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

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

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="9c85a2a5-92ee-4a57-83cb-ba90a0df2a21"/>
      <meta>
        <profile
                 value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle|1.3"/>
      </meta>
      <identifier>
        <system
                value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
        <value value="160.100.000.000.019.82"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2024-05-20T08:30:00+00:00"/>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Composition/4ca03203-b01b-4b4c-aeac-c36adb30ea34"/>
        <resource>
          <Composition>
            <id value="4ca03203-b01b-4b4c-aeac-c36adb30ea34"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Composition|1.3"/>
            </meta>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_STATUSKENNZEICHEN"/>
                <code value="00"/>
              </valueCoding>
            </extension>
            <status value="final"/>
            <type>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_FORMULAR_ART"/>
                <code value="e16A"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"/>
            </subject>
            <date value="2024-05-20T08:00:00Z"/>
            <author>
              <reference
                         value="Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655"/>
              <type value="Practitioner"/>
            </author>
            <author>
              <type value="Device"/>
              <identifier>
                <system
                        value="https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer"/>
                <value value="Y/400/2107/36/999"/>
              </identifier>
            </author>
            <title value="elektronische Arzneimittelverordnung"/>
            <custodian>
              <reference
                         value="Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b"/>
            </custodian>
            <section>
              <code>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type"/>
                  <code value="Prescription"/>
                </coding>
              </code>
              <entry>
                <reference
                           value="MedicationRequest/4a7eefdd-df71-4a72-8047-c158017534a1"/>
              </entry>
            </section>
            <section>
              <code>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type"/>
                  <code value="Coverage"/>
                </coding>
              </code>
              <entry>
                <reference value="Coverage/da80211e-61ee-458e-a651-87370b6ec30c"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/MedicationRequest/4a7eefdd-df71-4a72-8047-c158017534a1"/>
        <resource>
          <MedicationRequest>
            <id value="4a7eefdd-df71-4a72-8047-c158017534a1"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.3"/>
            </meta>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_StatusCoPayment"/>
                <code value="0"/>
              </valueCoding>
            </extension>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_EmergencyServicesFee">
              <valueBoolean value="false"/>
            </extension>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER">
              <valueBoolean value="false"/>
            </extension>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Multiple_Prescription">
              <extension url="Kennzeichen">
                <valueBoolean value="false"/>
              </extension>
            </extension>
            <status value="active"/>
            <intent value="order"/>
            <medicationReference>
              <reference value="Medication/86fa62c7-06a0-418e-ba26-e99baa053c07"/>
            </medicationReference>
            <subject>
              <reference value="Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"/>
            </subject>
            <authoredOn value="2024-05-20"/>
            <requester>
              <reference
                         value="Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655"/>
            </requester>
            <insurance>
              <reference value="Coverage/da80211e-61ee-458e-a651-87370b6ec30c"/>
            </insurance>
            <note>
              <text
                    value="Bitte längliche Tabletten, da Patient Probleme mit dem Schlucken von runden hat."/>
            </note>
            <dosageInstruction>
              <extension
                         url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag">
                <valueBoolean value="true"/>
              </extension>
              <text value="1-0-0-0"/>
            </dosageInstruction>
            <dispenseRequest>
              <quantity>
                <value value="1"/>
                <unit value="Packung"/>
              </quantity>
            </dispenseRequest>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Medication/86fa62c7-06a0-418e-ba26-e99baa053c07"/>
        <resource>
          <Medication>
            <id value="86fa62c7-06a0-418e-ba26-e99baa053c07"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient|1.3"/>
            </meta>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine">
              <valueBoolean value="false"/>
            </extension>
            <extension
                       url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Category">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Category"/>
                <code value="00"/>
              </valueCoding>
            </extension>
            <extension url="http://fhir.de/StructureDefinition/normgroesse">
              <valueCode value="N3"/>
            </extension>
            <code>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type"/>
                <code value="wirkstoff"/>
              </coding>
            </code>
            <form>
              <text value="Tabletten"/>
            </form>
            <amount>
              <numerator>
                <extension
                           url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize">
                  <valueString value="100"/>
                </extension>
                <unit value="Stück"/>
              </numerator>
              <denominator>
                <value value="1"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ask"/>
                  <code value="22686"/>
                </coding>
                <text value="Ramipril"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="5"/>
                  <unit value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Stück"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"/>
        <resource>
          <Patient>
            <id value="ce4104af-b86b-4664-afee-1b5fc3ac8acf"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.2"/>
            </meta>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://fhir.de/CodeSystem/identifier-type-de-basis"/>
                  <code value="KVZ10"/>
                </coding>
              </type>
              <system value="http://fhir.de/sid/gkv/kvid-10"/>
              <value value="K030182229"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Kluge">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
                  <valueString value="Kluge"/>
                </extension>
              </family>
              <given value="Eva"/>
              <prefix value="Prof. Dr. Dr. med">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                  <valueCode value="AC"/>
                </extension>
              </prefix>
            </name>
            <birthDate value="1982-01-03"/>
            <address>
              <type value="both"/>
              <line value="Pflasterhofweg 111B">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
                  <valueString value="111B"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
                  <valueString value="Pflasterhofweg"/>
                </extension>
              </line>
              <city value="Köln"/>
              <postalCode value="50999"/>
              <country value="D"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Practitioner/bc329f24-3d65-4286-bf06-b54dd6cad655"/>
        <resource>
          <Practitioner>
            <id value="bc329f24-3d65-4286-bf06-b54dd6cad655"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.2"/>
            </meta>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="LANR"/>
                </coding>
              </type>
              <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/>
              <value value="123456628"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Freiherr von Müller">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
                  <valueString value="von"/>
                </extension>
                <extension
                           url="http://fhir.de/StructureDefinition/humanname-namenszusatz">
                  <valueString value="Freiherr"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
                  <valueString value="Müller"/>
                </extension>
              </family>
              <given value="Paul"/>
              <prefix value="Dr. med.">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                  <valueCode value="AC"/>
                </extension>
              </prefix>
            </name>
            <qualification>
              <code>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type"/>
                  <code value="00"/>
                </coding>
              </code>
            </qualification>
            <qualification>
              <code>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung"/>
                  <code value="Berufsbezeichnung"/>
                </coding>
                <text value="Facharzt für Innere Medizin: Kardiologie"/>
              </code>
            </qualification>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b"/>
        <resource>
          <Organization>
            <id value="5d3f4ac0-2b44-4d48-b363-e63efa72973b"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.2"/>
            </meta>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="BSNR"/>
                </coding>
              </type>
              <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR"/>
              <value value="721111100"/>
            </identifier>
            <name value="MVZ"/>
            <telecom>
              <system value="phone"/>
              <value value="0301234567"/>
            </telecom>
            <telecom>
              <system value="fax"/>
              <value value="030123456789"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="mvz@e-mail.de"/>
            </telecom>
            <address>
              <type value="both"/>
              <line value="Herbert-Lewin-Platz 2">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
                  <valueString value="2"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
                  <valueString value="Herbert-Lewin-Platz"/>
                </extension>
              </line>
              <city value="Berlin"/>
              <postalCode value="10623"/>
              <country value="D"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://pvs.praxis.local/fhir/Coverage/da80211e-61ee-458e-a651-87370b6ec30c"/>
        <resource>
          <Coverage>
            <id value="da80211e-61ee-458e-a651-87370b6ec30c"/>
            <meta>
              <profile
                       value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.2"/>
            </meta>
            <extension
                       url="http://fhir.de/StructureDefinition/gkv/besondere-personengruppe">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE"/>
                <code value="00"/>
              </valueCoding>
            </extension>
            <extension
                       url="http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DMP"/>
                <code value="00"/>
              </valueCoding>
            </extension>
            <extension url="http://fhir.de/StructureDefinition/gkv/wop">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP"/>
                <code value="38"/>
              </valueCoding>
            </extension>
            <extension
                       url="http://fhir.de/StructureDefinition/gkv/versichertenart">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS"/>
                <code value="3"/>
              </valueCoding>
            </extension>
            <status value="active"/>
            <type>
              <coding>
                <system
                        value="http://fhir.de/CodeSystem/versicherungsart-de-basis"/>
                <code value="GKV"/>
              </coding>
            </type>
            <beneficiary>
              <reference value="Patient/ce4104af-b86b-4664-afee-1b5fc3ac8acf"/>
            </beneficiary>
            <payor>
              <identifier>
                <system value="http://fhir.de/sid/arge-ik/iknr"/>
                <value value="109777509"/>
              </identifier>
              <display value="Techniker Krankenkasse"/>
            </payor>
          </Coverage>
        </resource>
      </entry>
    </Bundle>