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

## : 44420ed9-7388-4be5-acc5-9c124fad9f34 - JSON Representation

Raw json | Download

    {
      "resourceType" : "Bundle",
      "id" : "44420ed9-7388-4be5-acc5-9c124fad9f34",
      "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" : "160.100.000.000.006.24"
      },
      "type" : "document",
      "timestamp" : "2024-05-20T08:30:00Z",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:6ac6d8bc-3acd-4e31-ad9b-442fc343c6c0",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "6ac6d8bc-3acd-4e31-ad9b-442fc343c6c0",
            "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" : "urn:uuid:93866fdc-3e50-4902-a7e9-891b54737b5e"
            },
            "date" : "2024-05-20T08:00:00Z",
            "author" : [
              {
                "reference" : "urn:uuid: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" : "urn:uuid:5d3f4ac0-2b44-4d48-b363-e63efa72973b"
            },
            "section" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
                      "code" : "Prescription"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:000abe24-f690-481e-9a9f-1cd0eb434e2f"
                  }
                ]
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
                      "code" : "Coverage"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:1b89236c-ab14-4e92-937e-5af0b59d0cd4"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:000abe24-f690-481e-9a9f-1cd0eb434e2f",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "000abe24-f690-481e-9a9f-1cd0eb434e2f",
            "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" : "urn:uuid:47076fb4-dc5c-4f75-85f6-b200033b3280"
            },
            "subject" : {
              "reference" : "urn:uuid:93866fdc-3e50-4902-a7e9-891b54737b5e"
            },
            "authoredOn" : "2024-05-20",
            "requester" : {
              "reference" : "urn:uuid:bc329f24-3d65-4286-bf06-b54dd6cad655"
            },
            "basedOn" : [
              {
                "identifier" : {
                  "system" : "https://gematik.de/fhir/sid/emp-identifier",
                  "value" : "8cc8e04b-6df7-43b5-b847-508268e95ba7"
                }
              }
            ],
            "insurance" : [
              {
                "reference" : "urn:uuid:1b89236c-ab14-4e92-937e-5af0b59d0cd4"
              }
            ],
            "dispenseRequest" : {
              "quantity" : {
                "value" : 1,
                "unit" : "Packung"
              }
            },
            "substitution" : {
              "allowedBoolean" : true
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:47076fb4-dc5c-4f75-85f6-b200033b3280",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "47076fb4-dc5c-4f75-85f6-b200033b3280",
            "meta" : {
              "versionId" : "1",
              "profile" : [
                "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|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" : "763158003",
                      "display" : "Medicinal product (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
              },
              {
                "url" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N1"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "00814665"
                }
              ],
              "text" : "Januvia® 50 mg 28 Filmtabletten N1"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "FTA"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.de/CodeSystem/ask",
                      "code" : "34150"
                    }
                  ],
                  "text" : "Sitagliptin"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 50,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Stück"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:93866fdc-3e50-4902-a7e9-891b54737b5e",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "93866fdc-3e50-4902-a7e9-891b54737b5e",
            "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" : "K220635158"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Königsstein",
                "_family" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                      "valueString" : "Königsstein"
                    }
                  ]
                },
                "given" : [
                  "Ludger"
                ]
              }
            ],
            "birthDate" : "1935-06-22",
            "address" : [
              {
                "type" : "both",
                "line" : [
                  "Blumenweg"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Blumenweg"
                      }
                    ]
                  }
                ],
                "city" : "Esens",
                "postalCode" : "26427",
                "country" : "D"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:bc329f24-3d65-4286-bf06-b54dd6cad655",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "bc329f24-3d65-4286-bf06-b54dd6cad655",
            "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" : "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" : "urn:uuid: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" : "urn:uuid:1b89236c-ab14-4e92-937e-5af0b59d0cd4",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "1b89236c-ab14-4e92-937e-5af0b59d0cd4",
            "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" : "05"
                }
              },
              {
                "url" : "http://fhir.de/StructureDefinition/gkv/wop",
                "valueCoding" : {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
                  "code" : "17"
                }
              },
              {
                "url" : "http://fhir.de/StructureDefinition/gkv/versichertenart",
                "valueCoding" : {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
                  "code" : "5"
                }
              }
            ],
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/versicherungsart-de-basis",
                  "code" : "GKV"
                }
              ]
            },
            "beneficiary" : {
              "reference" : "urn:uuid:93866fdc-3e50-4902-a7e9-891b54737b5e"
            },
            "payor" : [
              {
                "identifier" : {
                  "system" : "http://fhir.de/sid/arge-ik/iknr",
                  "value" : "109719018"
                },
                "display" : "AOK Nordost"
              }
            ]
          }
        }
      ]
    }