After a pharmacy has dispensed the prescription (handed over the product to patient) a dispense request (POST) must be created and sent to the Fachdienst. The dispense request references the prescription and marks it as delivered. It also returns a receipt to the pharmacy for billing.
The dispense request contains a FHIR bundle of type MedicationDispense. In order to create a dispense the user must be in the role of a pharmacist and use a pharmacy SMC-B card.
Generic example for a dispense request
{{baseURL}}/{{tenant}}/Bundle
See RED Interchange API - Postman Collection 0303 - ERP Dispensation
The FHIR bundle must contain the task ID. RED will fetch the secret stored for this prescriptionID and update the task. See https://github.com/gematik/api-erp/blob/master/docs/erp_abrufen.adoc#e-rezept-abgabe-vollziehen for further description
Example for a medication dispense request (Version 1.1)
<Bundle xmlns="http://hl7.org/fhir">
<id value="10000"/>
<type value="history"/>
<entry>
<resource>
<MedicationDispense xmlns="http://hl7.org/fhir">
<id value="a7e1d25f-0b0a-40f7-b529-afda48e51b46"/>
<meta>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_MedicationDispense|1.2"/>
</meta>
<contained>
<Medication>
<id value="8e2e5e65-4c5d-49f2-8efc-c30e40838273"/>
<meta>
<profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN|1.1.0"/>
</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_Base_Medication_Type">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/900000000000207008/version/20220331"/>
<code value="763158003"/>
<display value="Medicinal product (product)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_Vaccine">
<valueBoolean value="false"/>
</extension>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N3"/>
</extension>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="05454378"/>
</coding>
<text value="SUMATRIPTAN Aurobindo 100 mg Tabletten"/>
</code>
<form>
<coding>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<code value="TAB"/>
</coding>
</form>
<amount>
<numerator>
<extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_ERP_Medication_PackagingSize">
<valueString value="12"/>
</extension>
<unit value="Tabletten"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
<batch>
<lotNumber value="A123456789-1"/>
<expirationDate value="2024-12-31"/>
</batch>
</Medication>
</contained>
<identifier>
<system value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="160.000.203.352.835.63"/>
</identifier>
<status value="completed"/>
<medicationReference>
<reference value="#8e2e5e65-4c5d-49f2-8efc-c30e40838273"/>
<display value="SUMATRIPTAN Aurobindo 100 mg Tabletten"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X574647564"/>
</identifier>
</subject>
<performer>
<actor>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="3-SMC-B-Testkarte-883110000116808"/>
</identifier>
</actor>
</performer>
<whenHandedOver value="2023-07-30"/>
<dosageInstruction>
<text value="1-0-1-0"/>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
</Bundle>
Example of a receipt
<Bundle xmlns="http://hl7.org/fhir">
<id value="a003eb1e-0c00-0000-0003-000000000000"/>
<meta>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle|1.2"/>
</meta>
<identifier>
<system value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="160.000.203.352.835.63"/>
</identifier>
<type value="document"/>
<timestamp value="2023-06-21T14:43:47.971+00:00"/>
<link>
<relation value="self"/>
<url value="https://erp-ref.zentral.erp.splitdns.ti-dienste.de/Task/160.000.203.352.835.63/$close/"/>
</link>
<entry>
<fullUrl value="urn:uuid:372ef97a-8a2c-42d3-bac6-af65b8291aee"/>
<resource>
<Composition>
<id value="372ef97a-8a2c-42d3-bac6-af65b8291aee"/>
<meta>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Composition|1.2"/>
</meta>
<extension url="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary">
<valueIdentifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="3-SMC-B-Testkarte-883110000116808"/>
</valueIdentifier>
</extension>
<status value="final"/>
<type>
<coding>
<system value="https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType"/>
<code value="3"/>
<display value="Receipt"/>
</coding>
</type>
<date value="2023-06-21T14:43:47.970+00:00"/>
<author>
<reference value="https://erp-ref.zentral.erp.splitdns.ti-dienste.de/Device/1"/>
</author>
<title value="Quittung"/>
<event>
<period>
<start value="2023-06-21T12:45:21.311+00:00"/>
<end value="2023-06-21T14:43:47.970+00:00"/>
</period>
</event>
<section>
<entry>
<reference value="Binary/PrescriptionDigest-160.000.203.352.835.63"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://erp-ref.zentral.erp.splitdns.ti-dienste.de/Device/1"/>
<resource>
<Device>
<id value="1"/>
<meta>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Device|1.2"/>
</meta>
<status value="active"/>
<serialNumber value="1.10.0"/>
<deviceName>
<name value="E-Rezept Fachdienst"/>
<type value="user-friendly-name"/>
</deviceName>
<version>
<value value="1.10.0"/>
</version>
<contact>
<system value="email"/>
<value value="betrieb@gematik.de"/>
</contact>
</Device>
</resource>
</entry>
<entry>
<fullUrl value="https://erp-ref.zentral.erp.splitdns.ti-dienste.de/Binary/PrescriptionDigest-160.000.203.352.835.63"/>
<resource>
<Binary>
<id value="PrescriptionDigest-160.000.203.352.835.63"/>
<meta>
<versionId value="1"/>
<profile value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Digest|1.2"/>
</meta>
<contentType value="application/octet-stream"/>
<data value="JVVBQFS8DcaHsdS6FKtIfIt++PsMuLMqQDqxcynrbfQ="/>
</Binary>
</resource>
</entry>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
</type>
<when value="2023-06-21T14:43:47.974+00:00"/>
<who>
<reference value="https://erp-ref.zentral.erp.splitdns.ti-dienste.de/Device/1"/>
</who>
<sigFormat value="application/pkcs7-mime"/>
<data value="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"/>
</signature>
</Bundle>
