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
{
"resourceType" : "Bundle",
"id" : "DocumentPreParacetamolAxapharmCARAPMP004",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-document-medicationprescription"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:e0c06f3c-1b63-468a-9c46-e800d39b6a15"
},
"type" : "document",
"timestamp" : "2023-10-01T00:00:00+02:00",
"entry" : [
{
"fullUrl" : "urn:uuid:e0c06f3c-1b63-468a-9c46-e800d39b6a15",
"resource" : {
"resourceType" : "Composition",
"id" : "CompositionPreParacetamolAxapharmCARAPMP004",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationprescription"
]
},
"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=\"CompositionPreParacetamolAxapharmCARAPMP004\"> </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 "CompositionPreParacetamolAxapharmCARAPMP004" (Language "fr-CH") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-composition-medicationprescription.html\">PRE 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:e0c06f3c-1b63-468a-9c46-e800d39b6a15</p><p><b>status</b>: final</p><p><b>type</b>: Medicinal prescription record (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#761938008; <a href=\"https://loinc.org/\">LOINC</a>#57833-6 "Prescription for medication")</span></p><p><b>date</b>: 2023-10-01 00:00:00+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>: Ordonnance</p><p><b>confidentiality</b>: N</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:e0c06f3c-1b63-468a-9c46-e800d39b6a15"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "761938008",
"display" : "Medicinal prescription record (record artifact)"
},
{
"system" : "http://loinc.org",
"code" : "57833-6",
"display" : "Prescription for medication"
}
]
},
"subject" : {
"reference" : "urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a"
},
"date" : "2023-10-01T00:00:00+02:00",
"author" : [
{
"reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
}
],
"title" : "Ordonnance",
"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" : "Prescription médicamenteuse",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57828-6",
"display" : "Prescription list"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">L'ordonnance #1 pour paracétamol Axapharm comprimé 1g - 1 comprimé MATIN MIDI SOIR - à prendre avec des repas</div>"
},
"entry" : [
{
"reference" : "urn:uuid:ac8ad5cd-aa46-49d6-a5ec-fbc48a9287b4"
}
]
},
{
"title" : "Représentation originale",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55108-5",
"display" : "Clinical presentation Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder original representation of a prescription: not a valid binary</div>"
},
"entry" : [
{
"reference" : "urn:uuid:a4f624e3-fa5a-4889-9bd1-821c8fefff60"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientCARAPMP004",
"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=\"PatientCARAPMP004\"> </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 "PatientCARAPMP004" </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:\u00a09b00e81e-1165-4039-9d60-698ef838ae1a\u00a0(use:\u00a0OFFICIAL), Medical record number:\u00a0CARAPMP004\u00a0(use:\u00a0SECONDARY)</p><p><b>active</b>: true</p><p><b>name</b>: Michaël Christopher Karce </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1973-12-25</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:2.16.756.5.30.1.191.1.0.2.1",
"value" : "9b00e81e-1165-4039-9d60-698ef838ae1a"
},
{
"use" : "secondary",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:2.16.756.5.30.1.196.3.2.1",
"value" : "CARAPMP004"
}
],
"active" : true,
"name" : [
{
"family" : "Karce",
"given" : [
"Michaël Christopher"
]
}
],
"gender" : "male",
"birthDate" : "1973-12-25"
}
},
{
"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 "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:\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 "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>"
},
"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 "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:\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:ac8ad5cd-aa46-49d6-a5ec-fbc48a9287b4",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "MedicationRequestParacetamolAxapharmPre",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationrequest"
]
},
"language" : "fr-CH",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-CH\" lang=\"fr-CH\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"MedicationRequestParacetamolAxapharmPre\"> </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 MedicationRequest "MedicationRequestParacetamolAxapharmPre" (Language "fr-CH") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-medicationrequest.html\">PRE MedicationRequest</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:17837392-0340-414d-a3bf-fa9f237b91ff</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:0399ef84-c71b-413b-8a66-b5a835f4f4c5</p></blockquote><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:ac8ad5cd-aa46-49d6-a5ec-fbc48a9287b4</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"MedicationParacetamolAxapharm\"> </a></p><blockquote><p/><p><a name=\"MedicationParacetamolAxapharm\"> </a></p><p><b>code</b>: PARACETAMOL Axapharm cpr pell 1g <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680669830045 "PARACETAMOL Axapharm cpr pell 1g blister 20pce"; <a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-WC.html\">WHO ATC</a>#N02BE01 "paracetamol")</span></p><p><b>form</b>: Comprimé pelliculé <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>#10221000)</span></p><p><b>amount</b>: 20 comprimé<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 plaquette<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732984005 = 'Blister (unit of presentation)')</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>Paracétamol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387517004 "Paracetamol (substance)")</span></td><td>true</td><td>1 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/1 comprimé<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_PatientCARAPMP004\">See above (urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a)</a></p><p><b>authoredOn</b>: 2023-10-01 00:00:00+0200</p><p><b>requester</b>: <a href=\"#PractitionerRole_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>additionalInstruction</b>: À prendre pendant les repas <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000 "With or after food")</span></p><p><b>patientInstruction</b>: À prendre pendant les repas avec de l'eau</p><p><b>timing</b>: Starting 2023-10-01, , ?ngen-6?, ?ngen-6?, ?ngen-6?, Until 2024-01-05</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 #MedicationParacetamolAxapharm</b><a name=\"MedicationParacetamolAxapharm\"> </a></p><p><b>code</b>: PARACETAMOL Axapharm cpr pell 1g <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680669830045 "PARACETAMOL Axapharm cpr pell 1g blister 20pce"; <a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-WC.html\">WHO ATC</a>#N02BE01 "paracetamol")</span></p><p><b>form</b>: Comprimé pelliculé <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>#10221000)</span></p><p><b>amount</b>: 20 comprimé<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 plaquette<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732984005 = 'Blister (unit of presentation)')</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>Paracétamol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387517004 "Paracetamol (substance)")</span></td><td>true</td><td>1 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g = 'g')</span>/1 comprimé<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "MedicationParacetamolAxapharm",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication"
]
},
"language" : "fr-CH",
"code" : {
"coding" : [
{
"system" : "urn:oid:2.51.1.1",
"code" : "7680669830045",
"display" : "PARACETAMOL Axapharm cpr pell 1g blister 20pce"
},
{
"system" : "http://www.whocc.no/atc",
"code" : "N02BE01",
"display" : "paracetamol"
}
],
"text" : "PARACETAMOL Axapharm cpr pell 1g"
},
"form" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "10221000",
"display" : "Comprimé pelliculé"
}
],
"text" : "Comprimé pelliculé"
},
"amount" : {
"numerator" : {
"value" : 20,
"unit" : "comprimé",
"system" : "http://snomed.info/sct",
"code" : "732936001"
},
"denominator" : {
"value" : 1,
"unit" : "plaquette",
"system" : "http://snomed.info/sct",
"code" : "732984005"
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "387517004",
"display" : "Paracetamol (substance)"
}
],
"text" : "Paracétamol"
},
"isActive" : true,
"strength" : {
"numerator" : {
"value" : 1,
"unit" : "g",
"system" : "http://unitsofmeasure.org",
"code" : "g"
},
"denominator" : {
"value" : 1,
"unit" : "comprimé",
"system" : "http://snomed.info/sct",
"code" : "732936001"
}
}
}
]
}
],
"extension" : [
{
"extension" : [
{
"url" : "id",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:17837392-0340-414d-a3bf-fa9f237b91ff"
}
},
{
"url" : "externalDocumentId",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0399ef84-c71b-413b-8a66-b5a835f4f4c5"
}
}
],
"url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"
}
],
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:ac8ad5cd-aa46-49d6-a5ec-fbc48a9287b4"
}
],
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "#MedicationParacetamolAxapharm"
},
"subject" : {
"reference" : "urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a"
},
"authoredOn" : "2023-10-01T00:00:00+02:00",
"requester" : {
"reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
},
"dosageInstruction" : [
{
"additionalInstruction" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}
],
"text" : "À prendre pendant les repas"
}
],
"patientInstruction" : "À prendre pendant les repas avec de l'eau",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2023-10-01",
"end" : "2024-01-05"
},
"when" : [
"MORN",
"NOON",
"EVE"
]
}
},
"route" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "20053000",
"display" : "Oral use"
}
],
"text" : "À avaler"
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "comprimé",
"system" : "http://snomed.info/sct",
"code" : "732936001"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:a4f624e3-fa5a-4889-9bd1-821c8fefff60",
"resource" : {
"resourceType" : "Binary",
"id" : "original-representation-pdf",
"contentType" : "application/pdf"
}
}
]
}