: 9581ce65-b118-4751-9073-19c091b341e0 - JSON Representation
Raw json | Download
{
"resourceType" : "Bundle",
"id" : "9581ce65-b118-4751-9073-19c091b341e0",
"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" : "160.100.000.000.024.67"
},
"type" : "document",
"timestamp" : "2025-05-20T08:30:00Z",
"entry" : [
{
"fullUrl" : "http://pvs.praxis.local/fhir/Composition/80a467fb-36ad-4549-8be1-12f0e4520c73",
"resource" : {
"resourceType" : "Composition",
"id" : "80a467fb-36ad-4549-8be1-12f0e4520c73",
"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/30635f5d-c233-4500-94e8-6414940236aa"
},
"date" : "2025-05-20T08:00:00Z",
"author" : [
{
"reference" : "Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
"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/4739972b-52d6-4bea-9ba1-d360f8c22689"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
"code" : "Coverage"
}
]
},
"entry" : [
{
"reference" : "Coverage/e51239e1-ba74-48e0-97fb-9754d2b05c60"
}
]
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/MedicationRequest/4739972b-52d6-4bea-9ba1-d360f8c22689",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "4739972b-52d6-4bea-9ba1-d360f8c22689",
"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" : "1"
}
},
{
"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" : true
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
"valueMarkdown" : "1–3mal/Tag auf die erkrankten Hautstellen auftragen"
},
{
"extension" : [
{
"url" : "algorithmVersion",
"valueString" : "1.0.0"
},
{
"url" : "language",
"valueCode" : "de-DE"
}
],
"url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
}
],
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/5cd916fc-2ae2-4148-b016-911ec5f4c0a5"
},
"subject" : {
"reference" : "Patient/30635f5d-c233-4500-94e8-6414940236aa"
},
"authoredOn" : "2025-05-20",
"requester" : {
"reference" : "Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66"
},
"insurance" : [
{
"reference" : "Coverage/e51239e1-ba74-48e0-97fb-9754d2b05c60"
}
],
"dosageInstruction" : [
{
"text" : "1–3mal/Tag auf die erkrankten Hautstellen auftragen"
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 1,
"unit" : "Packung"
}
},
"substitution" : {
"allowedBoolean" : true
}
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Medication/5cd916fc-2ae2-4148-b016-911ec5f4c0a5",
"resource" : {
"resourceType" : "Medication",
"id" : "5cd916fc-2ae2-4148-b016-911ec5f4c0a5",
"meta" : {
"versionId" : "1",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|1.4"
]
},
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Medication_Type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/11000274103/version/20240515",
"code" : "1208954007",
"display" : "Extemporaneous preparation (product)"
}
]
}
},
{
"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" : "rezeptur"
}
]
},
"form" : {
"text" : "Lösung"
},
"amount" : {
"numerator" : {
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize",
"valueString" : "100"
}
],
"unit" : "ml"
},
"denominator" : {
"value" : 1
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"text" : "Salicylsäure"
},
"strength" : {
"numerator" : {
"value" : 5,
"unit" : "g"
},
"denominator" : {
"value" : 1
}
}
},
{
"itemCodeableConcept" : {
"text" : "2-propanol 70 %"
},
"strength" : {
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount",
"valueString" : "Ad 100 g"
}
]
}
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Patient/30635f5d-c233-4500-94e8-6414940236aa",
"resource" : {
"resourceType" : "Patient",
"id" : "30635f5d-c233-4500-94e8-6414940236aa",
"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" : "K220645122"
}
],
"name" : [
{
"use" : "official",
"family" : "Schuhmann",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString" : "Schuhmann"
}
]
},
"given" : [
"Sahra"
]
}
],
"birthDate" : "1970-12-24",
"address" : [
{
"type" : "both",
"line" : [
"Berliner Straße 1"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "1"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Berliner Straße"
}
]
}
],
"city" : "Husum",
"postalCode" : "25813",
"country" : "D"
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
"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" : "123412821"
}
],
"name" : [
{
"use" : "official",
"family" : "Schmidt",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString" : "Schmidt"
}
]
},
"given" : [
"Hanna"
],
"prefix" : [
"Dr."
],
"_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" : "Dermatologin"
}
}
]
}
},
{
"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/e51239e1-ba74-48e0-97fb-9754d2b05c60",
"resource" : {
"resourceType" : "Coverage",
"id" : "e51239e1-ba74-48e0-97fb-9754d2b05c60",
"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" : "01"
}
},
{
"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/30635f5d-c233-4500-94e8-6414940236aa"
},
"payor" : [
{
"identifier" : {
"system" : "http://fhir.de/sid/arge-ik/iknr",
"value" : "108018347"
},
"display" : "AOK Baden-Württemberg"
}
]
}
}
]
}
