CH EMED (R4)
5.0.0 - trial-use
This page is part of the CH EMED (R4) (v5.0.0: STU 5) 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
<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:874d3dae-2304-499a-96e3-f7e139480991"/>
</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"><a name="Composition_2-4-Composition"> </a><p class="res-header-id"><b>Generated Narrative: Composition 2-4-Composition</b></p><a name="2-4-Composition"> </a><a name="hc2-4-Composition"> </a><a name="2-4-Composition-en-US"> </a><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">Language: de-CH</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>: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:874d3dae-2304-499a-96e3-f7e139480991</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 82291000195104}, {http://loinc.org 60593-1}">Medication dispense document (record artifact)</span></p><p><b>date</b>: 2012-02-04 14:00:00+0100</p><p><b>author</b>: <a href="PractitionerRole-FamilienHausarztAtHausarzt.html">PractitionerRole</a></p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: normal</p></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:874d3dae-2304-499a-96e3-f7e139480991"/>
</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"><a name="Patient_MonikaWegmueller"> </a><p class="res-header-id"><b>Generated Narrative: Patient MonikaWegmueller</b></p><a name="MonikaWegmueller"> </a><a name="hcMonikaWegmueller"> </a><a name="MonikaWegmueller-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Monika Wegmüller Female, DoB: 1943-05-15 ( Medical record number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">Wiesenstr. 12 Zürich 8003 CH </td></tr></table></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"><a name="PractitionerRole_FamilienHausarztAtHausarzt"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole FamilienHausarztAtHausarzt</b></p><a name="FamilienHausarztAtHausarzt"> </a><a name="hcFamilienHausarztAtHausarzt"> </a><a name="FamilienHausarztAtHausarzt-en-US"> </a><p><b>practitioner</b>: <a href="Practitioner-FamilienHausarzt.html">Practitioner Familien Hausarzt </a></p><p><b>organization</b>: <a href="Organization-Hausarzt.html">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"><a name="Practitioner_FamilienHausarzt"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner FamilienHausarzt</b></p><a name="FamilienHausarzt"> </a><a name="hcFamilienHausarzt"> </a><a name="FamilienHausarzt-en-US"> </a><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/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"><a name="Organization_Hausarzt"> </a><p class="res-header-id"><b>Generated Narrative: Organization Hausarzt</b></p><a name="Hausarzt"> </a><a name="hcHausarzt"> </a><a name="Hausarzt-en-US"> </a><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/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"><a name="MedicationDispense_2-4-MedDispBeloczok"> </a><p class="res-header-id"><b>Generated Narrative: MedicationDispense 2-4-MedDispBeloczok</b></p><a name="2-4-MedDispBeloczok"> </a><a name="hc2-4-MedDispBeloczok"> </a><a name="2-4-MedDispBeloczok-en-US"> </a><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><ul><li>id: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:56c82cf2-123e-4401-80a4-28a5dd059979</li><li>externalDocumentId: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:56c82cf2-123e-4401-80a4-28a5dd059979</li></ul></blockquote><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:874d3dae-2304-499a-96e3-f7e139480991</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="#hc2-4-MedDispBeloczok/Beloczok">Medication BELOC ZOK Ret Tabl 50 mg 30 Stk</a></p><p><b>subject</b>: <a href="Patient-MonikaWegmueller.html">Monika Wegmüller Female, DoB: 1943-05-15 ( Medical record number)</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.html">PractitionerRole</a></td></tr></table><p><b>quantity</b>: 1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code1681000175101 = '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>: , ?ngen-6?</p><p><b>route</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 20053000}">zum Einnehmen</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>timing</b>: , ?ngen-6?</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>0.5 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></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><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution E}">equivalent</span></td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #Beloczok</b></p><a name="2-4-MedDispBeloczok/Beloczok"> </a><a name="hc2-4-MedDispBeloczok/Beloczok"> </a><a name="2-4-MedDispBeloczok/Beloczok-en-US"> </a><p><b>code</b>: <span title="Codes:{urn:oid:2.51.1.1 7680521101306}">BELOC ZOK Ret Tabl 50 mg</span></p><p><b>form</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 10219000}">Tablette</span></p><p><b>amount</b>: 20 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code1681000175101 = '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><span title="Codes:{http://snomed.info/sct 372826007}">Metoprolol</span></td><td>50 milligram<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span>/1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code732936001 = '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:56c82cf2-123e-4401-80a4-28a5dd059979"/>
</valueIdentifier>
</extension>
<extension url="externalDocumentId">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:56c82cf2-123e-4401-80a4-28a5dd059979"/>
</valueIdentifier>
</extension>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:874d3dae-2304-499a-96e3-f7e139480991"/>
</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>