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Packagehl7.at.fhir.elga.emed.r4
Resource TypeBundle
IdBundle-At-Emed-Journey-07-02-Bundle-Medikationsplan-Tx.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "At-Emed-Journey-07-02-Bundle-Medikationsplan-Tx",
  "meta": {
    "profile": [
      "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-bundle-medikationsplantx"
    ]
  },
  "type": "transaction",
  "timestamp": "2026-03-22T16:10:00+00:00",
  "entry": [
    {
      "fullUrl": "https://example.elga.com/List/4cb4dceb-173f-461a-a267-683ec33e4be1",
      "resource": {
        "resourceType": "List",
        "id": "At-Emed-Journey-07-02-List-Medikationsplan",
        "meta": {
          "profile": [
            "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-list-medikationsplan"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_At-Emed-Journey-07-02-List-Medikationsplan\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List At-Emed-Journey-07-02-List-Medikationsplan</b></p><a name=\"At-Emed-Journey-07-02-List-Medikationsplan\"> </a><a name=\"hcAt-Emed-Journey-07-02-List-Medikationsplan\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-elga-emed-list-medikationsplan.html\">AT ELGA e-Medikation List Medikationsplan</a></p></div><table class=\"clstu\"><tr><td>Date: 2026-03-22 16:10:00+0000 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: Medikationsplan </td></tr><tr><td>Subject: <a href=\"Patient-At-Emed-Example-Patient-01.html\">Anton Mustermann</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td><td>Flag</td></tr><tr><td><a href=\"MedicationRequest-At-Emed-Journey-06-02-Mr-Planeintrag-01.html\">MedicationRequest: extension = 2026-02-27 --&gt; (ongoing),1-0-1-0 | Täglich: 1-0-1-0; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = -&gt;Medication RAMIPRIL HEX TBL 5MG; authoredOn = 2026-03-19 12:10:00+0000; courseOfTherapyType = Continuous long term therapy</a></td><td>Planeintrag beibehalten</td></tr><tr><td><a href=\"MedicationRequest-At-Emed-Journey-07-02-Mr-Planeintrag-02.html\">MedicationRequest: extension = 2026-02-27 --&gt; 2026-03-20,1-0-1-0 | Täglich 1-0-1-0 für 3 Wochen; status = stopped; statusReason = Planeintrag Abgelaufen; intent = order; category = Planeintrag; reported[x] = false; medication[x] = -&gt;Medication: form = Salbe; authoredOn = 2026-02-27 08:10:00+0000; courseOfTherapyType = Short course (acute) therapy</a></td><td>Planeintrag entfernt</td></tr><tr><td><a href=\"MedicationRequest-At-Emed-Journey-07-02-Mr-Planeintrag-03.html\">MedicationRequest: extension = 2026-03-19 --&gt; (ongoing),1-1-1-1 | 4 x täglich 40 Tropfen; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = -&gt;Medication METAGELAN TR 500MG/ML; authoredOn = 2026-03-22 16:10:00+0000; courseOfTherapyType = Short course (acute) therapy</a></td><td>Planeintrag geändert</td></tr></table></div>"
        },
        "status": "current",
        "mode": "working",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "736378000",
              "display": "Medikationsplan"
            }
          ]
        },
        "subject": {
          "reference": "Patient/At-Emed-Example-Patient-01",
          "display": "Anton Mustermann"
        },
        "date": "2026-03-22T16:10:00+00:00",
        "source": {
          "reference": "PractitionerRole/At-Emed-Example-PractitionerRole-04",
          "display": "Dr. Urlaubsvertretung"
        },
        "entry": [
          {
            "flag": {
              "coding": [
                {
                  "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS",
                  "code": "unchanged",
                  "display": "Planeintrag beibehalten"
                }
              ]
            },
            "item": {
              "reference": "MedicationRequest/At-Emed-Journey-06-02-Mr-Planeintrag-01"
            }
          },
          {
            "flag": {
              "coding": [
                {
                  "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS",
                  "code": "removed",
                  "display": "Planeintrag entfernt"
                }
              ]
            },
            "item": {
              "reference": "MedicationRequest/At-Emed-Journey-07-02-Mr-Planeintrag-02"
            }
          },
          {
            "flag": {
              "coding": [
                {
                  "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS",
                  "code": "changed",
                  "display": "Planeintrag geändert"
                }
              ]
            },
            "item": {
              "reference": "MedicationRequest/At-Emed-Journey-07-02-Mr-Planeintrag-03"
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "List/4cb4dceb-173f-461a-a267-683ec33e4be1"
      }
    },
    {
      "fullUrl": "https://example.elga.com/MedicationRequest/urn:uuid:7f1294a2-f592-4547-881c-c15d1debc165",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "At-Emed-Journey-07-02-Mr-Planeintrag-02",
        "meta": {
          "profile": [
            "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medicationrequest-planeintrag"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_At-Emed-Journey-07-02-Mr-Planeintrag-02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest At-Emed-Journey-07-02-Mr-Planeintrag-02</b></p><a name=\"At-Emed-Journey-07-02-Mr-Planeintrag-02\"> </a><a name=\"hcAt-Emed-Journey-07-02-Mr-Planeintrag-02\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-elga-emed-medicationrequest-planeintrag.html\">At ELGA e-Medikation MedicationRequest Planeintrag</a></p></div><p><b>R5: Period over which the medication is to be taken (new)</b>: 2026-02-27 --&gt; 2026-03-20</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-0-1-0 | Täglich 1-0-1-0 für 3 Wochen</p>\n</div><p><b>status</b>: Stopped</p><p><b>statusReason</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason abgl}\">Planeintrag Abgelaufen</span></p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS 1}\">Planeintrag</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"#hcAt-Emed-Journey-07-02-Mr-Planeintrag-02/contained-medication-journey-07-02-02-magistral\">Medication: form = Salbe</a></p><p><b>subject</b>: <a href=\"Patient-At-Emed-Example-Patient-01.html\">Anton Mustermann</a></p><p><b>authoredOn</b>: 2026-02-27 08:10:00+0000</p><p><b>requester</b>: <a href=\"PractitionerRole-At-Emed-Example-PractitionerRole-01.html\">Dr. Hausärztin</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Timing</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td>Morning, Evening, 2 per 1 day</td><td><span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem-medikationartanwendung.html 100000073566}\">Anwendung auf der Haut</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #contained-medication-journey-07-02-02-magistral</b></p><a name=\"At-Emed-Journey-07-02-Mr-Planeintrag-02/contained-medication-journey-07-02-02-magistral\"> </a><a name=\"hcAt-Emed-Journey-07-02-Mr-Planeintrag-02/contained-medication-journey-07-02-02-magistral\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-elga-emed-medication-magistrale-zubereitung.html\">AT ELGA e-Medikation Medication Magistrale Medikation</a></p></div><p><b>form</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/medikationdarreichungsform 100000073713}\">Salbe</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/atc-deutsch-wido A11HA30}\">Dexpanthenol</span></p><p><b>strength</b>: 5 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span>/100 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes:\">Salbengrundlage</span></p><p><b>isActive</b>: false</p><p><b>strength</b>: 95 g/100 g</p></blockquote></blockquote></div>"
        },
        "contained": [
          {
            "resourceType": "Medication",
            "id": "contained-medication-journey-07-02-02-magistral",
            "meta": {
              "profile": [
                "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-magistrale-zubereitung"
              ]
            },
            "form": {
              "coding": [
                {
                  "system": "https://termgit.elga.gv.at/CodeSystem/medikationdarreichungsform",
                  "code": "100000073713",
                  "display": "Salbe"
                }
              ]
            },
            "ingredient": [
              {
                "itemCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://termgit.elga.gv.at/CodeSystem/atc-deutsch-wido",
                      "code": "A11HA30",
                      "display": "Dexpanthenol"
                    }
                  ]
                },
                "strength": {
                  "numerator": {
                    "value": 5,
                    "unit": "g",
                    "system": "http://unitsofmeasure.org",
                    "code": "g"
                  },
                  "denominator": {
                    "value": 100,
                    "unit": "g",
                    "system": "http://unitsofmeasure.org",
                    "code": "g"
                  }
                }
              },
              {
                "itemCodeableConcept": {
                  "text": "Salbengrundlage"
                },
                "isActive": false,
                "strength": {
                  "numerator": {
                    "value": 95,
                    "unit": "g"
                  },
                  "denominator": {
                    "value": 100,
                    "unit": "g"
                  }
                }
              }
            ]
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod": {
              "start": "2026-02-27",
              "end": "2026-03-20"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown": "1-0-1-0 | Täglich 1-0-1-0 für 3 Wochen"
          }
        ],
        "status": "stopped",
        "statusReason": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
              "code": "abgl",
              "display": "Planeintrag Abgelaufen"
            }
          ]
        },
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS",
                "code": "1",
                "display": "Planeintrag"
              }
            ]
          }
        ],
        "reportedBoolean": false,
        "medicationReference": {
          "reference": "#contained-medication-journey-07-02-02-magistral"
        },
        "subject": {
          "reference": "Patient/At-Emed-Example-Patient-01",
          "display": "Anton Mustermann"
        },
        "authoredOn": "2026-02-27T08:10:00+00:00",
        "requester": {
          "reference": "PractitionerRole/At-Emed-Example-PractitionerRole-01",
          "display": "Dr. Hausärztin"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute"
            }
          ]
        },
        "dosageInstruction": [
          {
            "extension": [
              {
                "url": "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory",
                      "code": "standard"
                    }
                  ]
                }
              }
            ],
            "sequence": 1,
            "timing": {
              "repeat": {
                "boundsDuration": {
                  "value": 3,
                  "unit": "wk"
                },
                "frequency": 2,
                "period": 1,
                "periodUnit": "d",
                "when": [
                  "MORN",
                  "EVE"
                ]
              }
            },
            "route": {
              "coding": [
                {
                  "system": "https://termgit.elga.gv.at/CodeSystem-medikationartanwendung.html",
                  "code": "100000073566",
                  "display": "Anwendung auf der Haut"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/urn:uuid:7f1294a2-f592-4547-881c-c15d1debc165"
      }
    },
    {
      "fullUrl": "https://example.elga.com/MedicationRequest/urn:uuid:6852930e-6883-4301-b5c1-c142b746af8f",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "At-Emed-Journey-07-02-Mr-Planeintrag-03",
        "meta": {
          "profile": [
            "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medicationrequest-planeintrag"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_At-Emed-Journey-07-02-Mr-Planeintrag-03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest At-Emed-Journey-07-02-Mr-Planeintrag-03</b></p><a name=\"At-Emed-Journey-07-02-Mr-Planeintrag-03\"> </a><a name=\"hcAt-Emed-Journey-07-02-Mr-Planeintrag-03\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-elga-emed-medicationrequest-planeintrag.html\">At ELGA e-Medikation MedicationRequest Planeintrag</a></p></div><p><b>R5: Period over which the medication is to be taken (new)</b>: 2026-03-19 --&gt; (ongoing)</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-1-1-1 | 4 x täglich 40 Tropfen</p>\n</div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS 1}\">Planeintrag</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href=\"#hcAt-Emed-Journey-07-02-Mr-Planeintrag-03/contained-medication-journey-07-02-02\">Medication METAGELAN TR 500MG/ML</a></p><p><b>subject</b>: <a href=\"Patient-At-Emed-Example-Patient-01.html\">Anton Mustermann</a></p><p><b>authoredOn</b>: 2026-03-22 16:10:00+0000</p><p><b>requester</b>: <a href=\"PractitionerRole-At-Emed-Example-PractitionerRole-04.html\">Dr. Urlaubsvertretung</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>AT ELGA e-Medikation Extension Dosierungskategorie</b>: <span title=\"Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory standard}\">Standard Administration</span></p><p><b>sequence</b>: 1</p><p><b>patientInstruction</b>: Nehmen Sie die Tropfen nach dem Essen ein.</p><p><b>timing</b>: Morning, Noon, Evening, Night, 4 per 1 day</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>40 Tropfen<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{Tropfen} = '{Tropfen}')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #contained-medication-journey-07-02-02</b></p><a name=\"At-Emed-Journey-07-02-Mr-Planeintrag-03/contained-medication-journey-07-02-02\"> </a><a name=\"hcAt-Emed-Journey-07-02-Mr-Planeintrag-03/contained-medication-journey-07-02-02\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-elga-emed-medication-standard-medikation.html\">AT ELGA e-Medikation Medication Medikation</a></p></div><p><b>code</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/asp-liste 4467812}\">METAGELAN TR 500MG/ML</span></p></blockquote></div>"
        },
        "contained": [
          {
            "resourceType": "Medication",
            "id": "contained-medication-journey-07-02-02",
            "meta": {
              "profile": [
                "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-standard-medikation"
              ]
            },
            "code": {
              "coding": [
                {
                  "system": "https://termgit.elga.gv.at/CodeSystem/asp-liste",
                  "code": "4467812",
                  "display": "METAGELAN TR 500MG/ML"
                }
              ]
            }
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod": {
              "start": "2026-03-19"
            }
          },
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown": "1-1-1-1 | 4 x täglich 40 Tropfen"
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS",
                "code": "1",
                "display": "Planeintrag"
              }
            ]
          }
        ],
        "reportedBoolean": false,
        "medicationReference": {
          "reference": "#contained-medication-journey-07-02-02"
        },
        "subject": {
          "reference": "Patient/At-Emed-Example-Patient-01",
          "display": "Anton Mustermann"
        },
        "authoredOn": "2026-03-22T16:10:00+00:00",
        "requester": {
          "reference": "PractitionerRole/At-Emed-Example-PractitionerRole-04",
          "display": "Dr. Urlaubsvertretung"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute"
            }
          ]
        },
        "dosageInstruction": [
          {
            "extension": [
              {
                "url": "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory",
                      "code": "standard"
                    }
                  ]
                }
              }
            ],
            "sequence": 1,
            "patientInstruction": "Nehmen Sie die Tropfen nach dem Essen ein.",
            "timing": {
              "repeat": {
                "frequency": 4,
                "period": 1,
                "periodUnit": "d",
                "when": [
                  "MORN",
                  "NOON",
                  "EVE",
                  "NIGHT"
                ]
              }
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 40,
                  "unit": "Tropfen",
                  "system": "http://unitsofmeasure.org",
                  "code": "{Tropfen}"
                }
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/urn:uuid:6852930e-6883-4301-b5c1-c142b746af8f"
      }
    }
  ]
}