Implementation Guide
TIFlow - Verordnungen für Arzneimittel
Version 2.0.0-ballot.2 - ballot

## : 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"
              }
            ]
          }
        }
      ]
    }