CH EMED (R4)
2.0.0 - STU 2
CH EMED (R4)
2.0.0 - STU 2
This page is part of the CH EMED (R4) (v2.0.0: STU 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
<Bundle xmlns="http://hl7.org/fhir">
<id value="1-2-MedicationDispense"/>
<meta>
<lastUpdated value="2020-02-20T12:31:59.738+00:00"/>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/>
</identifier>
<type value="document"/>
<timestamp value="2011-11-29T11:01:00+01:00"/>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Composition/1-2-MedicationDispense"/>
<resource>
<Composition>
<id value="1-2-MedicationDispense"/>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p><b>Generated Narrative</b></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 "1-2-MedicationDispense" (Language "de-CH") </p></div><p><b>EPR Information Recipient</b>: <a href="#Patient_MonikaWegmuellerRecipient">See above (Patient/MonikaWegmuellerRecipient)</a></p><p><b>identifier</b>: id: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: Medication dispensed.extended <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#60593-1; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#419891008 "Record artifact (record artifact)")</span></p><p><b>date</b>: 2011-11-29T11:01:00+01:00</p><p><b>author</b>: </p><ul><li><a href="#Practitioner_FamilienHausarzt">See above (Practitioner/FamilienHausarzt)</a></li><li><a href="#Organization_Hausarzt">See above (Organization/Hausarzt)</a></li></ul><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href="#Organization_Custodian">See above (Organization/Custodian)</a></p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient">
<valueReference>
<reference value="Patient/MonikaWegmuellerRecipient"/>
</valueReference>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60593-1"/>
<display value="Medication dispensed.extended"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419891008"/>
<display value="Record artifact (record artifact)"/>
</coding>
</type>
<subject>
<reference value="Patient/MonikaWegmueller"/>
</subject>
<date value="2011-11-29T11:01:00+01:00"/>
<author>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time">
<valueDateTime value="2011-11-29T11:00:00+01:00"/>
</extension>
<reference value="Practitioner/FamilienHausarzt"/>
</author>
<author>
<reference value="Organization/Hausarzt"/>
</author>
<title value="Abgabe"/>
<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="Normally accessible"/>
</coding>
</valueCodeableConcept>
</extension>
</confidentiality>
<custodian>
<reference value="Organization/Custodian"/>
</custodian>
<section>
<title value="Abgabe eines Medikaments"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="60590-7"/>
<display value="Medication dispensed.brief"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th>Präpartename</th>
<th>Wirkstoffname</th>
<th>Galenische Form</th>
<th>Dosis pro Einheit</th>
<th>Anzahl Packungen</th>
<th>Packungsgrösse</th>
<th>Dosierung</th>
<th>Dos.Morgen</th>
<th>Dos.Mittag</th>
<th>Dos.Abend</th>
<th>Dos.Nacht</th>
<th>Verabreichungsweg</th>
<th>Kommentar</th>
<th>Behandlungsrund</th>
<th>Datum/Zeit der Abgabe/ Anwendung</th>
<th>Identifikation des Empfängers</th>
</tr>
</thead>
<tbody>
<tr id="dis.1">
<td id="dis.1.brandedmedication">Triatec</td>
<td id="dis.1.ingredient">Ramipril</td>
<td id="dis.1.dosequantity">2.5 mg</td>
<td id="dis.1.packageform">Tbl</td>
<td id="dis.1.nopackages">1</td>
<td id="dis.1.packagesize">20</td>
<td id="dis.1.dosageintakemode">Morgens 1/2 Tablette nehmen</td>
<td id="dis.1.dosagemorning">0.5</td>
<td id="dis.1.dosagelunch">0</td>
<td id="dis.1.dosageevening">0</td>
<td id="dis.1.dosagenight">0</td>
<td id="dis.1.routecode">oral</td>
<td id="dis.1.note"/>
<td id="dis.1.datefromto"/>
<td id="dis.1.reason">Bluthochdruck</td>
<td id="dis.1.dipsensedate"/>
<td id="dis.1.dipsenseto"/>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference value="MedicationDispense/1-2-MedDispTriatec"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmueller"/>
<resource>
<Patient>
<id value="MonikaWegmueller"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "MonikaWegmueller" </p></div><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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.999.1"/>
<value value="11111111"/>
</identifier>
<name>
<family value="Wegmüller"/>
<given value="Monika"/>
</name>
<gender value="female"/>
<birthDate value="1943-05-15"/>
<address>
<line value="Wiesenstr. 12"/>
<city value="Zürich"/>
<postalCode value="8003"/>
<country value="CH"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Practitioner/FamilienHausarzt"/>
<resource>
<Practitioner>
<id value="FamilienHausarzt"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "FamilienHausarzt" </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name>
<family value="Hausarzt"/>
<given value="Familien"/>
</name>
<address>
<line value="Krankenstrasse 2"/>
<city value="Zürich"/>
<postalCode value="8005"/>
<country value="CH"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/Hausarzt"/>
<resource>
<Organization>
<id value="Hausarzt"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "Hausarzt" </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name value="Hausarzt"/>
<address>
<line value="Krankenstrasse 2"/>
<city value="Zürich"/>
<postalCode value="8005"/>
<country value="CH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/Custodian"/>
<resource>
<Organization>
<id value="Custodian"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "Custodian" </p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Hausarzt</p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name value="Hausarzt"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmuellerRecipient"/>
<resource>
<Patient>
<id value="MonikaWegmuellerRecipient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "MonikaWegmuellerRecipient" </p></div><p><b>name</b>: Monika Wegmüller </p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>
</text>
<name>
<family value="Wegmüller"/>
<given value="Monika"/>
</name>
<address>
<line value="Wiesenstr. 12"/>
<city value="Zürich"/>
<postalCode value="8003"/>
<country value="CH"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec"/>
<!-- substitution just as test case
<substitution>
<wasSubstituted value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<code value="E"/>
<display value="equivalent"/>
</coding>
</type>
</substitution> -->
<resource>
<MedicationDispense>
<id value="1-2-MedDispTriatec"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "1-2-MedDispTriatec" </p></div><p><b>Narrative Link</b>: <code>#dis.1</code></p><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><p><b>value</b>: id: urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><p><b>value</b>: id: urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p></blockquote><p><b>identifier</b>: id: urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name="med"> </a></p><blockquote><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 "med" </p></div><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="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: UCUM code {Package} = '{Package}')</span></p><h3>Ingredients</h3><table class="grid"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</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>2.5 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span>/1 Tablet (unit of presentation)<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_MonikaWegmueller">See above (Patient/MonikaWegmueller)</a></p><p><b>quantity</b>: 1</p></div>
</text>
<contained>
<Medication>
<id value="med"/>
<code>
<extension
url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
<valueUrl value="#dis.1.brandedmedication"/>
</extension>
<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>
</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://unitsofmeasure.org"/>
<code value="{Package}"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="386872004"/>
<display value="Ramipril (substance)"/>
</coding>
<text value="Ramipril"/>
</itemCodeableConcept>
<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 (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</denominator>
</strength>
</ingredient>
</Medication>
</contained>
<extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
<valueUrl value="#dis.1"/>
</extension>
<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:c9f758a1-296c-4710-84d4-e181db8c7478"/>
</valueIdentifier>
</extension>
<extension url="externalDocumentId">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
</valueIdentifier>
</extension>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"/>
</identifier>
<status value="completed"/>
<medicationReference>
<reference value="#med"/>
</medicationReference>
<subject>
<reference value="Patient/MonikaWegmueller"/>
</subject>
<quantity>
<value value="1"/>
</quantity>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2011-11-29"/>
</boundsPeriod>
<when value="MORN"/>
</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>
</route>
<doseAndRate>
<doseQuantity>
<value value="0.5"/>
<unit value="Tablet (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<extension url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
<valueUrl value="#dis.1.dosageintakemode"/>
</extension>
<text value="Morgens 1/2 Tablette nehmen"/>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
</Bundle>