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Narrative

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Source1

{
  "resourceType": "MedicationDispense",
  "id": "MedDisAbirateron",
  "meta": {
    "profile": [
      "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationdispense"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "AbirateronAccordTab500mg",
      "meta": {
        "profile": [
          "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication"
        ]
      },
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.51.1.1",
            "code": "7680679500013",
            "display": "ABIRATERON Accord FCT 500 mg, blister 56 pce"
          },
          {
            "system": "http://www.whocc.no/atc",
            "code": "L02BX03",
            "display": "abiraterone"
          }
        ],
        "text": "ABIRATERON Accord FCT 500 mg, blister 56 pce"
      },
      "form": {
        "coding": [
          {
            "system": "urn:oid:0.4.0.127.0.16.1.1.2.1",
            "code": "10221000",
            "display": "Film-coated tablet"
          }
        ],
        "text": "Film-coated tablet"
      },
      "amount": {
        "numerator": {
          "value": 56,
          "unit": "Tablet (unit of presentation)",
          "system": "http://snomed.info/sct",
          "code": "732936001"
        },
        "denominator": {
          "value": 1,
          "unit": "Package - unit of product usage (qualifier value)",
          "system": "http://snomed.info/sct",
          "code": "1681000175101"
        }
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "text": "Abiraterone acetate"
          },
          "isActive": true,
          "strength": {
            "numerator": {
              "value": 500,
              "unit": "mg",
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "unit": "Tablet (unit of presentation)",
              "system": "http://snomed.info/sct",
              "code": "732936001"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "text": "Lactose monohydrate"
          },
          "isActive": false,
          "strength": {
            "numerator": {
              "value": 253.2,
              "unit": "mg",
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "unit": "Tablet (unit of presentation)",
              "system": "http://snomed.info/sct",
              "code": "732936001"
            }
          }
        },
        {
          "itemCodeableConcept": {
            "text": "Microcrystalline cellulose"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Sodium croscarmellose"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Hypromellose"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Sodium lauryl sulfate"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Colloidal anhydrous silica"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Magnesium stearate"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Polyvinyl alcohol"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Titanium dioxide"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Macrogol"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Talc"
          },
          "isActive": false
        },
        {
          "itemCodeableConcept": {
            "text": "Iron(III) oxide"
          },
          "isActive": false
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epl-regulated-authorization-limitation-indication-code",
      "valueString": "21423.01"
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:92e13e19-9bd4-43ec-807d-a78d6962bad3"
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#AbirateronAccordTab500mg"
  },
  "subject": {
    "reference": "Patient/FranzMuster"
  },
  "performer": [
    {
      "actor": {
        "reference": "PractitionerRole/SchreibKraftAtGruppenpraxisCH"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/MedReqAbirateron"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "FFC"
      }
    ]
  },
  "quantity": {
    "value": 1,
    "unit": "Package - unit of product usage (qualifier value)",
    "system": "http://snomed.info/sct",
    "code": "1681000175101"
  },
  "daysSupply": {
    "value": 28,
    "unit": "d",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenHandedOver": "2026-06-14T09:00:00Z",
  "receiver": [
    {
      "reference": "Patient/FranzMuster"
    }
  ],
  "dosageInstruction": [
    {
      "text": "1 tablet in the morning, 1 tablet in the evening. To be taken at least 1h before or 2h after meals.",
      "patientInstruction": "To be taken at least 1h before or 2h after meals.",
      "timing": {
        "repeat": {
          "frequency": 2,
          "period": 1,
          "periodUnit": "d",
          "when": [
            "MORN",
            "EVE"
          ]
        }
      },
      "route": {
        "coding": [
          {
            "system": "urn:oid:0.4.0.127.0.16.1.1.2.1",
            "code": "20053000",
            "display": "Oral use"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "urn:oid:0.4.0.127.0.16.1.1.2.1",
            "code": "0019",
            "display": "Swallowing"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "Tablet (unit of presentation)",
            "system": "http://snomed.info/sct",
            "code": "732936001"
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": false
  }
}