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

: 3-2 Medication Dispense document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "3-2-MedicationDispense",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-document-medicationdispense"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
  },
  "type" : "document",
  "timestamp" : "2020-02-03T17:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/3-2-Composition",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3-2-Composition",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-composition-medicationdispense"
          ]
        },
        "language" : "de-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><a name=\"Composition_3-2-Composition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 3-2-Composition</b></p><a name=\"3-2-Composition\"> </a><a name=\"hc3-2-Composition\"> </a><a name=\"3-2-Composition-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de-CH</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-composition-medicationdispense.html\">CH EMED Medication Dispense Composition</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</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>: 2020-02-03 17:00:00+0100</p><p><b>author</b>: <a href=\"PractitionerRole-PriskaHuberAtRettungsdienst.html\">PractitionerRole</a></p><p><b>title</b>: Abgabe</p><p><b>confidentiality</b>: normal</p></div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/2011000195101",
              "code" : "82291000195104",
              "display" : "Medication dispense document (record artifact)"
            },
            {
              "system" : "http://loinc.org",
              "code" : "60593-1",
              "display" : "Medication dispensed.extended Document"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "date" : "2020-02-03T17:00:00+01:00",
        "author" : [
          {
            🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
          }
        ],
        "title" : "Abgabe",
        "confidentiality" : "N",
        "_confidentiality" : {
          "extension" : [
            {
              "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005",
                    "display" : "Normal (qualifier value)"
                  }
                ]
              }
            }
          ]
        },
        "section" : [
          {
            "title" : "Abgabe eines Medikaments",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60590-7",
                  "display" : "Medication dispensed.brief Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span id=\"co1\">Anwendung: 0.05 mg Fentanyl, 14:32, 03.02.2020</span></div>"
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationAdministration/3-2-MedAdminFentanyl"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/MaxMoser",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "MaxMoser",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_MaxMoser\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient MaxMoser</b></p><a name=\"MaxMoser\"> </a><a name=\"hcMaxMoser\"> </a><a name=\"MaxMoser-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Max Moser  Male, DoB: 1988-11-27 ( 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\">Schneefeld 5a Bern 3006 CH </td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1",
            "value" : "123456"
          }
        ],
        "name" : [
          {
            "family" : "Moser",
            "given" : [
              "Max"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1988-11-27",
        "address" : [
          {
            "line" : [
              "Schneefeld 5a"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/PriskaHuberAtRettungsdienst",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PriskaHuberAtRettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PriskaHuberAtRettungsdienst\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PriskaHuberAtRettungsdienst</b></p><a name=\"PriskaHuberAtRettungsdienst\"> </a><a name=\"hcPriskaHuberAtRettungsdienst\"> </a><a name=\"PriskaHuberAtRettungsdienst-en-US\"> </a><p><b>practitioner</b>: <a href=\"Practitioner-PriskaHuber.html\">Practitioner Priska Huber </a></p><p><b>organization</b>: <a href=\"Organization-Rettungsdienst.html\">Organization Rettungsdienst</a></p></div>"
        },
        "practitioner" : {
          🔗 "reference" : "Practitioner/PriskaHuber"
        },
        "organization" : {
          🔗 "reference" : "Organization/Rettungsdienst"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/PriskaHuber",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PriskaHuber",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_PriskaHuber\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner PriskaHuber</b></p><a name=\"PriskaHuber\"> </a><a name=\"hcPriskaHuber\"> </a><a name=\"PriskaHuber-en-US\"> </a><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000121219</p><p><b>name</b>: Priska Huber </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000121219"
          }
        ],
        "name" : [
          {
            "family" : "Huber",
            "given" : [
              "Priska"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Rettungsdienst",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Rettungsdienst",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_Rettungsdienst\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization Rettungsdienst</b></p><a name=\"Rettungsdienst\"> </a><a name=\"hcRettungsdienst\"> </a><a name=\"Rettungsdienst-en-US\"> </a><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000000514</p><p><b>name</b>: Rettungsdienst</p><p><b>address</b>: Rettungsgasse 2 Bern 3006 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000000514"
          }
        ],
        "name" : "Rettungsdienst",
        "address" : [
          {
            "line" : [
              "Rettungsgasse 2"
            ],
            "city" : "Bern",
            "postalCode" : "3006",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/MedicationAdministration/3-2-MedAdminFentanyl",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "3-2-MedAdminFentanyl",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationadministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_3-2-MedAdminFentanyl\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration 3-2-MedAdminFentanyl</b></p><a name=\"3-2-MedAdminFentanyl\"> </a><a name=\"hc3-2-MedAdminFentanyl\"> </a><a name=\"3-2-MedAdminFentanyl-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"#hc3-2-MedAdminFentanyl/Fentanyl\">Medication FENTANYL Sintetica Inj Lös 0.5 mg/10ml</a></p><p><b>subject</b>: <a href=\"Patient-MaxMoser.html\">Max Moser  Male, DoB: 1988-11-27 ( Medical record number)</a></p><p><b>effective</b>: 2020-02-03 14:32:00+0100</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"PractitionerRole-PriskaHuberAtRettungsdienst.html\">PractitionerRole</a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:\">Schmerzbehandlung</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 20045000}\">intravenöse Anwendung</span></td><td><span title=\"Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 0009}\">Infusion</span></td><td>1 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732978007 = 'Ampule (unit of presentation)')</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #Fentanyl</b></p><a name=\"3-2-MedAdminFentanyl/Fentanyl\"> </a><a name=\"hc3-2-MedAdminFentanyl/Fentanyl\"> </a><a name=\"3-2-MedAdminFentanyl/Fentanyl-en-US\"> </a><p><b>code</b>: <span title=\"Codes:{urn:oid:2.51.1.1 7680539870027}\">FENTANYL Sintetica Inj Lös 0.5 mg/10ml</span></p><p><b>form</b>: <span title=\"Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 11201000}\">Injektionslösung</span></p><p><b>amount</b>: 10 Ampule (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732978007 = 'Ampule (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 373492002}\">Fentanyl</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/10 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "Fentanyl",
            "meta" : {
              "profile" : [
                🔗 "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680539870027",
                  "display" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
                }
              ],
              "text" : "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "11201000",
                  "display" : "Solution for injection"
                }
              ],
              "text" : "Injektionslösung"
            },
            "amount" : {
              "numerator" : {
                "value" : 10,
                "unit" : "Ampule (unit of presentation)",
                "system" : "http://snomed.info/sct",
                "code" : "732978007"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Package - unit of product usage (qualifier value)",
                "system" : "http://snomed.info/sct",
                "code" : "1681000175101"
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "373492002",
                      "display" : "Fentanyl (substance)"
                    }
                  ],
                  "text" : "Fentanyl"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 0.5,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 10,
                    "unit" : "milligram",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mL"
                  }
                }
              }
            ]
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:8ef0d745-e218-4636-abac-ea842ca6a421"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#Fentanyl"
        },
        "subject" : {
          🔗 "reference" : "Patient/MaxMoser"
        },
        "effectiveDateTime" : "2020-02-03T14:32:00+01:00",
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "PractitionerRole/PriskaHuberAtRettungsdienst"
            }
          }
        ],
        "reasonCode" : [
          {
            "text" : "Schmerzbehandlung"
          }
        ],
        "dosage" : {
          "route" : {
            "coding" : [
              {
                "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                "code" : "20045000",
                "display" : "Intravenous use"
              }
            ],
            "text" : "intravenöse Anwendung"
          },
          "method" : {
            "coding" : [
              {
                "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                "code" : "0009",
                "display" : "Infusion"
              }
            ]
          },
          "dose" : {
            "value" : 1,
            "unit" : "Ampule (unit of presentation)",
            "system" : "http://snomed.info/sct",
            "code" : "732978007"
          }
        }
      }
    }
  ]
}