CH EMED (R4)
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This page is part of the CH EMED (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: 3-2 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "3-2-MedicationDispense",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
  },
  "type" : "document",
  "timestamp" : "2020-02-03T17:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/3-2-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3-2-Composition",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"
          ]
        },
        "language" : "de-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p><b>Generated Narrative: Composition</b><a name=\"3-2-Composition\"> </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;3-2-Composition&quot;  (Language &quot;de-CH&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-composition-medicationdispense.html\">CH EMED Medication Dispense Composition</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</p><p><b>status</b>: final</p><p><b>type</b>: Medication dispense document (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[??]</a>#82291000195104; <a href=\"https://loinc.org/\">LOINC</a>#60593-1 &quot;Medication dispensed.extended Document&quot;)</span></p><p><b>date</b>: 2020-02-03 17:00:00+0100</p><p><b>author</b>: <a href=\"#PractitionerRole_PriskaHuberAtRettungsdienst\">See above (PractitionerRole/PriskaHuberAtRettungsdienst)</a></p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/2011000195101",
              "code" : "82291000195104",
              "display" : "Medication dispense document (record artifact)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "60593-1",
              "display" : "Medication dispensed.extended Document"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "date" : "2020-02-03T17:00:00+01:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
          }
        ],
        "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" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "section" : [
          {
            "title" : "Abgabe eines Medikaments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60590-7",
                  "display" : "Medication dispensed.brief Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span id=\"co1\">Anwendung: 0.05 mg Fentanyl, 14:32, 03.02.2020</span></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationAdministration/3-2-MedAdminFentanyl"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MaxMoser",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MaxMoser",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"MaxMoser\"> </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;MaxMoser&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/4.0.1/StructureDefinition-ch-core-patient-epr.html\">CH Core Patient EPR</a></p></div><p><b>identifier</b>: Medical record number:\u00a0123456</p><p><b>name</b>: Max Moser </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1988-11-27</p><p><b>address</b>: Schneefeld 5a Bern 3006 CH </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1",
            "value" : "123456"
          }
        ],
        "name" : [
          {
            "family" : "Moser",
            "given" : [
              "Max"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1988-11-27",
        "address" : [
          {
            "line" : [
              "Schneefeld 5a"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/PriskaHuberAtRettungsdienst",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PriskaHuberAtRettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"PriskaHuberAtRettungsdienst\"> </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;PriskaHuberAtRettungsdienst&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-practitionerrole.html\">CH EMED PractitionerRole</a></p></div><p><b>practitioner</b>: <a href=\"#Practitioner_PriskaHuber\">See above (Practitioner/PriskaHuber)</a></p><p><b>organization</b>: <a href=\"#Organization_Rettungsdienst\">See above (Organization/Rettungsdienst)</a></p></div>"
        },
        "practitioner" : {
          🔗 "reference" : "Practitioner/PriskaHuber"
        },
        "organization" : {
          🔗 "reference" : "Organization/Rettungsdienst"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/PriskaHuber",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PriskaHuber",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"PriskaHuber\"> </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;PriskaHuber&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-practitioner.html\">CH EMED Practitioner</a></p></div><p><b>identifier</b>: id:\u00a07601000121219</p><p><b>name</b>: Priska Huber </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000121219"
          }
        ],
        "name" : [
          {
            "family" : "Huber",
            "given" : [
              "Priska"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Rettungsdienst",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Rettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"Rettungsdienst\"> </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;Rettungsdienst&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-organization.html\">CH EMED Organization</a></p></div><p><b>identifier</b>: id:\u00a07601000000514</p><p><b>name</b>: Rettungsdienst</p><p><b>address</b>: Rettungsgasse 2 Bern 3006 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000000514"
          }
        ],
        "name" : "Rettungsdienst",
        "address" : [
          {
            "line" : [
              "Rettungsgasse 2"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationAdministration/3-2-MedAdminFentanyl",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "3-2-MedAdminFentanyl",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration</b><a name=\"3-2-MedAdminFentanyl\"> </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 MedicationAdministration &quot;3-2-MedAdminFentanyl&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-medicationadministration.html\">CH EMED MedicationAdministration (DIS)</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"Fentanyl\"> </a></p><blockquote><p/><p><a name=\"Fentanyl\"> </a></p><p><b>code</b>: FENTANYL Sintetica Inj Lös 0.5 mg/10ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680539870027)</span></p><p><b>form</b>: Injektionslösung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#11201000 &quot;Solution for injection&quot;)</span></p><p><b>amount</b>: 10 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732978007 = 'Ampule (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td>Fentanyl <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373492002 &quot;Fentanyl (substance)&quot;)</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></blockquote><p><b>subject</b>: <a href=\"#Patient_MaxMoser\">See above (Patient/MaxMoser)</a></p><p><b>effective</b>: 2020-02-03 14:32:00+0100</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#PractitionerRole_PriskaHuberAtRettungsdienst\">See above (PractitionerRole/PriskaHuberAtRettungsdienst)</a></td></tr></table><p><b>reasonCode</b>: Schmerzbehandlung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>intravenöse Anwendung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#20045000 &quot;Intravenous use&quot;)</span></td><td>1 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732978007 = 'Ampule (unit of presentation)')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #Fentanyl</b><a name=\"Fentanyl\"> </a></p><p><b>code</b>: FENTANYL Sintetica Inj Lös 0.5 mg/10ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680539870027)</span></p><p><b>form</b>: Injektionslösung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#11201000 &quot;Solution for injection&quot;)</span></p><p><b>amount</b>: 10 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732978007 = 'Ampule (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td>Fentanyl <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373492002 &quot;Fentanyl (substance)&quot;)</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "Fentanyl",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680539870027",
                  "display" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
                }
              ],
              "text" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "11201000",
                  "display" : "Solution for injection"
                }
              ],
              "text" : "Injektionslösung"
            },
            "amount" : {
              "numerator" : {
                "value" : 10,
                "unit" : "Ampule (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732978007"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Package - unit of product usage (qualifier value)",
                "system" : "http://snomed.info/sct",
                "code" : "1681000175101"
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "373492002",
                      "display" : "Fentanyl (substance)"
                    }
                  ],
                  "text" : "Fentanyl"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 0.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 10,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mL"
                  }
                }
              }
            ]
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#Fentanyl"
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "effectiveDateTime" : "2020-02-03T14:32:00+01:00",
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
            }
          }
        ],
        "reasonCode" : [
          {
            "text" : "Schmerzbehandlung"
          }
        ],
        "dosage" : {
          "route" : {
            "coding" : [
              {
                "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                "code" : "20045000",
                "display" : "Intravenous use"
              }
            ],
            "text" : "intravenöse Anwendung"
          },
          "dose" : {
            "value" : 1,
            "unit" : "Ampule (unit of presentation)",
            "system" : "http://snomed.info/sct",
            "code" : "732978007"
          }
        }
      }
    }
  ]
}