MedicationListMedicationReques_Sis_Contained.json esimerkki ei sisällä Lääkehoidon muutoksen ja korjauksen lisätietoja (dosageChanges ja adverseEffect laajennokset) eikä Reseptin mitätöinnin lisätietoja (invalidation laajennos). Näistä tullaan tekemään omat esimerkit.

Esimerkissä ei ole laajennoksen separateReport.separateReportText (erilliselvitys tekstinä) tietoa, se palautuu vain, jos lääkemääräys on tehty version 3.63 mukaisesti. Erillisselvitys annetaan veriosta 4 lähtien rakenteisena ja tämä rakenteinen muoto on mukana esimerkissä (separateReport.separateReport ja separateReport.separateReportDate).

 

MedicationListMedicationRequest_Sis_Contained.json

  • esimerkissä on mukana kaikki tiedot, mitä lääkemääräykseltä tietosisällöllisesti palautetaan, sisältää myös Contained elemententit
  • sicReasonCode ja structuredIndication 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"
],
{
"system": "urn:oid:1.2.246.537.5.40202.201901",
"code": "4"
}
]
},
{
"resourceType": "Medication",
"id": "1",
"meta": {
"profile": [
"http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedication"
]
},
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/pharmaceuticalProductStrength",
"valueString": "5 mg/ml"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/medicationKnowledgeReference",
"reference": "#2"
}
}
],
"code": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.32.2007",
"code": "S01AA01",
"display": "kloramfenikoli"
}
]
},
{
"text": "kloramfenikoli"
},
"isActive": true
}
]
},
{
"resourceType": "MedicationKnowledge",
"id": "2",
"meta": {
"profile": [
"http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationKnowledge"
]
},
{
"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",
"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"
}
]
},
"text": "silmätipat, liuos, kerta-annospakkaus"
},
"amount": {
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageFactor",
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageAmountText",
"valueString": "30 x 0,25 ml"
}
],
"value": 0.25,
"unit": "ml"
},
{
"type": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.12.2002.126",
"code": "270",
"display": "lisäseurannassa"
}
]
},
{
"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"
}
]
},
{
"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"
}
]
},
{
"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"
}
]
},
{
"text": "lääkeryhmä"
}
]
},
{
"type": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.12.2002.126",
"code": "275",
"display": "veri- tai plasmaperäinen valmiste"
}
]
},
{
"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"
}
]
},
{
"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"
}
]
},
{
"coding": [
{
"system": "urn:oid:1.2.246.537.6.604.2014",
"code": "1"
}
]
}
]
}
],
"type": {
"text": "kerta-annospakkaus"
}
}
},
{
"resourceType": "Patient",
"id": "3",
"meta": {
"profile": [
"http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPatient"
]
},
{
"use": "official",
"system": "urn:oid:1.2.246.21",
"value": "050520A909R"
}
],
"name": [
{
"use": "official",
"family": "Mokkinen",
"_family": {
{
"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"
]
},
"reference": "#5"
},
"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"
]
},
{
"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"
]
}
],
{
"code": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.140.2008",
"code": "034"
}
]
}
},
{
"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"
]
},
{
"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"
]
},
{
"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"
]
},
{
"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",
"system": "phone",
"value": "tel:02063411"
}
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalRecorder",
"system": "urn:oid:1.2.246.537.5.40129.202301",
"code": "2"
}
}
],
{
"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"
]
},
{
"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"
]
},
{
"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"
}
],
{
"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"
]
},
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.246.537.26.1098701780"
}
]
}
],
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber",
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
"valueDateTime": "2024-03-19T10:57:30+02:00"
},
{
{
"url": "medicineId",
"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/fhir/StructureDefinition/extension/continuum"
},
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded",
"valueBoolean": false
},
{
{
"url": "weightPatientUnder12YearsOld",
"value": 15,
"unit": "kg"
}
},
{
"url": "sicLabel",
"valueBoolean": true
},
{
"url": "sicReasonCode",
"system": "urn:oid:1.2.246.537.6.615.202301",
"code": "4"
}
},
{
"url": "sicReasonCode",
"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/dosageInfo"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication",
"system": "urn:oid:1.2.246.537.6.1.1999",
"code": "H10.1"
}
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication",
"system": "urn:oid:1.2.246.537.6.1.1999",
"code": "H10.2"
}
},
{
{
"url": "doctorFee",
"value": 125,
"currency": "EUR"
}
},
{
"url": "specialDoctorFee",
"valueBoolean": false
},
{
"url": "savedPrescriptionOrigin",
"system": "urn:oid:1.2.246.537.5.40303.201501",
"code": "1"
}
},
{
"url": "savedPrescriptionReasonCode",
"system": "urn:oid:1.2.246.537.5.40302.201501",
"code": "3"
}
},
{
"url": "savedPrescriptionReasonText",
"valueString": "Apteekissa tallennetun lääkemääräyksen perustelun tarkenne"
},
{
"url": "treatmentType",
"system": "urn:oid:1.2.246.537.5.40101.2006",
"code": "S"
}
},
{
"url": "dosePackaging",
"valueBoolean": false
},
{
"url": "patientIdentification",
"system": "urn:oid:1.2.246.537.5.40109.2006",
"code": "3"
}
}
],
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/administrativeInformation"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/initiationOfMedication",
"valueBoolean": true
},
{
{
"url": "renewalNotAllowed",
"valueBoolean": true
},
{
"url": "renewalNotAllowedInfo",
"valueString": "uusinta vain vastaanotolla"
}
],
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalNotAllowed"
},
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/usage",
"valueString": "silmätulehduksen hoitoon"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/contagiousDiseaseMedicine",
"valueBoolean": false
},
{
{
"url": "lockStatus",
"system": "urn:oid:1.2.246.537.5.40124.2006",
"code": "1"
}
},
{
{
"url": "reservedStatus",
"system": "urn:oid:1.2.246.537.5.40122.2006",
"code": "2"
}
},
{
"url": "reservedLockOwner",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.246.10.8.8182355.10.1"
}
}
],
"url": "reservedStatus"
},
{
"url": "renewalStatus",
"system": "urn:oid:1.2.246.537.5.40106.2006",
"code": "3"
}
},
{
"url": "dispenseStatus",
"system": "urn:oid:1.2.246.537.5.40123.2006",
"code": "1"
}
}
],
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusInformation"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/originalStartdate",
"valueDateTime": "2023-01-19T10:57:30+02:00"
},
{
{
"url": "separateReport",
"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/separateReport"
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/useRegularity",
"system": "urn:oid:1.2.246.537.6.613.202301",
"code": "1"
}
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalBasicReference",
"reference": "#8"
}
},
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusBasicReference",
"reference": "#10"
}
}
],
{
"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",
"coding": [
{
"system": "urn:oid:1.2.246.537.5.40105.2006",
"code": "1"
}
]
},
"intent": "order",
{
"coding": [
{
"system": "urn:oid:1.2.246.537.6.605.2014",
"code": "1"
}
]
}
],
"reference": "#1"
},
"subject": {
"reference": "#3"
},
"authoredOn": "2024-03-19T10:57:30+02:00",
"reference": "#4"
},
"coding": [
{
"system": "urn:oid:1.2.246.537.5.40003.2003",
"code": "PYS"
}
]
},
{
"sequence": 1,
"text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.",
{
"text": "Aterian yhteydessä."
}
],
"timing": {
"repeat": {
"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"
}
]
},
{
"value": 1,
"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.",
{
"text": "Aterian yhteydessä."
}
],
"timing": {
"repeat": {
"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"
}
]
},
{
"value": 1,
"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.",
{
"text": "Aterian yhteydessä."
}
],
"timing": {
"repeat": {
"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"
}
]
},
{
"value": 1,
"unit": "annospipetillinen",
"system": "urn:oid:1.2.246.537.6.138.202001",
"code": "30"
}
}
]
}
],
{
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dispenserInstruction",
"valueString": "viesti apteekille"
},
{
{
"url": "prescriptionType",
"system": "urn:oid:1.2.246.537.5.40100.2006",
"code": "1"
}
},
{
"url": "package",
},
{
"url": "totalAmount",
"value": 700,
"unit": "fol"
}
},
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/validityTime",
"value": 1,
"unit": "a",
"system": "http://unitsofmeasure.org",
"code": "a"
}
}
],
"url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescribedAmount"
},
{
"url": "http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatus",
"system": "urn:oid:1.2.246.537.5.40123.2006",
"code": "1"
}
}
],
"value": 10,
"unit": "d"
},
"end": "2024-03-30T22:00:00+02:00"
},
},
"allowedBoolean": false,
"reason": {
"text": "lääkevaihtokiellon syy"
}
}
}