Introduction

CHMED16A and CHMED20AF define two different exchange formats:

1. Medication Card document (CHMED16A: MedicationPlan (MP))
2. Medication Prescription document (CHMED16A: Prescription (Rx))

These exchange formats are defined in two different document types, which correspond to a Bundle as FHIR Ressource. A Bundle has list of Entries. The first Entry is the Composition where alle contained Entries are then referenced.

Medication Card document

The Medication Card document summarizes the entire, current medication of a patient.

Bundle

The FHIR ressource Bundle bundles the corresponding entries in a document. It contains

• The profile this bundle correspons to (chmed20af-card-bundle)
• The type of the bundle (fixed here on “document”)
• An entry to the composition, the actual document that references different resources (further entry elements in the bundle)
• Further entry elements to the patient, medication card entries, etc.

Medication Card document: Profile, Example (XML, JSON)

Composition

The Composition ressource defines the following parameter for the Medication Card document:

Parameter	Description	Resource/Datatype	CHMED16A
informationRecipient	Receiver (Patient or Gln of receiver)	Extension (Patient or Practitioner)	Patient or Patient.RCV (Gln of receiver)
privatefield	Private Field	Extension (string)	PFields
identifier	Logical identifier for document (GUID)	Identifier	Id
type	Type of medication object, 1: MedicationPlan (MP)	code	MedType
subject	Reference to the Patient	Patient	Patient
date	Date of creation	dateTime	Dt
author	Author	Practitioner	Auth
attester:professionalAuthenticator.time	Validate date: Date of validation	dateTime	ValDt
attester:professionalAuthenticator.party	Validated by: The Gln of the practitionier	Practitioner	ValBy
section:card	List of medicaments	MedicationStatement	Medicaments
section:healthconcerns	Health concerns	Entry	MedicalData
section:annotation	Notes	text	Rmk

Composition Medication Card document: Profile, Example (XML, JSON)

Patient

Parameter	Description	Resource/Datatype	CHMED16A
privatefield	Private Field	Extension (string)	Patient.PFields
identifier	Local identifier for this patient	Identifier	Patient.Id with PatientId.Type (LocalPatientIdentifier = 2)
name	Name for this patient	HumanName	name.given = Patient.FName, name.family = Patient.LName
telecom	Telephone number	ContactPoint	Patient.Phone
gender	Gender	code	Patient.Gender, Male = 1, Female = 2
birthDate	Date of birth	date	Patient.BDt
address	Address for the patient	Address	address.line = Patient.Street, address.postalCode = Patient.Zip, address.city = Patient.City
communication.language	Language of the patient	CodeableConcept	Patient.Lng conversion between ISO 639-1 (de) to urn:ietf:cbp:47 (de_CH) necessary”

Patient (Medication Card document): Profile, Example (XML, JSON)

Practitioner

Parameter	Description	Resource/Datatype	CHMED16A
identifier	Gln for this practitioner	Identifier	Auth.Gln
name	Name for this practitioner	HumanName	name.given = Auth.FName, name.family = Auth.LName

Practitioner: Profile, Example (XML, JSON)

Medication Section

The medication section contains the entries for the current medications for patient.

Parameter	Description	Resource/Datatype	CHMED16A
privatefield	Private Field	Extension (string)	Medicament.PFields
medicationReference	Reference to Medication	Medication	Medicament.Id with Medicament.IdType 2 (GTIN)
subject	Reference to Patient	Patient	Patient
informationSource	Person that provided the information about the taking of this medication	Patient or Practitioner	Medicament.AutoMed (Selfmedication) if Patient, Medicament.PrscbBy if Practitioner
reasonCode	Taking reason	text	Medicament.TkgRsn
dosage:nonstructured	Application Instructions	Dosage	Medicament.AppInstr
dosage:structured	List of Posology	Dosage	Medicament.Pos
Dosage.timing	When medication should be administered	Timing	Posology.DtFrom, Posology.DtTo, Posology.CyDu, Posology.InRes
Dosage.route	How drug should enter body	CodeableConect	Medicament.Roa
Dosage.doseAndRate.dose[x]	Amount of medication per dose	SimpleQuantity, Range	doseQuantity: TakingTime.A, doseRange: TakingTime.DoFrom, TakingTime.DoTo
Dosage.maxDosePerPeriod	Amount of medication per dose	Ratio	TakingTime.MA

MedicationStatement: Profile, Example 1 (XML, JSON), Example 2 (XML, JSON), Example 3 (XML, JSON), Example 4 (XML, JSON)

Health Concerns Section

The health concern sections contains the medical data for the patient and the possible risks. If the risk category is specified without any risk specified in the code, the entire risk category is considered as explicitly excluded for the current patient. If the risk category does not exist, the risks are considered as unknown for the patient.

Entry	Description	Resource/Datatype	CHMED16A
Body Weight	Weight measurement for patient in kg	Observation	MedicalData.Meas.Weight
Body Height	Weight measurement for patient in cm	Observation	MedicalData.Meas.Height
First day of last menstruation	First day of last menstruation	Observation	MedicalData.DLstMen
Premature baby	premature baby true only if age <= 18 months	Observation	MedicalData.Prem
Time of gestation	Time of gestation only if Premature Baby	Observation	MedicalData.ToG.Weeks + MedicalData.ToG.Day
Risks per group	Renal Insufficiency	Condition	MedicalData.RC
Risks per group	Liver Insufficiency	Condition	MedicalData.RC
Risks per group	Reproduction	Condition	MedicalData.RC
Risks per group	Competitive athlete	Condition	MedicalData.RC
Risks per group	Driver	Condition	MedicalData.RC
Risks per group	Allergies	Condition	MedicalData.RC

Medication Prescription document

A Medication Prescription document can be structured in a bundle according to the prescription bundle profile.

Bundle

The FHIR ressource Bundle bundles the corresponding entries in a document. It contains

• The profile this bundle correspons to (chmed20af-pre-bundle)
• The type of the bundle (fixed here on “document”)
• An entry to the composition, the actual document that references different resources (further entry elements in the bundle)
• Further entry elements to the patient, medication entries, etc.

Medication Prescription document: Profile, Example (XML, JSON)

Composition

The Composition ressource defines the following parameter for the Prescription:

Parameter	Description	Resource/Datatype	CHMED16A
informationRecipient	Receiver (Patient or Gln of receiver)	Extension (Patient or Practitioner)	Patient or Patient.RCV (Gln of receiver)
privatefield	Private Field	Extension (string)	PFields
identifier	Logical identifier for document (GUID)	Identifier	Id
type	Type of medication object, 2: Prescription (Rx)	code	MedType
subject	Reference to the Patient	Patient	Patient
date	Date of creation	dateTime	Dt
author	Author	Practitioner	Auth
attester:professionalAuthenticator.time	Validate date: Date of validation	dateTime	ValDt
attester:professionalAuthenticator.party	Validated by: The Gln of the practitionier	Practitioner	ValBy
section:prescription	List of medicaments	MedicationRequest	Medicaments
section:annotation	Notes	text	Rmk

Composition Medication Prescription document: Profile, Example (XML, JSON)

Patient

Parameter	Description	Resource/Datatype	CHMED16A
privatefield	Private Field	Extension (string)	Patient.PFields
identifier	Local identifier for this patient	Identifier	Patient.Id with PatientId.Type (LocalPatientIdentifier = 2)
name	Name for this patient	HumanName	name.given = Patient.FName, name.family = Patient.LName
telecom	Telephone number	ContactPoint	Patient.Phone
gender	Gender	code	Patient.Gender, Male = 1, Female = 2
birthDate	Date of birth	date	Patient.BDt
address	Address for the patient	Address	address.line = Patient.Street, address.postalCode = Patient.Zip, address.city = Patient.City

Patient (Medication Prescription document): Profile, Example (XML, JSON)

Practitioner

Parameter	Description	Resource/Datatype	CHMED16A
identifier	Gln for this practitioner	Identifier	Auth.Gln
identifier	ZSR for this practitioner	Identifier	ZSR-Number of the organisation
name	Name for this practitioner	HumanName	name.given = Auth.FName, name.family = Auth.LName

Practitioner: Profile, Example (XML, JSON)

Medication Prescribed Section

The medication section contains the entries for the prescriped medications for the patient.

Parameter	Description	Resource/Datatype	CHMED16A
privatefield	Private Field	Extension (string)	Medicament.PFields
medicationReference	Reference to Medication	Medication	Medicament.Id with Medicament.IdType 2 (GTIN)
subject	Reference to Patient	Patient	Patient
dosageInstruction:nonstructured	Application Instructions	Dosage	Medicament.AppInstr
dosageInstruction:structured	List of Posology	Dosage	Medicament.Pos
Dosage.timing	When medication should be administered	Timing	Posology.DtFrom, Posology.DtTo, Posology.CyDu, Posology.InRes
Dosage.route	How drug should enter body	CodeableConect	Medicament.Roa
Dosage.doseAndRate.dose[x]	Amount of medication per dose	SimpleQuantity, Range	doseQuantity: TakingTime.A, doseRange: TakingTime.DoFrom, TakingTime.DoTo
Dosage.maxDosePerPeriod	Amount of medication per dose	Ratio	TakingTime.MA
dispenseRequest.numberOfRepeatsAllowed	Number of repetitions allowed	unsignedInt	Medicament.Rep
dispenseRequest.quantity	Number of package to be delivered	SimpleQuantity	Medicament.NbPack
substitution.allowedCodeableConcept	Medication is substitutable	CodeableConcept	Medicament.Subs

MedicationRequest: Profile, Example (XML, JSON)