This page is part of the CH EMED (R4) (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="PharmaceuticalAdvice-ChangeDosage"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-pharmaceuticaladvice"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
</identifier>
<type value="document"/>
<timestamp value="2012-02-04T14:00:00+01:00"/>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Composition/Comp-ChangeDosage"/>
<resource>
<Composition>
<id value="Comp-ChangeDosage"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-pharmaceuticaladvice"/>
</meta>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p><b>Generated Narrative: Composition</b><a name="Comp-ChangeDosage"> </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 "Comp-ChangeDosage" (Language "de-CH") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-composition-pharmaceuticaladvice.html">CH EMED Pharmaceutical Advice Composition</a></p></div><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 Document <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>: 2012-02-04 14:00:00+0100</p><p><b>author</b>: <a href="#PractitionerRole_FamilienHausarztAtHausarzt">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></p><p><b>title</b>: Kommentar zur Medikation</p><p><b>confidentiality</b>: N</p></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="61356-2"/>
<display
value="Medication pharmaceutical advice.extended Document"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/2011000195101"/>
<code value="419891008"/>
<display value="Record artifact (record artifact)"/>
</coding>
</type>
<subject>
<reference value="Patient/MonikaWegmueller"/>
</subject>
<date value="2012-02-04T14:00:00+01:00"/>
<author>
<reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
</author>
<title value="Kommentar zur Medikation"/>
<confidentiality value="N">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/2011000195101"/>
<code value="17621005"/>
<display value="Normal (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
</confidentiality>
<section>
<title value="Hinweise zur Medikation"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61357-0"/>
<display
value="Medication pharmaceutical advice.brief Document"/>
</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>Dos.Morgen</th><th>Dos.Mittag</th><th>Dos.Abend</th><th>Dos.Nacht</th><th>Verabreichungsweg</th><th>Anwendungsdauer</th><th>Behandlungsgrund</th><th>Kommentar</th></tr></thead><tbody><tr id="padv.1"><td id="padv.1.brandedmedication">Triatec</td><td id="padv.1.ingredient">Ramipril</td><td id="padv.1.packageform">Tbl</td><td id="padv.1.dosequantity">2.5 mg</td><td id="padv.1.dosagemorning">1</td><td id="padv.1.dosagelunch">0</td><td id="padv.1.dosageevening">0</td><td id="padv.1.dosagenight">0</td><td id="padv.1.routecode">oral</td><td id="padv.1.datefromto"/><td id="padv.1.reason">Bluthochdruck</td><td id="padv.1.note">Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</td></tr></tbody></table></div>
</text>
<entry>
<reference value="Observation/Obs-ChangeDosage"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmueller"/>
<resource>
<Patient>
<id value="MonikaWegmueller"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="MonikaWegmueller"> </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 "MonikaWegmueller" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-patient-epr.html">CH Core Patient EPR</a></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/PractitionerRole/FamilienHausarztAtHausarzt"/>
<resource>
<PractitionerRole>
<id value="FamilienHausarztAtHausarzt"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b><a name="FamilienHausarztAtHausarzt"> </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 "FamilienHausarztAtHausarzt" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-practitionerrole.html">CH EMED PractitionerRole</a></p></div><p><b>practitioner</b>: <a href="#Practitioner_FamilienHausarzt">See above (Practitioner/FamilienHausarzt)</a></p><p><b>organization</b>: <a href="#Organization_Hausarzt">See above (Organization/Hausarzt)</a></p></div>
</text>
<practitioner>
<reference value="Practitioner/FamilienHausarzt"/>
</practitioner>
<organization>
<reference value="Organization/Hausarzt"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Practitioner/FamilienHausarzt"/>
<resource>
<Practitioner>
<id value="FamilienHausarzt"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="FamilienHausarzt"> </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 "FamilienHausarzt" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-practitioner.html">CH EMED Practitioner</a></p></div><p><b>identifier</b>: id: 7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000234438"/>
</identifier>
<name>
<family value="Hausarzt"/>
<given value="Familien"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/Hausarzt"/>
<resource>
<Organization>
<id value="Hausarzt"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="Hausarzt"> </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 "Hausarzt" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-organization.html">CH EMED Organization</a></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/Observation/Obs-ChangeDosage"/>
<resource>
<Observation>
<id value="Obs-ChangeDosage"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-observation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="Obs-ChangeDosage"> </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 Observation "Obs-ChangeDosage" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-observation.html">CH EMED Observation (PADV)</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: urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><blockquote><p><b>url</b></p><code>externalDocumentId</code></blockquote><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>: 2012-02-04 14:00:00+0100</p><p><b>note</b>: Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette</p></div>
</text>
<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>
<extension
url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed">
<valueReference>
<reference
value="MedicationStatement/MedStatTriatec-ChangeDosage"/>
</valueReference>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:adab8d2d-ae14-48d6-8d15-b726d6ea82c5"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="urn:oid:1.3.6.1.4.1.19376.1.9.2.1"/>
<code value="CHANGE"/>
</coding>
</code>
<subject>
<reference value="Patient/MonikaWegmueller"/>
</subject>
<effectiveDateTime value="2012-02-04T14:00:00+01:00"/>
<note>
<extension
url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
<valueUrl value="#padv.1.note"/>
</extension>
<text
value="Dosierungsänderung: Morgens 1 Tablette anstatt 0.5 Tablette"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/MedicationStatement/MedStatTriatec-ChangeDosage"/>
<resource>
<MedicationStatement>
<id value="MedStatTriatec-ChangeDosage"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement-changed"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationStatement</b><a name="MedStatTriatec-ChangeDosage"> </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 MedicationStatement "MedStatTriatec-ChangeDosage" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-medicationstatement-changed.html">CH EMED MedicationStatement Changed</a></p></div><p><b>identifier</b>: id: urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478</p><p><b>partOf</b>: <a href="Observation-PharmaceuticalAdvice-ChangeDosage.html">Observation/PharmaceuticalAdvice-ChangeDosage</a></p><p><b>status</b>: active</p><p><b>medication</b>: <a name="Amlodipin"> </a></p><blockquote><p/><p><a name="Amlodipin"> </a></p><p><b>code</b>: AMLODIPIN Spirig HC Tabl 10 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680588620079)</span></p><p><b>form</b>: Tablette <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-edqm-standardterms.html">EDQM - Standard Terms</a>#10219000 "Tablet")</span></p><p><b>amount</b>: 30 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>Amlodipine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[??]</a>#386864001 "Amlodipine (substance)")</span></td><td>10 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><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: -</p><p><b>timing</b>: Starting 2011-11-29, , ?ngen-6?</p><p><b>route</b>: zum Einnehmen <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="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 #Amlodipin</b><a name="Amlodipin"> </a></p><p><b>code</b>: AMLODIPIN Spirig HC Tabl 10 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680588620079)</span></p><p><b>form</b>: Tablette <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-edqm-standardterms.html">EDQM - Standard Terms</a>#10219000 "Tablet")</span></p><p><b>amount</b>: 30 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>Amlodipine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[??]</a>#386864001 "Amlodipine (substance)")</span></td><td>10 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></div>
</text>
<contained>
<Medication>
<id value="Amlodipin"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"/>
</meta>
<code>
<coding>
<system value="urn:oid:2.51.1.1"/>
<code value="7680588620079"/>
<display value="AMLODIPIN Spirig HC Tabl 10 mg"/>
</coding>
<text value="AMLODIPIN Spirig HC Tabl 10 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>
<text value="Tablette"/>
</form>
<amount>
<numerator>
<value value="30"/>
<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"/>
<version value="http://snomed.info/sct/2011000195101"/>
<code value="386864001"/>
<display value="Amlodipine (substance)"/>
</coding>
<text value="Amlodipine"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="10"/>
<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>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"/>
</identifier>
<partOf>
<reference value="Observation/PharmaceuticalAdvice-ChangeDosage"/>
</partOf>
<status value="active"/>
<medicationReference>
<reference value="#Amlodipin"/>
</medicationReference>
<subject>
<reference value="Patient/MonikaWegmueller"/>
</subject>
<reasonCode>
<extension
url="http://hl7.org/fhir/StructureDefinition/narrativeLink">
<valueUrl value="#padv.1.reason"/>
</extension>
<text value="Bluthochdruck"/>
</reasonCode>
<dosage>
<patientInstruction value="-"/>
<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>
<text value="zum Einnehmen"/>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Tablet (unit of presentation)"/>
<system value="http://snomed.info/sct"/>
<code value="732936001"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
</Bundle>
IG © 2020+ HL7 Switzerland. Package ch.fhir.ig.ch-emed#4.0.0-ballot based on FHIR 4.0.1. Generated 2023-06-29
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