoPayment",
              "code" : "0"
            }
          },
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee",
            "valueBoolean" : false
          },
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER",
            "valueBoolean" : false
          },
          {
            "extension" : [
              {
                "url" : "Kennzeichen",
                "valueBoolean" : false
              }
            ],
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription"
          },
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag",
            "valueBoolean" : false
          }
        ],
        "status" : "active",
        "intent" : "order",
        "medicationReference" : {
          "reference" : "Medication/0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920"
        },
        "subject" : {
          "reference" : "Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f"
        },
        "authoredOn" : "2024-05-20",
        "requester" : {
          "reference" : "Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb"
        },
        "insurance" : [
          {
            "reference" : "Coverage/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad"
          }
        ],
        "dispenseRequest" : {
          "quantity" : {
            "value" : 1,
            "unit" : "Packung"
          }
        },
        "substitution" : {
          "allowedBoolean" : true
        }
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Medication/0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.4"
          ]
        },
        "extension" : [
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Category",
              "code" : "00"
            }
          },
          {
            "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine",
            "valueBoolean" : false
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
              "code" : "freitext"
            }
          ],
          "text" : "Metformin 850mg Tabletten N3"
        }
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "fc0d145b-09b4-4af6-b477-935c1862ac7f",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3"
          ]
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
                  "code" : "KVZ10"
                }
              ]
            },
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "S040464113"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Graf Freiherr von Schaumberg",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://fhir.de/StructureDefinition/humanname-namenszusatz",
                  "valueString" : "Graf Freiherr"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
                  "valueString" : "von"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString" : "Schaumberg"
                }
              ]
            },
            "given" : [
              "Karl-Friederich"
            ],
            "prefix" : [
              "Prof. Dr."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "birthDate" : "1964-04-04",
        "address" : [
          {
            "type" : "both",
            "line" : [
              "Siegburger Str. 155"
            ],
            "_line" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString" : "155"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString" : "Siegburger Str."
                  }
                ]
              }
            ],
            "city" : "Köln",
            "postalCode" : "51105",
            "country" : "D"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "667ffd79-42a3-4002-b7ca-6b9098f20ccb",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3"
          ]
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "LANR"
                }
              ]
            },
            "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
            "value" : "987654423"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Schneider",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString" : "Schneider"
                }
              ]
            },
            "given" : [
              "Emma"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
                  "code" : "00"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
                  "code" : "Berufsbezeichnung"
                }
              ],
              "text" : "Fachärztin für Innere Medizin"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "5d3f4ac0-2b44-4d48-b363-e63efa72973b",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.3"
          ]
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "BSNR"
                }
              ]
            },
            "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value" : "721111100"
          }
        ],
        "name" : "MVZ",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "0301234567"
          },
          {
            "system" : "fax",
            "value" : "030123456789"
          },
          {
            "system" : "email",
            "value" : "mvz@e-mail.de"
          }
        ],
        "address" : [
          {
            "type" : "both",
            "line" : [
              "Herbert-Lewin-Platz 2"
            ],
            "_line" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString" : "2"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString" : "Herbert-Lewin-Platz"
                  }
                ]
              }
            ],
            "city" : "Berlin",
            "postalCode" : "10623",
            "country" : "D"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://pvs.praxis.local/fhir/Coverage/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "69b3bbb6-2d37-4676-baf1-af97ba2ba4ad",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.3"
          ]
        },
        "extension" : [
          {
            "url" : "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
              "code" : "00"
            }
          },
          {
            "url" : "http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DMP",
              "code" : "00"
            }
          },
          {
            "url" : "http://fhir.de/StructureDefinition/gkv/wop",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
              "code" : "38"
            }
          },
          {
            "url" : "http://fhir.de/StructureDefinition/gkv/versichertenart",
            "valueCoding" : {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
              "code" : "1"
            }
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "code" : "GKV"
            }
          ]
        },
        "beneficiary" : {
          "reference" : "Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f"
        },
        "payor" : [
          {
            "identifier" : {
              "system" : "http://fhir.de/sid/arge-ik/iknr",
              "value" : "104212059"
            },
            "display" : "AOK Rheinland/Hamburg"
          }
        ]
      }
    }
  ]
}