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

## : 9581ce65-b118-4751-9073-19c091b341e0 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "9581ce65-b118-4751-9073-19c091b341e0",
      "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" : "160.100.000.000.024.67"
      },
      "type" : "document",
      "timestamp" : "2025-05-20T08:30:00Z",
      "entry" : [
        {
          "fullUrl" : "http://pvs.praxis.local/fhir/Composition/80a467fb-36ad-4549-8be1-12f0e4520c73",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "80a467fb-36ad-4549-8be1-12f0e4520c73",
            "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/30635f5d-c233-4500-94e8-6414940236aa"
            },
            "date" : "2025-05-20T08:00:00Z",
            "author" : [
              {
                "reference" : "Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
                "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/4739972b-52d6-4bea-9ba1-d360f8c22689"
                  }
                ]
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type",
                      "code" : "Coverage"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Coverage/e51239e1-ba74-48e0-97fb-9754d2b05c60"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://pvs.praxis.local/fhir/MedicationRequest/4739972b-52d6-4bea-9ba1-d360f8c22689",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "4739972b-52d6-4bea-9ba1-d360f8c22689",
            "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" : "1"
                }
              },
              {
                "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" : true
              },
              {
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
                "valueMarkdown" : "1–3mal/Tag auf die erkrankten Hautstellen auftragen"
              },
              {
                "extension" : [
                  {
                    "url" : "algorithmVersion",
                    "valueString" : "1.0.0"
                  },
                  {
                    "url" : "language",
                    "valueCode" : "de-DE"
                  }
                ],
                "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
              }
            ],
            "status" : "active",
            "intent" : "order",
            "medicationReference" : {
              "reference" : "Medication/5cd916fc-2ae2-4148-b016-911ec5f4c0a5"
            },
            "subject" : {
              "reference" : "Patient/30635f5d-c233-4500-94e8-6414940236aa"
            },
            "authoredOn" : "2025-05-20",
            "requester" : {
              "reference" : "Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66"
            },
            "insurance" : [
              {
                "reference" : "Coverage/e51239e1-ba74-48e0-97fb-9754d2b05c60"
              }
            ],
            "dosageInstruction" : [
              {
                "text" : "1–3mal/Tag auf die erkrankten Hautstellen auftragen"
              }
            ],
            "dispenseRequest" : {
              "quantity" : {
                "value" : 1,
                "unit" : "Packung"
              }
            },
            "substitution" : {
              "allowedBoolean" : true
            }
          }
        },
        {
          "fullUrl" : "http://pvs.praxis.local/fhir/Medication/5cd916fc-2ae2-4148-b016-911ec5f4c0a5",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "5cd916fc-2ae2-4148-b016-911ec5f4c0a5",
            "meta" : {
              "versionId" : "1",
              "profile" : [
                "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding|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" : "1208954007",
                      "display" : "Extemporaneous preparation (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
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type",
                  "code" : "rezeptur"
                }
              ]
            },
            "form" : {
              "text" : "Lösung"
            },
            "amount" : {
              "numerator" : {
                "extension" : [
                  {
                    "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize",
                    "valueString" : "100"
                  }
                ],
                "unit" : "ml"
              },
              "denominator" : {
                "value" : 1
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "text" : "Salicylsäure"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 5,
                    "unit" : "g"
                  },
                  "denominator" : {
                    "value" : 1
                  }
                }
              },
              {
                "itemCodeableConcept" : {
                  "text" : "2-propanol 70 %"
                },
                "strength" : {
                  "extension" : [
                    {
                      "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Ingredient_Amount",
                      "valueString" : "Ad 100 g"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://pvs.praxis.local/fhir/Patient/30635f5d-c233-4500-94e8-6414940236aa",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "30635f5d-c233-4500-94e8-6414940236aa",
            "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" : "K220645122"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Schuhmann",
                "_family" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                      "valueString" : "Schuhmann"
                    }
                  ]
                },
                "given" : [
                  "Sahra"
                ]
              }
            ],
            "birthDate" : "1970-12-24",
            "address" : [
              {
                "type" : "both",
                "line" : [
                  "Berliner Straße 1"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "1"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Berliner Straße"
                      }
                    ]
                  }
                ],
                "city" : "Husum",
                "postalCode" : "25813",
                "country" : "D"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://pvs.praxis.local/fhir/Practitioner/ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "ec5b4fcf-9739-4055-b23c-a5b3a65beb66",
            "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" : "123412821"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Schmidt",
                "_family" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                      "valueString" : "Schmidt"
                    }
                  ]
                },
                "given" : [
                  "Hanna"
                ],
                "prefix" : [
                  "Dr."
                ],
                "_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" : "Dermatologin"
                }
              }
            ]
          }
        },
        {
          "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/e51239e1-ba74-48e0-97fb-9754d2b05c60",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "e51239e1-ba74-48e0-97fb-9754d2b05c60",
            "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" : "01"
                }
              },
              {
                "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/30635f5d-c233-4500-94e8-6414940236aa"
            },
            "payor" : [
              {
                "identifier" : {
                  "system" : "http://fhir.de/sid/arge-ik/iknr",
                  "value" : "108018347"
                },
                "display" : "AOK Baden-Württemberg"
              }
            ]
          }
        }
      ]
    }