eMediplan CHMED20AF Implementation Guide:

This page is part of the eMediplan CHMED20AF FHIR IG (R4) (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions


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  "meta" : {
    "lastUpdated" : "2019-05-29T15:00:54.948+02:00",
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    ]
  },
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    "value" : "26d3dff7-ab05-4737-a49c-5eccd33595f6"
  },
  "type" : "document",
  "timestamp" : "2016-09-12T11:46:09+02:00",
  "entry" : [
    {
      "fullUrl" : "http://localhost:8080/r4/Composition/3",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3",
        "meta" : {
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          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-composition"
          ]
        },
        "language" : "de-CH",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\">Medication Card document </div>"
        },
        "extension" : [
          {
            "url" : "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-privatefield",
            "extension" : [
              {
                "url" : "name",
                "valueString" : "PrivateFieldNameSample1"
              },
              {
                "url" : "value",
                "valueString" : "PrivateFieldValueSample1"
              }
            ]
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid",
            "valueIdentifier" : {
              "system" : "http://emediplan.ch/chmed20af/id",
              "value" : "26d3dff7-ab05-4737-a49c-5eccd33595f6"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber",
            "valueUnsignedInt" : 1
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient",
            "valueReference" : {
              "reference" : "Practitioner/9"
            }
          }
        ],
        "identifier" : {
          "system" : "http://emediplan.ch/chmed20af/id",
          "value" : "26d3dff7-ab05-4737-a49c-5eccd33595f6"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "721912009",
              "display" : "Medication summary document (record artifact)"
            }
          ]
        },
        "subject" : {
          "reference" : "http://localhost:8080/r4/Patient/7"
        },
        "date" : "2016-09-12T11:46:09+02:00",
        "author" : [
          {
            "reference" : "Practitioner/9"
          }
        ],
        "title" : "Medikationsplan",
        "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" : "Normally accessible"
                  }
                ]
              }
            }
          ]
        },
        "attester" : [
          {
            "mode" : "professional",
            "time" : "2016-09-12T11:46:09+02:00",
            "party" : {
              "reference" : "Practitioner/9"
            }
          }
        ],
        "custodian" : {
          "reference" : "Organization/10"
        },
        "section" : [
          {
            "title" : "Medikamentenliste",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "History of medication use"
                }
              ]
            },
            "text" : {
              "status" : "additional",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Medikamentenliste </div>"
            },
            "entry" : [
              {
                "reference" : "MedicationStatement/11"
              },
              {
                "reference" : "MedicationStatement/12"
              },
              {
                "reference" : "MedicationStatement/13"
              },
              {
                "reference" : "MedicationStatement/14"
              },
              {
                "reference" : "MedicationStatement/21"
              }
            ]
          },
          {
            "title" : "Gesundheitsbelange",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "75310-3",
                  "display" : "Health Concerns"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/24"
              },
              {
                "reference" : "Observation/23"
              },
              {
                "reference" : "Observation/25"
              },
              {
                "reference" : "Observation/26"
              },
              {
                "reference" : "Observation/27"
              },
              {
                "reference" : "Condition/28"
              },
              {
                "reference" : "Condition/29"
              },
              {
                "reference" : "Condition/30"
              },
              {
                "reference" : "Condition/31"
              },
              {
                "reference" : "Condition/32"
              },
              {
                "reference" : "Condition/33"
              }
            ]
          },
          {
            "title" : "Kommentar",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48767-8",
                  "display" : "Annotation comment"
                }
              ]
            },
            "text" : {
              "status" : "additional",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Kommentar </div>"
            }
          }
        ]
      }
    },
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      "fullUrl" : "http://localhost:8080/r4/Condition/32",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "32",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-condition-risks"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Driver - Excluded</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://chmed20af.emediplan.ch/fhir/CodeSystem/chmed20af-codesystem-risks-category",
                "code" : "5",
                "display" : "Driver"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/7"
        }
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/Condition/33",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "33",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-condition-risks"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies -Betablocker-Allergie (Propranolol-Typ), Penicillin-Allergie</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://chmed20af.emediplan.ch/fhir/CodeSystem/chmed20af-codesystem-risks-category",
                "code" : "6",
                "display" : "Allergies"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://chmed20af.emediplan.ch/fhir/CodeSystem/chmed20af-codesystem-risks-cdscode",
              "code" : "555",
              "display" : "Betablocker-Allergie (Propranolol-Typ)"
            },
            {
              "system" : "http://chmed20af.emediplan.ch/fhir/CodeSystem/chmed20af-codesystem-risks-cdscode",
              "code" : "571",
              "display" : "Penicillin-Allergie"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/7"
        }
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/Patient/7",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "7",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maxima, Matter, geb 1981-01-12 </div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999",
            "value" : "12345678"
          }
        ],
        "name" : [
          {
            "family" : "Matter",
            "given" : [
              "Maxima"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+41588512600",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1981-01-12",
        "address" : [
          {
            "line" : [
              "Untermattweg 8"
            ],
            "city" : "Bern",
            "postalCode" : "3027"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "de-CH",
                  "display" : "German (Region=Switzerland)"
                }
              ]
            },
            "preferred" : true
          }
        ]
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/Practitioner/9",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "9",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <p>Thomas Wälti </p>\n               </div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601003178999"
          },
          {
            "use" : "official",
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "ZSR"
          }
        ],
        "name" : [
          {
            "family" : "Wälti",
            "given" : [
              "Thomas"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/Organization/10",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "10",
        "meta" : {
          "profile" : [
            "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <p>Hausarzt\n                  </p>\n               </div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601003178999"
          }
        ],
        "name" : "Hausarzt"
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/MedicationStatement/11",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "11",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">ROACCUTAN Kaps 10 mg 30 Stk gegen Akne\tbei Bedarf ab 12.9.2016</div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "cont1",
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680453070343",
                  "display" : "ROACCUTAN Kaps 10 mg 30 Stk"
                }
              ],
              "text" : "ROACCUTAN Kaps 10 mg 30 Stk"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10210000",
                  "display" : "Capsule, hard"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "387208003",
                      "display" : "Isotretinoin (substance)"
                    }
                  ]
                },
                "strength" : {
                  "numerator" : {
                    "value" : 10,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1
                  }
                }
              }
            ]
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#cont1"
        },
        "subject" : {
          "reference" : "Patient/7"
        },
        "informationSource" : {
          "reference" : "Practitioner/9"
        },
        "reasonCode" : [
          {
            "text" : "Akne"
          }
        ],
        "note" : [
          {
            "text" : "-"
          }
        ],
        "dosage" : [
          {
            "text" : "bei Bedarf"
          },
          {
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2016-09-12",
                  "end" : "2020-09-12"
                },
                "when" : [
                  "PCM"
                ]
              }
            },
            "asNeededBoolean" : true,
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Stück",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/MedicationStatement/12",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "12",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> ASPIRIN CARDIO Filmtabl 100 mg 28 Stk 0-1-0-0 ab 10.2.2016 </div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "cont2",
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680517950680",
                  "display" : "ASPIRIN CARDIO Filmtabl 100 mg 28 Stk"
                }
              ],
              "text" : "ASPIRIN CARDIO Filmtabl 100 mg 28 Stk"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10221000",
                  "display" : "Film-coated tablet"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "387458008",
                      "display" : "Aspirin (substance)"
                    }
                  ]
                },
                "strength" : {
                  "numerator" : {
                    "value" : 100,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1
                  }
                }
              }
            ]
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#cont2"
        },
        "subject" : {
          "reference" : "Patient/7"
        },
        "informationSource" : {
          "reference" : "Practitioner/9"
        },
        "reasonCode" : [
          {
            "text" : "Blutverdünnung"
          }
        ],
        "dosage" : [
          {
            "text" : "1 Tablette morgens"
          },
          {
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2016-09-12",
                  "end" : "2020-09-12"
                },
                "when" : [
                  "PCM"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Stück",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/MedicationStatement/13",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "13",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> BELOC ZOK Ret Tabl 25 mg 30 Stk - 1-0-1-0 ab 2.10.2016 </div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "cont3",
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680521101573",
                  "display" : "BELOC ZOK Ret Tabl 25 mg 30 Stk"
                }
              ],
              "text" : "BELOC ZOK Ret Tabl 25 mg 30 Stk"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "10226000",
                  "display" : "Prolonged-release tablet"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "372826007",
                      "display" : "Metoprolol (substance)"
                    }
                  ]
                },
                "strength" : {
                  "numerator" : {
                    "value" : 25,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1
                  }
                }
              }
            ]
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          "reference" : "#cont3"
        },
        "subject" : {
          "reference" : "Patient/7"
        },
        "informationSource" : {
          "reference" : "Practitioner/9"
        },
        "reasonCode" : [
          {
            "text" : "Bluthochdruck/Herz"
          }
        ],
        "dosage" : [
          {
            "text" : "Morgens und abends je 1 Tablette"
          },
          {
            "timing" : {
              "repeat" : {
                "boundsPeriod" : {
                  "start" : "2016-02-10"
                },
                "when" : [
                  "PCM",
                  "PCV"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Stück",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://localhost:8080/r4/MedicationStatement/14",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "14",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-05-29T14:58:58.181+02:00",
          "profile" : [
            "http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">ZOCOR Filmtabl 20 mg 28 Stk - 0-0-1-0 ab 2.10.2016 </div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "cont4",
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.51.1.1",
                  "code" : "7680497420456",
                  "display" : "ZOCOR Filmtabl 20 mg 28 Stk"
                }
              ],
              "text" : "ZOCOR Filmtabl 20 mg 28 Stk"
            },
            "form" : {
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