MedicationListMedicationRequest esimerkit eivät sisällä Lääkehoidon muutoksen ja korjauksen lisätietoja (dosageChanges ja adverseEffect laajennokset) eikä Reseptin mitätöinnin lisätietoja (invalidation laajennos). Näistä tullaan tekemään omat esimerkit.
MedicationListMedicationRequest_Ei_sis_Contained.json
- esimerkissä on mukana kaikki tiedot, mitä lääkemääräykseltä tietosisällöllisesti palautetaan, mutta ei sisällä Contained elementtejä
- sicReasonCode ja structuredIndikation ovat toistuvina tietoina
{ "resourceType": "MedicationRequest", "id": "1.2.246.537.25.1.30429.93.2024.319.135730", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationRequest" ], "security": [ { "system": "urn:oid:1.2.246.537.5.40202.201901", "code": "4" } ] }, "extension": [ { "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber", "valuePositiveInt": 1 }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime", "valueDateTime": "2024-03-19T10:57:30+02:00" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum", "extension": [ { "url": "medicineId", "valueIdentifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730.0" } }, { "url": "medicineIdPart", "valuePositiveInt": 2135345448 }, { "url": "newest", "valueBoolean": true } ] }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded", "valueBoolean": false }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo", "extension": [ { "url": "weightPatientUnder12YearsOld", "valueQuantity": { "value": 15, "unit": "kg" } }, { "url": "sicLabel", "valueBoolean": true }, { "url": "sicReasonCode", "valueCoding": { "system": "urn:oid:1.2.246.537.6.615.202301", "code": "4" } }, { "url": "sicReasonCode", "valueCoding": { "system": "urn:oid:1.2.246.537.6.615.202301", "code": "5" } }, { "url": "sicReasonText", "valueString": "sicReasonText (sic!-merkinnän lisätieto) palautuu, jos sicReasonCode= 99" }, { "url": "onlyTextDosageInUse", "valueBoolean": false }, { "url": "dosageChangesAllowed", "valueBoolean": true } ] }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication", "valueCoding": { "system": "urn:oid:1.2.246.537.6.1.1999", "code": "H10.1" } }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication", "valueCoding": { "system": "urn:oid:1.2.246.537.6.1.1999", "code": "H10.2" } }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/administrativeInformation", "extension": [ { "url": "doctorFee", "valueMoney": { "value": 125.00, "currency": "EUR" } }, { "url": "specialDoctorFee", "valueBoolean": false }, { "_comment": "savedPrescriptionOrigin, savedPrescriptionReasonCode, savedPrescriptionReasonText tiedot tulevat, jos on apteekissa tallennettu lääkemääräys", "url": "savedPrescriptionOrigin", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40303.201501", "code": "1" } }, { "url": "savedPrescriptionReasonCode", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40302.201501", "code": "3" } }, { "url": "savedPrescriptionReasonText", "valueString": "Apteekissa tallennetun lääkemääräyksen perustelun tarkenne" }, { "url": "treatmentType", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40101.2006", "code": "S" } }, { "url": "dosePackaging", "valueBoolean": false }, { "_comment": "patientIdentification tieto tulee, jos on kyseessä huume lääkemääräys", "url": "patientIdentification", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40109.2006", "code": "3" } } ] }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/initiationOfMedication", "valueBoolean": true }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalNotAllowed", "extension": [ { "url": "renewalNotAllowed", "valueBoolean": true }, { "url": "renewalNotAllowedInfo", "valueString": "uusinta vain vastaanotolla" } ] }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/usage", "valueString": "silmätulehduksen hoitoon" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/contagiousDiseaseMedicine", "valueBoolean": false }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusInformation", "extension": [ { "url": "lockStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40124.2006", "code": "1" } }, { "url": "reservedStatus", "extension": [ { "url": "reservedStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40122.2006", "code": "2" } }, { "url": "reservedLockOwner", "valueIdentifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.246.10.8.8182355.10.1" } } ] }, { "url": "renewalStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40106.2006", "code": "0" } }, { "url": "dispenseStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40123.2006", "code": "1" } } ] }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/originalStartdate", "valueDateTime": "2023-01-19T10:57:30+02:00" }, { "_comment": " separateReport tiedot tulevat, jos on kyseessä erillisselvityslääkemääräys", "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/separateReport", "extension": [ { "url": "separateReport", "valueCoding": { "system": "urn:oid:1.2.246.537.6.850.202001", "code": "E005" } }, { "url": "separateReportDate", "valueDate": "2024-03-19" } ] }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/useRegularity", "valueCoding": { "system": "urn:oid:1.2.246.537.6.613.202301", "code": "1" } }, { "_comment": "renewalBasicReference ja statusBasicReference ovat contained viittauksia, mutta tässä esimerkissä ei ole contained elementtiä mukana", "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalBasicReference", "valueReference": { "reference": "#8" } }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusBasicReference", "valueReference": { "reference": "#10" } } ], "identifier": [ { "system": "http://resepti.kanta.fi/fhir/id/id", "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730" }, { "system": "http://resepti.kanta.fi/fhir/id/setId", "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730" } ], "status": "active", "statusReason": { "coding": [ { "system": "urn:oid:1.2.246.537.5.40105.2006", "code": "1" } ] }, "intent": "order", "category": [ { "coding": [ { "system": "urn:oid:1.2.246.537.6.605.2014", "code": "1" } ] } ], "medicationReference": { "reference": "#1" }, "subject": { "reference": "#3" }, "authoredOn": "2024-03-19T10:57:30+02:00", "_comment": "requester on contained viittaus, mutta tässä esimerkissä ei ole contained elementtiä mukana", "requester": { "reference": "#4" }, "courseOfTherapyType": { "coding": [ { "system": "urn:oid:1.2.246.537.5.40003.2003", "code": "PYS" } ] }, "dosageInstruction": [ { "sequence": 1, "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.", "additionalInstruction": { "text": "käyttöohjeen lisätieto" }, "timing": { "repeat": { "boundsDuration": { "value": 4, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "MORN.early" ] } }, "asNeededBoolean": false, "site": { "coding": [ { "system": "urn:oid:1.2.246.537.6.2.2007", "code": "ZXA00" } ] }, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1053" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1.0, "unit": "annospipetillinen", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "30" } } ] }, { "sequence": 2, "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.", "additionalInstruction": { "text": "käyttöohjeen lisätieto" }, "timing": { "repeat": { "boundsDuration": { "value": 4, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "NOON" ] } }, "asNeededBoolean": false, "site": { "coding": [ { "system": "urn:oid:1.2.246.537.6.2.2007", "code": "ZXA00" } ] }, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1053" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1.0, "unit": "annospipetillinen", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "30" } } ] }, { "sequence": 3, "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.", "additionalInstruction": { "text": "käyttöohjeen lisätieto" }, "timing": { "repeat": { "boundsDuration": { "value": 4, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "EVE" ] } }, "asNeededBoolean": false, "site": { "coding": [ { "system": "urn:oid:1.2.246.537.6.2.2007", "code": "ZXA00" } ] }, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1053" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1.0, "unit": "annospipetillinen", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "30" } } ] } ], "dispenseRequest": { "extension": [ { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dispenserInstruction", "valueString": "viesti apteekille" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescribedAmount", "extension": [ { "url": "prescriptionType", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40100.2006", "code": "1" } }, { "_comment": "Lääkettä määrätty pakkauksina, package tieto tulee, jos määrätyn määrän esittämistapa (prescriptionType) = 1", "url": "package", "valuePositiveInt": 4 }, { "_comment": "Määrätyn lääkkeen kokonaismäärä, totalAmount tieto tulee, jos määrätyn määrän esittämistapa (prescriptionType) = 2", "url": "totalAmount", "valueQuantity": { "value": 700, "unit": "fol" } }, { "_comment": "Ajalle määrätty lääke, validityTime tieto tulee, jos määrätyn määrän esittämistapa (prescriptionType) = 3", "url": "http://resepti.kanta.fi/StructureDefinition/extension/validityTime", "valueDuration": { "value": 1, "unit": "a", "system": "http://unitsofmeasure.org", "code": "a" } } ] }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40123.2006", "code": "1" } } ], "dispenseInterval": { "value": 10, "unit": "d" }, "validityPeriod": { "end": "2024-03-30T22:00:00+02:00" }, "numberOfRepeatsAllowed": 1 }, "substitution": { "allowedBoolean": true, "reason": { "text": "lääkevaihtokiellon syy" } } }
MedicationListMedicationRequest_Sis_Contained.json
- esimerkissä on mukana kaikki tiedot, mitä lääkemääräykseltä tietosisällöllisesti palautetaan, sisältää myös Contained elemententit
- sicReasonCode ja structuredIndikation ovat toistuvina tietoina
{ "resourceType": "MedicationRequest", "id": "1.2.246.537.25.1.30429.93.2024.319.135730", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationRequest" ], "security": [ { "system": "urn:oid:1.2.246.537.5.40202.201901", "code": "4" } ] }, "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/fhir/StructureDefinition/extension/reasonCodeBiologicalMedicine", "valueCoding": { "system": "urn:oid:1.2.246.537.6.616.202301", "code": "3" } }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/reasonTextBiologicalMedicine", "valueString": "Perustelu muun kuin edullisimman biologisen lääkkeen käytölle" }, { "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/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": "270", "display": "lisäseurannassa" } ] }, "classification": [ { "coding": [ { "system": "urn:oid:1.2.246.537.6.112.2007", "code": "E" } ] } ] }, { "type": { "coding": [ { "system": "urn:oid:1.2.246.537.6.12.2002.126", "code": "271", "display": "biologinen lääke" } ] }, "classification": [ { "coding": [ { "system": "urn:oid:1.2.246.537.6.112.2007", "code": "E" } ] } ] }, { "type": { "coding": [ { "system": "urn:oid:1.2.246.537.6.12.2002.126", "code": "272", "display": "biosimilaari" } ] }, "classification": [ { "coding": [ { "system": "urn:oid:1.2.246.537.6.112.2007", "code": "E" } ] } ] }, { "type": { "coding": [ { "system": "urn:oid:1.2.246.537.6.12.2002.126", "code": "274", "display": "lääkeryhmä" } ] }, "classification": [ { "text": "lääkeryhmä" } ] }, { "type": { "coding": [ { "system": "urn:oid:1.2.246.537.6.12.2002.126", "code": "275", "display": "veri- tai plasmaperäinen valmiste" } ] }, "classification": [ { "coding": [ { "system": "urn:oid:1.2.246.537.6.112.2007", "code": "E" } ] } ] }, { "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": "Patient", "id": "3", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPatient" ] }, "identifier": [ { "use": "official", "system": "urn:oid:1.2.246.21", "value": "050520A909R" } ], "name": [ { "use": "official", "family": " Mokkinen", "_family": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString": " Mokkinen" } ] }, "given": [ "Mikko" ] }, { "use": "nickname", "given": [ "Mikko" ] } ], "gender": "male", "birthDate": "2020-05-05" }, { "resourceType": "PractitionerRole", "id": "4", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPractitionerRole" ] }, "practitioner": { "reference": "#5" }, "organization": { "reference": "#6" }, "code": [ { "coding": [ { "system": "urn:oid:1.2.246.537.5.40006.2003", "code": "LAL" } ] } ] }, { "resourceType": "Practitioner", "id": "5", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPractitioner" ] }, "identifier": [ { "system": "urn:oid:1.2.246.537.25", "value": "030429" }, { "system": "urn:oid:1.2.246.537.26", "value": "01098701780" } ], "name": [ { "use": "official", "family": "Seppänen", "given": [ "Milena" ] } ], "qualification": [ { "code": { "coding": [ { "system": "urn:oid:1.2.246.537.6.148.2008", "code": "86161-580" } ] } } ] }, { "resourceType": "Organization", "id": "6", "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 terveysasema, palveluyksikkö", "partOf": { "reference": "#7" }, "contact": [ { "telecom": [ { "system": "phone", "value": "tel:02063411" } ] } ] }, { "resourceType": "Organization", "id": "7", "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 hyvinvointialue, palvelunantaja", "contact": [ { "telecom": [ { "system": "phone", "value": "tel:02063411" } ] } ] }, { "resourceType": "Basic", "id": "8", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListRenewalBasic" ] }, "extension": [ { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime", "valueDateTime": "2024-03-27T12:45:14+02:00" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/note", "valueString": "Potilas käynyt verikokeissa" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/patientTelecom", "valueContactPoint": { "system": "phone", "value": "tel:02063411" } }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalRecorder", "valuecoding": { "system": "urn:oid:1.2.246.537.5.40129.202301", "code": "2" } } ], "identifier": [ { "system": "http://resepti.kanta.fi/fhir/id/id", "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123" }, { "system": "http://resepti.kanta.fi/fhir/id/setId", "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123" } ], "code": { "coding": [ { "system": "urn:oid:1.2.246.537.5.40105.2006", "code": "8" } ] }, "subject": [ { "reference": "#9" } ] }, { "resourceType": "Organization", "id": "9", "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": "Uusimispyynnön vastaanottaja organisaation nimi" }, { "resourceType": "Basic", "id": "10", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListStatusBasic" ] }, "extension": [ { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime", "valueDateTime": "2024-03-27T12:45:14+02:00" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/comment", "valueString": "Lukitaan iterointivälin tarkistuksen ajaksi" } ], "identifier": [ { "system": "http://resepti.kanta.fi/fhir/id/id", "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123" }, { "system": "http://resepti.kanta.fi/fhir/id/setId", "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123" } ], "code": { "coding": [ { "system": "urn:oid:1.2.246.537.5.40105.2006", "code": "4" } ] }, "author": { "reference": "#11" } }, { "resourceType": "Organization", "id": "11", "meta": { "profile": [ "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization" ] }, "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.246.537.26.1098701780" } ] } ], "extension": [ { "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber", "valuePositiveInt": 1 }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime", "valueDateTime": "2024-03-19T10:57:30+02:00" }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum", "extension": [ { "url": "medicineId", "valueIdentifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730.0" } }, { "url": "medicineIdPart", "valuePositiveInt": 2135345448 }, { "url": "newest", "valueBoolean": true } ] }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded", "valueBoolean": false }, { "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo", "extension": [ { "url": "weightPatientUnder12YearsOld", "valueQuantity": { "value": 15, "unit": "kg" } }, { "url": "sicLabel", "valueBoolean": true }, { "url": "sicReasonCode", "valueCoding": { "system": 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