Build German E-Prescription FHIR Bundle (eRezept — gematik Profiles)

Q: What does the Build German E-Prescription FHIR Bundle (eRezept — gematik Profiles) skill do?

Wandeln Sie eine Verordnung in ein HL7-FHIR-Bundle nach den gematik/KBV-eRezept-Profilen um, das über die Telematikinfrastruktur (TI) an den E-Rezept-Fachdienst übermittelt wird — Composition, MedicationRequest, Medication (PZN), Patient (KVNR), Practitioner (LANR), Organization (BSNR) und Coverage (IK), Aut-idem-Kennzeichen, qualifizierte elektronische Signatur (QES), Workflow 160 (GKV), mit Beispiel

Q: How do I run the Build German E-Prescription FHIR Bundle (eRezept — gematik Profiles) skill?

Copy the skill and paste it into your own Claude or ChatGPT, then provide your source data. FinchContext skills run inside your own AI assistant, so your financial data never leaves your control.

Q: Which region does the Build German E-Prescription FHIR Bundle (eRezept — gematik Profiles) skill cover?

Germany. It targets the local tax authority / e-invoicing format described on this page.

Skill: Convert a prescription into a gematik eRezept FHIR Bundle

Region: Germany (Deutschland) Category: Health care Does: Takes a medical prescription and assembles a HL7 FHIR Bundle conforming to the gematik eRezept profiles (KBV/gematik), signed and transmitted over the Telematikinfrastruktur (TI) to the E-Rezept-Fachdienst, from which the patient or pharmacy redeems it. Spec: gematik / KBV — eRezept FHIR profiles (Prescription/Workflow, current version)

The eRezept replaces the paper "Muster 16" for prescription-only drugs in statutory care. The prescriber's system builds a FHIR Bundle (Composition, MedicationRequest, Medication, Patient, Practitioner, Organization, Coverage), the doctor qualified-electronic-signs it, and it is stored on the E-Rezept-Fachdienst; the patient redeems via the eRezept app, eGK, or token. Issued per prescription. Element names below follow the gematik profiles, not a verbatim StructureDefinition.

When this applies

A prescriber issues a prescription-only medication for a statutorily insured patient (the eRezept is the mandatory route for GKV apothekenpflichtige Arzneimittel).
Used for the standard Workflow 160 (GKV) prescription; private (PKV) and special prescription types follow distinct workflows/profiles.
The pharmacy retrieves and dispenses against the Bundle and posts the dispensation (MedicationDispense) back to the Fachdienst.

Structure (FHIR Bundle)

Bundle (type = document)
   Composition           eRezept "Verordnung" — links the resources
   MedicationRequest      dosage, quantity, substitution flag (aut idem), validity
   Medication             PZN, Darreichungsform, Wirkstoff/Handelsname, Normgröße
   Patient                KVNR (Versichertennummer 10-stellig), name, DOB
   Practitioner           LANR / prescriber, qualification
   Organization           BSNR (Betriebsstättennummer), institution
   Coverage               Kostenträger (Krankenkasse IK), insurance status
signature                 doctor's qualified electronic signature (QES) over the Bundle

Data rules

Resources must use the gematik/KBV profile identifiers (meta.profile) and the prescribed value sets; the Composition.type marks it as an eRezept prescription document.
Patient is keyed by KVNR (10-digit Versichertennummer); prescriber by LANR; practice by BSNR; payer by the Krankenkasse IK in Coverage.
The medication is identified by PZN (Pharmazentralnummer) with form/strength; set the aut-idem / substitution flag correctly (it controls pharmacist substitution).
The Bundle must carry a valid qualified electronic signature (QES) by the prescriber before it is accepted by the Fachdienst; an unsigned Bundle is invalid.
Transmission and redemption occur over the TI to the E-Rezept-Fachdienst; the pharmacy returns a MedicationDispense; do not store/send outside TI.

Worked example (outline)

Bundle (document)
   Composition: Workflow 160 (GKV)
   Patient KVNR X110411319
   Practitioner LANR 123456789, Organization BSNR 987654300
   Coverage Krankenkasse IK 109500969
   MedicationRequest: 1 package, dosage 1-0-1, aut idem allowed
   Medication PZN 12345678, Ibuprofen 600 mg, Filmtabletten, N2
   Signature: QES by prescriber

Signed FHIR Bundle posted to the E-Rezept-Fachdienst over TI; the pharmacy redeems and returns a MedicationDispense.

Validation checklist

Bundle is a document with Composition linking all required resources, correct gematik/KBV meta.profile
Patient KVNR (10 digits), prescriber LANR, practice BSNR, payer IK present
Medication PZN with form/strength; aut-idem/substitution flag correct
Dosage, quantity, and validity set on MedicationRequest
Qualified electronic signature (QES) applied by the prescriber
Workflow type correct (e.g. 160 for GKV)
Transmitted over TI to the E-Rezept-Fachdienst; dispensation handled via MedicationDispense

Last updated: 2026-06-04 — confirm the current schema/version, identifiers, rounding, and deadline against current authority (gematik.de) guidance before use.