CH EMED (R4)
0.1.0 - Draft Standard for Trial Use

This page is part of the CH EMED (R4) (v0.1.0: DSTU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0-ballot. For a full list of available versions, see the Directory of published versions

1-2 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "1-2-MedicationDispense",
  "meta" : {
    "lastUpdated" : "2020-02-20T12:31:59.738+00:00",
    "profile" : [
      "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
  },
  "type" : "document",
  "timestamp" : "2011-11-29T11:01:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/1-2-MedicationDispense",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "1-2-MedicationDispense",
        "language" : "de-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1-2-MedicationDispense</p><p><b>language</b>: de-CH</p><p><b>identifier</b>: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '419891008' = 'Record artifact (record artifact)', given as 'Record artifact (record artifact)'}; {LOINC code '60593-1' = 'Medication dispensed.extended Document', given as 'Medication dispensed.extended'})</span></p><p><b>date</b>: Nov 29, 2011, 11:01:00 AM</p><p><b>author</b>: </p><ul><li><a href=\"#backboneelement_FamilienHausarzt\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_Hausarzt\">Generated Summary: unknown resource entry</a></li></ul><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href=\"#backboneelement_Custodian\">Generated Summary: unknown resource entry</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid",
            "valueIdentifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber",
            "valueUnsignedInt" : 1
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient",
            "valueReference" : {
              "reference" : "Patient/MonikaWegmuellerRecipient"
            }
          }
        ],
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "419891008",
              "display" : "Record artifact (record artifact)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "60593-1",
              "display" : "Medication dispensed.extended"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/MonikaWegmueller"
        },
        "date" : "2011-11-29T11:01:00+01:00",
        "author" : [
          {
            "extension" : [
              {
                "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
                "valueDateTime" : "2011-11-29T11:00:00+01:00"
              }
            ],
            "reference" : "Practitioner/FamilienHausarzt"
          },
          {
            "reference" : "Organization/Hausarzt"
          }
        ],
        "title" : "Abgabe",
        "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" : "Normally accessible"
                  }
                ]
              }
            }
          ]
        },
        "custodian" : {
          "reference" : "Organization/Custodian"
        },
        "section" : [
          {
            "extension" : [
              {
                "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
                }
              }
            ],
            "title" : "Abgabe eines Medikaments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60590-7",
                  "display" : "Medication dispensed.brief"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <thead>\n                                    <tr>\n                                        <th>Präpartename</th>\n                                        <th>Wirkstoffname</th>\n                                        <th>Galenische Form</th>\n                                        <th>Dosis pro Einheit</th>\n                                        <th>Anzahl Packungen</th>\n                                        <th>Packungsgrösse</th>\n                                        <th>Dosierung</th>\n                                        <th>Dos.Morgen</th>\n                                        <th>Dos.Mittag</th>\n                                        <th>Dos.Abend</th>\n                                        <th>Dos.Nacht</th>\n                                        <th>Verabreichungsweg</th>\n                                        <th>Kommentar</th>\n                                        <th>Behandlungsrund</th>\n                                        <th>Datum/Zeit der Abgabe/ Anwendung</th>\n                                        <th>Identifikation des Empfängers</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr id=\"dis.1\">\n                                        <td id=\"dis.1.brandedmedication\">Triatec</td>\n                                        <td id=\"dis.1.ingredient\">Ramipril</td>\n                                        <td id=\"dis.1.dosequantity\">2.5 mg</td>\n                                        <td id=\"dis.1.packageform\">Tbl</td>\n                                        <td id=\"dis.1.nopackages\">1</td>\n                                        <td id=\"dis.1.packagesize\">20</td>\n                                        <td id=\"dis.1.dosageintakemode\">Morgens 1/2 Tablette nehmen</td>\n                                        <td id=\"dis.1.dosagemorning\">0.5</td>\n                                        <td id=\"dis.1.dosagelunch\">0</td>\n                                        <td id=\"dis.1.dosageevening\">0</td>\n                                        <td id=\"dis.1.dosagenight\">0</td>\n                                        <td id=\"dis.1.routecode\">oral</td>\n                                        <td id=\"dis.1.note\"/>\n                                        <td id=\"dis.1.datefromto\"/>\n                                        <td id=\"dis.1.reason\">Bluthochdruck</td>\n                                        <td id=\"dis.1.dipsensedate\"/>\n                                        <td id=\"dis.1.dipsenseto\"/>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"
            },
            "entry" : [
              {
                "reference" : "MedicationDispense/1-2-MedDispTriatec"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmueller",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmueller",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: MonikaWegmueller</p><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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999",
            "value" : "11111111"
          }
        ],
        "name" : [
          {
            "family" : "Wegmüller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1943-05-15",
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/FamilienHausarzt",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "FamilienHausarzt",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: FamilienHausarzt</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : [
          {
            "family" : "Hausarzt",
            "given" : [
              "Familien"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Hausarzt",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Hausarzt",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Hausarzt</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>telecom</b>: -unknown-</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hausarzt",
        "telecom" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor",
                "valueCode" : "NI"
              }
            ]
          }
        ],
        "address" : [
          {
            "line" : [
              "Krankenstrasse 2"
            ],
            "city" : "Zürich",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Custodian",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Custodian",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Custodian</p><p><b>identifier</b>: 7601000234438</p><p><b>name</b>: Hausarzt</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hausarzt"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmuellerRecipient",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: MonikaWegmuellerRecipient</p><p><b>name</b>: Monika Wegmüller </p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>"
        },
        "name" : [
          {
            "family" : "Wegmüller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec",
      "resource" : {
        "resourceType" : "MedicationDispense",
        "id" : "1-2-MedDispTriatec",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1-2-MedDispTriatec</p><p><b>contained</b>: </p><p><b>identifier</b>: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: unknown resource contained</p><p><b>subject</b>: <a href=\"#backboneelement_MonikaWegmueller\">Generated Summary: unknown resource entry</a></p><p><b>quantity</b>: 1</p><p><b>note</b>: -</p><p><b>dosageInstruction</b>: , </p><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>true</td><td>equivalent <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'E' = 'equivalent', given as 'equivalent'})</span></td></tr></table></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "med",
            "code" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
                  "valueUrl" : "#dis.1.brandedmedication"
                }
              ],
              "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"
                }
              ]
            },
            "amount" : {
              "numerator" : {
                "value" : 20
              },
              "denominator" : {
                "value" : 1
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "386872004",
                      "display" : "Ramipril (substance)"
                    }
                  ],
                  "text" : "Ramipril"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 2.5,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "1"
                  }
                }
              }
            ]
          }
        ],
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
            "valueUrl" : "#dis.1"
          },
          {
            "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan",
            "extension" : [
              {
                "url" : "id",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              },
              {
                "url" : "externalDocumentId",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              }
            ]
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#med"
        },
        "subject" : {
          "reference" : "Patient/MonikaWegmueller"
        },
        "quantity" : {
          "value" : 1
        },
        "note" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
                "valueUrl" : "#dis.1.note"
              }
            ],
            "text" : "-"
          }
        ],
        "dosageInstruction" : [
          {
            "extension" : [
              {
                "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dosagetype",
                "valueIdentifier" : {
                  "value" : "1.3.6.1.4.1.19376.1.5.3.1.4.7.1"
                }
              }
            ],
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2011-11-29"
                },
                "when" : [
                  "ACM"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 0.5
                }
              }
            ]
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
                "valueUrl" : "#dis.1.dosageintakemode"
              }
            ],
            "text" : "Morgens 1/2 Tablette nehmen"
          }
        ],
        "substitution" : {
          "wasSubstituted" : true,
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
                "code" : "E",
                "display" : "equivalent"
              }
            ]
          }
        }
      }
    }
  ]
}