CH EMED (R4)
4.0.1 - trial-use Switzerland flag

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

: Pharmaceutical Advice document to change the dosage - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="PharmaceuticalAdvice-ChangeDosage"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-pharmaceuticaladvice"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2012-02-04T14:00:00+01:00"/>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Composition/Comp-ChangeDosage"/>
    <resource>
      <Composition>
        <id value="Comp-ChangeDosage"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-pharmaceuticaladvice"/>
        </meta>
        <language value="de-CH"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p><b>Generated Narrative: Composition</b><a name="Comp-ChangeDosage"> </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;Comp-ChangeDosage&quot;  (Language &quot;de-CH&quot;) </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-composition-pharmaceuticaladvice.html">CH EMED Pharmaceutical Advice Composition</a></p></div><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5</p><p><b>status</b>: final</p><p><b>type</b>: Medication pharmaceutical advice.extended Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#61356-2; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#419891008 &quot;Record artifact (record artifact)&quot;)</span></p><p><b>date</b>: 2012-02-04 14:00:00+0100</p><p><b>author</b>: <a href="#PractitionerRole_FamilienHausarztAtHausarzt">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></p><p><b>title</b>: Kommentar zur Medikation</p><p><b>confidentiality</b>: N</p></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61356-2"/>
            <display
                     value="Medication pharmaceutical advice.extended Document"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="419891008"/>
            <display value="Record artifact (record artifact)"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <date value="2012-02-04T14:00:00+01:00"/>
        <author>🔗 
          <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
        </author>
        <title value="Kommentar zur Medikation"/>
        <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="Hinweise zur Medikation"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="61357-0"/>
              <display
                       value="Medication pharmaceutical advice.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>Dos.Morgen</th><th>Dos.Mittag</th><th>Dos.Abend</th><th>Dos.Nacht</th><th>Verabreichungsweg</th><th>Anwendungsdauer</th><th>Behandlungsgrund</th><th>Kommentar</th></tr></thead><tbody><tr id="padv.1"><td id="padv.1.brandedmedication">Triatec</td><td id="padv.1.ingredient">Ramipril</td><td id="padv.1.packageform">Tbl</td><td id="padv.1.dosequantity">2.5 mg</td><td id="padv.1.dosagemorning">1</td><td id="padv.1.dosagelunch">0</td><td id="padv.1.dosageevening">0</td><td id="padv.1.dosagenight">0</td><td id="padv.1.routecode">oral</td><td id="padv.1.datefromto"/><td id="padv.1.reason">Bluthochdruck</td><td id="padv.1.note">Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</td></tr></tbody></table></div>
          </text>
          <entry>🔗 
            <reference value="Observation/Obs-ChangeDosage"/>
          </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"><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: 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"><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>
        </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"><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: 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"><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: 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/Observation/Obs-ChangeDosage"/>
    <resource>
      <Observation>
        <id value="Obs-ChangeDosage"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-observation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="Obs-ChangeDosage"> </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 Observation &quot;Obs-ChangeDosage&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-observation.html">CH EMED Observation (PADV)</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: <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: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p></blockquote><p><b>CH EMED Extension MedicationStatement Changed</b>: <a href="#MedicationStatement_MedStatTriatec-ChangeDosage">See above (MedicationStatement/MedStatTriatec-ChangeDosage)</a></p><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5</p><p><b>status</b>: final</p><p><b>code</b>: CHANGE <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ihe-pharmaceuticaladvicestatuslist.html">IHE Pharmaceutical Advice Status List</a>#CHANGE)</span></p><p><b>subject</b>: <a href="#Patient_MonikaWegmueller">See above (Patient/MonikaWegmueller)</a></p><p><b>effective</b>: 2012-02-04 14:00:00+0100</p><p><b>issued</b>: 4 Feb 2012, 14:00:00</p><p><b>performer</b>: <a href="#PractitionerRole_FamilienHausarztAtHausarzt">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></p><p><b>note</b>: Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</p></div>
        </text>
        <extension
                   url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan">
          <extension url="id">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
            </valueIdentifier>
          </extension>
          <extension url="externalDocumentId">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
            </valueIdentifier>
          </extension>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed">
          <valueReference>🔗 
            <reference
                       value="MedicationStatement/MedStatTriatec-ChangeDosage"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:oid:1.3.6.1.4.1.19376.1.9.2.1"/>
            <code value="CHANGE"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <effectiveDateTime value="2012-02-04T14:00:00+01:00"/>
        <issued value="2012-02-04T14:00:00+01:00"/>
        <performer>🔗 
          <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
        </performer>
        <note>
          <text
                value="Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette"/>
        </note>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/MedicationStatement/MedStatTriatec-ChangeDosage"/>
    <resource>
      <MedicationStatement>
        <id value="MedStatTriatec-ChangeDosage"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement-changed"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationStatement</b><a name="MedStatTriatec-ChangeDosage"> </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 MedicationStatement &quot;MedStatTriatec-ChangeDosage&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-medicationstatement-changed.html">CH EMED MedicationStatement Changed</a></p></div><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><p><b>partOf</b>: <a href="#Observation_Obs-ChangeDosage">See above (Observation/Obs-ChangeDosage)</a></p><p><b>status</b>: active</p><p><b>medication</b>: <a name="Amlodipin"> </a></p><blockquote><p/><p><a name="Amlodipin"> </a></p><p><b>code</b>: AMLODIPIN Spirig HC Tabl 10 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680588620079)</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>: 30 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>Amlodipine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#386864001 &quot;Amlodipine (substance)&quot;)</span></td><td>10 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><p><b>subject</b>: <a href="#Patient_MonikaWegmueller">See above (Patient/MonikaWegmueller)</a></p><p><b>dateAsserted</b>: 2012-02-04 14:00:00+0100</p><p><b>informationSource</b>: <a href="#PractitionerRole_FamilienHausarztAtHausarzt">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></p><p><b>reasonCode</b>: Bluthochdruck <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><blockquote><p><b>dosage</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><hr/><blockquote><p><b>Generated Narrative: Medication #Amlodipin</b><a name="Amlodipin"> </a></p><p><b>code</b>: AMLODIPIN Spirig HC Tabl 10 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680588620079)</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>: 30 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>Amlodipine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#386864001 &quot;Amlodipine (substance)&quot;)</span></td><td>10 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>
        </text>
        <contained>
          <Medication>
            <id value="Amlodipin"/>
            <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="7680588620079"/>
                <display value="AMLODIPIN Spirig HC Tabl 10 mg"/>
              </coding>
              <text value="AMLODIPIN Spirig HC Tabl 10 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="30"/>
                <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="386864001"/>
                  <display value="Amlodipine (substance)"/>
                </coding>
                <text value="Amlodipine"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="10"/>
                  <unit value="milligram"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Tablet (unit of presentation)"/>
                  <system value="http://snomed.info/sct"/>
                  <code value="732936001"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </contained>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
        </identifier>
        <partOf>🔗 
          <reference value="Observation/Obs-ChangeDosage"/>
        </partOf>
        <status value="active"/>
        <medicationReference>
          <reference value="#Amlodipin"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <dateAsserted value="2012-02-04T14:00:00+01:00"/>
        <informationSource>🔗 
          <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
        </informationSource>
        <reasonCode>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
            <valueUrl value="#padv.1.reason"/>
          </extension>
          <text value="Bluthochdruck"/>
        </reasonCode>
        <dosage>
          <patientInstruction value="-"/>
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2011-11-29"/>
              </boundsPeriod>
              <when value="MORN"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
              <code value="20053000"/>
              <display value="Oral use"/>
            </coding>
            <text value="zum Einnehmen"/>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="1"/>
              <unit value="Tablet (unit of presentation)"/>
              <system value="http://snomed.info/sct"/>
              <code value="732936001"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
</Bundle>