CHMED Implementation Guide
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CHMED Implementation Guide, published by IG eMediplan. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/chmed/ and changes regularly. See the Directory of published versions

: PRE 1 - ANTIBIOTIKUM - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "pre1-medicationrequest-antibiotikum",
  "meta" : {
    "profile" : [
      🔗 "http://chmed.emediplan.ch/fhir/StructureDefinition/chmed-pre-medicationrequest"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"pre1-medicationrequest-antibiotikum\"> </a><a name=\"hcpre1-medicationrequest-antibiotikum\"> </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 MedicationRequest &quot;pre1-medicationrequest-antibiotikum&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-chmed-pre-medicationrequest.html\">CHMED MedicationRequest</a></p></div><p><b>CHMED Sic</b>: true</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.1.0/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 \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.\">URI</a>/urn:uuid:17cd3fd9-9ad1-4b2c-998a-c2ad240e84ef</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"hcantibiotikum\"> </a></p><blockquote><p/><p><a name=\"antibiotikum\"> </a></p><p><a name=\"hcantibiotikum\"> </a></p><p><b>code</b>: BACTRIM forte Tabl 800/160mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680483060499)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.0-ballot/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Trimethoprim <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387179001 &quot;Trimethoprim (substance)&quot;)</span></p><p><b>strength</b>: 160 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></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Sulfamethoxazole <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#363528007 &quot;Sulfamethoxazole (substance)&quot;)</span></p><p><b>strength</b>: 800 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></p></blockquote></blockquote><p><b>subject</b>: <a href=\"Patient-pre1-patient-petermuster.html\">Patient/pre1-patient-petermuster</a> &quot; MUSTER&quot;</p><blockquote><p><b>dosageInstruction</b></p><p><b>patientInstruction</b>: nach dem Essen</p><p><b>timing</b>: Starting 2023-02-09, , ?ngen-6?, ?ngen-6?, Until 2023-02-19</p><p><b>route</b>: Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.0-ballot/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#20053000)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #antibiotikum</b><a name=\"antibiotikum\"> </a><a name=\"hcantibiotikum\"> </a></p><p><b>code</b>: BACTRIM forte Tabl 800/160mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680483060499)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.0-ballot/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: Trimethoprim <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387179001 &quot;Trimethoprim (substance)&quot;)</span></p><p><b>strength</b>: 160 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></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: Sulfamethoxazole <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#363528007 &quot;Sulfamethoxazole (substance)&quot;)</span></p><p><b>strength</b>: 800 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></p></blockquote></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "antibiotikum",
      "meta" : {
        "profile" : [
          🔗 "http://chmed.emediplan.ch/fhir/StructureDefinition/chmed-medication"
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:2.51.1.1",
            "code" : "7680483060499",
            "display" : "BACTRIM forte Tabl 800/160mg"
          }
        ],
        "text" : "BACTRIM forte Tabl 800/160mg"
      },
      "form" : {
        "coding" : [
          {
            "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
            "code" : "10219000",
            "display" : "Tablet"
          }
        ]
      },
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "387179001",
                "display" : "Trimethoprim (substance)"
              }
            ],
            "text" : "Trimethoprim"
          },
          "strength" : {
            "numerator" : {
              "value" : 160,
              "unit" : "milligram",
              "system" : "http://unitsofmeasure.org",
              "code" : "mg"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "Tablet (unit of presentation)",
              "system" : "http://snomed.info/sct",
              "code" : "732936001"
            }
          }
        },
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "363528007",
                "display" : "Sulfamethoxazole (substance)"
              }
            ],
            "text" : "Sulfamethoxazole"
          },
          "strength" : {
            "numerator" : {
              "value" : 800,
              "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://chmed.emediplan.ch/fhir/StructureDefinition/chmed-sic",
      "valueBoolean" : true
    }
  ],
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:uuid:17cd3fd9-9ad1-4b2c-998a-c2ad240e84ef"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "#antibiotikum"
  },
  "subject" : {
    🔗 "reference" : "Patient/pre1-patient-petermuster"
  },
  "dosageInstruction" : [
    {
      "patientInstruction" : "nach dem Essen",
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2023-02-09",
            "end" : "2023-02-19"
          },
          "when" : [
            "MORN",
            "EVE"
          ]
        }
      },
      "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" : "Stk",
            "system" : "http://unitsofmeasure.org",
            "code" : "{Piece}"
          }
        }
      ]
    }
  ]
}