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 Emma Schneider (official), Identifier: https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer/Y/400/2107/36/999 for Karl-Friederich Graf Freiherr von Schaumberg (official) (no stated gender), DoB: 1964-04-04 ( Krankenversichertennummer)
Document Subject
version: 1
Profile: https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3
Karl-Friederich Graf Freiherr von Schaumberg (official) (no stated gender), DoB: 1964-04-04 ( Krankenversichertennummer)
| Contact Detail | Siegburger Str. 155 Köln 51105 D | ||
Document Content
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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
status: Active
intent: Order
authoredOn: 2024-05-20
requester: Practitioner Emma Schneider (official)
DispenseRequests
Quantity 1 Packung Substitutions
Allowed[x] true
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de/StructureDefinition/KBV_EX_ERP_Medication_Category: KBV_CS_ERP_Medication_Category: 00 (00)
de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine: false
code: Metformin 850mg Tabletten N3
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Resso}:
version: 1
Profile: https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3
Karl-Friederich Graf Freiherr von Schaumberg (official) (no stated gender), DoB: 1964-04-04 ( Krankenversichertennummer)
Contact Detail Siegburger Str. 155 Köln 51105 D
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Resso}:
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Profile: https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3
identifier: Lifelong physician number/987654423
name: Emma Schneider (Official)
qualification
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qualification
code: Fachärztin für Innere Medizin
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Resso}:
version: 1
Profile: https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.3
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
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ExtensionGkvBesonderePersonengruppe: KBV_CS_SFHIR_KBV_PERSONENGRUPPE: 00 (00)
ExtensionGkvDmpKennzeichen: KBV_CS_SFHIR_KBV_DMP: 00 (00)
Kennzeichen Wohnortprinzip (WOP): KBV_CS_SFHIR_ITA_WOP: 38 (38)
Versichertenart GKV: KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS: 1 (1)
status: Active
type: gesetzliche Krankenversicherung