: 9c85a2a5-92ee-4a57-83cb-ba90a0df2a21 - JSON Representation
Raw json | Download
{
"resourceType" : "Bundle",
"id" : "9c85a2a5-92ee-4a57-83cb-ba90a0df2a21",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle|1.3"
]
},
"identifier" : {
"system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
"value" : "160.100.000.000.019.82"
},
"type" : "document",
"timestamp" : "2024-05-20T08:30:00+00:00",
"entry" : [
{
"fullUrl" : "http://pvs.praxis.local/fhir/Composition/4ca03203-b01b-4b4c-aeac-c36adb30ea34",
"resource" : {
"resourceType" : "Composition",
"id" : "4ca03203-b01b-4b4c-aeac-c36adb30ea34",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Composition|1.3"
]
},
"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/ce4104af-b86b-4664-afee-1b5fc3ac8acf"
},
"date" : "2024-05-20T08:00:00Z",
"author" : [
{
"reference" : "Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655",
"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/4a7eefdd-df71-4a72-8047-c158017534a1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
"code" : "Coverage"
}
]
},
"entry" : [
{
"reference" : "Coverage/da80211e-61ee-458e-a651-87370b6ec30c"
}
]
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/MedicationRequest/4a7eefdd-df71-4a72-8047-c158017534a1",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "4a7eefdd-df71-4a72-8047-c158017534a1",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.3"
]
},
"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"
}
],
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/86fa62c7-06a0-418e-ba26-e99baa053c07"
},
"subject" : {
"reference" : "Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"
},
"authoredOn" : "2024-05-20",
"requester" : {
"reference" : "Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655"
},
"insurance" : [
{
"reference" : "Coverage/da80211e-61ee-458e-a651-87370b6ec30c"
}
],
"note" : [
{
"text" : "Bitte längliche Tabletten, da Patient Probleme mit dem Schlucken von runden hat."
}
],
"dosageInstruction" : [
{
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag",
"valueBoolean" : true
}
],
"text" : "1-0-0-0"
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 1,
"unit" : "Packung"
}
}
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Medication/86fa62c7-06a0-418e-ba26-e99baa053c07",
"resource" : {
"resourceType" : "Medication",
"id" : "86fa62c7-06a0-418e-ba26-e99baa053c07",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.3"
]
},
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine",
"valueBoolean" : false
},
{
"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" : "http://fhir.de/StructureDefinition/normgroesse",
"valueCode" : "N3"
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
"code" : "wirkstoff"
}
]
},
"form" : {
"text" : "Tabletten"
},
"amount" : {
"numerator" : {
"extension" : [
{
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize",
"valueString" : "100"
}
],
"unit" : "Stück"
},
"denominator" : {
"value" : 1
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/ask",
"code" : "22686"
}
],
"text" : "Ramipril"
},
"strength" : {
"numerator" : {
"value" : 5,
"unit" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "Stück"
}
}
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf",
"resource" : {
"resourceType" : "Patient",
"id" : "ce4104af-b86b-4664-afee-1b5fc3ac8acf",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.2"
]
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code" : "KVZ10"
}
]
},
"system" : "http://fhir.de/sid/gkv/kvid-10",
"value" : "K030182229"
}
],
"name" : [
{
"use" : "official",
"family" : "Kluge",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString" : "Kluge"
}
]
},
"given" : [
"Eva"
],
"prefix" : [
"Prof. Dr. Dr. med"
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"birthDate" : "1982-01-03",
"address" : [
{
"type" : "both",
"line" : [
"Pflasterhofweg 111B"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "111B"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Pflasterhofweg"
}
]
}
],
"city" : "Köln",
"postalCode" : "50999",
"country" : "D"
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655",
"resource" : {
"resourceType" : "Practitioner",
"id" : "bc329f24-3d65-4286-bf06-b54dd6cad655",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.2"
]
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "LANR"
}
]
},
"system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
"value" : "123456628"
}
],
"name" : [
{
"use" : "official",
"family" : "Freiherr von Müller",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
"valueString" : "von"
},
{
"url" : "http://fhir.de/StructureDefinition/humanname-namenszusatz",
"valueString" : "Freiherr"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString" : "Müller"
}
]
},
"given" : [
"Paul"
],
"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" : "Facharzt für\u00a0Innere Medizin: Kardiologie"
}
}
]
}
},
{
"fullUrl" : "http://pvs.praxis.local/fhir/Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b",
"resource" : {
"resourceType" : "Organization",
"id" : "5d3f4ac0-2b44-4d48-b363-e63efa72973b",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.2"
]
},
"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/da80211e-61ee-458e-a651-87370b6ec30c",
"resource" : {
"resourceType" : "Coverage",
"id" : "da80211e-61ee-458e-a651-87370b6ec30c",
"meta" : {
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.2"
]
},
"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" : "3"
}
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/versicherungsart-de-basis",
"code" : "GKV"
}
]
},
"beneficiary" : {
"reference" : "Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"
},
"payor" : [
{
"identifier" : {
"system" : "http://fhir.de/sid/arge-ik/iknr",
"value" : "109777509"
},
"display" : "Techniker Krankenkasse"
}
]
}
}
]
}