CH EMED (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH EMED (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: 3-2 Medication Dispense document - JSON Representation

Raw json | Download


{
  "resourceType" : "Bundle",
  "id" : "3-2-MedicationDispense",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
  },
  "type" : "document",
  "timestamp" : "2020-02-03T17:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/3-2-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3-2-Composition",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"
          ]
        },
        "language" : "de-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><a name=\"Composition_3-2-Composition\"> </a><p><b>Generated Narrative: Composition</b><a name=\"3-2-Composition\"> </a><a name=\"hc3-2-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\">ResourceComposition &quot;3-2-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>: <a href=\"http://terminology.hl7.org/5.5.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</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/\">SNOWMED CT[??]</a>#82291000195104; <a href=\"https://loinc.org/\">LOINC</a>#60593-1 &quot;Medication dispensed.extended Document&quot;)</span></p><p><b>date</b>: 2020-02-03 17:00:00+0100</p><p><b>author</b>: See on this page: PractitionerRole/PriskaHuberAtRettungsdienst</p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: N</p></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/2011000195101",
              "code" : "82291000195104",
              "display" : "Medication dispense document (record artifact)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "60593-1",
              "display" : "Medication dispensed.extended Document"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "date" : "2020-02-03T17:00:00+01:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
          }
        ],
        "title" : "Abgabe",
        "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" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "section" : [
          {
            "title" : "Abgabe eines Medikaments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60590-7",
                  "display" : "Medication dispensed.brief Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span id=\"co1\">Anwendung: 0.05 mg Fentanyl, 14:32, 03.02.2020</span></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationAdministration/3-2-MedAdminFentanyl"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MaxMoser",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MaxMoser",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_MaxMoser\"> </a><p><b>Generated Narrative: Patient</b><a name=\"MaxMoser\"> </a><a name=\"hcMaxMoser\"> </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\">ResourcePatient &quot;MaxMoser&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://fhir.ch/ig/ch-core/5.0.0-ballot/StructureDefinition-ch-core-patient-epr.html\">CH Core Patient EPR</a></p></div><p><b>identifier</b>: Medical record number/123456</p><p><b>name</b>: Max Moser </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1988-11-27</p><p><b>address</b>: Schneefeld 5a Bern 3006 CH </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1",
            "value" : "123456"
          }
        ],
        "name" : [
          {
            "family" : "Moser",
            "given" : [
              "Max"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1988-11-27",
        "address" : [
          {
            "line" : [
              "Schneefeld 5a"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/PriskaHuberAtRettungsdienst",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PriskaHuberAtRettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PriskaHuberAtRettungsdienst\"> </a><p><b>Generated Narrative: PractitionerRole</b><a name=\"PriskaHuberAtRettungsdienst\"> </a><a name=\"hcPriskaHuberAtRettungsdienst\"> </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\">ResourcePractitionerRole &quot;PriskaHuberAtRettungsdienst&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>: See on this page: Practitioner/PriskaHuber</p><p><b>organization</b>: See on this page: Organization/Rettungsdienst</p></div>"
        },
        "practitioner" : {
          🔗 "reference" : "Practitioner/PriskaHuber"
        },
        "organization" : {
          🔗 "reference" : "Organization/Rettungsdienst"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/PriskaHuber",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PriskaHuber",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_PriskaHuber\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"PriskaHuber\"> </a><a name=\"hcPriskaHuber\"> </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\">ResourcePractitioner &quot;PriskaHuber&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>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000121219</p><p><b>name</b>: Priska Huber </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000121219"
          }
        ],
        "name" : [
          {
            "family" : "Huber",
            "given" : [
              "Priska"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Rettungsdienst",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Rettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_Rettungsdienst\"> </a><p><b>Generated Narrative: Organization</b><a name=\"Rettungsdienst\"> </a><a name=\"hcRettungsdienst\"> </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\">ResourceOrganization &quot;Rettungsdienst&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>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000000514</p><p><b>name</b>: Rettungsdienst</p><p><b>address</b>: Rettungsgasse 2 Bern 3006 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000000514"
          }
        ],
        "name" : "Rettungsdienst",
        "address" : [
          {
            "line" : [
              "Rettungsgasse 2"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationAdministration/3-2-MedAdminFentanyl",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "3-2-MedAdminFentanyl",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_3-2-MedAdminFentanyl\"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name=\"3-2-MedAdminFentanyl\"> </a><a name=\"hc3-2-MedAdminFentanyl\"> </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\">ResourceMedicationAdministration &quot;3-2-MedAdminFentanyl&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-medicationadministration.html\">CH EMED MedicationAdministration (DIS)</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</p><p><b>status</b>: completed</p><p><b>medication</b>: <a name=\"hcFentanyl\"> </a></p><blockquote><p/><p><a name=\"Fentanyl\"> </a></p><p><a name=\"hcFentanyl\"> </a></p><p><b>code</b>: FENTANYL Sintetica Inj Lös 0.5 mg/10ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680539870027)</span></p><p><b>form</b>: Injektionslösung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#11201000 &quot;Solution for injection&quot;)</span></p><p><b>amount</b>: 10 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOWMED CT code 732978007 = 'Ampule (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOWMED 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>Fentanyl <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#373492002 &quot;Fentanyl (substance)&quot;)</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></blockquote><p><b>subject</b>: See on this page: Patient/MaxMoser</p><p><b>effective</b>: 2020-02-03 14:32:00+0100</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>See on this page: PractitionerRole/PriskaHuberAtRettungsdienst</td></tr></table><p><b>reasonCode</b>: Schmerzbehandlung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>intravenöse Anwendung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#20045000 &quot;Intravenous use&quot;)</span></td><td>Infusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#0009)</span></td><td>1 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOWMED CT code 732978007 = 'Ampule (unit of presentation)')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #Fentanyl</b><a name=\"Fentanyl\"> </a><a name=\"hcFentanyl\"> </a></p><p><b>code</b>: FENTANYL Sintetica Inj Lös 0.5 mg/10ml <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680539870027)</span></p><p><b>form</b>: Injektionslösung <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#11201000 &quot;Solution for injection&quot;)</span></p><p><b>amount</b>: 10 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOWMED CT code 732978007 = 'Ampule (unit of presentation)')</span>/1 Package - unit of product usage (qualifier value)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOWMED 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>Fentanyl <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#373492002 &quot;Fentanyl (substance)&quot;)</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "Fentanyl",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680539870027",
                  "display" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
                }
              ],
              "text" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "11201000",
                  "display" : "Solution for injection"
                }
              ],
              "text" : "Injektionslösung"
            },
            "amount" : {
              "numerator" : {
                "value" : 10,
                "unit" : "Ampule (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732978007"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Package - unit of product usage (qualifier value)",
                "system" : "http://snomed.info/sct",
                "code" : "1681000175101"
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "373492002",
                      "display" : "Fentanyl (substance)"
                    }
                  ],
                  "text" : "Fentanyl"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 0.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 10,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mL"
                  }
                }
              }
            ]
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#Fentanyl"
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "effectiveDateTime" : "2020-02-03T14:32:00+01:00",
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
            }
          }
        ],
        "reasonCode" : [
          {
            "text" : "Schmerzbehandlung"
          }
        ],
        "dosage" : {
          "route" : {
            "coding" : [
              {
                "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                "code" : "20045000",
                "display" : "Intravenous use"
              }
            ],
            "text" : "intravenöse Anwendung"
          },
          "method" : {
            "coding" : [
              {
                "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                "code" : "0009",
                "display" : "Infusion"
              }
            ]
          },
          "dose" : {
            "value" : 1,
            "unit" : "Ampule (unit of presentation)",
            "system" : "http://snomed.info/sct",
            "code" : "732978007"
          }
        }
      }
    }
  ]
}