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Update examples 01.11.2024 #67

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Update examples 01.11.2024 #67

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2 changes: 1 addition & 1 deletion ...mples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_1/FT_V1_MedicationDispense.xml
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<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize">
<valueString value="180" />
</extension>
<unit value="Tabletten"/>
<unit value="Stück"/>
</numerator>
<denominator>
<value value="1"/>
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1 change: 0 additions & 1 deletion ...ples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_1/FT_V1_TA7_Rechnung_Bundle.xml
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<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
<id value="91446b7b-6e1e-468d-bc6a-de8b8ebdc8ef"/>
<meta>
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6 changes: 3 additions & 3 deletions ...d-Examples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_1/FT_V1_eAbgabedaten.html
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81825

Musterstadt</div><div><p><b>Abgabeinformationen für Abgabe</b> am
27.07.2023<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Chargen-<br/>bezeichnung</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="5"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="3">gesamte Abgabe</td><td>17,23 
27.11.2024<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Chargen-<br/>bezeichnung</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="5"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="3">gesamte Abgabe</td><td>17,23 
EUR<p class="abstand_links">
Gesamtzuzahlung: 
5,00 
Expand All @@ -139,8 +139,8 @@

EUR

Zuzahlung<br/></p><br/><p class="abstand_links"/></td><td><table width="100%"><tbody><tr><td>Markt</td><td>Generika</td></tr><tr><td>Rabattvertragserfüllung</td><td>ja, abgegeben</td></tr><tr><td>Preisgünstiges FAM</td><td>nicht relevant</td></tr><tr><td>Import-FAM</td><td>nicht relevant</td></tr><tr><td>Zusätzliche Abgabeangaben</td><td>ja<br/>Fachlich nicht sinnvoll.</td></tr></tbody></table></td></tr></tbody></table><div class="fliessend">
Zuzahlung<br/></p><br/><p class="abstand_links"/></td><td><table width="100%"><tbody><tr><td>Markt</td><td>Generika</td></tr><tr><td>Rabattvertragserfüllung</td><td>ja, abgegeben</td></tr><tr><td>Preisgünstiges FAM</td><td>nicht relevant</td></tr><tr><td>Import-FAM</td><td>nicht relevant</td></tr><tr><td>Zusätzliche Abgabeangaben</td><td>Fachlich nicht sinnvoll.</td></tr></tbody></table></td></tr></tbody></table><div class="fliessend">
RezID: 
160.100.000.000.023.70
 Abgabedaten: 
1.3</div></div></div></body></html>
1.4</div></div></div></body></html>
2 changes: 1 addition & 1 deletion ...mples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_2/FT_V2_MedicationDispense.xml
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<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize">
<valueString value="180" />
</extension>
<unit value="Tabletten"/>
<unit value="Stück"/>
</numerator>
<denominator>
<value value="1"/>
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1 change: 0 additions & 1 deletion ...ples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_2/FT_V2_TA7_Rechnung_Bundle.xml
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<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
<id value="dc815a7b-b689-429c-8cca-f23c5967082d"/>
<meta>
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4 changes: 2 additions & 2 deletions ...d-Examples/5_01.11.2024/Freitext-Verordnung/Freitext-Verordnung_2/FT_V2_eAbgabedaten.html
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81825

Musterstadt</div><div><p><b>Abgabeinformationen für Abgabe</b> am
27.07.2023<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Chargen-<br/>bezeichnung</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="5"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="3">gesamte Abgabe</td><td>17,23 
27.11.2024<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Chargen-<br/>bezeichnung</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="5"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="3">gesamte Abgabe</td><td>17,23 
EUR<p class="abstand_links">
Gesamtzuzahlung: 
5,00 
Expand All @@ -143,4 +143,4 @@
RezID: 
160.100.000.000.023.70
 Abgabedaten: 
1.3</div></div></div></body></html>
1.4</div></div></div></body></html>
Binary file modified End-to-End-Examples/5_01.11.2024/PKV/Freitext-Verordnung/FT_Kostenbeleg.pdf
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4 changes: 2 additions & 2 deletions End-to-End-Examples/5_01.11.2024/PKV/Freitext-Verordnung/FT_MedicationDispense.xml
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<MedicationDispense xmlns="http://hl7.org/fhir">
<id value="a6370174-6209-4203-921f-7adcd3dbe5ba"/>
<meta>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense|1.2"/>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense|1.3"/>
<tag>
<display value="Beispiel MedicationDispense PKV Freitext"/>
</tag>
Expand Down Expand Up @@ -54,5 +54,5 @@
</identifier>
</actor>
</performer>
<whenHandedOver value="2023-07-07"/>
<whenHandedOver value="2024-11-07"/>
</MedicationDispense>
2 changes: 1 addition & 1 deletion End-to-End-Examples/5_01.11.2024/PKV/Freitext-Verordnung/FT_VerordnungArzt.html
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padding: 0;
}
}
</style></head><body><div id="gesamtrahmen"><div id="kaestchen_bereich_links"><ul class="mittig"><li class="tiny">Gebühr<br/>frei</li><li class="kaestchen">☐</li><li class="tiny">Geb.-<br/>pfl.</li><li class="kaestchen">☐</li><li class="tiny"><br/>noctu</li><li class="kaestchen abstand_unten">☐</li><li class="tiny">Unfall</li><li class="kaestchen">☐</li><li class="tiny">Arbeits-<br/>unfall</li><li class="kaestchen">☐</li><li class="tiny">Berufs-<br/>krankheit</li><li class="kaestchen abstand_unten">☐</li><li class="tiny">aut<br/>idem</li><li class="kaestchen">☒</li></ul></div><table><tbody><tr><td><table cellspacing="10"><colgroup><col style="width:27em"/><col style="width:20em"/></colgroup><tbody><tr><td valign="top"><table style="width: 27em; border-spacing:0; cellspacing:0; border-collapse:collapse; "><colgroup><col style="width:27em"/></colgroup><tbody><tr><td><table style=" border: 1px solid black; width:27em; border-spacing: 0; cellspacing: 0; border-collapse: collapse; background-color:white; "><tbody><tr><td><table style="border-bottom:1px solid black; border-collapse: collapse; width: 27em; height: 2em; border-spacing: 0; cellspacing: 0; table-layout:fixed "><colgroup><col style="width:9em"/><col style="width:9em"/><col style="width:9em"/></colgroup><tbody><tr><td colspan="3" class="in-black">Krankenkasse bzw. Kostenträger</td></tr><tr><td colspan="2" class="daten nowrap">Allianz Private Krankenversicherungs-AG</td><td colspan="1" class="daten" style="text-align:right;"/></tr></tbody></table></td></tr><tr><td><table style=" border-collapse: collapse; border-spacing: 0; cellspacing: 0; width: 27em; table-layout:fixed "><colgroup><col style="width:7em; "/><col style="width:13em; "/><col style="width:7em; "/></colgroup><tbody><tr><td class="in-black" colspan="3">Name, Vorname des Versicherten</td></tr><tr><td colspan="2" width="100%" class="nowrap daten overflow">Privati</td><td class="in-black mittig"><div>geb. am</div></td></tr><tr><td colspan="2" width="100%" class="nowrap daten overflow">Paolo </td><td class="daten" style="text-align:right; ">06.01.1935</td></tr><tr><td colspan="3" style="border-bottom:1px solid black; width: 100%" class="nowrap daten overflow">Blumenweg 18<br/>D 26427 Esens</td></tr></tbody></table></td></tr><tr><td><table style="border-collapse: collapse; border-bottom:1px solid black; width: 27em; border-spacing: 0; cellspacing: 0; height: 2em; table-layout:fixed"><colgroup><col style="width:9em;"/><col style="width:10em;"/><col style="width:8em;"/></colgroup><tbody><tr><td class="in-black">Kostenträgerkennung</td><td class="in-black">Versicherten-Nr.</td><td class="in-black">Status </td></tr><tr><td class="nowrap daten">168140346</td><td style="border-left:1px solid black;" class="daten">P123464233</td><td style=" border-left:1px solid black;" class="nowrap"><span class="daten">1</span><span class="thin-space"> </span><span class="daten">00</span><span class="thin-space"> </span><span class="daten">00</span><span class="thin-space"> </span><span class="daten">00</span></td></tr></tbody></table></td></tr><tr><td><table style="border-collapse: collapse; width: 27em; border-spacing: 0; cellspacing: 0; height: 2em; table-layout:fixed "><colgroup><col style="width: 9em"/><col style="width: 9em"/><col style="width: 9em"/></colgroup><tbody><tr><td class="in-black">Betriebsstätten-Nr.</td><td class="in-black">Arzt-Nr.</td><td class="in-black">Datum</td></tr><tr><td class="daten">721111100</td><td style="border-left:1px solid black;" class="daten">987789324</td><td style="border-left:1px solid black;" class="daten">03.07.2023</td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td><td valign="top"><table style="width:19.4em; table-layout:fixed"><tbody><tr><td><table cellpadding="0" cellspacing="0"><tbody><tr class="mittig"><td><ul><li class="tiny"><br/>BVG</li><li class="kaestchen">☐</li></ul></td><td><ul><li class="tiny">Impf-<br/>stoff</li><li class="kaestchen">☐</li></ul></td><td><ul><li class="tiny">Spr.St.-<br/>Bedarf</li><li class="kaestchen">☐</li></ul></td></tr></tbody></table></td></tr><tr><td><div style="background-color:white; width:20em; border:1px solid black;" class="daten overflow breakword">MVZ<br/>721111100<br/>Herbert-Lewin-Platz 2<br/>10623 Berlin<br/>
</style></head><body><div id="gesamtrahmen"><div id="kaestchen_bereich_links"><ul class="mittig"><li class="tiny">Gebühr<br/>frei</li><li class="kaestchen">☐</li><li class="tiny">Geb.-<br/>pfl.</li><li class="kaestchen">☐</li><li class="tiny"><br/>noctu</li><li class="kaestchen abstand_unten">☐</li><li class="tiny">Unfall</li><li class="kaestchen">☐</li><li class="tiny">Arbeits-<br/>unfall</li><li class="kaestchen">☐</li><li class="tiny">Berufs-<br/>krankheit</li><li class="kaestchen abstand_unten">☐</li><li class="tiny">aut<br/>idem</li><li class="kaestchen">☒</li></ul></div><table><tbody><tr><td><table cellspacing="10"><colgroup><col style="width:27em"/><col style="width:20em"/></colgroup><tbody><tr><td valign="top"><table style="width: 27em; border-spacing:0; cellspacing:0; border-collapse:collapse; "><colgroup><col style="width:27em"/></colgroup><tbody><tr><td><table style=" border: 1px solid black; width:27em; border-spacing: 0; cellspacing: 0; border-collapse: collapse; background-color:white; "><tbody><tr><td><table style="border-bottom:1px solid black; border-collapse: collapse; width: 27em; height: 2em; border-spacing: 0; cellspacing: 0; table-layout:fixed "><colgroup><col style="width:9em"/><col style="width:9em"/><col style="width:9em"/></colgroup><tbody><tr><td colspan="3" class="in-black">Krankenkasse bzw. Kostenträger</td></tr><tr><td colspan="2" class="daten nowrap">Allianz Private Krankenversicherung</td><td colspan="1" class="daten" style="text-align:right;"/></tr></tbody></table></td></tr><tr><td><table style=" border-collapse: collapse; border-spacing: 0; cellspacing: 0; width: 27em; table-layout:fixed "><colgroup><col style="width:7em; "/><col style="width:13em; "/><col style="width:7em; "/></colgroup><tbody><tr><td class="in-black" colspan="3">Name, Vorname des Versicherten</td></tr><tr><td colspan="2" width="100%" class="nowrap daten overflow">Privati</td><td class="in-black mittig"><div>geb. am</div></td></tr><tr><td colspan="2" width="100%" class="nowrap daten overflow">Paolo </td><td class="daten" style="text-align:right; ">06.01.1935</td></tr><tr><td colspan="3" style="border-bottom:1px solid black; width: 100%" class="nowrap daten overflow">Blumenweg 18<br/>D 26427 Esens</td></tr></tbody></table></td></tr><tr><td><table style="border-collapse: collapse; border-bottom:1px solid black; width: 27em; border-spacing: 0; cellspacing: 0; height: 2em; table-layout:fixed"><colgroup><col style="width:9em;"/><col style="width:10em;"/><col style="width:8em;"/></colgroup><tbody><tr><td class="in-black">Kostenträgerkennung</td><td class="in-black">Versicherten-Nr.</td><td class="in-black">Status </td></tr><tr><td class="nowrap daten">168140346</td><td style="border-left:1px solid black;" class="daten">P123464233</td><td style=" border-left:1px solid black;" class="nowrap"><span class="daten">1</span><span class="thin-space"> </span><span class="daten">00</span><span class="thin-space"> </span><span class="daten">00</span><span class="thin-space"> </span><span class="daten">00</span></td></tr></tbody></table></td></tr><tr><td><table style="border-collapse: collapse; width: 27em; border-spacing: 0; cellspacing: 0; height: 2em; table-layout:fixed "><colgroup><col style="width: 9em"/><col style="width: 9em"/><col style="width: 9em"/></colgroup><tbody><tr><td class="in-black">Betriebsstätten-Nr.</td><td class="in-black">Arzt-Nr.</td><td class="in-black">Datum</td></tr><tr><td class="daten">721111100</td><td style="border-left:1px solid black;" class="daten">987789324</td><td style="border-left:1px solid black;" class="daten">03.11.2024</td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td><td valign="top"><table style="width:19.4em; table-layout:fixed"><tbody><tr><td><table cellpadding="0" cellspacing="0"><tbody><tr class="mittig"><td><ul><li class="tiny"><br/>BVG</li><li class="kaestchen">☐</li></ul></td><td><ul><li class="tiny">Impf-<br/>stoff</li><li class="kaestchen">☐</li></ul></td><td><ul><li class="tiny">Spr.St.-<br/>Bedarf</li><li class="kaestchen">☐</li></ul></td></tr></tbody></table></td></tr><tr><td><div style="background-color:white; width:20em; border:1px solid black;" class="daten overflow breakword">MVZ<br/>721111100<br/>Herbert-Lewin-Platz 2<br/>10623 Berlin<br/>
Tel: 030369258147<br/>Ernst Alder<br/>Facharzt für Augenheilkunde<br/>987789324<br/><div class="in-black" style=" width:100%; text-align: center; size:-2;">Angaben Praxis / verordnende Person</div></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td><table><tbody><tr><td><fieldset><legend align="right" class="in-black">Freitext-Verordnung</legend><p class="daten" style="max-width: 50em;">1<text>x </text>Yellox 0,9 mg/ml Augentropfen<text> </text></p><p class="daten" style="max-width: 50em;"><text>Dosieranweisung / Medikationsplan mitgegeben</text></p></fieldset></td></tr><tr><td class="abstand_links in-black">Unfallinformationen</td></tr><tr><td class="abstand_links in-black"><table style="border-collapse: collapse; width: 100%; "><colgroup><col style="width:14%"/><col style="width:45%"/><col style="witdh:21%"/><col style="width:20%"/></colgroup><tbody><tr><td class="in-black" style="border-left:1px solid black; border-top:1px solid black; border-right:1px solid black;">Unfalltag</td><td class="in-black" style="border-left:1px solid black; border-top:1px solid black; border-right:1px solid black;">Unfallbetrieb oder Arbeitgebernummer</td><td> </td><td class="in-black" style="border-left:1px solid black; border-top:1px solid black; border-right:1px solid black;">Kostenträgertyp</td></tr><tr><td class="daten nowrap" style="border-left:1px solid black; border-bottom:1px solid black; border-right:1px solid black;"> </td><td class="daten nowrap" style="border-left:1px solid black; border-bottom:1px solid black; border-right:1px solid black;"> </td><td> </td><td class="daten nowrap" style="border-left:1px solid black; border-bottom:1px solid black; border-right:1px solid black;">PKV - 01</td></tr></tbody></table></td></tr><tr><td class="abstand_links"><table style=" width:42em; table-layout:fixed"><colgroup><col style="width:28em"/><col style="width:14em"/></colgroup><tbody><tr><td><span class="footer">Dokumentenversion: 
<span class="footer">1.1.0</span><br/>
Dokumententyp: 
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8 changes: 4 additions & 4 deletions End-to-End-Examples/5_01.11.2024/PKV/Freitext-Verordnung/FT_VerordnungArzt.xml
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<value value="200.334.138.469.717.92"/>
</identifier>
<type value="document"/>
<timestamp value="2023-07-03T08:30:00Z"/>
<timestamp value="2024-11-03T08:30:00Z"/>
<entry>
<fullUrl value="http://pvs.praxis.local/fhir/Composition/c1f7e7f3-4d63-46e9-bec3-0270d5ef06b9"/>
<resource>
Expand Down Expand Up @@ -40,7 +40,7 @@
<subject>
<reference value="Patient/beb56e0f-b58c-4315-a581-a63a19b833ce"/>
</subject>
<date value="2023-07-03T08:00:00Z"/>
<date value="2024-11-03T08:00:00Z"/>
<author>
<reference value="Practitioner/d24be224-bd97-4afa-b9f0-a7852459fae4"/>
<type value="Practitioner"/>
Expand Down Expand Up @@ -108,7 +108,7 @@
<subject>
<reference value="Patient/beb56e0f-b58c-4315-a581-a63a19b833ce"/>
</subject>
<authoredOn value="2023-07-03"/>
<authoredOn value="2024-11-03"/>
<requester>
<reference value="Practitioner/d24be224-bd97-4afa-b9f0-a7852459fae4"/>
</requester>
Expand Down Expand Up @@ -333,7 +333,7 @@
<system value="http://fhir.de/sid/arge-ik/iknr"/>
<value value="168140346"/>
</identifier>
<display value="Allianz Private Krankenversicherungs-AG"/>
<display value="Allianz Private Krankenversicherung"/>
</payor>
</Coverage>
</resource>
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6 changes: 3 additions & 3 deletions End-to-End-Examples/5_01.11.2024/PKV/Freitext-Verordnung/FT_eAbgabedaten.html
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63225

Langen<br/><br/></div><div><p><b>PKV-Abgabeinformationen für Abgabe</b> am
07.07.2023<b> AbrechnungsTyp: </b>Standard<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="4"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="2">gesamte Abgabe</td><td>36,15 
07.11.2024<b> AbrechnungsTyp: </b>Standard<br/><br/></p><table width="80%"><thead><tr><th>Position</th><th>PZN / SKZ /<br/>HMNR</th><th>Preiskomponente</th><th>Zusatzattribute</th></tr></thead><tbody><tr><td colspan="4"><b>Abrechnungszeilen</b></td></tr><tr><td colspan="2">gesamte Abgabe</td><td>36,15 
EUR<p class="abstand_links">
Gesamtzuzahlung: 
0,00 
Expand All @@ -130,7 +130,7 @@

EUR, Menge = 1

</td><td><table width="100%"><tbody><tr><td>Zusätzliche Abgabeangaben</td><td>ja<br/>AEK = 14,00 €</td></tr></tbody></table></td></tr><tr><td>2</td><td>09999637 
</td><td><table width="100%"><tbody><tr><td>Zusätzliche Abgabeangaben</td><td><br/>AEK = 14,00 €</td></tr></tbody></table></td></tr><tr><td>2</td><td>09999637 
(SKZ)<br/>Beschaffungskosten</td><td>8,57

EUR, Menge = 1
Expand All @@ -139,4 +139,4 @@
RezID: 
200.334.138.469.717.92
 AbgabedatenPKV: 
1.2</div></div></div></body></html>
1.3</div></div></div></body></html>
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