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. For a full list of available versions, see the Directory of published versions

: 1-2 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "1-2-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:488bd23a-20c6-11e6-b67b-9e71128cae77"
  },
  "type" : "document",
  "timestamp" : "2011-11-29T11:01:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/1-2-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "1-2-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=\"1-2-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;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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</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/\">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>: 2011-11-29 11:01:00+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></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
        },
        "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/MonikaWegmueller"
        },
        "date" : "2011-11-29T11:01:00+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" : "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\"><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>"
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationDispense/1-2-MedDispTriatec"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmueller",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmueller",
        "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=\"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><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:\u00a011111111</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",
        "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=\"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><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_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",
        "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=\"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><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-practitioner.html\">CH EMED Practitioner</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</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",
        "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=\"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><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-organization.html\">CH EMED Organization</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</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/MedicationDispense/1-2-MedDispTriatec",
      "resource" : {
        "resourceType" : "MedicationDispense",
        "id" : "1-2-MedDispTriatec",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"1-2-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\">Resource MedicationDispense &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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><blockquote><p><b>url</b></p><code>externalDocumentId</code></blockquote><p><b>value</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p></blockquote><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"Triatec\"> </a></p><blockquote><p/><p><a name=\"Triatec\"> </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=\"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: SNOMED CT code 732936001 = 'Tablet (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>Ramipril <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED 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: 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><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_FamilienHausarztAtHausarzt\">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></td></tr></table><p><b>quantity</b>: 1 Package - unit of product usage (qualifier value)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED 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=\"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/5.4.0/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></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=\"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: SNOMED CT code 732936001 = 'Tablet (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>Ramipril <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED 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: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "Triatec",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680538751228",
                  "display" : "TRIATEC Tabl 2.5 mg 20 Stk"
                }
              ],
              "text" : "TRIATEC Tabl 2.5 mg"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10219000",
                  "display" : "Tablet"
                }
              ],
              "text" : "Tablette"
            },
            "amount" : {
              "numerator" : {
                "value" : 20,
                "unit" : "Tablet (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732936001"
              },
              "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" : "386872004",
                      "display" : "Ramipril (substance)"
                    }
                  ],
                  "text" : "Ramipril"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 2.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet (unit of presentation)",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  }
                }
              }
            ]
          }
        ],
        "extension" : [
          {
            "extension" : [
              {
                "url" : "id",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              },
              {
                "url" : "externalDocumentId",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              }
            ],
            "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#Triatec"
        },
        "subject" : {
          🔗 "reference" : "Patient/MonikaWegmueller"
        },
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "PractitionerRole/FamilienHausarztAtHausarzt"
            }
          }
        ],
        "quantity" : {
          "value" : 1,
          "unit" : "Package - unit of product usage (qualifier value)",
          "system" : "http://snomed.info/sct",
          "code" : "1681000175101"
        },
        "whenHandedOver" : "2011-11-29T11:01:00+01:00",
        "dosageInstruction" : [
          {
            "patientInstruction" : "-",
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2011-11-29"
                },
                "when" : [
                  "MORN"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ],
              "text" : "zum Einnehmen"
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 0.5,
                  "unit" : "Tablet (unit of presentation)",
                  "system" : "http://snomed.info/sct",
                  "code" : "732936001"
                }
              }
            ]
          }
        ],
        "substitution" : {
          "wasSubstituted" : true,
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
                "code" : "E",
                "display" : "equivalent"
              }
            ]
          }
        }
      }
    }
  ]
}