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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="1-2-MedicationDispense"/>
  <meta>
    <lastUpdated value="2020-02-20T12:31:59.738+00:00"/>
    <profile
             value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:d428e837-46fe-49cc-9212-245d153c68ee"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2011-11-29T11:01:00+01:00"/>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Composition/1-2-Composition"/>
    <resource>
      <Composition>
        <id value="1-2-Composition"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"/>
        </meta>
        <language value="de-CH"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Composition_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/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:d428e837-46fe-49cc-9212-245d153c68ee</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>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:d428e837-46fe-49cc-9212-245d153c68ee"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/2011000195101"/>
            <code value="82291000195104"/>
            <display value="Medication dispense document (record artifact)"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60593-1"/>
            <display value="Medication dispensed.extended Document"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <date value="2011-11-29T11:01:00+01:00"/>
        <author>🔗 
          <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
        </author>
        <title value="Abgabe"/>
        <confidentiality value="N">
          <extension
                     url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="17621005"/>
                <display value="Normal (qualifier value)"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </confidentiality>
        <section>
          <title value="Abgabe eines Medikaments"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="60590-7"/>
              <display value="Medication dispensed.brief Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th>Präpartename</th><th>Wirkstoffname</th><th>Galenische Form</th><th>Dosis pro Einheit</th><th>Anzahl Packungen</th><th>Packungsgrösse</th><th>Dos.Morgen</th><th>Dos.Mittag</th><th>Dos.Abend</th><th>Dos.Nacht</th><th>Verabreichungsweg</th><th>Kommentar</th><th>Behandlungsrund</th><th>Datum/Zeit der Abgabe/ Anwendung</th><th>Identifikation des Empfängers</th></tr></thead><tbody><tr id="dis.1"><td id="dis.1.brandedmedication">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>
          </text>
          <entry>🔗 
            <reference value="MedicationDispense/1-2-MedDispTriatec"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Patient/MonikaWegmueller"/>
    <resource>
      <Patient>
        <id value="MonikaWegmueller"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_MonikaWegmueller"> </a><p class="res-header-id"><b>Generated Narrative: Patient MonikaWegmueller</b></p><a name="MonikaWegmueller"> </a><a name="hcMonikaWegmueller"> </a><a name="MonikaWegmueller-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Monika Wegmüller  Female, DoB: 1943-05-15 ( Medical record number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">Wiesenstr. 12 Zürich 8003 CH </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:2.999.1"/>
          <value value="11111111"/>
        </identifier>
        <name>
          <family value="Wegmüller"/>
          <given value="Monika"/>
        </name>
        <gender value="female"/>
        <birthDate value="1943-05-15"/>
        <address>
          <line value="Wiesenstr. 12"/>
          <city value="Zürich"/>
          <postalCode value="8003"/>
          <country value="CH"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/PractitionerRole/FamilienHausarztAtHausarzt"/>
    <resource>
      <PractitionerRole>
        <id value="FamilienHausarztAtHausarzt"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_FamilienHausarztAtHausarzt"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole FamilienHausarztAtHausarzt</b></p><a name="FamilienHausarztAtHausarzt"> </a><a name="hcFamilienHausarztAtHausarzt"> </a><a name="FamilienHausarztAtHausarzt-en-US"> </a><p><b>practitioner</b>: <a href="Practitioner-FamilienHausarzt.html">Practitioner Familien Hausarzt </a></p><p><b>organization</b>: <a href="Organization-Hausarzt.html">Organization Hausarzt</a></p></div>
        </text>
        <practitioner>🔗 
          <reference value="Practitioner/FamilienHausarzt"/>
        </practitioner>
        <organization>🔗 
          <reference value="Organization/Hausarzt"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Practitioner/FamilienHausarzt"/>
    <resource>
      <Practitioner>
        <id value="FamilienHausarzt"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_FamilienHausarzt"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner FamilienHausarzt</b></p><a name="FamilienHausarzt"> </a><a name="hcFamilienHausarzt"> </a><a name="FamilienHausarzt-en-US"> </a><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000234438</p><p><b>name</b>: Familien Hausarzt </p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000234438"/>
        </identifier>
        <name>
          <family value="Hausarzt"/>
          <given value="Familien"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Organization/Hausarzt"/>
    <resource>
      <Organization>
        <id value="Hausarzt"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_Hausarzt"> </a><p class="res-header-id"><b>Generated Narrative: Organization Hausarzt</b></p><a name="Hausarzt"> </a><a name="hcHausarzt"> </a><a name="Hausarzt-en-US"> </a><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000234438</p><p><b>name</b>: Hausarzt</p><p><b>address</b>: Krankenstrasse 2 Zürich 8005 CH </p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000234438"/>
        </identifier>
        <name value="Hausarzt"/>
        <address>
          <line value="Krankenstrasse 2"/>
          <city value="Zürich"/>
          <postalCode value="8005"/>
          <country value="CH"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/MedicationDispense/1-2-MedDispTriatec"/>
    <resource>
      <MedicationDispense>
        <id value="1-2-MedDispTriatec"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationdispense"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_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/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:7aa20b27-eac0-4fef-a7b9-b10196718b9f</li><li>externalDocumentId: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:7aa20b27-eac0-4fef-a7b9-b10196718b9f</li></ul></blockquote><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:d428e837-46fe-49cc-9212-245d153c68ee</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>
        </text>
        <contained>
          <Medication>
            <id value="Triatec"/>
            <meta>
              <profile
                       value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"/>
            </meta>
            <code>
              <coding>
                <system value="urn:oid:2.51.1.1"/>
                <code value="7680538751228"/>
                <display value="TRIATEC Tabl 2.5 mg 20 Stk"/>
              </coding>
              <text value="TRIATEC Tabl 2.5 mg"/>
            </code>
            <form>
              <coding>
                <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
                <code value="10219000"/>
                <display value="Tablet"/>
              </coding>
              <text value="Tablette"/>
            </form>
            <amount>
              <numerator>
                <value value="20"/>
                <unit value="Tablet (unit of presentation)"/>
                <system value="http://snomed.info/sct"/>
                <code value="732936001"/>
              </numerator>
              <denominator>
                <value value="1"/>
                <unit
                      value="Package - unit of product usage (qualifier value)"/>
                <system value="http://snomed.info/sct"/>
                <code value="1681000175101"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386872004"/>
                  <display value="Ramipril (substance)"/>
                </coding>
                <text value="Ramipril"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="2.5"/>
                  <unit value="milligram"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Tablet (unit of presentation)"/>
                  <system value="http://snomed.info/sct"/>
                  <code value="732936001"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </contained>
        <extension
                   url="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan">
          <extension url="id">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:7aa20b27-eac0-4fef-a7b9-b10196718b9f"/>
            </valueIdentifier>
          </extension>
          <extension url="externalDocumentId">
            <valueIdentifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:7aa20b27-eac0-4fef-a7b9-b10196718b9f"/>
            </valueIdentifier>
          </extension>
        </extension>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:d428e837-46fe-49cc-9212-245d153c68ee"/>
        </identifier>
        <status value="completed"/>
        <medicationReference>
          <reference value="#Triatec"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/MonikaWegmueller"/>
        </subject>
        <performer>
          <actor>🔗 
            <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
          </actor>
        </performer>
        <quantity>
          <value value="1"/>
          <unit value="Package - unit of product usage (qualifier value)"/>
          <system value="http://snomed.info/sct"/>
          <code value="1681000175101"/>
        </quantity>
        <whenHandedOver value="2011-11-29T11:01:00+01:00"/>
        <dosageInstruction>
          <patientInstruction value="-"/>
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2011-11-29"/>
              </boundsPeriod>
              <when value="MORN"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
              <code value="20053000"/>
              <display value="Oral use"/>
            </coding>
            <text value="zum Einnehmen"/>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="0.5"/>
              <unit value="Tablet (unit of presentation)"/>
              <system value="http://snomed.info/sct"/>
              <code value="732936001"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
        <substitution>
          <wasSubstituted value="true"/>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
              <code value="E"/>
              <display value="equivalent"/>
            </coding>
          </type>
        </substitution>
      </MedicationDispense>
    </resource>
  </entry>
</Bundle>