CH EMED EPR
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This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) 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

: Bundle: DIS 1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "DocumentDis1",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:49ed45e9-f7b6-4854-a234-56bf744e9026"
  },
  "type" : "document",
  "timestamp" : "2023-04-15T09:00:00+02:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:49ed45e9-f7b6-4854-a234-56bf744e9026",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "CompositionDis1",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationdispense"
          ]
        },
        "language" : "fr-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-CH\" lang=\"fr-CH\"><p><b>Generated Narrative: Composition</b><a name=\"CompositionDis1\"> </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;CompositionDis1&quot;  (Language &quot;fr-CH&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-composition-medicationdispense.html\">DIS 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:49ed45e9-f7b6-4854-a234-56bf744e9026</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>: 2023-04-15 09:00:00+0200</p><p><b>author</b>: <a href=\"#PractitionerRole_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><p><b>title</b>: Remise</p><p><b>confidentiality</b>: N</p></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:49ed45e9-f7b6-4854-a234-56bf744e9026"
        },
        "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" : "urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"
        },
        "date" : "2023-04-15T09:00:00+02:00",
        "author" : [
          {
            "reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
          }
        ],
        "title" : "Remise",
        "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" : "Dispensation d'un médicament",
            "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\">La dispensation #1</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:73bc6454-5514-4a6d-a24c-7d9546f873a9"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "PatientDupont",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"PatientDupont\"> </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;PatientDupont&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-patient.html\">CH EMED EPR Patient</a></p></div><p><b>identifier</b>: Medical record number:\u00a011111111</p><p><b>name</b>: Jeanne Dupont </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1972-08-07</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" : "Dupont",
            "given" : [
              "Jeanne"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1972-08-07",
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PractitionerCox",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"PractitionerCox\"> </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;PractitionerCox&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-practitioner.html\">CH EMED EPR Practitioner</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</p><p><b>name</b>: Perry Cox </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : [
          {
            "family" : "Cox",
            "given" : [
              "Perry"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PractitionerRoleCoxAtHug",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"PractitionerRoleCoxAtHug\"> </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;PractitionerRoleCoxAtHug&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-practitionerrole.html\">CH EMED EPR PractitionerRole</a></p></div><p><b>practitioner</b>: <a href=\"#Practitioner_PractitionerCox\">See above (urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf)</a></p><p><b>organization</b>: <a href=\"#Organization_OrganizationHug\">See above (urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf"
        },
        "organization" : {
          "reference" : "urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "OrganizationHug",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"OrganizationHug\"> </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;OrganizationHug&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-organization.html\">CH EMED EPR Organization</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</p><p><b>name</b>: Hôpitaux universitaires de Genève</p><p><b>address</b>: Rue Gabrielle-Perret-Gentil 4 Genève 1205 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hôpitaux universitaires de Genève",
        "address" : [
          {
            "line" : [
              "Rue Gabrielle-Perret-Gentil 4"
            ],
            "city" : "Genève",
            "postalCode" : "1205",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:73bc6454-5514-4a6d-a24c-7d9546f873a9",
      "resource" : {
        "resourceType" : "MedicationDispense",
        "id" : "MedicationDispenseTriatecDis",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationdispense"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"MedicationDispenseTriatecDis\"> </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;MedicationDispenseTriatecDis&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-medicationdispense.html\">DIS MedicationDispense</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:41b97645-e263-47c2-8d96-79da451a33f2</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:24c84eef-f9db-4710-8f6c-2d342ad3ac2d</p></blockquote><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:73bc6454-5514-4a6d-a24c-7d9546f873a9</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"MedicationTriatec\"> </a></p><blockquote><p/><p><a name=\"MedicationTriatec\"> </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>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</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<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>IsActive</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>true</td><td>2.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><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_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></td></tr></table><p><b>quantity</b>: 1 Package<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><p><b>whenHandedOver</b>: 2023-04-15</p><blockquote><p><b>dosageInstruction</b></p><p><b>patientInstruction</b>: À prendre avec de l'eau</p><p><b>timing</b>: Starting 2023-04-11, , ?ngen-6?</p><p><b>route</b>: À avaler <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/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 #MedicationTriatec</b><a name=\"MedicationTriatec\"> </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>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</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<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>IsActive</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>true</td><td>2.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "MedicationTriatec",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-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" : "Tablet"
            },
            "amount" : {
              "numerator" : {
                "value" : 20,
                "unit" : "Tablet (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732936001"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Package",
                "system" : "http://snomed.info/sct",
                "code" : "1681000175101"
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "386872004",
                      "display" : "Ramipril (substance)"
                    }
                  ],
                  "text" : "Ramipril"
                },
                "isActive" : true,
                "strength" : {
                  "numerator" : {
                    "value" : 2.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  }
                }
              }
            ]
          }
        ],
        "extension" : [
          {
            "extension" : [
              {
                "url" : "id",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"
                }
              },
              {
                "url" : "externalDocumentId",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:24c84eef-f9db-4710-8f6c-2d342ad3ac2d"
                }
              }
            ],
            "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:73bc6454-5514-4a6d-a24c-7d9546f873a9"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#MedicationTriatec"
        },
        "performer" : [
          {
            "actor" : {
              "reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
            }
          }
        ],
        "quantity" : {
          "value" : 1,
          "unit" : "Package",
          "system" : "http://snomed.info/sct",
          "code" : "1681000175101"
        },
        "whenHandedOver" : "2023-04-15",
        "dosageInstruction" : [
          {
            "patientInstruction" : "À prendre avec de l'eau",
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2023-04-11"
                },
                "when" : [
                  "NOON"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ],
              "text" : "À avaler"
            },
            "doseAndRate" : [
              {
                "doseRange" : {
                  "low" : {
                    "value" : 0.5,
                    "unit" : "Tablet (unit of presentation)",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  },
                  "high" : {
                    "value" : 1,
                    "unit" : "Tablet (unit of presentation)",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  }
                }
              }
            ]
          }
        ]
      }
    }
  ]
}