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 
{
"resourceType" : "Bundle",
"id" : "PharmaceuticalAdvice-ChangeDosage",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-pharmaceuticaladvice"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"
},
"type" : "document",
"timestamp" : "2012-02-04T14:00:00+01:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/PharmaceuticalAdvice-ChangeDosage",
"resource" : {
"resourceType" : "Composition",
"id" : "PharmaceuticalAdvice-ChangeDosage",
"language" : "de-CH",
"text" : {
"status" : "extensions",
"div" : "<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 \"PharmaceuticalAdvice-ChangeDosage\" (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:adab8d2d-ae14-48d6-8d15-b726d6ea82c5</p><p><b>status</b>: final</p><p><b>type</b>: Medication pharmaceutical advice.extended <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#61356-2; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419891008 \"Record artifact (record artifact)\")</span></p><p><b>date</b>: 2012-02-04T14:00:00+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>: Kommentar zur Medikation</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href=\"#Organization_Custodian\">See above (Organization/Custodian)</a></p></div>"
},
"extension" : [
{
"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:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61356-2",
"display" : "Medication pharmaceutical advice.extended"
},
{
"system" : "http://snomed.info/sct",
"code" : "419891008",
"display" : "Record artifact (record artifact)"
}
]
},
"subject" : {
"reference" : "Patient/MonikaWegmueller"
},
"date" : "2012-02-04T14:00:00+01:00",
"author" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime" : "2012-02-04T14:00:00+01:00"
}
],
"reference" : "Practitioner/FamilienHausarzt"
},
{
"reference" : "Organization/Hausarzt"
}
],
"title" : "Kommentar zur Medikation",
"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" : [
{
"title" : "Hinweise zur Medikation",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61357-0",
"display" : "Medication pharmaceutical advice.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>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>Anwendungsdauer</th>\n <th>Behandlungsgrund</th>\n <th>Kommentar</th>\n </tr>\n </thead>\n <tbody>\n <tr id=\"padv.1\">\n <td id=\"padv.1.brandedmedication\">Triatec</td>\n <td id=\"padv.1.ingredient\">Ramipril</td>\n <td id=\"padv.1.packageform\">Tbl</td>\n <td id=\"padv.1.dosequantity\">2.5 mg</td>\n <td id=\"padv.1.dosageintakemode\">Morgens 1 Tablette nehmen</td>\n <td id=\"padv.1.dosagemorning\">1</td>\n <td id=\"padv.1.dosagelunch\">0</td>\n <td id=\"padv.1.dosageevening\">0</td>\n <td id=\"padv.1.dosagenight\">0</td>\n <td id=\"padv.1.routecode\">oral</td>\n <td id=\"padv.1.datefromto\"/>\n <td id=\"padv.1.reason\">Bluthochdruck</td>\n <td id=\"padv.1.note\">Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Observation/PharmaceuticalAdvice-DosageChange"
}
]
}
]
}
},
{
"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</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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:2.999.1",
"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</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>"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000234438"
}
],
"name" : [
{
"family" : "Hausarzt",
"given" : [
"Familien"
]
}
],
"address" : [
{
"line" : [
"Krankenstrasse 2"
],
"city" : "Zürich",
"postalCode" : "8005",
"country" : "CH"
}
]
}
},
{
"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</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>"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000234438"
}
],
"name" : "Hausarzt",
"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</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>"
},
"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</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>"
},
"name" : [
{
"family" : "Wegmüller",
"given" : [
"Monika"
]
}
],
"address" : [
{
"line" : [
"Wiesenstr. 12"
],
"city" : "Zürich",
"postalCode" : "8003",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/PharmaceuticalAdvice-DosageChange",
"resource" : {
"resourceType" : "Observation",
"id" : "PharmaceuticalAdvice-DosageChange",
"text" : {
"status" : "extensions",
"div" : "<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 \"PharmaceuticalAdvice-DosageChange\" </p></div><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>CH EMED Extension MedicationStatement Changed</b>: <a href=\"#MedicationStatement_MedStatTriatec-ChangeDosage\">See above (MedicationStatement/MedStatTriatec-ChangeDosage)</a></p><p><b>identifier</b>: id: urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5</p><p><b>status</b>: final</p><p><b>code</b>: CHANGE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ihe-pharmaceuticaladvicestatuslist.html\">IHE Pharmaceutical Advice Status List</a>#CHANGE)</span></p><p><b>subject</b>: <a href=\"#Patient_MonikaWegmueller\">See above (Patient/MonikaWegmueller)</a></p><p><b>effective</b>: 2012-02-04T14:00:00+01:00</p><p><b>note</b>: Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</p></div>"
},
"extension" : [
{
"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"
}
}
]
},
{
"url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed",
"valueReference" : {
"reference" : "MedicationStatement/MedStatTriatec-ChangeDosage"
}
}
],
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "urn:oid:1.3.6.1.4.1.19376.1.9.2.1",
"code" : "CHANGE"
}
]
},
"subject" : {
"reference" : "Patient/MonikaWegmueller"
},
"effectiveDateTime" : "2012-02-04T14:00:00+01:00",
"note" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
"valueUrl" : "#padv.1.note"
}
],
"text" : "Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/MedicationStatement/MedStatTriatec-ChangeDosage",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "MedStatTriatec-ChangeDosage",
"text" : {
"status" : "extensions",
"div" : "<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 \"MedStatTriatec-ChangeDosage\" </p></div><p><b>Narrative Link</b>: <code>#padv.1</code></p><p><b>identifier</b>: id: urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5</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>reasonCode</b>: Bluthochdruck <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "med",
"code" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
"valueUrl" : "#padv.1"
}
],
"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,
"unit" : "Tablet (unit of presentation)",
"system" : "http://snomed.info/sct",
"code" : "732936001"
},
"denominator" : {
"value" : 1,
"unit" : "Package",
"system" : "http://unitsofmeasure.org",
"code" : "{Package}"
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386872004",
"display" : "Ramipril (substance)"
}
],
"text" : "Ramipril"
},
"strength" : {
"numerator" : {
"value" : 2.5,
"unit" : "milligram",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "Tablet (unit of presentation)",
"system" : "http://snomed.info/sct",
"code" : "732936001"
}
}
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
"valueUrl" : "#padv.1"
}
],
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"
}
],
"status" : "completed",
"medicationReference" : {
"reference" : "#med"
},
"subject" : {
"reference" : "Patient/MonikaWegmueller"
},
"reasonCode" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
"valueUrl" : "#padv.1.reason"
}
],
"text" : "Bluthochdruck"
}
],
"dosage" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2011-11-29"
},
"when" : [
"MORN"
]
}
},
"route" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "20053000",
"display" : "Oral use"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "Tablet (unit of presentation)",
"system" : "http://snomed.info/sct",
"code" : "732936001"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/narrativeLink",
"valueUrl" : "#padv.1.dosageintakemode"
}
],
"text" : "Morgens 1 Tablette nehmen"
}
]
}
}
]
}