Beispiele

ExampleISiKMedikationsVerordnung

Dauermedikation morgens/mittags/abends:

MedicationRequest
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="ExampleISiKMedikationsVerordnung" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerordnung" />
    </meta>
    <extension url="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk">
        <valueString value="Erh&#246;htes Blutungsrisiko ist in diesem Fall vertretbar." />
    </extension>
    <extension url="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart">
        <valueCoding>
            <system value="https://gematik.de/fhir/isik/CodeSystem/ISiKMedikationsartCS" />
            <code value="akut" />
        </valueCoding>
    </extension>
    <extension url="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel">
        <valueString value="Schmerztherapie postoperativ" />
    </extension>
    <status value="active" />
    <intent value="order" />
    <medicationReference>
        <reference value="Medication/ExampleISiKMedikament1" />
    </medicationReference>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <authoredOn value="2021-07-01" />
    <requester>
        <reference value="Practitioner/PractitionerWalterArzt" />
    </requester>
    <reasonReference>
        <reference value="Condition/BehandlungsDiagnoseFreitext" />
    </reasonReference>
    <dosageInstruction>
        <timing>
            <repeat>
                <when value="MORN" />
                <when value="NOON" />
                <when value="EVE" />
            </repeat>
        </timing>
        <doseAndRate>
            <doseQuantity>
                <value value="1" />
                <unit value="Brausetablette" />
                <system value="http://unitsofmeasure.org" />
                <code value="1" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
</MedicationRequest>
{
    "resourceType": "MedicationRequest",
    "id": "ExampleISiKMedikationsVerordnung",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerordnung"
        ]
    },
    "extension":  [
        {
            "url": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk",
            "valueString": "Erhöhtes Blutungsrisiko ist in diesem Fall vertretbar."
        },
        {
            "url": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart",
            "valueCoding": {
                "code": "akut",
                "system": "https://gematik.de/fhir/isik/CodeSystem/ISiKMedikationsartCS"
            }
        },
        {
            "url": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel",
            "valueString": "Schmerztherapie postoperativ"
        }
    ],
    "dosageInstruction":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 1,
                        "unit": "Brausetablette",
                        "code": "1"
                    }
                }
            ],
            "timing": {
                "repeat": {
                    "when":  [
                        "MORN",
                        "NOON",
                        "EVE"
                    ]
                }
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "medicationReference": {
        "reference": "Medication/ExampleISiKMedikament1"
    },
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    },
    "authoredOn": "2021-07-01",
    "requester": {
        "reference": "Practitioner/PractitionerWalterArzt"
    },
    "reasonReference":  [
        {
            "reference": "Condition/BehandlungsDiagnoseFreitext"
        }
    ]
}

ExampleISiKMedikationsVerordnung2

Einfaches Zytostatikum-Therapieschema (Chemotherapie):

MedicationRequest
<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="ExampleISiKMedikationsVerordnung2" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerordnung" />
    </meta>
    <extension url="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces">
        <valueReference>
            <reference value="MedicationRequest/77777" />
        </valueReference>
    </extension>
    <status value="active" />
    <intent value="order" />
    <medicationReference>
        <reference value="Medication/ExampleISiKMedikament8" />
    </medicationReference>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <authoredOn value="2024-01-17" />
    <requester>
        <reference value="Practitioner/PractitionerWalterArzt" />
    </requester>
    <dosageInstruction>
        <timing>
            <repeat>
                <count value="6" />
                <duration value="6" />
                <durationUnit value="wk" />
                <frequency value="1" />
                <period value="1" />
                <periodUnit value="wk" />
            </repeat>
        </timing>
        <doseAndRate>
            <doseQuantity>
                <value value="500" />
                <unit value="ml Infusionsl&#246;sung" />
                <system value="http://unitsofmeasure.org" />
                <code value="mL" />
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
</MedicationRequest>
{
    "resourceType": "MedicationRequest",
    "id": "ExampleISiKMedikationsVerordnung2",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerordnung"
        ]
    },
    "extension":  [
        {
            "url": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedicationRequestReplaces",
            "valueReference": {
                "reference": "MedicationRequest/77777"
            }
        }
    ],
    "dosageInstruction":  [
        {
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "system": "http://unitsofmeasure.org",
                        "value": 500,
                        "unit": "ml Infusionslösung",
                        "code": "mL"
                    }
                }
            ],
            "timing": {
                "repeat": {
                    "count": 6,
                    "frequency": 1,
                    "duration": 6,
                    "durationUnit": "wk",
                    "period": 1,
                    "periodUnit": "wk"
                }
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "medicationReference": {
        "reference": "Medication/ExampleISiKMedikament8"
    },
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    },
    "authoredOn": "2024-01-17",
    "requester": {
        "reference": "Practitioner/PractitionerWalterArzt"
    }
}