ELGA e-Medikation (R4) DRAFT
0.1.1 - ci-build

ELGA e-Medikation (R4) DRAFT, published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-e-Medikation-R4/ and changes regularly. See the Directory of published versions

: Beispiel Journey 05-a: Transaction Bundle zur Änderung der Reihenfolge der Medikationsplaneinträge. - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "At-Emed-Journey-05-a-Bundle-Medikationsplan-Tx",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-bundle-medikationsplantx"
    ]
  },
  "type" : "transaction",
  "timestamp" : "2026-03-05T12:20:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:62e2daa5-c34b-4b97-8044-fd893bc99a56",
      "resource" : {
        "resourceType" : "List",
        "id" : "At-Emed-Journey-05-a-List-Reihenfolge",
        "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-05-a-List-Reihenfolge\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List At-Emed-Journey-05-a-List-Reihenfolge</b></p><a name=\"At-Emed-Journey-05-a-List-Reihenfolge\"> </a><a name=\"hcAt-Emed-Journey-05-a-List-Reihenfolge\"> </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: 2026-03-05 12:20:00+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\">Max Mustermann  Male, DoB: 1900-01-01 ( Social Security number: 1234010100)</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-02-Mr-Planeintrag-02.html\">MedicationRequest: extension = 2026-02-27 --&gt; 2026-03-20,1-0-1-0 täglich | 2 × täglich für 3 Wochen; status = active; 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>Neuer Planeintrag</td></tr><tr><td><a href=\"MedicationRequest-At-Emed-Journey-02-Mr-Planeintrag-01.html\">MedicationRequest: extension = 2026-02-27 --&gt; (ongoing),1-0-0-0 täglich | Täglich 1 Stück morgens; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = -&gt;Medication RAMIPRIL HEX TBL 5MG; authoredOn = 2026-02-27 08:10:00+0000; courseOfTherapyType = Continuous long term therapy</a></td><td>Neuer Planeintrag</td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "123"
          }
        ],
        "status" : "current",
        "mode" : "working",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "736378000",
              "display" : "Medikationsplan"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/At-Emed-Example-Patient-01"
        },
        "date" : "2026-03-05T12:20:00+00:00",
        "source" : {
          🔗 "reference" : "Patient/At-Emed-Example-Patient-01"
        },
        "entry" : [
          {
            "flag" : {
              "coding" : [
                {
                  "system" : "https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS",
                  "code" : "new",
                  "display" : "Neuer Planeintrag"
                }
              ]
            },
            "item" : {
              🔗 "reference" : "MedicationRequest/At-Emed-Journey-02-Mr-Planeintrag-02"
            }
          },
          {
            "flag" : {
              "coding" : [
                {
                  "system" : "https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS",
                  "code" : "new",
                  "display" : "Neuer Planeintrag"
                }
              ]
            },
            "item" : {
              🔗 "reference" : "MedicationRequest/At-Emed-Journey-02-Mr-Planeintrag-01"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "List/At-Emed-Journey-05-a-List-Reihenfolge"
      }
    },
    {
      "fullUrl" : "urn:uuid:62e2daa5-c34b-4b97-8044-fd893bc99a57",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "At-Emed-Journey-02-Mr-Planeintrag-01",
        "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-02-Mr-Planeintrag-01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest At-Emed-Journey-02-Mr-Planeintrag-01</b></p><a name=\"At-Emed-Journey-02-Mr-Planeintrag-01\"> </a><a name=\"hcAt-Emed-Journey-02-Mr-Planeintrag-01\"> </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; (ongoing)</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-0-0-0 täglich | Täglich 1 Stück morgens</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-02-Mr-Planeintrag-01/contained-medication-journey-02-01\">Medication RAMIPRIL HEX TBL 5MG</a></p><p><b>subject</b>: <a href=\"Patient-At-Emed-Example-Patient-01.html\">Max Mustermann  Male, DoB: 1900-01-01 ( Social Security number: 1234010100)</a></p><p><b>authoredOn</b>: 2026-02-27 08:10:00+0000</p><p><b>requester</b>: <a href=\"Practitioner-At-Emed-Example-Practitioner-01.html\">Practitioner Melanie Hausärztin </a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy continuous}\">Continuous long term 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 Tablette vor dem Essen mit ausreichend Flüssigkeit ein.</p><p><b>timing</b>: Morning, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/medikationartanwendung 100000073619}\">zum Einnehmen</span></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> Stück<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeStueck = 'Stueck')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #contained-medication-journey-02-01</b></p><a name=\"At-Emed-Journey-02-Mr-Planeintrag-01/contained-medication-journey-02-01\"> </a><a name=\"hcAt-Emed-Journey-02-Mr-Planeintrag-01/contained-medication-journey-02-01\"> </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-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 2450836}\">RAMIPRIL HEX TBL 5MG</span></p></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "contained-medication-journey-02-01",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-medikation"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://termgit.elga.gv.at/CodeSystem/asp-liste",
                  "code" : "2450836",
                  "display" : "RAMIPRIL HEX TBL 5MG"
                }
              ]
            }
          }
        ],
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2026-02-27"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown" : "1-0-0-0 täglich | Täglich 1 Stück morgens"
          }
        ],
        "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-02-01"
        },
        "subject" : {
          🔗 "reference" : "Patient/At-Emed-Example-Patient-01"
        },
        "authoredOn" : "2026-02-27T08:10:00+00:00",
        "requester" : {
          🔗 "reference" : "Practitioner/At-Emed-Example-Practitioner-01"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "continuous"
            }
          ]
        },
        "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 Tablette vor dem Essen mit ausreichend Flüssigkeit ein.",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "MORN"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "https://termgit.elga.gv.at/CodeSystem/medikationartanwendung",
                  "code" : "100000073619",
                  "display" : "zum Einnehmen"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "unit" : "Stück",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "Stueck"
                }
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/At-Emed-Journey-02-Mr-Planeintrag-01"
      }
    },
    {
      "fullUrl" : "urn:uuid:62e2daa5-c34b-4b97-8044-fd893bc99a58",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "At-Emed-Journey-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-02-Mr-Planeintrag-02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest At-Emed-Journey-02-Mr-Planeintrag-02</b></p><a name=\"At-Emed-Journey-02-Mr-Planeintrag-02\"> </a><a name=\"hcAt-Emed-Journey-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 | 2 × täglich für 3 Wochen</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-02-Mr-Planeintrag-02/contained-medication-journey-02-magistral\">Medication: form = Salbe</a></p><p><b>subject</b>: <a href=\"Patient-At-Emed-Example-Patient-01.html\">Max Mustermann  Male, DoB: 1900-01-01 ( Social Security number: 1234010100)</a></p><p><b>authoredOn</b>: 2026-02-27 08:10:00+0000</p><p><b>requester</b>: <a href=\"Practitioner-At-Emed-Example-Practitioner-01.html\">Practitioner Melanie 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-02-magistral</b></p><a name=\"At-Emed-Journey-02-Mr-Planeintrag-02/contained-medication-journey-02-magistral\"> </a><a name=\"hcAt-Emed-Journey-02-Mr-Planeintrag-02/contained-medication-journey-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-medikation.html\">AT ELGA e-Medikation Medication 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-02-magistral",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-medikation"
              ]
            },
            "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 | 2 × täglich für 3 Wochen"
          }
        ],
        "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-02-magistral"
        },
        "subject" : {
          🔗 "reference" : "Patient/At-Emed-Example-Patient-01"
        },
        "authoredOn" : "2026-02-27T08:10:00+00:00",
        "requester" : {
          🔗 "reference" : "Practitioner/At-Emed-Example-Practitioner-01"
        },
        "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/At-Emed-Journey-02-Mr-Planeintrag-02"
      }
    }
  ]
}