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: 2-4 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "2-4-MedicationDispense",
  "meta" : {
    "lastUpdated" : "2020-02-20T12:31:59.738+00:00",
    "profile" : [
      "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77"
  },
  "type" : "document",
  "timestamp" : "2012-02-04T14:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/2-4-MedicationDispense",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "2-4-MedicationDispense",
        "language" : "de-CH",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p><b>Generated Narrative: Composition</b><a name=\"2-4-MedicationDispense\"> </a></p><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\">Resource Composition &quot;2-4-MedicationDispense&quot;  (Language &quot;de-CH&quot;) </p></div><p><b>EPR Information Recipient</b>: <a href=\"#Patient_MonikaWegmuellerRecipient\">See above (Patient/MonikaWegmuellerRecipient)</a></p><p><b>identifier</b>: id: urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: Medication dispensed.extended <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#60593-1; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419891008 &quot;Record artifact (record artifact)&quot;)</span></p><p><b>date</b>: 2012-02-04 14:00:00+0100</p><p><b>author</b>: <a href=\"#PractitionerRole_FamilienHausarztAtHausarzt\">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href=\"#Organization_Custodian\">See above (Organization/Custodian)</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient",
            "valueReference" : {
              "reference" : "Patient/MonikaWegmuellerRecipient"
            }
          }
        ],
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "60593-1",
              "display" : "Medication dispensed.extended"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "419891008",
              "display" : "Record artifact (record artifact)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/MonikaWegmueller"
        },
        "date" : "2012-02-04T14:00:00+01:00",
        "author" : [
          {
            "reference" : "PractitionerRole/FamilienHausarztAtHausarzt"
          }
        ],
        "title" : "Abgabe",
        "confidentiality" : "N",
        "_confidentiality" : {
          "extension" : [
            {
              "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005",
                    "display" : "Normally accessible"
                  }
                ]
              }
            }
          ]
        },
        "custodian" : {
          "reference" : "Organization/Custodian"
        },
        "section" : [
          {
            "title" : "Abgabe eines Medikaments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60590-7",
                  "display" : "Medication dispensed.brief"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <thead>\n                                    <tr>\n                                        <th>Präpartename</th>\n                                        <th>Wirkstoffname</th>\n                                        <th>Galenische Form</th>\n                                        <th>Dosis pro Einheit</th>\n                                        <th>Anzahl Packungen</th>\n                                        <th>Packungsgrösse</th>\n                                        <th>Dos.Morgen</th>\n                                        <th>Dos.Mittag</th>\n                                        <th>Dos.Abend</th>\n                                        <th>Dos.Nacht</th>\n                                        <th>Verabreichungsweg</th>\n                                        <th>Kommentar</th>\n                                        <th>Behandlungsrund</th>\n                                        <th>Datum/Zeit der Abgabe/ Anwendung</th>\n                                        <th>Identifikation des Empfängers</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr id=\"dis.1\">\n                                        <td id=\"dis.1.brandedmedication\">Beloc Zok</td>\n                                        <td id=\"dis.1.ingredient\">Metoprolol</td>\n                                        <td id=\"dis.1.packageform\">Ret Tbl</td>\n                                        <td id=\"dis.1.dosequantity\">50 mg</td>\n                                        <td id=\"dis.1.nopackages\">1</td>\n                                        <td id=\"dis.1.packagesize\">30 Stk</td>\n                                        <td id=\"dis.1.dosagemorning\">1</td>\n                                        <td id=\"dis.1.dosagelunch\">0</td>\n                                        <td id=\"dis.1.dosageevening\">0.5</td>\n                                        <td id=\"dis.1.routecode\">oral</td>\n                                        <td id=\"dis.1.note\"/>\n                                        <td id=\"dis.1.datefromto\"/>\n                                        <td id=\"dis.1.reason\">Bluthochdruck</td>\n                                        <td id=\"dis.1.dipsensedate\"/>\n                                        <td id=\"dis.1.dipsenseto\"/>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"
            },
            "entry" : [
              {
                "reference" : "MedicationDispense/2-4-MedDispBeloczok"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmueller",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmueller",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"MonikaWegmueller\"> </a></p><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\">Resource Patient &quot;MonikaWegmueller&quot; </p></div><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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1",
            "value" : "11111111"
          }
        ],
        "name" : [
          {
            "family" : "Wegmüller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1943-05-15",
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/FamilienHausarztAtHausarzt",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "FamilienHausarztAtHausarzt",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"FamilienHausarztAtHausarzt\"> </a></p><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\">Resource PractitionerRole &quot;FamilienHausarztAtHausarzt&quot; </p></div><p><b>practitioner</b>: <a href=\"#Practitioner_FamilienHausarzt\">See above (Practitioner/FamilienHausarzt)</a></p><p><b>organization</b>: <a href=\"#Organization_Hausarzt\">See above (Organization/Hausarzt)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "Practitioner/FamilienHausarzt"
        },
        "organization" : {
          "reference" : "Organization/Hausarzt"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/FamilienHausarzt",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "FamilienHausarzt",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"FamilienHausarzt\"> </a></p><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\">Resource Practitioner &quot;FamilienHausarzt&quot; </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : [
          {
            "family" : "Hausarzt",
            "given" : [
              "Familien"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Hausarzt",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Hausarzt",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"Hausarzt\"> </a></p><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\">Resource Organization &quot;Hausarzt&quot; </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hausarzt",
        "address" : [
          {
            "line" : [
              "Krankenstrasse 2"
            ],
            "city" : "Zürich",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Custodian",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Custodian",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"Custodian\"> </a></p><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\">Resource Organization &quot;Custodian&quot; </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hausarzt"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmuellerRecipient",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"MonikaWegmuellerRecipient\"> </a></p><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\">Resource Patient &quot;MonikaWegmuellerRecipient&quot; </p></div><p><b>name</b>: Monika Wegmüller </p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>"
        },
        "name" : [
          {
            "family" : "Wegmüller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationDispense/2-4-MedDispBeloczok",
      "resource" : //  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> 
      {
        "resourceType" : "MedicationDispense",
        "id" : "2-4-MedDispBeloczok",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"2-4-MedDispBeloczok\"> </a></p><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\">Resource MedicationDispense &quot;2-4-MedDispBeloczok&quot; </p></div><p><b>Narrative Link</b>: <code>#dis.1</code></p><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><p><b>value</b>: id: urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77</p><p><b>value</b>: id: urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77</p></blockquote><p><b>identifier</b>: id: urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med\"> </a></p><blockquote><p/><p><a name=\"med\"> </a></p><p><b>code</b>: BELOC ZOK Ret Tabl 50 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680521101306 &quot;BELOC ZOK Ret Tabl 50 mg 30 Stk&quot;)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><p><b>amount</b>: 30 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {Package} = '{Package}')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Metoprolol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#372826007 &quot;Metoprolol (substance)&quot;)</span></td><td>50 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><p><b>subject</b>: <a href=\"#Patient_MonikaWegmueller\">See above (Patient/MonikaWegmueller)</a></p><p><b>quantity</b>: 1</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>patientInstruction</b>: -</p><p><b>timing</b>: Starting 2012-02-04, , ?ngen-6?</p><p><b>route</b>: Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#20053000)</span></p></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>timing</b>: , ?ngen-6?</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #med</b><a name=\"med\"> </a></p><p><b>code</b>: BELOC ZOK Ret Tabl 50 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680521101306 &quot;BELOC ZOK Ret Tabl 50 mg 30 Stk&quot;)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><p><b>amount</b>: 30 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {Package} = '{Package}')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Metoprolol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#372826007 &quot;Metoprolol (substance)&quot;)</span></td><td>50 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "med",
            "code" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
                  "valueUrl" : "#dis.1.brandedmedication"
                }
              ],
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680521101306",
                  "display" : "BELOC ZOK Ret Tabl 50 mg 30 Stk"
                }
              ],
              "text" : "BELOC ZOK Ret Tabl 50 mg"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10219000",
                  "display" : "Tablet"
                }
              ]
            },
            "amount" : {
              "numerator" : {
                "value" : 30,
                "unit" : "Tablet (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732936001"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Package",
                "system" : "http://unitsofmeasure.org",
                "code" : "{Package}"
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "372826007",
                      "display" : "Metoprolol (substance)"
                    }
                  ],
                  "text" : "Metoprolol"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 50,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet (unit of presentation)",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  }
                }
              }
            ]
          }
        ],
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
            "valueUrl" : "#dis.1"
          },
          {
            "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan",
            "extension" : [
              {
                "url" : "id",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"
                }
              },
              {
                "url" : "externalDocumentId",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"
                }
              }
            ]
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#med"
        },
        "subject" : {
          "reference" : "Patient/MonikaWegmueller"
        },
        "quantity" : {
          "value" : 1
        },
        "dosageInstruction" : [
          {
            "sequence" : 1,
            "patientInstruction" : "-",
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2012-02-04"
                },
                "when" : [
                  "MORN"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Tablet (unit of presentation)",
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}