Esimerkki 7B

Annostusohje: 1 tabletti 2 kertaa päivässä 5-7 päivän ajan 15.1.2021 alkaen

Tässä esimerkissä annoksia on kaksi ja annostusohje on kirjattu rakenteisena.

Esimerkkiin on määritelty mm. miten FHIR-rajapinnassa palautuu rakenteisen annostuksen annostelukauden alkuaika (15.1.2021 alkaen) ja kesto -tiedot, kun ne on annettu yhtä aikaa. Kesto on annettu vaihteluvälinä (5-7 päivän ajan).

Esimerkissä annosjakson pituus on 1 vrk, annosmäärät on vakio arvona.

{
    "resourceType": "MedicationRequest",
    "id": "medicationrequestesim7B",
    "meta": {
        "security":  [
            {
                "system": "urn:oid:1.2.246.537.5.40202.201901",
                "code": "1"
            }
        ]
    },
    "extension":  [
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber",
            "valuePositiveInt": 1
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/neRep",
            "valueBoolean": true
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/permanentMedication",
            "valueBoolean": true
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/doseDispensing",
            "valueBoolean": true
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded",
            "valueBoolean": false
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/usage",
            "valueString": "Verenpainelääke."
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/dispenseStatus",
            "extension":  [
                {
                    "url": "dispenseStatus",
                    "valueCoding": {
                        "system": "urn:oid:1.2.246.537.5.40123.2006",
                        "code": "2"
                    }
                },
                {
                    "url": "invalidationReason",
                    "valueCoding": {
                        "system": "urn:oid:1.2.246.537.5.40103.2006",
                        "code": "1"
                    }
                }
            ]
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/reservedStatus",
            "extension":  [
                {
                    "url": "reservedStatus",
                    "valueCoding": {
                        "system": "urn:oid:1.2.246.537.5.40122.2006",
                        "code": "3"
                    }
                },
                {
                    "url": "reservedLockOwner",
                    "valueString": "1.2.246.10.8182355.10.1"
                }
            ]
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/lockStatus",
            "extension":  [
                {
                    "url": "lockStatus",
                    "valueCoding": {
                        "system": "urn:oid:1.2.246.537.5.40124.2006",
                        "code": "2"
                    }
                },
                {
                    "url": "lockOwner",
                    "valueString": "1.2.246.10.8182355.10.1"
                }
            ]
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/renewalStatus",
            "valueCoding": {
                "system": "urn:oid:1.2.246.537.5.40106.2006",
                "code": "0"
            }
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/prescriptionSavedByPharmacy",
            "valueCoding": {
                "system": "urn:oid:1.2.246.537.5.40303.201501",
                "code": "2"
            }
        },
        {
            "url": "http://resepti.kanta.fi/StructureDefinition/extension/medicineId",
            "extension":  [
                {
                    "url": "medicineId",
                    "valueIdentifier": {
                        "system": "urn:ietf:rfc:3986",
                        "value": "urn:oid:1.2.246.10.1602257.93.2019.855.0"
                    }
                },
                {
                    "url": "medicineIdPart",
                    "valuePositiveInt": "1"
                }
            ]
        }
    ],
    "identifier":  [
        {
            "system": "http://resepti.kanta.fi/fhir/id/id",
            "value": "urn:oid:1.2.246.10.1602257.93.2019.855"
        },
        {
            "system": "http://resepti.kanta.fi/fhir/id/setId",
            "value": "urn:oid:1.2.246.10.1602257.93.2019.855"
        }
    ],
    "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": "Medication/medicationesim1"
    },
    "subject": {
        "reference": "Patient/patientesim1"
    },
    "authoredOn": "2019-10-16T18:44:16+02:00",
    "requester": {
        "reference": "PractitionerRole/practitionerRoleesim1"
    },
    "dosageInstruction":  [
        {
            "extension":  [
                {
                    "url": "http://resepti.kanta.fi/StructureDefinition/extension/weightPatientUnder12YearsOld",
                    "valueQuantity": {
                        "value": 15,
                        "unit": "kg"
                    }
                },
                {
                    "url": "http://resepti.kanta.fi/StructureDefinition/extension/onlyTextDosageInUse",
                    "valueBoolean": false
                },
                {
                    "url": "http://resepti.kanta.fi/StructureDefinition/extension/sic",
                    "valueBoolean": false
                }
            ],
            "text": "1 tabletti 2 kertaa päivässä 5-7 päivän ajan 15.1.2021 alkaen.",
            "additionalInstruction":  [
                {
                    "text": "tähän tulee käyttöohjeen lisätieto"
                }
            ],
            "timing": {
                "repeat": {
                    "boundsRange": {
                        "extension":  [
                            {
                                "url": "http://resepti.kanta.fi/StructureDefinition/extension/boundsRangeStartDate",
                                "valueDate": "2021-01-15"
                            }
                        ],
                        "low": {
                            "value": 5,
                            "unit": "d",
                            "system": "http://unitsofmeasure.org",
                            "code": "d"
                        },
                        "high": {
                            "value": 7,
                            "unit": "d",
                            "system": "http://unitsofmeasure.org",
                            "code": "d"
                        }
                    },
                    "frequency": 2,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "asNeededBoolean": false,
            "route": {
                "coding":  [
                    {
                        "system": "urn:oid:1.2.246.537.6.1403.202001",
                        "code": "1055"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "doseQuantity": {
                        "value": 1,
                        "unit": "tabletti",
                        "system": "urn:oid:1.2.246.537.6.138.202001",
                        "code": "18"
                    }
                }
            ]
        }
    ],
    "dispenseRequest": {
        "extension":  [
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/prescriptionType",
                "valueCoding": {
                    "system": "urn:oid:1.2.246.537.5.40100.2006",
                    "code": "1"
                }
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/package",
                "extension":  [
                    {
                        "url": "packageFactor",
                        "valuePositiveInt": "1"
                    },
                    {
                        "url": "packageAmount",
                        "valuePositiveInt": "8"
                    },
                    {
                        "url": "packageSizeText",
                        "valueString": "1X98 fol"
                    }
                ]
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/totalAmount",
                "valueQuantity": {
                    "value": 800,
                    "unit": "fol"
                }
            },
            {
                "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"
                }
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/drugPrescribedQuantityText",
                "valueString": "8X98 fol"
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/drugRemainingQuantityText",
                "valueString": "5X98 fol"
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/dispenseEffectiveTime",
                "valueDateTime": "2019-10-17T18:44:16+02:00"
            },
            {
                "url": "http://resepti.kanta.fi/StructureDefinition/extension/previousDispense",
                "valueString": "98 fol"
            }
        ],
        "validityPeriod": {
            "end": "2022-04-30T11:34:31+02:00"
        },
        "numberOfRepeatsAllowed": 3,
        "dispenseInterval": {
            "value": 30,
            "unit": "d"
        }
    },
    "substitution": {
        "allowedBoolean": true
    }
}