MedicationListMedicatioDispense esimerkeissä on Lääkkeen määrän tiedot, toimitettu määrä (quantity) ja Lääkemääräyksellä yhteensä toimitettu määrä (totalDispensedAmount -laajennos kokonaismääränä ja määrän yksikkönä sekä Lääkemääräyksellä jäljellä oleva määrä (remainingAmount -laajennos) tieto on laskukaavana.

MedicationListMedicationDispense_Ei_sis_Contained.json

{
    "resourceType": "MedicationDispense",
    "id": "1.2.246.10.11111111.93001.2024.11711545645149123",
    "meta": {
        "profile":  [
            "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationDispense"
        ]
    },
    "extension":  [
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber",
            "valuePositiveInt": 2
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
            "valueDateTime": "2024-03-27T13:20:45+02:00"
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost",
            "valueMoney": {
                "value": 57.60,
                "currency": "EUR"
            }
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging",
            "valueBoolean": false
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed",
            "valueBoolean": false
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum",
            "extension":  [
                {
                    "url": "medicineId",
                    "valueIdentifier": {
                        "system": "urn:ietf:rfc:3986",
                        "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545618194123.0"
                    }
                },
                {
                    "url": "medicineIdPart",
                    "valuePositiveInt": 2135345448
                }
            ]
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation",
            "valueString": "Lääketoimituksen lisäselvitys Kelalle"
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages",
            "valuePositiveInt": 1
        }
    ],
    "identifier":  [
        {
            "system": "http://resepti.kanta.fi/fhir/id/id",
            "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545645149123"
        },
        {
            "system": "http://resepti.kanta.fi/fhir/id/setId",
            "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545628681123"
        }
    ],
    "status": "completed",
    "statusReasonCodeableConcept": {
        "coding":  [
            {
                "system": "urn:oid:1.2.246.537.5.40105.2006",
                "code": "10"
            }
        ]
    },
    "_comment": "medicationReference, actor ovat contained viittauksia, mutta tässä esimerkissä ei ole contained elementtiä mukana",
    "medicationReference": {
        "reference": "#1"
    },
    "performer":  [
        {
            "actor": {
                "reference": "#3"
            }
        }
    ],
    "authorizingPrescription": {
        "identifier": {
            "system": "http://resepti.kanta.fi/fhir/id/id",
            "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545645149123"
        }
    },
    "quantity": {
        "extension":  [
            {
                "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount",
                "extension":  [
                    {
                        "url": "amountFormula",
                        "extension":  [
                            {
                                "url": "value",
                                "valueString": "6X100"
                            },
                            {
                                "url": "unit",
                                "valueString": "fol"
                            }
                        ]
                    }
                ]
            },
            {
                "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount",
                "extension":  [
                    {
                        "url": "amountAndUnit",
                        "valueQuantity": {
                            "value": 100.0,
                            "unit": "fol"
                        }
                    }
                ]
            }
        ],
        "value": 100.0,
        "unit": "fol"
    },
    "whenHandedOver": "2024-03-27T13:20:45+02:00",
    "note": {
        "text": "Apteekin huomautus lääketoimitukseen"
    },
    "dosageInstruction":  [
        {
            "text": "Verenpainelääke",
            "patientInstruction": "1 tabletti kerran päivässä"
        }
    ],
    "substitution": {
        "wasSubstituted": false,
        "reason":  [
            {
                "coding":  [
                    {
                        "system": "urn:oid:1.2.246.537.5.40183.2009",
                        "code": "M"
                    }
                ],
                "text": "Hintaputkessa olevia valmisteita ei ole saatavilla."
            }
        ]
    }
}

MedicationListMedicationDispense_Sis_Contained.json

{
    "resourceType": "MedicationDispense",
    "id": "1.2.246.10.11111111.93001.2024.11711545645149123",
    "meta": {
        "profile":  [
            "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationDispense"
        ]
    },
    "contained":  [
        {
            "resourceType": "Medication",
            "id": "1",
            "meta": {
                "profile":  [
                    "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedication"
                ]
            },
            "extension":  [
                {
                    "url": "http://resepti.kanta.fi/StructureDefinition/extension/pharmaceuticalProductStrength",
                    "valueString": "5 mg/ml"
                },
                {
                    "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/medicationKnowledgeReference",
                    "valueReference": {
                        "reference": "#2"
                    }
                }
            ],
            "code": {
                "coding":  [
                    {
                        "system": "urn:oid:1.2.246.537.6.32.2007",
                        "code": "S01AA01",
                        "display": "kloramfenikoli"
                    }
                ]
            },
            "ingredient":  [
                {
                    "itemCodeableConcept": {
                        "text": "kloramfenikoli"
                    },
                    "isActive": true
                }
            ]
        },
        {
            "resourceType": "MedicationKnowledge",
            "id": "2",
            "meta": {
                "profile":  [
                    "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationKnowledge"
                ]
            },
            "extension":  [
                {
                    "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/marketingAuthorizationHolder",
                    "valueString": "SANTEN"
                },
                {
                    "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/productInformation",
                    "valueString": "suojakotelo"
                },
                {
                    "url": "http://resepti.kanta.fi/StructureDefinition/extension/narcotic",
                    "valueBoolean": false
                },
                {
                    "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/productName",
                    "valueString": "valmisteen koodaamaton kauppanimi"
                }
            ],
            "code": {
                "coding":  [
                    {
                        "system": "urn:oid:1.2.246.537.6.55.2004",
                        "code": "010215",
                        "display": "OFTAN AKVAKOL"
                    }
                ]
            },
            "doseForm": {
                "text": "silmätipat, liuos, kerta-annospakkaus"
            },
            "amount": {
                "extension":  [
                    {
                        "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/partialPackage",
                        "valueBoolean": false
                    },
                    {
                        "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageFactor",
                        "valuePositiveInt": 30
                    },
                    {
                        "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageAmountText",
                        "valueString": "30 x 0,25 ml"
                    }
                ],
                "value": 0.25,
                "unit": "ml"
            },
            "packaging": {
                "type": {
                    "text": "kerta-annospakkaus"
                }
            },
            "medicineClassification":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                                "code": "119",
                                "display": "PKV-lääkemääräys"
                            }
                        ]
                    },
                    "classification":  [
                        {
                            "coding":  [
                                {
                                    "system": "urn:oid:1.2.246.537.5.40118.2006",
                                    "code": "Z"
                                }
                            ]
                        }
                    ]
                },
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                                "code": "164",
                                "display": "valmisteen laji"
                            }
                        ]
                    },
                    "classification":  [
                        {
                            "coding":  [
                                {
                                    "system": "urn:oid:1.2.246.537.6.604.2014",
                                    "code": "1"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "resourceType": "PractitionerRole",
            "id": "3",
            "meta": {
                "profile":  [
                    "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPractitionerRole"
                ]
            },
            "organization": {
                "reference": "#5"
            },
            "code":  [
                {
                    "coding":  [
                        {
                            "system": "urn:oid:1.2.246.537.5.40006.2003",
                            "code": "LTE"
                        }
                    ]
                }
            ]
        },
        {
            "resourceType": "Organization",
            "id": "5",
            "meta": {
                "profile":  [
                    "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization"
                ]
            },
            "identifier":  [
                {
                    "system": "urn:ietf:rfc:3986",
                    "value": "urn:oid:1.2.246.537.26.1098701780"
                }
            ],
            "name": "Testi apteekki",
            "contact":  [
                {
                    "telecom":  [
                        {
                            "system": "phone",
                            "value": "tel:02063488"
                        }
                    ]
                }
            ]
        }
    ],
    "extension":  [
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber",
            "valuePositiveInt": 2
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
            "valueDateTime": "2024-03-27T13:20:45+02:00"
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/cost",
            "valueMoney": {
                "value": 57.60,
                "currency": "EUR"
            }
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosePackaging",
            "valueBoolean": false
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/fullyDispensed",
            "valueBoolean": false
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum",
            "extension":  [
                {
                    "url": "medicineId",
                    "valueIdentifier": {
                        "system": "urn:ietf:rfc:3986",
                        "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545618194123.0"
                    }
                },
                {
                    "url": "medicineIdPart",
                    "valuePositiveInt": 2135345448
                }
            ]
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/additionalInformation",
            "valueString": "Lääketoimituksen lisäselvitys Kelalle"
        },
        {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/amountOfPackages",
            "valuePositiveInt": 1
        }
    ],
    "identifier":  [
        {
            "system": "http://resepti.kanta.fi/fhir/id/id",
            "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545645149123"
        },
        {
            "system": "http://resepti.kanta.fi/fhir/id/setId",
            "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711545628681123"
        }
    ],
    "status": "completed",
    "statusReasonCodeableConcept": {
        "coding":  [
            {
                "system": "urn:oid:1.2.246.537.5.40105.2006",
                "code": "10"
            }
        ]
    },
    "medicationReference": {
        "reference": "#1"
    },
    "performer":  [
        {
            "actor": {
                "reference": "#3"
            }
        }
    ],
    "authorizingPrescription": {
        "identifier": {
            "system": "http://resepti.kanta.fi/fhir/id/id",
            "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730"
        }
    },
    "quantity": {
        "extension":  [
            {
                "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/remainingAmount",
                "extension":  [
                    {
                        "url": "amountFormula",
                        "extension":  [
                            {
                                "url": "value",
                                "valueString": "6X100"
                            },
                            {
                                "url": "unit",
                                "valueString": "fol"
                            }
                        ]
                    }
                ]
            },
            {
                "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/totalDispensedAmount",
                "extension":  [
                    {
                        "url": "amountAndUnit",
                        "valueQuantity": {
                            "value": 100.0,
                            "unit": "fol"
                        }
                    }
                ]
            }
        ],
        "value": 100.0,
        "unit": "fol"
    },
    "whenHandedOver": "2024-03-27T13:20:45+02:00",
    "note": {
        "text": "Apteekin huomautus lääketoimitukseen"
    },
    "dosageInstruction":  [
        {
            "text": "Verenpainelääke",
            "patientInstruction": "1 tabletti kerran päivässä"
        }
    ],
    "substitution": {
        "wasSubstituted": false,
        "reason":  [
            {
                "coding":  [
                    {
                        "system": "urn:oid:1.2.246.537.5.40183.2009",
                        "code": "M"
                    }
                ],
                "text": "Hintaputkessa olevia valmisteita ei ole saatavilla."
            }
        ]
    }
}