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

## : 9c85a2a5-92ee-4a57-83cb-ba90a0df2a21 - JSON Representation

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      "id" : "9c85a2a5-92ee-4a57-83cb-ba90a0df2a21",
      "meta" : {
        "profile" : [
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        ]
      },
      "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",
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              ]
            },
            "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",
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              },
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                "type" : "Device",
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                  "value" : "Y/400/2107/36/999"
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              }
            ],
            "title" : "elektronische Arzneimittelverordnung",
            "custodian" : {
              "reference" : "Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b"
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                    "reference" : "MedicationRequest/4a7eefdd-df71-4a72-8047-c158017534a1"
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                ]
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                "entry" : [
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        },
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            "resourceType" : "MedicationRequest",
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              ]
            },
            "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"
            },
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            },
            "authoredOn" : "2024-05-20",
            "requester" : {
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            },
            "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"
              }
            }
          }
        },
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            "resourceType" : "Medication",
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              ]
            },
            "extension" : [
              {
                "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine",
                "valueBoolean" : false
              },
              {
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                "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" : {
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                    "value" : 5,
                    "unit" : "mg"
                  },
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                }
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          }
        },
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          "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"
              }
            ]
          }
        },
        {
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          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "bc329f24-3d65-4286-bf06-b54dd6cad655",
            "meta" : {
              "profile" : [
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              ]
            },
            "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" : [
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                "use" : "official",
                "family" : "Freiherr von Müller",
                "_family" : {
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                      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
                      "valueString" : "von"
                    },
                    {
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                      "valueString" : "Freiherr"
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                      "valueString" : "Müller"
                    }
                  ]
                },
                "given" : [
                  "Paul"
                ],
                "prefix" : [
                  "Dr. med."
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                "_prefix" : [
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                        "valueCode" : "AC"
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                    ]
                  }
                ]
              }
            ],
            "qualification" : [
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                      "code" : "00"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
                      "code" : "Berufsbezeichnung"
                    }
                  ],
                  "text" : "Facharzt für\u00a0Innere Medizin: Kardiologie"
                }
              }
            ]
          }
        },
        {
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          "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"
              }
            ]
          }
        },
        {
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          "resource" : {
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            "meta" : {
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              ]
            },
            "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"
              }
            ]
          }
        }
      ]
    }