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4863d1fb-dc26-4680-bb35-018610d1749d.xml
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<Bundle xmlns="http://hl7.org/fhir">
<id value="4863d1fb-dc26-4680-bb35-018610d1749d" />
<meta>
<lastUpdated value="2021-04-06T08:30:00Z" />
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle|1.0.1" />
</meta>
<identifier>
<system value="https://gematik.de/fhir/NamingSystem/PrescriptionID" />
<value value="160.100.000.000.023.70" />
</identifier>
<type value="document" />
<timestamp value="2021-04-06T08:30:00Z" />
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Composition/5877784c-ca07-4cc8-a58f-1517ddc24055" />
<resource>
<Composition xmlns="http://hl7.org/fhir">
<id value="5877784c-ca07-4cc8-a58f-1517ddc24055" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Composition|1.0.1" />
</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/fc0d145b-09b4-4af6-b477-935c1862ac7f" />
</subject>
<date value="2021-04-05T08:00:00Z" />
<author>
<reference value="Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb" />
<type value="Practitioner" />
</author>
<author>
<type value="Device" />
<identifier>
<system value="https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer" />
<value value="Y/410/2107/36/999" />
</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>
<!-- Referenz auf Verordnung (MedicationRequest) -->
<reference value="MedicationRequest/2979e8a3-352e-4d17-8e06-b356666e4daf" />
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Section_Type" />
<code value="Coverage" />
</coding>
</code>
<entry>
<!-- Referenz auf Krankenkasse/Kostenträger -->
<reference value="Coverage/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/MedicationRequest/2979e8a3-352e-4d17-8e06-b356666e4daf" />
<resource>
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="2979e8a3-352e-4d17-8e06-b356666e4daf" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Prescription|1.0.1" />
</meta>
<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_StatusCoPayment">
<valueCoding>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_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_ERP_BVG">
<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/0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920" />
</medicationReference>
<subject>
<reference value="Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f" />
</subject>
<authoredOn value="2021-04-02" />
<requester>
<reference value="Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb" />
</requester>
<insurance>
<reference value="Coverage/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad" />
</insurance>
<dosageInstruction>
<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_DosageFlag">
<valueBoolean value="false" />
</extension>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="1" />
<system value="http://unitsofmeasure.org" />
<code value="{Package}" />
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="true" />
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Medication/0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920" />
<resource>
<Medication xmlns="http://hl7.org/fhir">
<id value="0d93504e-c6a7-47c1-8ad5-b0c5cf1b8920" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText|1.0.1" />
</meta>
<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="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine">
<valueBoolean value="false" />
</extension>
<code>
<coding>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_ERP_Medication_Type" />
<code value="freitext" />
</coding>
<text value="Metformin 850mg Tabletten N3" />
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Patient/fc0d145b-09b4-4af6-b477-935c1862ac7f" />
<resource>
<Patient xmlns="http://hl7.org/fhir">
<id value="fc0d145b-09b4-4af6-b477-935c1862ac7f" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.0.3" />
</meta>
<identifier>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
<code value="GKV" />
</coding>
</type>
<system value="http://fhir.de/sid/gkv/kvid-10" />
<value value="S040464113" />
</identifier>
<name>
<use value="official" />
<family value="Graf Freiherr von Schaumberg">
<extension url="http://fhir.de/StructureDefinition/humanname-namenszusatz">
<valueString value="Graf Freiherr" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
<valueString value="von" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Schaumberg" />
</extension>
</family>
<given value="Karl-Friederich" />
<prefix value="Prof. Dr.">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="AC" />
</extension>
</prefix>
</name>
<birthDate value="1964-04-04" />
<address>
<type value="both" />
<line value="Siegburger Str. 155">
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="155" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Siegburger Str." />
</extension>
</line>
<city value="Köln" />
<postalCode value="51105" />
<country value="D" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Practitioner/667ffd79-42a3-4002-b7ca-6b9098f20ccb" />
<resource>
<Practitioner xmlns="http://hl7.org/fhir">
<id value="667ffd79-42a3-4002-b7ca-6b9098f20ccb" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.0.3" />
</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="987654423" />
</identifier>
<name>
<use value="official" />
<family value="Schneider">
<extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
<valueString value="Schneider" />
</extension>
</family>
<given value="Emma" />
<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>
<text value="Fachärztin für Innere Medizin" />
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Organization/5d3f4ac0-2b44-4d48-b363-e63efa72973b" />
<resource>
<Organization xmlns="http://hl7.org/fhir">
<id value="5d3f4ac0-2b44-4d48-b363-e63efa72973b" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.0.3" />
</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="[email protected]" />
</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/69b3bbb6-2d37-4676-baf1-af97ba2ba4ad" />
<resource>
<Coverage xmlns="http://hl7.org/fhir">
<id value="69b3bbb6-2d37-4676-baf1-af97ba2ba4ad" />
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.0.3" />
</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="1" />
</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/fc0d145b-09b4-4af6-b477-935c1862ac7f" />
</beneficiary>
<payor>
<identifier>
<system value="http://fhir.de/NamingSystem/arge-ik/iknr" />
<value value="104212059" />
</identifier>
<display value="AOK Rheinland/Hamburg" />
</payor>
</Coverage>
</resource>
</entry>
</Bundle>