CH EMED (R4)
5.0.0 - trial-use Switzerland flag

CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0 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

: Medication Statement with a medication in reserve and a maximum dosage - XML Representation

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<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="AsNeededWithMaxDose"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationStatement AsNeededWithMaxDose</b></p><a name="AsNeededWithMaxDose"> </a><a name="hcAsNeededWithMaxDose"> </a><a name="AsNeededWithMaxDose-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

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:e5adf8d0-99fd-4bc6-b089-da7f7075d3be</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="#hcAsNeededWithMaxDose/Nitrostat">Medication Nitrostat 0.3 mg/tablet</a></p><p><b>subject</b>: <a href="Patient-MonikaWegmueller.html">Monika Wegmüller  Female, DoB: 1943-05-15 ( Medical record number)</a></p><p><b>dateAsserted</b>: 2022-11-01</p><p><b>informationSource</b>: <a href="PractitionerRole-FamilienHausarztAtHausarzt.html">PractitionerRole</a></p><p><b>reasonCode</b>: <span title="Codes:">Chest pain</span></p><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: Administer one tablet under the tongue at the first sign of an acute anginal attack. 
                                One additional tablet may be administered every 5 minutes until relief is obtained. 
                                No more than three tablets are recommended within a 15-minute period.</p><p><b>timing</b>: Once</p><p><b>asNeeded</b>: true</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>1 Tablet (unit of presentation)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication  #Nitrostat</b></p><a name="AsNeededWithMaxDose/Nitrostat"> </a><a name="hcAsNeededWithMaxDose/Nitrostat"> </a><a name="AsNeededWithMaxDose/Nitrostat-en-US"> </a><p><b>code</b>: <span title="Codes:{urn:oid:2.51.1.1 00300710417243}">Nitrostat 0.3 mg/tablet</span></p><p><b>form</b>: <span title="Codes:{urn:oid:0.4.0.127.0.16.1.1.2.1 10318000}">Sublingualtablette</span></p><p><b>amount</b>: 100 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 387404004}">Nitroglycerin</span></td><td>0.3 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="Nitrostat"/>
      <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="00300710417243"/>
          <display value="Nitrostat 0.3 mg/tablet"/>
        </coding>
        <text value="Nitrostat 0.3 mg/tablet"/>
      </code>
      <form>
        <coding>
          <system value="urn:oid:0.4.0.127.0.16.1.1.2.1"/>
          <code value="10318000"/>
          <display value="Sublingual tablet"/>
        </coding>
        <text value="Sublingualtablette"/>
      </form>
      <amount>
        <numerator>
          <value value="100"/>
          <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="387404004"/>
            <display value="Nitroglycerin"/>
          </coding>
          <text value="Nitroglycerin"/>
        </itemCodeableConcept>
        <strength>
          <numerator>
            <value value="0.3"/>
            <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>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:e5adf8d0-99fd-4bc6-b089-da7f7075d3be"/>
  </identifier>
  <status value="completed"/>
  <medicationReference>
    <reference value="#Nitrostat"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/MonikaWegmueller"/>
  </subject>
  <dateAsserted value="2022-11-01"/>
  <informationSource>🔗 
    <reference value="PractitionerRole/FamilienHausarztAtHausarzt"/>
  </informationSource>
  <reasonCode>
    <text value="Chest pain"/>
  </reasonCode>
  <dosage>
    <patientInstruction
                        value="Administer one tablet under the tongue at the first sign of an acute anginal attack. 
                                One additional tablet may be administered every 5 minutes until relief is obtained. 
                                No more than three tablets are recommended within a 15-minute period."/>
    <timing>
      <repeat>
        <boundsPeriod>
          <start value="2022-11-01"/>
        </boundsPeriod>
      </repeat>
    </timing>
    <asNeededBoolean value="true"/>
    <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="1"/>
        <unit value="Tablet (unit of presentation)"/>
        <system value="http://snomed.info/sct"/>
        <code value="732936001"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
</MedicationStatement>