CH EMED (R4)
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CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions

: 1-2 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "1-2-MedicationDispense",
  "meta" : {
    "lastUpdated" : "2020-02-20T12:31:59.738+00:00",
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
  },
  "type" : "document",
  "timestamp" : "2011-11-29T11:01:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/1-2-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "1-2-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_1-2-Composition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 1-2-Composition</b></p><a name=\"1-2-Composition\"> </a><a name=\"hc1-2-Composition\"> </a><a name=\"1-2-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/6.0.2/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:488bd23a-20c6-11e6-b67b-9e71128cae77</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>: 2011-11-29 11:01:00+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>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
        },
        "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/MonikaWegmueller"
        },
        "date" : "2011-11-29T11:01:00+01:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/FamilienHausarztAtHausarzt"
          }
        ],
        "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\"><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\">Triatec</td><td id=\"dis.1.ingredient\">Ramipril</td><td id=\"dis.1.dosequantity\">2.5 mg</td><td id=\"dis.1.packageform\">Tbl</td><td id=\"dis.1.nopackages\">1</td><td id=\"dis.1.packagesize\">20</td><td id=\"dis.1.dosagemorning\">0.5</td><td id=\"dis.1.dosagelunch\">0</td><td id=\"dis.1.dosageevening\">0</td><td id=\"dis.1.dosagenight\">0</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>"
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationDispense/1-2-MedDispTriatec"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MonikaWegmueller",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MonikaWegmueller",
        "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_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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1",
            "value" : "11111111"
          }
        ],
        "name" : [
          {
            "family" : "Wegmüller",
            "given" : [
              "Monika"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1943-05-15",
        "address" : [
          {
            "line" : [
              "Wiesenstr. 12"
            ],
            "city" : "Zürich",
            "postalCode" : "8003",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/FamilienHausarztAtHausarzt",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "FamilienHausarztAtHausarzt",
        "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_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>"
        },
        "practitioner" : {
          🔗 "reference" : "Practitioner/FamilienHausarzt"
        },
        "organization" : {
          🔗 "reference" : "Organization/Hausarzt"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/FamilienHausarzt",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "FamilienHausarzt",
        "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_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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : [
          {
            "family" : "Hausarzt",
            "given" : [
              "Familien"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Hausarzt",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Hausarzt",
        "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_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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          }
        ],
        "name" : "Hausarzt",
        "address" : [
          {
            "line" : [
              "Krankenstrasse 2"
            ],
            "city" : "Zürich",
            "postalCode" : "8005",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec",
      "resource" : {
        "resourceType" : "MedicationDispense",
        "id" : "1-2-MedDispTriatec",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationDispense_1-2-MedDispTriatec\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense 1-2-MedDispTriatec</b></p><a name=\"1-2-MedDispTriatec\"> </a><a name=\"hc1-2-MedDispTriatec\"> </a><a name=\"1-2-MedDispTriatec-en-US\"> </a><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><ul><li>id: <a href=\"http://terminology.hl7.org/6.0.2/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:c9f758a1-296c-4710-84d4-e181db8c7478</li><li>externalDocumentId: <a href=\"http://terminology.hl7.org/6.0.2/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:c9f758a1-296c-4710-84d4-e181db8c7478</li></ul></blockquote><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/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:488bd23a-20c6-11e6-b67b-9e71128cae77</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"#hc1-2-MedDispTriatec/Triatec\">Medication TRIATEC Tabl 2.5 mg 20 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>: 2011-11-29 11:01:00+0100</p><blockquote><p><b>dosageInstruction</b></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>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  #Triatec</b></p><a name=\"1-2-MedDispTriatec/Triatec\"> </a><a name=\"hc1-2-MedDispTriatec/Triatec\"> </a><a name=\"1-2-MedDispTriatec/Triatec-en-US\"> </a><p><b>code</b>: <span title=\"Codes:{urn:oid:2.51.1.1 7680538751228}\">TRIATEC Tabl 2.5 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 386872004}\">Ramipril</span></td><td>2.5 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>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "Triatec",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680538751228",
                  "display" : "TRIATEC Tabl 2.5 mg 20 Stk"
                }
              ],
              "text" : "TRIATEC Tabl 2.5 mg"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10219000",
                  "display" : "Tablet"
                }
              ],
              "text" : "Tablette"
            },
            "amount" : {
              "numerator" : {
                "value" : 20,
                "unit" : "Tablet (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732936001"
              },
              "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" : "386872004",
                      "display" : "Ramipril (substance)"
                    }
                  ],
                  "text" : "Ramipril"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 2.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet (unit of presentation)",
                    "system" : "http://snomed.info/sct",
                    "code" : "732936001"
                  }
                }
              }
            ]
          }
        ],
        "extension" : [
          {
            "extension" : [
              {
                "url" : "id",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              },
              {
                "url" : "externalDocumentId",
                "valueIdentifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:c9f758a1-296c-4710-84d4-e181db8c7478"
                }
              }
            ],
            "url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:488bd23a-20c6-11e6-b67b-9e71128cae77"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#Triatec"
        },
        "subject" : {
          🔗 "reference" : "Patient/MonikaWegmueller"
        },
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "PractitionerRole/FamilienHausarztAtHausarzt"
            }
          }
        ],
        "quantity" : {
          "value" : 1,
          "unit" : "Package - unit of product usage (qualifier value)",
          "system" : "http://snomed.info/sct",
          "code" : "1681000175101"
        },
        "whenHandedOver" : "2011-11-29T11:01:00+01:00",
        "dosageInstruction" : [
          {
            "patientInstruction" : "-",
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2011-11-29"
                },
                "when" : [
                  "MORN"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ],
              "text" : "zum Einnehmen"
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 0.5,
                  "unit" : "Tablet (unit of presentation)",
                  "system" : "http://snomed.info/sct",
                  "code" : "732936001"
                }
              }
            ]
          }
        ],
        "substitution" : {
          "wasSubstituted" : true,
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
                "code" : "E",
                "display" : "equivalent"
              }
            ]
          }
        }
      }
    }
  ]
}