CH EMED (R4)
0.1.0 - Draft Standard for Trial Use
CH EMED (R4)
0.1.0 - Draft Standard for Trial Use
This page is part of the CH EMED (R4) (v0.1.0: DSTU 1). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
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<Bundle xmlns="http://hl7.org/fhir"> <id value="1-2-MedicationDispense"/> <meta> <lastUpdated value="2020-02-20T12:31:59.738+00:00"/> <profile value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"/> </meta> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/> </identifier> <type value="document"/> <timestamp value="2011-11-29T11:01:00+01:00"/> <entry> <fullUrl value="http://test.fhir.ch/r4/Composition/1-2-MedicationDispense"/> <resource> <Composition> <id value="1-2-MedicationDispense"/> <language value="de-CH"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1-2-MedicationDispense</p><p><b>language</b>: de-CH</p><p><b>identifier</b>: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '419891008' = 'Record artifact (record artifact)', given as 'Record artifact (record artifact)'}; {LOINC code '60593-1' = 'Medication dispensed.extended Document', given as 'Medication dispensed.extended'})</span></p><p><b>date</b>: Nov 29, 2011, 11:01:00 AM</p><p><b>author</b>: </p><ul><li><a href="#backboneelement_FamilienHausarzt">Generated Summary: unknown resource entry</a></li><li><a href="#backboneelement_Hausarzt">Generated Summary: unknown resource entry</a></li></ul><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href="#backboneelement_Custodian">Generated Summary: unknown resource entry</a></p></div> </text> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid"> <valueIdentifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/> </valueIdentifier> </extension> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber"> <valueUnsignedInt value="1"/> </extension> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient"> <valueReference> <reference value="Patient/MonikaWegmuellerRecipient"/> </valueReference> </extension> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/> </identifier> <status value="final"/> <type> <!-- TBD --> <coding> <system value="http://snomed.info/sct"/> <code value="419891008"/> <display value="Record artifact (record artifact)"/> </coding> <coding> <system value="http://loinc.org"/> <code value="60593-1"/> <display value="Medication dispensed.extended"/> </coding> </type> <subject> <reference value="Patient/MonikaWegmueller"/> </subject> <date value="2011-11-29T11:01:00+01:00"/> <author> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time"> <valueDateTime value="2011-11-29T11:00:00+01:00"/> </extension> <reference value="Practitioner/FamilienHausarzt"/> </author> <author> <reference value="Organization/Hausarzt"/> </author> <title value="Abgabe"/> <confidentiality value="N"> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="17621005"/> <display value="Normally accessible"/> </coding> </valueCodeableConcept> </extension> </confidentiality> <custodian> <reference value="Organization/Custodian"/> </custodian> <section> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid"> <valueIdentifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/> </valueIdentifier> </extension> <title value="Abgabe eines Medikaments"/> <code> <coding> <system value="http://loinc.org"/> <code value="60590-7"/> <display value="Medication dispensed.brief"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <th>Präpartename</th> <th>Wirkstoffname</th> <th>Galenische Form</th> <th>Dosis pro Einheit</th> <th>Anzahl Packungen</th> <th>Packungsgrösse</th> <th>Dosierung</th> <th>Dos.Morgen</th> <th>Dos.Mittag</th> <th>Dos.Abend</th> <th>Dos.Nacht</th> <th>Verabreichungsweg</th> <th>Kommentar</th> <th>Behandlungsrund</th> <th>Datum/Zeit der Abgabe/ Anwendung</th> <th>Identifikation des Empfängers</th> </tr> </thead> <tbody> <tr id="dis.1"> <td id="dis.1.brandedmedication">Triatec</td> <td id="dis.1.ingredient">Ramipril</td> <td id="dis.1.dosequantity">2.5 mg</td> <td id="dis.1.packageform">Tbl</td> <td id="dis.1.nopackages">1</td> <td id="dis.1.packagesize">20</td> <td id="dis.1.dosageintakemode">Morgens 1/2 Tablette nehmen</td> <td id="dis.1.dosagemorning">0.5</td> <td id="dis.1.dosagelunch">0</td> <td id="dis.1.dosageevening">0</td> <td id="dis.1.dosagenight">0</td> <td id="dis.1.routecode">oral</td> <td id="dis.1.note"/> <td id="dis.1.datefromto"/> <td id="dis.1.reason">Bluthochdruck</td> <td id="dis.1.dipsensedate"/> <td id="dis.1.dipsenseto"/> </tr> </tbody> </table> </div> </text> <entry> <reference value="MedicationDispense/1-2-MedDispTriatec"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmueller"/> <resource> <Patient> <id value="MonikaWegmueller"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: MonikaWegmueller</p><p><b>identifier</b>: Medical record number = 11111111</p><p><b>name</b>: Monika Wegmüller </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1943-05-15</p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div> </text> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="urn:oid:2.999"/> <value value="11111111"/> </identifier> <name> <family value="Wegmüller"/> <given value="Monika"/> </name> <gender value="female"/> <birthDate value="1943-05-15"/> <address> <line value="Wiesenstr. 12"/> <city value="Zürich"/> <postalCode value="8003"/> <country value="CH"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Practitioner/FamilienHausarzt"/> <resource> <Practitioner> <id value="FamilienHausarzt"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: FamilienHausarzt</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601000234438"/> </identifier> <name> <family value="Hausarzt"/> <given value="Familien"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Organization/Hausarzt"/> <resource> <Organization> <id value="Hausarzt"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Hausarzt</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>telecom</b>: -unknown-</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601000234438"/> </identifier> <name value="Hausarzt"/> <telecom> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"> <valueCode value="NI"/> </extension> </telecom> <address> <line value="Krankenstrasse 2"/> <city value="Zürich"/> <postalCode value="8005"/> <country value="CH"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Organization/Custodian"/> <resource> <Organization> <id value="Custodian"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Custodian</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Hausarzt</p></div> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601000234438"/> </identifier> <name value="Hausarzt"/> </Organization> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient"/> <resource> <Patient> <id value="MonikaWegmuellerRecipient"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: MonikaWegmuellerRecipient</p><p><b>name</b>: Monika Wegmüller </p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div> </text> <name> <family value="Wegmüller"/> <given value="Monika"/> </name> <address> <line value="Wiesenstr. 12"/> <city value="Zürich"/> <postalCode value="8003"/> <country value="CH"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec"/> <resource> <MedicationDispense> <id value="1-2-MedDispTriatec"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1-2-MedDispTriatec</p><p><b>contained</b>: </p><p><b>identifier</b>: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: unknown resource contained</p><p><b>subject</b>: <a href="#backboneelement_MonikaWegmueller">Generated Summary: unknown resource entry</a></p><p><b>quantity</b>: 1</p><p><b>note</b>: -</p><p><b>dosageInstruction</b>: , </p><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>true</td><td>equivalent <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'E' = 'equivalent', given as 'equivalent'})</span></td></tr></table></div> </text> <contained> <Medication> <id value="med"/> <code> <extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink"> <valueUrl value="#dis.1.brandedmedication"/> </extension> <coding> <system value="urn:oid:2.51.1.1"/> <code value="7680538751228"/> <display value="TRIATEC Tabl 2.5 mg 20 Stk"/> </coding> <text value="TRIATEC Tabl 2.5 mg"/> </code> <form> <coding> <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/> <code value="10219000"/> <display value="Tablet"/> </coding> </form> <amount> <numerator> <value value="20"/> </numerator> <denominator> <value value="1"/> </denominator> </amount> <ingredient> <itemCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="386872004"/> <display value="Ramipril (substance)"/> </coding> <text value="Ramipril"/> </itemCodeableConcept> <strength> <numerator> <value value="2.5"/> <unit value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="1"/> </denominator> </strength> </ingredient> </Medication> </contained> <extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink"> <valueUrl value="#dis.1"/> </extension> <extension url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"> <extension url="id"> <valueIdentifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/> </valueIdentifier> </extension> <extension url="externalDocumentId"> <valueIdentifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/> </valueIdentifier> </extension> </extension> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/> </identifier> <status value="completed"/> <medicationReference> <reference value="#med"/> </medicationReference> <subject> <reference value="Patient/MonikaWegmueller"/> </subject> <quantity> <value value="1"/> </quantity> <note> <extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink"> <valueUrl value="#dis.1.note"/> </extension> <text value="-"/> </note> <dosageInstruction> <extension url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dosagetype"> <valueIdentifier> <value value="1.3.6.1.4.1.19376.1.5.3.1.4.7.1"/> </valueIdentifier> </extension> <timing> <repeat> <boundsPeriod> <start value="2011-11-29"/> </boundsPeriod> <when value="ACM"/> </repeat> </timing> <route> <coding> <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/> <code value="20053000"/> <display value="Oral use"/> </coding> </route> <doseAndRate> <doseQuantity> <value value="0.5"/> </doseQuantity> </doseAndRate> </dosageInstruction> <dosageInstruction> <extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink"> <valueUrl value="#dis.1.dosageintakemode"/> </extension> <text value="Morgens 1/2 Tablette nehmen"/> </dosageInstruction> <!-- substitution just as test case --> <substitution> <wasSubstituted value="true"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> <code value="E"/> <display value="equivalent"/> </coding> </type> </substitution> </MedicationDispense> </resource> </entry> </Bundle>