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
<Bundle xmlns="http://hl7.org/fhir">
<id value="DocumentPreParacetamolDafalganCARAPMP004"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-document-medicationprescription"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:31b60b8f-e15d-42ce-9558-57fde055da7a"/>
</identifier>
<type value="document"/>
<timestamp value="2023-11-04T12:00:00+02:00"/>
<entry>
<fullUrl value="urn:uuid:31b60b8f-e15d-42ce-9558-57fde055da7a"/>
<resource>
<Composition>
<id value="CompositionPreParacetamolDafalganCARAPMP004"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationprescription"/>
</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="CompositionPreParacetamolDafalganCARAPMP004"> </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 "CompositionPreParacetamolDafalganCARAPMP004" (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: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:31b60b8f-e15d-42ce-9558-57fde055da7a</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>: 2023-11-04 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>: Ordonnance</p><p><b>confidentiality</b>: N</p></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:31b60b8f-e15d-42ce-9558-57fde055da7a"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="761938008"/>
<display value="Medicinal prescription record (record artifact)"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="57833-6"/>
<display value="Prescription for medication"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a"/>
</subject>
<date value="2023-11-04T12:00:00+02:00"/>
<author>
<reference value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
</author>
<title value="Ordonnance"/>
<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="Prescription médicamenteuse"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57828-6"/>
<display value="Prescription list"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">L'ordonnance #2 pour paracétamol Dafalgan comprimé effervescent 500mg - 2 comprimé MATIN SOIR - à prendre avec des repas</div>
</text>
<entry>
<reference value="urn:uuid:b1a6484b-d984-4aa0-adee-8f426b50b991"/>
</entry>
</section>
<section>
<title value="Représentation originale"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55108-5"/>
<display value="Clinical presentation Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Placeholder original representation of a prescription: not a valid binary</div>
</text>
<entry>
<reference value="urn:uuid:ecaae02c-9311-47c0-9af3-f7059c6ccd77"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a"/>
<resource>
<Patient>
<id value="PatientCARAPMP004"/>
<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="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: 9b00e81e-1165-4039-9d60-698ef838ae1a (use: OFFICIAL), Medical record number: CARAPMP004 (use: SECONDARY)</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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30.1.191.1.0.2.1"/>
<value value="9b00e81e-1165-4039-9d60-698ef838ae1a"/>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30.1.196.3.2.1"/>
<value value="CARAPMP004"/>
</identifier>
<active value="true"/>
<name>
<family value="Karce"/>
<given value="Michaël Christopher"/>
</name>
<gender value="male"/>
<birthDate value="1973-12-25"/>
</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:b1a6484b-d984-4aa0-adee-8f426b50b991"/>
<resource>
<MedicationRequest>
<id value="MedicationRequestDafalganEffPre"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationrequest"/>
</meta>
<language value="fr-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-CH" lang="fr-CH"><p><b>Generated Narrative: MedicationRequest</b><a name="MedicationRequestDafalganEffPre"> </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 "MedicationRequestDafalganEffPre" (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: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:819febad-dc65-4548-a739-00d1b305c265</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:7062399b-61f2-4fb1-b6ba-415c7b6939bc</p></blockquote><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:b1a6484b-d984-4aa0-adee-8f426b50b991</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name="MedicationParacetamolDafalganEff"> </a></p><blockquote><p/><p><a name="MedicationParacetamolDafalganEff"> </a></p><p><b>code</b>: DAFALGAN cpr eff 500mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680475030011; <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 effervescent <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>#10222000)</span></p><p><b>amount</b>: 40 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>500 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</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>: 2023-11-04 12:00:00+0200</p><p><b>requester</b>: <a href="#PractitionerRole_PractitionerRoleCoxAtHug">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><p><b>note</b>: Difficulté à prendre le comprimé pelliculé, substitution par un comprimé effervescent.</p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Starting 2023-10-04, , ?ngen-6?, ?ngen-6?, Until 2024-02-10</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 #MedicationParacetamolDafalganEff</b><a name="MedicationParacetamolDafalganEff"> </a></p><p><b>code</b>: DAFALGAN cpr eff 500mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680475030011; <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 effervescent <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>#10222000)</span></p><p><b>amount</b>: 40 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>500 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 comprimé<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>
</text>
<contained>
<Medication>
<id value="MedicationParacetamolDafalganEff"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication"/>
</meta>
<language value="fr-CH"/>
<code>
<coding>
<system value="urn:oid:2.51.1.1"/>
<code value="7680475030011"/>
<display value="DAFALGAN cpr eff 500mg"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="N02BE01"/>
<display value="paracetamol"/>
</coding>
<text value="DAFALGAN cpr eff 500mg"/>
</code>
<form>
<coding>
<system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
<code value="10222000"/>
<display value="Comprimé effervescent"/>
</coding>
<text value="Comprimé effervescent"/>
</form>
<amount>
<numerator>
<value value="40"/>
<unit value="comprimé"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="plaquette"/>
<system value="http://snomed.info/sct"/>
<code value="732984005"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387517004"/>
<display value="Paracetamol (substance)"/>
</coding>
<text value="Paracétamol"/>
</itemCodeableConcept>
<isActive value="true"/>
<strength>
<numerator>
<value value="500"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="comprimé"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</denominator>
</strength>
</ingredient>
</Medication>
</contained>
<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:819febad-dc65-4548-a739-00d1b305c265"/>
</valueIdentifier>
</extension>
<extension url="externalDocumentId">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:7062399b-61f2-4fb1-b6ba-415c7b6939bc"/>
</valueIdentifier>
</extension>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b1a6484b-d984-4aa0-adee-8f426b50b991"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="#MedicationParacetamolDafalganEff"/>
</medicationReference>
<subject>
<reference value="urn:uuid:9b00e81e-1165-4039-9d60-698ef838ae1a"/>
</subject>
<authoredOn value="2023-11-04T12:00:00+02:00"/>
<requester>
<reference value="urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"/>
</requester>
<note>
<text
value="Difficulté à prendre le comprimé pelliculé, substitution par un comprimé effervescent."/>
</note>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2023-10-04"/>
<end value="2024-02-10"/>
</boundsPeriod>
<when value="MORN"/>
<when value="EVE"/>
</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>
<doseQuantity>
<value value="2"/>
<unit value="comprimé"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ecaae02c-9311-47c0-9af3-f7059c6ccd77"/>
<resource>
<Binary>
<id value="original-representation-pdf"/>
<contentType value="application/pdf"/>
</Binary>
</resource>
</entry>
</Bundle>