CH EMED (R4)
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This page is part of the CH EMED (R4) (v5.0.0-ballot: STU 5 Ballot 1) 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

: 1-2 Medication Dispense document - XML Representation

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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-Composition"/>
    <resource>
      <Composition>
        <id value="1-2-Composition"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"/>
        </meta>
        <language value="de-CH"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Composition_1-2-Composition"> </a><p><b>Generated Narrative: Composition</b><a name="1-2-Composition"> </a><a name="hc1-2-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">ResourceComposition &quot;1-2-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>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</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/">SNOWMED CT[??]</a>#82291000195104; <a href="https://loinc.org/">LOINC</a>#60593-1 &quot;Medication dispensed.extended Document&quot;)</span></p><p><b>date</b>: 2011-11-29 11:01:00+0100</p><p><b>author</b>: See on this page: PractitionerRole/FamilienHausarztAtHausarzt</p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/2011000195101"/>
            <code value="82291000195104"/>
            <display value="Medication dispense document (record artifact)"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60593-1"/>
            <display value="Medication dispensed.extended Document"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <date value="2011-11-29T11:01:00+01:00"/>
        <author>🔗 
          <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
        </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="Normal (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </confidentiality>
        <section>
          <title value="Abgabe eines Medikaments"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="60590-7"/>
              <display value="Medication dispensed.brief Document"/>
            </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>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.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"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_MonikaWegmueller"> </a><p><b>Generated Narrative: Patient</b><a name="MonikaWegmueller"> </a><a name="hcMonikaWegmueller"> </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">ResourcePatient &quot;MonikaWegmueller&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/5.0.0-ballot/StructureDefinition-ch-core-patient-epr.html">CH Core Patient EPR</a></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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:2.999.1"/>
          <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/PractitionerRole/FamilienHausarztAtHausarzt"/>
    <resource>
      <PractitionerRole>
        <id value="FamilienHausarztAtHausarzt"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_FamilienHausarztAtHausarzt"> </a><p><b>Generated Narrative: PractitionerRole</b><a name="FamilienHausarztAtHausarzt"> </a><a name="hcFamilienHausarztAtHausarzt"> </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">ResourcePractitionerRole &quot;FamilienHausarztAtHausarzt&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>: See on this page: Practitioner/FamilienHausarzt</p><p><b>organization</b>: See on this page: Organization/Hausarzt</p></div>
        </text>
        <practitioner>🔗 
          <reference value="Practitioner/FamilienHausarzt"/>
        </practitioner>
        <organization>🔗 
          <reference value="Organization/Hausarzt"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Practitioner/FamilienHausarzt"/>
    <resource>
      <Practitioner>
        <id value="FamilienHausarzt"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_FamilienHausarzt"> </a><p><b>Generated Narrative: Practitioner</b><a name="FamilienHausarzt"> </a><a name="hcFamilienHausarzt"> </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">ResourcePractitioner &quot;FamilienHausarzt&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>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/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"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_Hausarzt"> </a><p><b>Generated Narrative: Organization</b><a name="Hausarzt"> </a><a name="hcHausarzt"> </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">ResourceOrganization &quot;Hausarzt&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>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000234438</p><p><b>name</b>: Hausarzt</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"/>
        <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/MedicationDispense/1-2-MedDispTriatec"/>
    <resource>
      <MedicationDispense>
        <id value="1-2-MedDispTriatec"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_1-2-MedDispTriatec"> </a><p><b>Generated Narrative: MedicationDispense</b><a name="1-2-MedDispTriatec"> </a><a name="hc1-2-MedDispTriatec"> </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">ResourceMedicationDispense &quot;1-2-MedDispTriatec&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-medicationdispense.html">CH EMED MedicationDispense (DIS)</a></p></div><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/R4/datatypes.html#id">id</a></blockquote><p><b>value</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><blockquote><p><b>url</b></p><code>externalDocumentId</code></blockquote><p><b>value</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p></blockquote><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name="hcTriatec"> </a></p><blockquote><p/><p><a name="Triatec"> </a></p><p><a name="hcTriatec"> </a></p><p><b>code</b>: TRIATEC Tabl 2.5 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680538751228 &quot;TRIATEC Tabl 2.5 mg 20 Stk&quot;)</span></p><p><b>form</b>: Tablette <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html">EDQM - Standard Terms</a>#10219000 &quot;Tablet&quot;)</span></p><p><b>amount</b>: 20 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED 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>Ramipril <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#386872004 &quot;Ramipril (substance)&quot;)</span></td><td>2.5 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><p><b>subject</b>: See on this page: Patient/MonikaWegmueller</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>See on this page: PractitionerRole/FamilienHausarztAtHausarzt</td></tr></table><p><b>quantity</b>: 1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><p><b>whenHandedOver</b>: 2011-11-29 11:01:00+0100</p><blockquote><p><b>dosageInstruction</b></p><p><b>patientInstruction</b>: -</p><p><b>timing</b>: Starting 2011-11-29 , , ?ngen-6?</p><p><b>route</b>: zum Einnehmen <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html">EDQM - Standard Terms</a>#20053000 &quot;Oral use&quot;)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>true</td><td>equivalent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a>#E)</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #Triatec</b><a name="Triatec"> </a><a name="hcTriatec"> </a></p><p><b>code</b>: TRIATEC Tabl 2.5 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680538751228 &quot;TRIATEC Tabl 2.5 mg 20 Stk&quot;)</span></p><p><b>form</b>: Tablette <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html">EDQM - Standard Terms</a>#10219000 &quot;Tablet&quot;)</span></p><p><b>amount</b>: 20 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED 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>Ramipril <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#386872004 &quot;Ramipril (substance)&quot;)</span></td><td>2.5 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOWMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>
        </text>
        <contained>
          <Medication>
            <id value="Triatec"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"/>
            </meta>
            <code>
              <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>
              <text value="Tablette"/>
            </form>
            <amount>
              <numerator>
                <value value="20"/>
                <unit value="Tablet (unit of presentation)"/>
                <system value="http://snomed.info/sct"/>
                <code value="732936001"/>
              </numerator>
              <denominator>
                <value value="1"/>
                <unit
                      value="Package - unit of product usage (qualifier value)"/>
                <system value="http://snomed.info/sct"/>
                <code value="1681000175101"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386872004"/>
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                </coding>
                <text value="Ramipril"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
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                  <system value="http://unitsofmeasure.org"/>
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                <denominator>
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                  <code value="732936001"/>
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        <extension
                   url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan">
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              <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
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        <identifier>
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          <value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/>
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        <status value="completed"/>
        <medicationReference>
          <reference value="#Triatec"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <performer>
          <actor>🔗 
            <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
          </actor>
        </performer>
        <quantity>
          <value value="1"/>
          <unit value="Package - unit of product usage (qualifier value)"/>
          <system value="http://snomed.info/sct"/>
          <code value="1681000175101"/>
        </quantity>
        <whenHandedOver value="2011-11-29T11:01:00+01:00"/>
        <dosageInstruction>
          <patientInstruction value="-"/>
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            <repeat>
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              <when value="MORN"/>
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          </timing>
          <route>
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              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
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              <display value="Oral use"/>
            </coding>
            <text value="zum Einnehmen"/>
          </route>
          <doseAndRate>
            <doseQuantity>
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              <unit value="Tablet (unit of presentation)"/>
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              <code value="732936001"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
        <substitution>
          <wasSubstituted value="true"/>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
              <code value="E"/>
              <display value="equivalent"/>
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          </type>
        </substitution>
      </MedicationDispense>
    </resource>
  </entry>
</Bundle>