CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
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
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<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-document-pharmaceuticaladvice"/>
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<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:293bf5b1-f663-4914-8080-4e33aa54b909"/>
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<type value="document"/>
<timestamp value="2023-04-11T12:00:00+02:00"/>
<entry>
<fullUrl value="urn:uuid:293bf5b1-f663-4914-8080-4e33aa54b909"/>
<resource>
<Composition>
<id value="CompositionPadv1"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-pharmaceuticaladvice"/>
</meta>
<language value="fr-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-CH" lang="fr-CH"><p><b>Generated Narrative: Composition</b><a name="CompositionPadv1"> </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 "CompositionPadv1" (Language "fr-CH") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-epr-composition-pharmaceuticaladvice.html">PADV Composition</a></p></div><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:293bf5b1-f663-4914-8080-4e33aa54b909</p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#419891008; <a href="https://loinc.org/">LOINC</a>#61356-2 "Medication pharmaceutical advice.extended Document")</span></p><p><b>date</b>: 2023-04-11 12:00:00+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>: Commentaire relatif à la médication</p><p><b>confidentiality</b>: N</p></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:293bf5b1-f663-4914-8080-4e33aa54b909"/>
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<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419891008"/>
<display value="Record artifact (record artifact)"/>
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<coding>
<system value="http://loinc.org"/>
<code value="61356-2"/>
<display
value="Medication pharmaceutical advice.extended Document"/>
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</type>
<subject>
<reference value="urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"/>
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<date value="2023-04-11T12:00:00+02:00"/>
<author>
<reference value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
</author>
<title value="Commentaire relatif à la médication"/>
<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)"/>
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</confidentiality>
<section>
<title value="Conseils sur les médicaments"/>
<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">Changement concernant le traitement #1.</div>
</text>
<entry>
<reference value="urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"/>
<resource>
<Patient>
<id value="PatientDupont"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient"/>
</meta>
<text>
<status value="generated"/>
<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 "PatientDupont" </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: 11111111</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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
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</type>
<system value="urn:oid:2.999.1"/>
<value value="11111111"/>
</identifier>
<name>
<family value="Dupont"/>
<given value="Jeanne"/>
</name>
<gender value="female"/>
<birthDate value="1972-08-07"/>
<address>
<line value="Wiesenstr. 12"/>
<city value="Zürich"/>
<postalCode value="8003"/>
<country value="CH"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf"/>
<resource>
<Practitioner>
<id value="PractitionerCox"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner"/>
</meta>
<text>
<status value="generated"/>
<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 "PractitionerCox" </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: 7601000234438</p><p><b>name</b>: Perry Cox </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name>
<family value="Cox"/>
<given value="Perry"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
<resource>
<PractitionerRole>
<id value="PractitionerRoleCoxAtHug"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<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 "PractitionerRoleCoxAtHug" </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>
</text>
<practitioner>
<reference value="urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf"/>
</practitioner>
<organization>
<reference value="urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6"/>
<resource>
<Organization>
<id value="OrganizationHug"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization"/>
</meta>
<text>
<status value="generated"/>
<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 "OrganizationHug" </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: 7601000234438</p><p><b>name</b>: Hôpitaux universitaires de Genève</p><p><b>address</b>: Rue Gabrielle-Perret-Gentil 4 Genève 1205 CH </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name value="Hôpitaux universitaires de Genève"/>
<address>
<line value="Rue Gabrielle-Perret-Gentil 4"/>
<city value="Genève"/>
<postalCode value="1205"/>
<country value="CH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330"/>
<resource>
<Observation>
<id value="ObservationTriatecPadv"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="ObservationTriatecPadv"> </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 "ObservationTriatecPadv" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-epr-observation.html">PADV Observation</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:41b97645-e263-47c2-8d96-79da451a33f2</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:24c84eef-f9db-4710-8f6c-2d342ad3ac2d</p></blockquote><p><b>CH EMED Extension MedicationStatement Changed</b>: <a href="#MedicationStatement_MedicationStatementTriatecPadv">See above (urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2)</a></p><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330</p><p><b>status</b>: final</p><p><b>code</b>: CHANGE <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-ihe-pharmaceuticaladvicestatuslist.html">IHE Pharmaceutical Advice Status List</a>#CHANGE)</span></p><p><b>subject</b>: <a href="#Patient_PatientDupont">See above (urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3)</a></p><p><b>issued</b>: 11 Apr 2023, 12:00:00</p><p><b>performer</b>: <a href="#PractitionerRole_PractitionerRoleCoxAtHug">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><p><b>note</b>: Changed intake to range 0.5-1 tablets after discussion with patient.</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:41b97645-e263-47c2-8d96-79da451a33f2"/>
</valueIdentifier>
</extension>
<extension url="externalDocumentId">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:24c84eef-f9db-4710-8f6c-2d342ad3ac2d"/>
</valueIdentifier>
</extension>
</extension>
<extension
url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed">
<valueReference>
<reference value="urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"/>
</valueReference>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330"/>
</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="urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"/>
</subject>
<issued value="2023-04-11T12:00:00+02:00"/>
<performer>
<reference value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
</performer>
<note>
<text
value="Changed intake to range 0.5-1 tablets after discussion with patient."/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"/>
<resource>
<MedicationStatement>
<id value="MedicationStatementTriatecPadv"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-changed"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationStatement</b><a name="MedicationStatementTriatecPadv"> </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 "MedicationStatementTriatecPadv" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-epr-medicationstatement-changed.html">PADV Changed MedicationStatement</a></p></div><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2</p><p><b>partOf</b>: <a href="#Observation_ObservationTriatecPadv">See above (urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330)</a></p><p><b>status</b>: active</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 "TRIATEC Tabl 2.5 mg 20 Stk")</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 "Ramipril (substance)")</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><p><b>subject</b>: <a href="#Patient_PatientDupont">See above (urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3)</a></p><p><b>dateAsserted</b>: 2023-04-11</p><p><b>informationSource</b>: <a href="#PractitionerRole_PractitionerRoleCoxAtHug">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><blockquote><p><b>dosage</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 "Oral use")</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 "TRIATEC Tabl 2.5 mg 20 Stk")</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 "Ramipril (substance)")</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>
</text>
<contained>
<Medication>
<id value="MedicationTriatec"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.51.1.1"/>
<code value="7680538751228"/>
<display value="TRIATEC Tabl 2.5 mg 20 Stk"/>
</coding>
<text value="TRIATEC Tabl 2.5 mg"/>
</code>
<form>
<coding>
<system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
<code value="10219000"/>
<display value="Tablet"/>
</coding>
<text value="Tablet"/>
</form>
<amount>
<numerator>
<value value="20"/>
<unit value="Tablet (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="Package"/>
<system value="http://snomed.info/sct"/>
<code value="1681000175101"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="386872004"/>
<display value="Ramipril (substance)"/>
</coding>
<text value="Ramipril"/>
</itemCodeableConcept>
<isActive value="true"/>
<strength>
<numerator>
<value value="2.5"/>
<unit value="milligram"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="Tablet"/>
<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:41b97645-e263-47c2-8d96-79da451a33f2"/>
</identifier>
<partOf>
<reference value="urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330"/>
</partOf>
<status value="active"/>
<medicationReference>
<reference value="#MedicationTriatec"/>
</medicationReference>
<subject>
<reference value="urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"/>
</subject>
<dateAsserted value="2023-04-11"/>
<informationSource>
<reference value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
</informationSource>
<dosage>
<patientInstruction value="À prendre avec de l'eau"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2023-04-11"/>
</boundsPeriod>
<when value="NOON"/>
</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="À avaler"/>
</route>
<doseAndRate>
<doseRange>
<low>
<value value="0.5"/>
<unit value="Tablet (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</low>
<high>
<value value="1"/>
<unit value="Tablet (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</high>
</doseRange>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
</Bundle>