CH EMED (R4)
0.1.1 - Draft Standard for Trial Use

This page is part of the CH EMED (R4) (v0.1.1: DSTU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

2-1 Medication List document - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "2-1-MedicationList"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2020-03-10T12:31:59.738+00:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationlist";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationlist>     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:17931678-20b4-11e6-b67b-9e71128cae77" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2012-02-04T13:55:00+01:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Composition/2-1-MedicationList" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Composition/2-1-MedicationList>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Patient/MonikaWegmueller" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Patient/MonikaWegmueller>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Practitioner/FamilienHausarzt" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Practitioner/FamilienHausarzt>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Organization/Hausarzt" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Organization/Hausarzt>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Organization/Custodian" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Organization/Custodian>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/MedicationStatement/1-1-MedStatTriatec" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/MedicationStatement/1-1-MedStatTriatec>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec" ];
     fhir:Bundle.entry.resource <http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec>
  ].

<http://test.fhir.ch/r4/Composition/2-1-MedicationList> a fhir:Composition;
  fhir:Resource.id [ fhir:value "2-1-MedicationList"];
  fhir:Resource.language [ fhir:value "de-CH"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-1-MedicationList</p><p><b>language</b>: de-CH</p><p><b>identifier</b>: id: urn:uuid:17931678-20b4-11e6-b67b-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 56445-0}, {http://snomed.info/sct 721912009}\">Medication summary</span></p><p><b>date</b>: Feb 4, 2012, 1:55:00 PM</p><p><b>author</b>: </p><ul><li><a href=\"#Practitioner_FamilienHausarzt\">See above (Practitioner/FamilienHausarzt)</a></li><li><a href=\"#Organization_Hausarzt\">See above (Organization/Hausarzt)</a></li></ul><p><b>title</b>: Medikationsliste</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href=\"#Organization_Custodian\">See above (Organization/Custodian)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
       fhir:Identifier.value [ fhir:value "urn:uuid:17931678-20b4-11e6-b67b-9e71128cae77" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber" ];
     fhir:Extension.valueUnsignedInt [ fhir:value "1"^^xsd:nonNegativeInteger ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Patient/MonikaWegmuellerRecipient" ]     ]
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:17931678-20b4-11e6-b67b-9e71128cae77" ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:56445-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "56445-0" ];
       fhir:Coding.display [ fhir:value "Medication summary" ]     ], [
       fhir:index 1;
       a sct:721912009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "721912009" ];
       fhir:Coding.display [ fhir:value "Medication summary document (record artifact)" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/MonikaWegmueller" ]
  ];
  fhir:Composition.date [ fhir:value "2012-02-04T13:55:00+01:00"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time" ];
       fhir:Extension.valueDateTime [ fhir:value "2012-02-04T13:55:00+01:00"^^xsd:dateTime ]     ];
     fhir:Reference.reference [ fhir:value "Practitioner/FamilienHausarzt" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Organization/Hausarzt" ]
  ];
  fhir:Composition.title [ fhir:value "Medikationsliste"];
  fhir:Composition.confidentiality [
     fhir:value "N";
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:17621005;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "17621005" ];
           fhir:Coding.display [ fhir:value "Normally accessible" ]         ]       ]     ]
  ];
  fhir:Composition.custodian [
     fhir:Reference.reference [ fhir:value "Organization/Custodian" ]
  ];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid" ];
       fhir:Extension.valueIdentifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:f5ee14ee-52dc-48b0-8d96-e2713c99e607" ]       ]     ];
     fhir:Composition.section.title [ fhir:value "Medikamentenliste" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10160-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10160-0" ];
         fhir:Coding.display [ fhir:value "History of medication use" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.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>Dosierung</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>Anwendungsdauer</th>\n                                        <th>Behandlungsgrund</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr id=\"mtp.1\">\n                                        <td id=\"mtp.1.brandedmedication\">Triatec</td>\n                                        <td id=\"mtp.1.ingredient\">Ramipril</td>\n                                        <td id=\"mtp.1.packageform\">Tbl</td>\n                                        <td id=\"mtp.1.dosequantity\">2.5 mg</td>\n                                        <td id=\"mtp.1.dosageintakemode\">Morgens 1/2 Tablette nehmen</td>\n                                        <td id=\"mtp.1.dosagemorning\">0.5</td>\n                                        <td id=\"mtp.1.dosagelunch\">0</td>\n                                        <td id=\"mtp.1.dosageevening\">0</td>\n                                        <td id=\"mtp.1.dosagenight\">0</td>\n                                        <td id=\"mtp.1.routecode\">oral</td>\n                                        <td id=\"mtp.1.note\"/>\n                                        <td id=\"mtp.1.datefromto\"/>\n                                        <td id=\"mtp.1.reason\">Bluthochdruck</td>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MedicationStatement/1-1-MedStatTriatec" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "MedicationDispense/1-2-MedDispTriatec" ]     ]
  ].

<http://test.fhir.ch/r4/Patient/MonikaWegmueller> a fhir:Patient;
  fhir:Resource.id [ fhir:value "MonikaWegmueller"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: MonikaWegmueller</p><p><b>identifier</b>: Medical record number: 11111111</p><p><b>name</b>: Monika Wegmüller </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1943-05-15</p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999" ];
     fhir:Identifier.value [ fhir:value "11111111" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Wegmüller" ];
     fhir:HumanName.given [
       fhir:value "Monika";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1943-05-15"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Wiesenstr. 12";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8003" ];
     fhir:Address.country [ fhir:value "CH" ]
  ].

<http://test.fhir.ch/r4/Practitioner/FamilienHausarzt> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "FamilienHausarzt"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: FamilienHausarzt</p><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000234438" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Hausarzt" ];
     fhir:HumanName.given [
       fhir:value "Familien";
       fhir:index 0     ]
  ].

<http://test.fhir.ch/r4/Organization/Hausarzt> a fhir:Organization;
  fhir:Resource.id [ fhir:value "Hausarzt"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: Hausarzt</p><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>telecom</b>: -unknown-</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000234438" ]
  ];
  fhir:Organization.name [ fhir:value "Hausarzt"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor" ];
       fhir:Extension.valueCode [ fhir:value "NI" ]     ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Krankenstrasse 2";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8005" ];
     fhir:Address.country [ fhir:value "CH" ]
  ].

<http://test.fhir.ch/r4/Organization/Custodian> a fhir:Organization;
  fhir:Resource.id [ fhir:value "Custodian"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: Custodian</p><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000234438" ]
  ];
  fhir:Organization.name [ fhir:value "Hausarzt"].

<http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient> a fhir:Patient;
  fhir:Resource.id [ fhir:value "MonikaWegmuellerRecipient"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: MonikaWegmuellerRecipient</p><p><b>name</b>: Monika Wegmüller </p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>"
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Wegmüller" ];
     fhir:HumanName.given [
       fhir:value "Monika";
       fhir:index 0     ]
  ];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Wiesenstr. 12";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8003" ];
     fhir:Address.country [ fhir:value "CH" ]
  ].

<http://test.fhir.ch/r4/MedicationStatement/1-1-MedStatTriatec> a fhir:MedicationStatement;
  fhir:Resource.id [ fhir:value "1-1-MedStatTriatec"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-1-MedStatTriatec</p><p><b>identifier</b>: id: urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med\"> </a></p><blockquote><p><b>id</b>: med</p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.51.1.1 7680538751228}\">TRIATEC Tabl 2.5 mg</span></p><p><b>form</b>: <span title=\"Codes: {urn:oid:0.4.0.127.0.16.1.1.2.1 10219000}\">Tablet</span></p><p><b>amount</b>: 20/1</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><span title=\"Codes: {http://snomed.info/sct 386872004}\">Ramipril</span></td><td>2.5 mg/1 1</td></tr></table></blockquote><p><b>subject</b>: <a href=\"#Patient_MonikaWegmueller\">See above (Patient/MonikaWegmueller)</a></p><p><b>reasonCode</b>: <span title=\"Codes: \">Bluthochdruck</span></p><p><b>note</b>: -</p><p><b>dosage</b>: , </p></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med" ];
     fhir:Medication.code [
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
         fhir:Extension.valueUrl [ fhir:value "#mtp.1.brandedmedication" ]       ];
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.51.1.1" ];
         fhir:Coding.code [ fhir:value "7680538751228" ];
         fhir:Coding.display [ fhir:value "TRIATEC Tabl 2.5 mg 20 Stk" ]       ];
       fhir:CodeableConcept.text [ fhir:value "TRIATEC Tabl 2.5 mg" ]     ];
     fhir:Medication.form [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:0.4.0.127.0.16.1.1.2.1" ];
         fhir:Coding.code [ fhir:value "10219000" ];
         fhir:Coding.display [ fhir:value "Tablet" ]       ]     ];
     fhir:Medication.amount [
       fhir:Ratio.numerator [
         fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ]       ];
       fhir:Ratio.denominator [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]       ]     ];
     fhir:Medication.ingredient [
       fhir:index 0;
       fhir:Medication.ingredient.itemCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:386872004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "386872004" ];
           fhir:Coding.display [ fhir:value "Ramipril (substance)" ]         ];
         fhir:CodeableConcept.text [ fhir:value "Ramipril" ]       ];
       fhir:Medication.ingredient.strength [
         fhir:Ratio.numerator [
           fhir:Quantity.value [ fhir:value "2.5"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg" ]         ];
         fhir:Ratio.denominator [
           fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "1" ]         ]       ]     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
     fhir:Extension.valueUrl [ fhir:value "#mtp.1" ]
  ];
  fhir:MedicationStatement.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478" ]
  ];
  fhir:MedicationStatement.status [ fhir:value "completed"];
  fhir:MedicationStatement.medicationReference [
     fhir:Reference.reference [ fhir:value "#med" ]
  ];
  fhir:MedicationStatement.subject [
     fhir:Reference.reference [ fhir:value "Patient/MonikaWegmueller" ]
  ];
  fhir:MedicationStatement.reasonCode [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
       fhir:Extension.valueUrl [ fhir:value "#mtp.1.reason" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Bluthochdruck" ]
  ];
  fhir:MedicationStatement.note [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
       fhir:Extension.valueUrl [ fhir:value "#mtp.1.note" ]     ];
     fhir:Annotation.text [ fhir:value "-" ]
  ];
  fhir:MedicationStatement.dosage [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dosagetype" ];
       fhir:Extension.valueIdentifier [
         fhir:Identifier.value [ fhir:value "1.3.6.1.4.1.19376.1.5.3.1.4.7.1" ]       ]     ];
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2011-11-29"^^xsd:date ]         ];
         fhir:Timing.repeat.when [
           fhir:value "ACM";
           fhir:index 0         ]       ]     ];
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:0.4.0.127.0.16.1.1.2.1" ];
         fhir:Coding.code [ fhir:value "20053000" ];
         fhir:Coding.display [ fhir:value "Oral use" ]       ]     ];
     fhir:Dosage.doseAndRate [
       fhir:index 0;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "0.5"^^xsd:decimal ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
       fhir:Extension.valueUrl [ fhir:value "#mtp.1.dosageintakemode" ]     ];
     fhir:Dosage.text [ fhir:value "Morgens 1/2 Tablette nehmen" ]
  ].

<http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec> a fhir:MedicationDispense;
  fhir:Resource.id [ fhir:value "1-2-MedDispTriatec"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-2-MedDispTriatec</p><p><b>identifier</b>: id: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"med\"> </a></p><blockquote><p><b>id</b>: med</p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.51.1.1 7680538751228}\">TRIATEC Tabl 2.5 mg</span></p><p><b>form</b>: <span title=\"Codes: {urn:oid:0.4.0.127.0.16.1.1.2.1 10219000}\">Tablet</span></p><p><b>amount</b>: 20/1</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><span title=\"Codes: {http://snomed.info/sct 386872004}\">Ramipril</span></td><td>2.5 mg/1 1</td></tr></table></blockquote><p><b>subject</b>: <a href=\"#Patient_MonikaWegmueller\">See above (Patient/MonikaWegmueller)</a></p><p><b>quantity</b>: 1</p><p><b>note</b>: -</p><p><b>dosageInstruction</b>: , </p><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>true</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution E}\">equivalent</span></td></tr></table></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Medication;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "med" ];
     fhir:Medication.code [
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
         fhir:Extension.valueUrl [ fhir:value "#dis.1.brandedmedication" ]       ];
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.51.1.1" ];
         fhir:Coding.code [ fhir:value "7680538751228" ];
         fhir:Coding.display [ fhir:value "TRIATEC Tabl 2.5 mg 20 Stk" ]       ];
       fhir:CodeableConcept.text [ fhir:value "TRIATEC Tabl 2.5 mg" ]     ];
     fhir:Medication.form [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:0.4.0.127.0.16.1.1.2.1" ];
         fhir:Coding.code [ fhir:value "10219000" ];
         fhir:Coding.display [ fhir:value "Tablet" ]       ]     ];
     fhir:Medication.amount [
       fhir:Ratio.numerator [
         fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ]       ];
       fhir:Ratio.denominator [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]       ]     ];
     fhir:Medication.ingredient [
       fhir:index 0;
       fhir:Medication.ingredient.itemCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:386872004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "386872004" ];
           fhir:Coding.display [ fhir:value "Ramipril (substance)" ]         ];
         fhir:CodeableConcept.text [ fhir:value "Ramipril" ]       ];
       fhir:Medication.ingredient.strength [
         fhir:Ratio.numerator [
           fhir:Quantity.value [ fhir:value "2.5"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "mg" ]         ];
         fhir:Ratio.denominator [
           fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
           fhir:Quantity.unit [ fhir:value "1" ]         ]       ]     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ];
     fhir:Extension.valueUrl [ fhir:value "#mtp.1" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "id" ];
       fhir:Extension.valueIdentifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "externalDocumentId" ];
       fhir:Extension.valueIdentifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478" ]       ]     ]
  ];
  fhir:MedicationDispense.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77" ]
  ];
  fhir:MedicationDispense.status [ fhir:value "completed"];
  fhir:MedicationDispense.medicationReference [
     fhir:Reference.reference [ fhir:value "#med" ]
  ];
  fhir:MedicationDispense.subject [
     fhir:Reference.reference [ fhir:value "Patient/MonikaWegmueller" ]
  ];
  fhir:MedicationDispense.quantity [
     fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
  ];
  fhir:MedicationDispense.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "-" ]
  ];
  fhir:MedicationDispense.dosageInstruction [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dosagetype" ];
       fhir:Extension.valueIdentifier [
         fhir:Identifier.value [ fhir:value "1.3.6.1.4.1.19376.1.5.3.1.4.7.1" ]       ]     ];
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2011-11-29"^^xsd:date ]         ];
         fhir:Timing.repeat.when [
           fhir:value "ACM";
           fhir:index 0         ]       ]     ];
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:0.4.0.127.0.16.1.1.2.1" ];
         fhir:Coding.code [ fhir:value "20053000" ];
         fhir:Coding.display [ fhir:value "Oral use" ]       ]     ];
     fhir:Dosage.doseAndRate [
       fhir:index 0;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "0.5"^^xsd:decimal ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Dosage.text [ fhir:value "Morgens 1/2 Tablette nehmen" ]
  ];
  fhir:MedicationDispense.substitution [
     fhir:MedicationDispense.substitution.wasSubstituted [ fhir:value "true"^^xsd:boolean ];
     fhir:MedicationDispense.substitution.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution" ];
         fhir:Coding.code [ fhir:value "E" ];
         fhir:Coding.display [ fhir:value "equivalent" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.