CH EMED (R4)
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This page is part of the CH EMED (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) 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

: 2-4 Medication Dispense document - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="2-4-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:d8143fea-4778-11e6-beb8-9e71128cae77"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2012-02-04T14:00:00+01:00"/>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Composition/2-4-Composition"/>
    <resource>
      <Composition>
        <id value="2-4-Composition"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"/>
        </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="2-4-Composition"> </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 &quot;2-4-Composition&quot;  (Language &quot;de-CH&quot;) </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-composition-medicationdispense.html">CH EMED Medication Dispense Composition</a></p></div><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77</p><p><b>status</b>: final</p><p><b>type</b>: Medication dispense document (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[??]</a>#82291000195104; <a href="https://loinc.org/">LOINC</a>#60593-1 &quot;Medication dispensed.extended Document&quot;)</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>: Abgabe</p><p><b>confidentiality</b>: N</p></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/2011000195101"/>
            <code value="82291000195104"/>
            <display value="Medication dispense document (record artifact)"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60593-1"/>
            <display value="Medication dispensed.extended Document"/>
          </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="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="Normal (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </confidentiality>
        <section>
          <title value="Abgabe eines Medikaments"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="60590-7"/>
              <display value="Medication dispensed.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>Anzahl Packungen</th><th>Packungsgrösse</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">Beloc Zok</td><td id="dis.1.ingredient">Metoprolol</td><td id="dis.1.packageform">Ret Tbl</td><td id="dis.1.dosequantity">50 mg</td><td id="dis.1.nopackages">1</td><td id="dis.1.packagesize">30 Stk</td><td id="dis.1.dosagemorning">1</td><td id="dis.1.dosagelunch">0</td><td id="dis.1.dosageevening">0.5</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/2-4-MedDispBeloczok"/>
          </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 &quot;MonikaWegmueller&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/4.0.1/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 &quot;FamilienHausarztAtHausarzt&quot; </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 &quot;FamilienHausarzt&quot; </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 &quot;Hausarzt&quot; </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/MedicationDispense/2-4-MedDispBeloczok"/>
    <resource>
      <MedicationDispense>
        <id value="2-4-MedDispBeloczok"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationDispense</b><a name="2-4-MedDispBeloczok"> </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 MedicationDispense &quot;2-4-MedDispBeloczok&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emed-medicationdispense.html">CH EMED MedicationDispense (DIS)</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:17931678-20b4-11e6-b67b-9e71128cca77</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:17931678-20b4-11e6-b67b-9e71128cca77</p></blockquote><p><b>identifier</b>: id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a>urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name="Beloczok"> </a></p><blockquote><p/><p><a name="Beloczok"> </a></p><p><b>code</b>: BELOC ZOK Ret Tabl 50 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680521101306 &quot;BELOC ZOK Ret Tabl 50 mg 30 Stk&quot;)</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 &quot;Tablet&quot;)</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 - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td>Metoprolol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#372826007 &quot;Metoprolol (substance)&quot;)</span></td><td>50 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><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="#PractitionerRole_FamilienHausarztAtHausarzt">See above (PractitionerRole/FamilienHausarztAtHausarzt)</a></td></tr></table><p><b>quantity</b>: 1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><p><b>whenHandedOver</b>: 2012-02-04 14:00:00+0100</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>patientInstruction</b>: -</p><p><b>timing</b>: Starting 2012-02-04, , ?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 &quot;Oral use&quot;)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>timing</b>: , ?ngen-6?</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>true</td><td>equivalent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a>#E)</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #Beloczok</b><a name="Beloczok"> </a></p><p><b>code</b>: BELOC ZOK Ret Tabl 50 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#7680521101306 &quot;BELOC ZOK Ret Tabl 50 mg 30 Stk&quot;)</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 &quot;Tablet&quot;)</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 - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td>Metoprolol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#372826007 &quot;Metoprolol (substance)&quot;)</span></td><td>50 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="Beloczok"/>
            <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="7680521101306"/>
                <display value="BELOC ZOK Ret Tabl 50 mg 30 Stk"/>
              </coding>
              <text value="BELOC ZOK Ret Tabl 50 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="20"/>
                <unit value="Tablet (unit of presentation)"/>
                <system value="http://snomed.info/sct"/>
                <code value="732936001"/>
              </numerator>
              <denominator>
                <value value="1"/>
                <unit
                      value="Package - unit of product usage (qualifier value)"/>
                <system value="http://snomed.info/sct"/>
                <code value="1681000175101"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="372826007"/>
                  <display value="Metoprolol (substance)"/>
                </coding>
                <text value="Metoprolol"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="50"/>
                  <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://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan">
          <extension url="id">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"/>
            </valueIdentifier>
          </extension>
          <extension url="externalDocumentId">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"/>
            </valueIdentifier>
          </extension>
        </extension>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:d8143fea-4778-11e6-beb8-9e71128cae77"/>
        </identifier>
        <status value="completed"/>
        <medicationReference>
          <reference value="#Beloczok"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <performer>
          <actor>🔗 
            <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
          </actor>
        </performer>
        <quantity>
          <value value="1"/>
          <unit value="Package - unit of product usage (qualifier value)"/>
          <system value="http://snomed.info/sct"/>
          <code value="1681000175101"/>
        </quantity>
        <whenHandedOver value="2012-02-04T14:00:00+01:00"/>
        <dosageInstruction>
          <sequence value="1"/>
          <patientInstruction value="-"/>
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2012-02-04"/>
              </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>
        </dosageInstruction>
        <dosageInstruction>
          <sequence value="2"/>
          <timing>
            <repeat>
              <when value="EVE"/>
            </repeat>
          </timing>
          <doseAndRate>
            <doseQuantity>
              <value value="0.5"/>
              <unit value="Tablet (unit of presentation)"/>
              <system value="http://snomed.info/sct"/>
              <code value="732936001"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
        <substitution>
          <wasSubstituted value="true"/>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
              <code value="E"/>
              <display value="equivalent"/>
            </coding>
          </type>
        </substitution>
      </MedicationDispense>
    </resource>
  </entry>
</Bundle>