CH EPL (R5)
0.1.0 - ci-build

CH EPL (R5), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/bag-epl/bag-epl-fhir/ and changes regularly. See the Directory of published versions

: KEYTRUDA Inf Konz 100 mg / 4 ml (Bundle) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="b2eb19be-cca4-4fd8-a2a3-84d05631e6c0"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-bundle"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://example.org/MedicinalProductDefinition/Keytruda-100mg-Vial"/>
    <resource>
      <MedicinalProductDefinition>
        <id value="Keytruda-100mg-Vial"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-medicinalproductdefinition"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicinalProductDefinition_Keytruda-100mg-Vial"> </a><p class="res-header-id"><b>Generated Narrative: MedicinalProductDefinition Keytruda-100mg-Vial</b></p><a name="Keytruda-100mg-Vial"> </a><a name="hcKeytruda-100mg-Vial"> </a><a name="Keytruda-100mg-Vial-en-US"> </a><p><b>CH - SMC Authorized Dose Form</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 11213000}">Concentrate for solution for infusion</span></p><p><b>CH - EPL Full Limitation Text</b>: Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17</p><p><b>identifier</b>: <code>http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID</code>/CH-7601001001138-6623101</p><p><b>domain</b>: <span title="Codes:{urn:oid:1.2.276.0.76 100000000012}">Human</span></p><p><b>indication</b>: </p><div><p>xxxxxxx</p>
</div><p><b>legalStatusOfSupply</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-legal-status-of-supply 756005022001}">One-time dispensation on medical or veterinary prescription (A)</span></p><p><b>classification</b>: <span title="Codes:{http://www.whocc.no/atc G03FA01}">norethisterone and estrogen</span>, <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-therapeuticproductcode BT}">Biotechnologika</span></p><p><b>attachedDocument</b>: <a href="DocumentReference-DocRef-FI-Keytruda.html">DocumentReference: status = current; type = Fachinformation</a></p><blockquote><p><b>name</b></p><p><b>productName</b>: KEYTRUDA Inf Konz 100 mg/4ml</p><p><b>type</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-medicinal-product-name-type SMC}">Swissmedic</span></p><h3>Usages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Country</b></td><td><b>Language</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:3166 CH}">Switzerland</span></td><td><span title="Codes:{urn:ietf:bcp:47 de-CH}">German (Switzerland)</span></td></tr></table></blockquote></div>
        </text>
        <extension
                   url="http://fhir.ch/ig/ch-epl/StructureDefinition/authorizedDoseForm">
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
              <code value="11213000"/>
              <display value="Concentrate for solution for infusion"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-epl/StructureDefinition/fullLimitationText">
          <valueString
                       value="Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17"/>
        </extension>
        <identifier>
          <system
                  value="http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID"/>
          <value value="CH-7601001001138-6623101"/>
        </identifier>
        <domain>
          <coding>
            <system value="urn:oid:1.2.276.0.76"/>
            <code value="100000000012"/>
            <display value="Human"/>
          </coding>
        </domain>
        <indication value="xxxxxxx"/>
        <legalStatusOfSupply>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-legal-status-of-supply"/>
            <code value="756005022001"/>
            <display
                     value="One-time dispensation on medical or veterinary prescription (A)"/>
          </coding>
        </legalStatusOfSupply>
        <classification>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="G03FA01"/>
          </coding>
        </classification>
        <classification>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-therapeuticproductcode"/>
            <code value="BT"/>
            <display value="Biotechnologika"/>
          </coding>
        </classification>
        <attachedDocument>🔗 
          <reference value="DocumentReference/DocRef-FI-Keytruda"/>
        </attachedDocument>
        <name>
          <productName value="KEYTRUDA Inf Konz 100 mg/4ml"/>
          <type>
            <coding>
              <system
                      value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-medicinal-product-name-type"/>
              <code value="SMC"/>
              <display value="Swissmedic"/>
            </coding>
          </type>
          <usage>
            <country>
              <coding>
                <system value="urn:iso:std:iso:3166"/>
                <code value="CH"/>
                <display value="Switzerland"/>
              </coding>
            </country>
            <language>
              <coding>
                <system value="urn:ietf:bcp:47"/>
                <code value="de-CH"/>
                <display value="German (Switzerland)"/>
              </coding>
            </language>
          </usage>
        </name>
      </MedicinalProductDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/DocumentReference/DocRef-FI-Keytruda"/>
    <resource>
      <DocumentReference>
        <id value="DocRef-FI-Keytruda"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-documentreference"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_DocRef-FI-Keytruda"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference DocRef-FI-Keytruda</b></p><a name="DocRef-FI-Keytruda"> </a><a name="hcDocRef-FI-Keytruda"> </a><a name="DocRef-FI-Keytruda-en-US"> </a><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-attached-document-type FI}">Fachinformation</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="https://swissmedicinfo.ch/showTextAccepted.aspx?textType=FI&amp;lang=DE&amp;authNr=66231&amp;supportMultipleResults=1">https://swissmedicinfo.ch/showTextAccepted.aspx?textType=FI&amp;lang=DE&amp;authNr=66231&amp;supportMultipleResults=1</a></td></tr></table></blockquote></div>
        </text>
        <status value="current"/>
        <type>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-attached-document-type"/>
            <code value="FI"/>
            <display value="Fachinformation"/>
          </coding>
        </type>
        <content>
          <attachment>
            <url
                 value="https://swissmedicinfo.ch/showTextAccepted.aspx?textType=FI&amp;lang=DE&amp;authNr=66231&amp;supportMultipleResults=1"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/RegulatedAuthorisation/MA-6623101"/>
    <resource>
      <RegulatedAuthorization>
        <id value="MA-6623101"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-regulatedauthorization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RegulatedAuthorization_MA-6623101"> </a><p class="res-header-id"><b>Generated Narrative: RegulatedAuthorization MA-6623101</b></p><a name="MA-6623101"> </a><a name="hcMA-6623101"> </a><a name="MA-6623101-en-US"> </a><p><b>identifier</b>: <code>http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MarketingAuthorisationNumber</code>/6623101</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><p><b>type</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type 756000002001}">Marketing Authorisation</span></p><p><b>region</b>: <span title="Codes:{urn:iso:std:iso:3166 CH}">Switzerland</span></p><p><b>status</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-authorisation-status Z}">zugelassen</span></p><p><b>statusDate</b>: 2022-02-17</p><p><b>holder</b>: <a href="#hcMA-6623101/holder-MSD-Merck-Sharp-Dohme-AG">Organization MSD Merck Sharp &amp; Dohme AG</a></p><p><b>regulator</b>: <a href="#hcMA-6623101/regulator-SMC">Organization SMC</a></p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization  #holder-MSD-Merck-Sharp-Dohme-AG</b></p><a name="MA-6623101/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="hcMA-6623101/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="MA-6623101/holder-MSD-Merck-Sharp-Dohme-AG-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.276.0.76</code>/100080484, <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601001001138</p><p><b>name</b>: MSD Merck Sharp &amp; Dohme AG</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization  #regulator-SMC</b></p><a name="MA-6623101/regulator-SMC"> </a><a name="hcMA-6623101/regulator-SMC"> </a><a name="MA-6623101/regulator-SMC-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.276.0.76</code>/100010911, <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601001398511</p><p><b>name</b>: SMC</p></blockquote></div>
        </text>
        <contained>
          <Organization>
            <id value="holder-MSD-Merck-Sharp-Dohme-AG"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-epl-organization"/>
            </meta>
            <identifier>
              <system value="urn:oid:1.2.276.0.76"/>
              <value value="100080484"/>
            </identifier>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601001001138"/>
            </identifier>
            <name value="MSD Merck Sharp &amp; Dohme AG"/>
          </Organization>
        </contained>
        <contained>
          <Organization>
            <id value="regulator-SMC"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-epl-organization"/>
            </meta>
            <identifier>
              <system value="urn:oid:1.2.276.0.76"/>
              <value value="100010911"/>
            </identifier>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601001398511"/>
            </identifier>
            <name value="SMC"/>
          </Organization>
        </contained>
        <identifier>
          <system
                  value="http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MarketingAuthorisationNumber"/>
          <value value="6623101"/>
        </identifier>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <type>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type"/>
            <code value="756000002001"/>
            <display value="Marketing Authorisation"/>
          </coding>
        </type>
        <region>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="CH"/>
            <display value="Switzerland"/>
          </coding>
        </region>
        <status>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-authorisation-status"/>
            <code value="Z"/>
            <display value="zugelassen"/>
          </coding>
        </status>
        <statusDate value="2022-02-17"/>
        <holder>
          <reference value="#holder-MSD-Merck-Sharp-Dohme-AG"/>
        </holder>
        <regulator>
          <reference value="#regulator-SMC"/>
        </regulator>
      </RegulatedAuthorization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/PackagedProductDefinition/PMP-Keytruda-100mg-4ml-Solution-for-Infusion"/>
    <resource>
      <PackagedProductDefinition>
        <id value="PMP-Keytruda-100mg-4ml-Solution-for-Infusion"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-packagedproductdefinition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PackagedProductDefinition_PMP-Keytruda-100mg-4ml-Solution-for-Infusion"> </a><p class="res-header-id"><b>Generated Narrative: PackagedProductDefinition PMP-Keytruda-100mg-4ml-Solution-for-Infusion</b></p><a name="PMP-Keytruda-100mg-4ml-Solution-for-Infusion"> </a><a name="hcPMP-Keytruda-100mg-4ml-Solution-for-Infusion"> </a><a name="PMP-Keytruda-100mg-4ml-Solution-for-Infusion-en-US"> </a><p><b>identifier</b>: <code>http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-PCID</code>/CH-7601001001138-6623101-001</p><p><b>packageFor</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><p><b>description</b>: </p><div><p>KEYTRUDA Inf Konz 100 mg/4ml Durchstf</p>
</div><h3>LegalStatusOfSupplies</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-legal-status-of-supply 756005022001}">One-time dispensation on medical or veterinary prescription (A)</span></td></tr></table><blockquote><p><b>packaging</b></p><p><b>identifier</b>: <code>urn:oid:2.51.1.1</code>/7680662310018</p><p><b>type</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 30009000}">Box</span></p><p><b>quantity</b>: 1</p><h3>ShelfLifeStorages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>SpecialPrecautionsForStorage</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 100000073403}">Shelf life of the medicinal product as packaged for sale</span></td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage 2}">Im Kühlschrank (2°C - 8°C)</span></td></tr><tr><td style="display: none">*</td><td> </td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage L}">vor Licht Schützen</span></td></tr><tr><td style="display: none">*</td><td> </td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage NF}">Nicht einfrieren</span></td></tr><tr><td style="display: none">*</td><td> </td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage OVP}">In der Originalverpackung aufbewahren.</span></td></tr></table></blockquote></div>
        </text>
        <identifier>
          <system
                  value="http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-PCID"/>
          <value value="CH-7601001001138-6623101-001"/>
        </identifier>
        <packageFor>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </packageFor>
        <description value="KEYTRUDA Inf Konz 100 mg/4ml Durchstf"/>
        <legalStatusOfSupply>
          <code>
            <coding>
              <system
                      value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-legal-status-of-supply"/>
              <code value="756005022001"/>
              <display
                       value="One-time dispensation on medical or veterinary prescription (A)"/>
            </coding>
          </code>
        </legalStatusOfSupply>
        <packaging>
          <identifier>
            <system value="urn:oid:2.51.1.1"/>
            <value value="7680662310018"/>
          </identifier>
          <type>
            <coding>
              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
              <code value="30009000"/>
              <display value="Box"/>
            </coding>
          </type>
          <quantity value="1"/>
          <shelfLifeStorage>
            <type>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="100000073403"/>
                <display
                         value="Shelf life of the medicinal product as packaged for sale"/>
              </coding>
            </type>
            <specialPrecautionsForStorage>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage"/>
                <code value="2"/>
                <display value="Im Kühlschrank (2°C - 8°C)"/>
              </coding>
            </specialPrecautionsForStorage>
          </shelfLifeStorage>
          <shelfLifeStorage>
            <specialPrecautionsForStorage>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage"/>
                <code value="L"/>
                <display value="vor Licht Schützen"/>
              </coding>
            </specialPrecautionsForStorage>
          </shelfLifeStorage>
          <shelfLifeStorage>
            <specialPrecautionsForStorage>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage"/>
                <code value="NF"/>
                <display value="Nicht einfrieren"/>
              </coding>
            </specialPrecautionsForStorage>
          </shelfLifeStorage>
          <shelfLifeStorage>
            <specialPrecautionsForStorage>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-special-precautions-for-storage"/>
                <code value="OVP"/>
                <display value="In der Originalverpackung aufbewahren."/>
              </coding>
            </specialPrecautionsForStorage>
          </shelfLifeStorage>
        </packaging>
      </PackagedProductDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/RegulatedAuthorisation/MA-66231001"/>
    <resource>
      <RegulatedAuthorization>
        <id value="MA-66231001"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-regulatedauthorization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RegulatedAuthorization_MA-66231001"> </a><p class="res-header-id"><b>Generated Narrative: RegulatedAuthorization MA-66231001</b></p><a name="MA-66231001"> </a><a name="hcMA-66231001"> </a><a name="MA-66231001-en-US"> </a><p><b>identifier</b>: <code>http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MarketingAuthorisationNumber</code>/66231001</p><p><b>subject</b>: <a href="PackagedProductDefinition-PMP-Keytruda-100mg-4ml-Solution-for-Infusion.html">PackagedProductDefinition: identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-PCID#CH-7601001001138-6623101-001; description = KEYTRUDA Inf Konz 100 mg/4ml Durchstf</a></p><p><b>type</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type 756000002001}">Marketing Authorisation</span></p><p><b>region</b>: <span title="Codes:{urn:iso:std:iso:3166 CH}">Switzerland</span></p><p><b>status</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-authorisation-status Z}">zugelassen</span></p><p><b>statusDate</b>: 2022-02-17</p><p><b>holder</b>: <a href="#hcMA-66231001/holder-MSD-Merck-Sharp-Dohme-AG">Organization MSD Merck Sharp &amp; Dohme AG</a></p><p><b>regulator</b>: <a href="#hcMA-66231001/regulator-SMC">Organization SMC</a></p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization  #holder-MSD-Merck-Sharp-Dohme-AG</b></p><a name="MA-66231001/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="hcMA-66231001/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="MA-66231001/holder-MSD-Merck-Sharp-Dohme-AG-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.276.0.76</code>/100080484, <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601001001138</p><p><b>name</b>: MSD Merck Sharp &amp; Dohme AG</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization  #regulator-SMC</b></p><a name="MA-66231001/regulator-SMC"> </a><a name="hcMA-66231001/regulator-SMC"> </a><a name="MA-66231001/regulator-SMC-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.276.0.76</code>/100010911, <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601001398511</p><p><b>name</b>: SMC</p></blockquote></div>
        </text>
        <contained>
          <Organization>
            <id value="holder-MSD-Merck-Sharp-Dohme-AG"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-epl-organization"/>
            </meta>
            <identifier>
              <system value="urn:oid:1.2.276.0.76"/>
              <value value="100080484"/>
            </identifier>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601001001138"/>
            </identifier>
            <name value="MSD Merck Sharp &amp; Dohme AG"/>
          </Organization>
        </contained>
        <contained>
          <Organization>
            <id value="regulator-SMC"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-epl-organization"/>
            </meta>
            <identifier>
              <system value="urn:oid:1.2.276.0.76"/>
              <value value="100010911"/>
            </identifier>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601001398511"/>
            </identifier>
            <name value="SMC"/>
          </Organization>
        </contained>
        <identifier>
          <system
                  value="http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MarketingAuthorisationNumber"/>
          <value value="66231001"/>
        </identifier>
        <subject>🔗 
          <reference
                     value="PackagedProductDefinition/PMP-Keytruda-100mg-4ml-Solution-for-Infusion"/>
        </subject>
        <type>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type"/>
            <code value="756000002001"/>
            <display value="Marketing Authorisation"/>
          </coding>
        </type>
        <region>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="CH"/>
            <display value="Switzerland"/>
          </coding>
        </region>
        <status>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-authorisation-status"/>
            <code value="Z"/>
            <display value="zugelassen"/>
          </coding>
        </status>
        <statusDate value="2022-02-17"/>
        <holder>
          <reference value="#holder-MSD-Merck-Sharp-Dohme-AG"/>
        </holder>
        <regulator>
          <reference value="#regulator-SMC"/>
        </regulator>
      </RegulatedAuthorization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/RegulatedAuthorisation/FOPH-20416"/>
    <resource>
      <RegulatedAuthorization>
        <id value="FOPH-20416"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RegulatedAuthorization_FOPH-20416"> </a><p class="res-header-id"><b>Generated Narrative: RegulatedAuthorization FOPH-20416</b></p><a name="FOPH-20416"> </a><a name="hcFOPH-20416"> </a><a name="FOPH-20416-en-US"> </a><blockquote><p><b>CH - EPL Reimbursement SL</b></p><ul><li>FOPHDossierNumber: <code>urn:oid:2.16.756.1</code>/20416</li><li>status: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-reimbursement-status 756001021001}">Reimbursed</span></li><li>statusDate: 2023-01-01</li><li>expiryDate: 2025-03-31</li><li>listingStatus: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-listing-status 756001002001}">Listed</span></li><li>listingPeriod: 2023-01-01 --&gt; 2024-12-31</li><li>firstListingDate: 2017-09-01</li><li>costShare: 10</li><li>gamme: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-gamme 756002004009}">Parenteral Depot</span></li></ul></blockquote><blockquote><p><b>CH - EPL Product Price</b></p><ul><li>value: <span title="Swiss Franc">CHF4,407.68</span> (CHF)</li><li>type: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type 756002005002}">Ex-factory price</span></li><li>changeType: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change 756002006006}">Normal price mutation</span></li><li>changeDate: 2023-01-01</li></ul></blockquote><blockquote><p><b>CH - EPL Product Price</b></p><ul><li>value: <span title="Swiss Franc">CHF4,768.50</span> (CHF)</li><li>type: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type 756002005001}">Retail price</span></li><li>changeType: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change 756002006005}">VAT-change</span></li><li>changeDate: 2024-01-01</li></ul></blockquote><p><b>subject</b>: <a href="PackagedProductDefinition-PMP-Keytruda-100mg-4ml-Solution-for-Infusion.html">PackagedProductDefinition: identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-PCID#CH-7601001001138-6623101-001; description = KEYTRUDA Inf Konz 100 mg/4ml Durchstf</a></p><p><b>type</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type 756000002003}">Reimbursement SL</span></p><h3>Indications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td/><td><a href="ClinicalUseDefinition-IND-10075566.html">ClinicalUseDefinition: type = indication</a></td></tr></table><p><b>holder</b>: <a href="#hcFOPH-20416/holder-MSD-Merck-Sharp-Dohme-AG">Organization MSD Merck Sharp &amp; Dohme AG</a></p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization  #holder-MSD-Merck-Sharp-Dohme-AG</b></p><a name="FOPH-20416/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="hcFOPH-20416/holder-MSD-Merck-Sharp-Dohme-AG"> </a><a name="FOPH-20416/holder-MSD-Merck-Sharp-Dohme-AG-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.276.0.76</code>/100080484, <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601001001138</p><p><b>name</b>: MSD Merck Sharp &amp; Dohme AG</p></blockquote></div>
        </text>
        <contained>
          <Organization>
            <id value="holder-MSD-Merck-Sharp-Dohme-AG"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-epl-organization"/>
            </meta>
            <identifier>
              <system value="urn:oid:1.2.276.0.76"/>
              <value value="100080484"/>
            </identifier>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601001001138"/>
            </identifier>
            <name value="MSD Merck Sharp &amp; Dohme AG"/>
          </Organization>
        </contained>
        <extension
                   url="http://fhir.ch/ig/ch-epl/StructureDefinition/reimbursementSL">
          <extension url="FOPHDossierNumber">
            <valueIdentifier>
              <system value="urn:oid:2.16.756.1"/>
              <value value="20416"/>
            </valueIdentifier>
          </extension>
          <extension url="status">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-reimbursement-status"/>
                <code value="756001021001"/>
                <display value="Reimbursed"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="statusDate">
            <valueDate value="2023-01-01"/>
          </extension>
          <extension url="expiryDate">
            <valueDate value="2025-03-31"/>
          </extension>
          <extension url="listingStatus">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-listing-status"/>
                <code value="756001002001"/>
                <display value="Listed"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="listingPeriod">
            <valuePeriod>
              <start value="2023-01-01"/>
              <end value="2024-12-31"/>
            </valuePeriod>
          </extension>
          <extension url="firstListingDate">
            <valueDate value="2017-09-01"/>
          </extension>
          <extension url="costShare">
            <valueInteger value="10"/>
          </extension>
          <extension url="gamme">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-gamme"/>
                <code value="756002004009"/>
                <display value="Parenteral Depot"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-epl/StructureDefinition/productPrice">
          <extension url="value">
            <valueMoney>
              <value value="4407.68"/>
              <currency value="CHF"/>
            </valueMoney>
          </extension>
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type"/>
                <code value="756002005002"/>
                <display value="Ex-factory price"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="changeType">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change"/>
                <code value="756002006006"/>
                <display value="Normal price mutation"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="changeDate">
            <valueDate value="2023-01-01"/>
          </extension>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-epl/StructureDefinition/productPrice">
          <extension url="value">
            <valueMoney>
              <value value="4768.5"/>
              <currency value="CHF"/>
            </valueMoney>
          </extension>
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type"/>
                <code value="756002005001"/>
                <display value="Retail price"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="changeType">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change"/>
                <code value="756002006005"/>
                <display value="VAT-change"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="changeDate">
            <valueDate value="2024-01-01"/>
          </extension>
        </extension>
        <subject>🔗 
          <reference
                     value="PackagedProductDefinition/PMP-Keytruda-100mg-4ml-Solution-for-Infusion"/>
        </subject>
        <type>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-authorisation-type"/>
            <code value="756000002003"/>
            <display value="Reimbursement SL"/>
          </coding>
        </type>
        <indication>
          <extension
                     url="http://fhir.ch/ig/ch-epl/StructureDefinition/regulatedAuthorization-limitation">
            <extension url="status">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-limitationstatus"/>
                  <code value="756002071001"/>
                  <display value="Limitation Reimbursed"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension url="statusDate">
              <valueDate value="2023-01-01"/>
            </extension>
            <extension url="period">
              <valuePeriod>
                <start value="2023-01-01"/>
                <end value="2024-12-31"/>
              </valuePeriod>
            </extension>
            <extension url="reimbursementEndDate">
              <valueDate value="2025-03-31"/>
            </extension>
            <extension url="firstLimitationDate">
              <valueDate value="2023-01-01"/>
            </extension>
            <extension url="indicationCode">
              <valueString value="20416.17"/>
            </extension>
            <extension url="limitationIndication">
              <valueReference>🔗 
                <reference value="ClinicalUseDefinition/LIM-254837009"/>
              </valueReference>
            </extension>
            <extension
                       url="http://fhir.ch/ig/ch-epl/StructureDefinition/productPrice">
              <extension url="value">
                <valueMoney>
                  <value value="4407.68"/>
                  <currency value="CHF"/>
                </valueMoney>
              </extension>
              <extension url="type">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type"/>
                    <code value="756002005002"/>
                    <display value="Ex-factory price"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension url="changeType">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change"/>
                    <code value="756002006006"/>
                    <display value="Normal price mutation"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension url="changeDate">
                <valueDate value="2023-01-01"/>
              </extension>
            </extension>
            <extension
                       url="http://fhir.ch/ig/ch-epl/StructureDefinition/productPrice">
              <extension url="value">
                <valueMoney>
                  <value value="4768.5"/>
                  <currency value="CHF"/>
                </valueMoney>
              </extension>
              <extension url="type">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-price-type"/>
                    <code value="756002005001"/>
                    <display value="Retail price"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension url="changeType">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-epl-foph-type-of-price-change"/>
                    <code value="756002006005"/>
                    <display value="VAT-change"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension url="changeDate">
                <valueDate value="2024-01-01"/>
              </extension>
            </extension>
          </extension>
          <reference>🔗 
            <reference value="ClinicalUseDefinition/IND-10075566"/>
          </reference>
        </indication>
        <holder>
          <reference value="#holder-MSD-Merck-Sharp-Dohme-AG"/>
        </holder>
      </RegulatedAuthorization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/ManufacturedItemDefinition/MI-Pembrolizumab-100mg-Vial"/>
    <resource>
      <ManufacturedItemDefinition>
        <id value="MI-Pembrolizumab-100mg-Vial"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-manufactureditemdefinition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ManufacturedItemDefinition_MI-Pembrolizumab-100mg-Vial"> </a><p class="res-header-id"><b>Generated Narrative: ManufacturedItemDefinition MI-Pembrolizumab-100mg-Vial</b></p><a name="MI-Pembrolizumab-100mg-Vial"> </a><a name="hcMI-Pembrolizumab-100mg-Vial"> </a><a name="MI-Pembrolizumab-100mg-Vial-en-US"> </a><p><b>status</b>: Active</p><p><b>manufacturedDoseForm</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 10221000}">Film-coated tablet</span></p><p><b>unitOfPresentation</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 15060000}">Vial</span></p></div>
        </text>
        <status value="active"/>
        <manufacturedDoseForm>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
            <code value="10221000"/>
            <display value="Film-coated tablet"/>
          </coding>
        </manufacturedDoseForm>
        <unitOfPresentation>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
            <code value="15060000"/>
            <display value="Vial"/>
          </coding>
        </unitOfPresentation>
      </ManufacturedItemDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/AdministrableProductDefinition/PhP-Pembrolizumab-100mg-Vial"/>
    <resource>
      <AdministrableProductDefinition>
        <id value="PhP-Pembrolizumab-100mg-Vial"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-administrableproductdefinition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="AdministrableProductDefinition_PhP-Pembrolizumab-100mg-Vial"> </a><p class="res-header-id"><b>Generated Narrative: AdministrableProductDefinition PhP-Pembrolizumab-100mg-Vial</b></p><a name="PhP-Pembrolizumab-100mg-Vial"> </a><a name="hcPhP-Pembrolizumab-100mg-Vial"> </a><a name="PhP-Pembrolizumab-100mg-Vial-en-US"> </a><p><b>status</b>: Active</p><p><b>formOf</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><p><b>administrableDoseForm</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 11210000}">Solution for infusion</span></p><p><b>unitOfPresentation</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 15060000}">Vial</span></p><h3>RouteOfAdministrations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 20045000}">Intravenous use</span></td></tr></table></div>
        </text>
        <status value="active"/>
        <formOf>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </formOf>
        <administrableDoseForm>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
            <code value="11210000"/>
            <display value="Solution for infusion"/>
          </coding>
        </administrableDoseForm>
        <unitOfPresentation>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
            <code value="15060000"/>
            <display value="Vial"/>
          </coding>
        </unitOfPresentation>
        <routeOfAdministration>
          <code>
            <coding>
              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
              <code value="20045000"/>
              <display value="Intravenous use"/>
            </coding>
          </code>
        </routeOfAdministration>
      </AdministrableProductDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Ingredient/Pembrolizumab100"/>
    <resource>
      <Ingredient>
        <id value="Pembrolizumab100"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-ingredient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Ingredient_Pembrolizumab100"> </a><p class="res-header-id"><b>Generated Narrative: Ingredient Pembrolizumab100</b></p><a name="Pembrolizumab100"> </a><a name="hcPembrolizumab100"> </a><a name="Pembrolizumab100-en-US"> </a><p><b>status</b>: Active</p><p><b>for</b>: </p><ul><li><a href="AdministrableProductDefinition-PhP-Pembrolizumab-100mg-Vial.html">AdministrableProductDefinition: status = active; administrableDoseForm = Solution for infusion; unitOfPresentation = Vial</a></li><li><a href="ManufacturedItemDefinition-MI-Pembrolizumab-100mg-Vial.html">ManufacturedItemDefinition: status = active; manufacturedDoseForm = Film-coated tablet; unitOfPresentation = Vial</a></li></ul><p><b>role</b>: <span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-ingredient-role WIRKS}">Wirkstoff</span></p><blockquote><p><b>substance</b></p><h3>Codes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-substance DPT0O3T46P}">Pembrolizumab</span></td></tr></table><h3>Strengths</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Presentation[x]</b></td></tr><tr><td style="display: none">*</td><td>100 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 Vial<span style="background: LightGoldenRodYellow"> (Details: EDQM - Standard Terms  code15060000 = 'Vial')</span></td></tr></table></blockquote></div>
        </text>
        <status value="active"/>
        <for>🔗 
          <reference
                     value="AdministrableProductDefinition/PhP-Pembrolizumab-100mg-Vial"/>
        </for>
        <for>🔗 
          <reference
                     value="ManufacturedItemDefinition/MI-Pembrolizumab-100mg-Vial"/>
        </for>
        <role>
          <coding>
            <system
                    value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-ingredient-role"/>
            <code value="WIRKS"/>
            <display value="Wirkstoff"/>
          </coding>
        </role>
        <substance>
          <code>
            <concept>
              <coding>
                <system
                        value="http://fhir.ch/ig/ch-epl/CodeSystem/ch-SMC-substance"/>
                <code value="DPT0O3T46P"/>
                <display value="Pembrolizumab"/>
              </coding>
            </concept>
          </code>
          <strength>
            <presentationRatio>
              <numerator>
                <value value="100"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </numerator>
              <denominator>
                <value value="1"/>
                <unit value="Vial"/>
                <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
                <code value="15060000"/>
              </denominator>
            </presentationRatio>
          </strength>
        </substance>
      </Ingredient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10027400"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10027400"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10027400"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10027400</b></p><a name="IND-10027400"> </a><a name="hcIND-10027400"> </a><a name="IND-10027400-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10027400}">Melanom</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10027400"/>
                <display value="Melanom"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10075566"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10075566"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10075566"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10075566</b></p><a name="IND-10075566"> </a><a name="hcIND-10075566"> </a><a name="IND-10075566-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10075566}">Triple negative breast cancer</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10075566"/>
                <display value="Triple negative breast cancer"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10028881"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10028881"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10028881"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10028881</b></p><a name="IND-10028881"> </a><a name="hcIND-10028881"> </a><a name="IND-10028881-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10028881}">Nicht-kleinzelliges Lungenkarzinom</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10028881"/>
                <display value="Nicht-kleinzelliges Lungenkarzinom"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10021782"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10021782"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10021782"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10021782</b></p><a name="IND-10021782"> </a><a name="hcIND-10021782"> </a><a name="IND-10021782-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10021782}">Kopf- und Halskarzinom</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10021782"/>
                <display value="Kopf- und Halskarzinom"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10019927"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10019927"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10019927"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10019927</b></p><a name="IND-10019927"> </a><a name="hcIND-10019927"> </a><a name="IND-10019927-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10019927}">Klassisches Hodgkin Lymphom</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10019927"/>
                <display value="Klassisches Hodgkin Lymphom"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/IND-10043971"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="IND-10043971"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-epl/StructureDefinition/ch-idmp-clinicalusedefinition-indication"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_IND-10043971"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition IND-10043971</b></p><a name="IND-10043971"> </a><a name="hcIND-10043971"> </a><a name="IND-10043971-en-US"> </a><p><b>type</b>: Indication</p><p><b>subject</b>: <a href="MedicinalProductDefinition-Keytruda-100mg-Vial.html">MedicinalProductDefinition: extension = Concentrate for solution for infusion,Lokal rezidiverendes, nicht resezierbares oder metastasiertes triple-negatives Mammakarzinom (in Kombination mit Chemotherapie) KN 355
(mit Preismodell). KEYTRUDA in Kombination mit Chemotherapie zur Behandlung des lokal rezidivierenden, nicht resezierbaren oder metastasierten triple-negativen Mammakarzinoms bei Erwachsenen, deren Tumore PD-L1 mit einem CPS ≥10 exprimieren und die keine vorherige Chemotherapie bei metastasierter Erkrankung erhalten haben.
- Falls Patienten vorhergehend systemisch im (neo)adjuvanten Setting behandelt wurden: Mit Vortherapie auf Antrazyklin-Basis, ausser diese war kontraindiziert.
- Ohne Therapie mit Checkpoint-Inhibitoren innerhalb der letzten 12 Monate.
Folgender Code ist an den Krankenversicherer zu übermitteln: 20416.17; identifier = http://SMC.ch/ig/idmp/NamingSystem/IDSystem-ch-MPID#CH-7601001001138-6623101; domain = Human; indication = xxxxxxx; legalStatusOfSupply = One-time dispensation on medical or veterinary prescription (A); classification = norethisterone and estrogen,Biotechnologika</a></p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://www.meddra.org 10043971}">Primäres mediastinales grosszelliges B-Zell-Lymphom</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <subject>🔗 
          <reference value="MedicinalProductDefinition/Keytruda-100mg-Vial"/>
        </subject>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="https://www.meddra.org"/>
                <code value="10043971"/>
                <display
                         value="Primäres mediastinales grosszelliges B-Zell-Lymphom"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/ClinicalUseDefinition/LIM-254837009"/>
    <resource>
      <ClinicalUseDefinition>
        <id value="LIM-254837009"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalUseDefinition_LIM-254837009"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalUseDefinition LIM-254837009</b></p><a name="LIM-254837009"> </a><a name="hcLIM-254837009"> </a><a name="LIM-254837009-en-US"> </a><p><b>type</b>: Indication</p><blockquote><p><b>indication</b></p><h3>DiseaseSymptomProcedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 254837009}">Malignant tumor of breast</span></td></tr></table><h3>IntendedEffects</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:oid:1.2.276.0.76 200000003194}">therapeutic</span></td></tr></table></blockquote></div>
        </text>
        <type value="indication"/>
        <indication>
          <diseaseSymptomProcedure>
            <concept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="254837009"/>
                <display value="Malignant tumor of breast"/>
              </coding>
            </concept>
          </diseaseSymptomProcedure>
          <intendedEffect>
            <concept>
              <coding>
                <system value="urn:oid:1.2.276.0.76"/>
                <code value="200000003194"/>
                <display value="therapeutic"/>
              </coding>
            </concept>
          </intendedEffect>
        </indication>
      </ClinicalUseDefinition>
    </resource>
  </entry>
</Bundle>