MedicationRequest
MedicationRequest esimerkeissä on mukana profiloidut MedicationRequest resurssin elementit ja siihen liittyvät laajennukset. Eri esimerkeissä on kuvattu erilaisia annostusohjeita, jotka on muodostettu rakenteisen annostuksen mukaan.
Kaikissa MedicationRequest esimerkeissä 1-9 on Määrätyn määrän esittämistapa esitetty kolmella tavalla, mutta esimerkissä 10 on vain Määrätyn määrän esittämistapa = 9. Määrätyn määrän esittämistapa on määritelty laajennukseen prescriptionType.
Alla olevassa taulukossa on kuvattu mitkä tiedot palautuvat riippuen prescriptionType -laajennuksen code -arvosta, koodiston Sähköinen lääkemääräys - Määrätyn määrän esittämistapa mukaisesti.
Määrätyn määrän esittämistapa (prescriptionType.code) | Selite | Palautuvat tiedot |
---|---|---|
1 | pakkaus | { "url": "http://resepti.kanta.fi/StructureDefinition/extension/package", "extension": [ { "url": "packageFactor", "valuePositiveInt": "1" }, { "url": "packageAmount", valuePositiveInt": "8" }, { "url": "packageSizeText", "valueString": "1X98 fol" } ]}, |
2 | kokonaismäärä | {"url": "http://resepti.kanta.fi/StructureDefinition/extension/totalAmount", "valueQuantity": { "value": 800, "unit": "fol" } }, |
3 | lääkehoidon kestoaika | {"url": "http://resepti.kanta.fi/StructureDefinition/extension/validityTime", "valueDuration": { "value": 1, "unit": "a", "system": "http://unitsofmeasure.org", "code": "a"} }, |
9 | ei toimitettavaa määrää | - |
MedicationRequest esimerkit:
Esimerkki | |
---|---|
1 | 1 tabletti 2 kertaa päivässä |
2 | 2 tablettia aamulla ja 1 tabletti illalla 6 päivän ajan |
3 | 1-2 tablettia kerran päivässä |
4 | 1-2 tablettia 1-3 kertaa päivässä |
5 | Maanantaisin 1 tabletti ja tarvittaessa keskiviikkoisin 0,5 tablettia |
6 | Lääke tauolla 1.3.2020 - 30.6.2020. Taukoa edeltävä annostus: 25 mg klo 08:00 10 päivän ajan ihon alle |
7A | 1 tabletti 2 kertaa päivässä 5 päivän ajan 15.1.2021 alkaen |
7B | 1 tabletti 2 kertaa päivässä 5-7 päivän ajan 15.1.2021 alkaen |
8 | Tarvittaessa 2 tablettia 3 kertaa viikossa 16.2.2021 alkaen |
9 | Tarvittaessa 1-2 tippaa 3-4 tunnin välein |
10 | lääkkeen lopetuksen tietoja ja Määrätyn määrän esittämistapa = 9 (ei toimitettavaa määrää) ja toimitustila = 1 (toimittamaton), 1 tabletti 2 kertaa päivässä |
Esimerkki 1
Annostusohje: 1 tabletti 2 kertaa päivässä
Tässä esimerkissä annoksia on kaksi ja annostusohje on kirjattu rakenteisena.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärät on annettu vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim1", "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", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "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 } }
Esimerkki 2
Annostusohje: 2 tablettia aamulla ja 1 tabletti illalla 6 päivän ajan
Tässä esimerkissä annoksia on kaksi ja annostusohje on kirjattu rakenteisena.
Esimerkkiin on määritelty mm. miten FHIR-rajapinnassa palautuu rakenteisen annostuksen annosajankohta (when) (aamulla, illalla) ja annostelukauden kesto (6 päivän ajan) -tiedot.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärät on annettu vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim2", "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 } ], "sequence": 1, "text": "2 tablettia aamulla ja 1 tabletti illalla 6 päivän ajan", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "boundsDuration": { "value": 6, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "MORN.early" ] } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.270.202001", "code": "1055" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 2, "unit": "tabletti", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "18" } } ] }, { "extension": [ { "url": "http://resepti.kanta.fi/StructureDefinition/extension/onlyTextDosageInUse", "valueBoolean": false }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/sic", "valueBoolean": false } ], "sequence": 2, "text": "2 tablettia aamulla ja 1 tabletti illalla 6 päivän ajan", "additionalInstruction": { "text": "tähän tulee käyttöohjeen lisätieto" }, "timing": { "repeat": { "boundsDuration": { "value": 6, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "when": [ "EVE" ] } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.270.202001", "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 } }
Esimerkki 3
Annostusohje: 1-2 tablettia kerran päivässä
Tässä esimerkissä annoksia on yksi ja annostusohje on kirjattu rakenteisena.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärä on annettu vaihteluvälinä (low/high).
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim3", "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": "1-2 tablettia kerran päivässä", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1055" } ] }, "doseAndRate": [ { "doseRange": { "low": { "value": 1, "unit": "tabletti", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "18" }, "high": { "value": 2, "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": "2019-10-17T18:44:16+02:00" }, "numberOfRepeatsAllowed": 3, "dispenseInterval": { "value": 30, "unit": "d" } }, "substitution": { "allowedBoolean": true } }
Esimerkki 4
Annostusohje: 1-2 tablettia 1-3 kertaa päivässä
Tässä esimerkissä annoksia on kolme ja annostusohje on kirjattu rakenteisena.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärät on annettu vaihteluvälinä (low/high).
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim4", "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", "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": "1-2 tablettia 1-3 kertaa päivässä", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "frequency": 1, "frequencyMax": 3, "period": 1, "periodUnit": "d" } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1055" } ] }, "doseAndRate": [ { "doseRange": { "low": { "value": 1, "unit": "tabletti", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "18" }, "high": { "value": 2, "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": 30, "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": 1, "unit": "d" } }, "substitution": { "allowedBoolean": true } }
Esimerkki 5
Annostusohje: Maanantaisin 1 tabletti ja tarvittaessa keskiviikkoisin 0,5 tablettia 01.06.2020 - 31.12.2020
Tässä esimerkissä annoksia on kaksi ja annostusohje on kirjattu rakenteisena.
Esimerkkiin on määritelty mm. miten FHIR-rajapinnassa palautuu rakenteisen annostuksen annosjakson päivä (dayOfWeek) (maanantaisin, keskiviikkoisin) ja annostelukauden alkuaika ja annostelukauden päättymisaika -tiedot.
Esimerkissä annosjakson pituus on 7 vrk ja annosmäärät on annettu vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim5", "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 } ], "sequence": 1, "text": "Maanantaisin 1 tabletti ja tarvittaessa keskiviikkoisin 0,5 tablettia 01.06.2020 - 31.12.2020", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "boundsPeriod": { "start": "2020-06-01", "end": "2020-12-31" }, "frequency": 1, "period": 7, "periodUnit": "d", "dayOfWeek": [ "mon" ] } }, "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" } } ] }, { "extension": [ { "url": "http://resepti.kanta.fi/StructureDefinition/extension/onlyTextDosageInUse", "valueBoolean": false }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/sic", "valueBoolean": false } ], "sequence": 2, "text": "Maanantaisin 1 tabletti ja tarvittaessa keskiviikkoisin 0,5 tablettia", "additionalInstruction": { "text": "tähän tulee käyttöohjeen lisätieto" }, "timing": { "repeat": { "boundsPeriod": { "start": "2020-06-01", "end": "2020-12-31" }, "frequency": 1, "period": 7, "periodUnit": "d", "dayOfWeek": [ "wed" ] } }, "asNeededBoolean": true, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1055" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 0.5, "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 } }
Esimerkki 6
Annostusohje: Lääke tauolla 1.3.2020 - 30.6.2020. Taukoa edeltävä annostus: 25 mg klo 08:00 10 päivän ajan ihon alle
Tässä esimerkissä annoksia on yksi ja annostusohje on kirjattu rakenteisena.
Esimerkkiin on määritelty mm. miten FHIR-rajapinnassa palautuu rakenteisen annostuksen annosaika (timeOfDay) (8:00), annostelukauden kesto (10 päivän ajan) ja lääke tauolla -tiedot.
Esimerkissä annosjakson pituus on 1 vrk, annosmäärä on fysikaalinen (25 mg) ja annettu vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim6", "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 }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/medicinePauseInterval", "valuePeriod": { "start": "2020-03-01", "end": "2020-06-30" } } ], "text": "Lääke tauolla (-vakioteksti) 1.3.2020 - 30.6.2020. Taukoa edeltävä annostus: (-vakioteksti) 25 mg klo 08:00 10 päivän ajan ihon alle", "additionalInstruction": [ { "text": "Tauon jälkeen jatkuu samalla annostuksella." } ], "timing": { "repeat": { "boundsDuration": { "value": 10, "unit": "d", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 1, "period": 1, "periodUnit": "d", "timeOfDay": [ "08:00:00" ] } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1069" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 25, "unit": "mg", "system": "http://unitsofmeasure.org", "code": "mg" } } ] } ], "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 } }
Esimerkki 7A
Annostusohje: 1 tabletti 2 kertaa päivässä 5 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 ovat yhtä aikaa. Kesto on annettu vakio arvona (5 päivän ajan).
Esimerkissä annosjakson pituus on 1 vrk, annosmäärät on vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim7A", "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 päivän ajan 15.1.2021 alkaen.", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "boundsDuration": { "extension": [ { "url": "http://resepti.kanta.fi/StructureDefinition/extension/boundsDurationStartDate", "valueDate": "2021-01-15" } ], "value": 5, "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 } }
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 } }
Esimerkki 8
Annostusohje: Tarvittaessa 2 tablettia 3 kertaa viikossa 16.2.2021 alkaen
Tässä esimerkissä annoksia on kolme ja annostusohje on kirjattu rakenteisena.
Esimerkkiin on määritelty mm. miten FHIR-rajapinnassa palautuu rakenteisen annostuksen annostelukauden alkuaika (16.2.2021 alkaen) -tieto.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärät on vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim8", "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": true }, { "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": "Tarvittaessa 2 tablettia 3 kertaa viikossa 16.2.2021 alkaen.", "additionalInstruction": [ { "text": "Otetaan ruokailun yhteydessä" } ], "timing": { "repeat": { "boundsPeriod": { "start": "2021-02-16" }, "frequency": 3, "period": 7, "periodUnit": "d" } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1055" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 2, "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 } }
Esimerkki 9
Tarvittaessa 1-2 tippaa 3-4 tunnin välein
Tässä esimerkissä annoksia on yksi ja annostusohje on kirjattu rakenteisena.
Esimerkissä annosjakson pituus on vaihteluvälinä 3-4 tunnin välein ja annosmäärä on vaihteluvälinä (low/high).
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim9", "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": true }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/usage", "valueString": "Kuivien silmien hoitoon." }, { "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": "Tarvittaessa 1-2 tippaa 3-4 tunnin välein.", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "frequency": 1, "period": 3, "periodMax": 4, "periodUnit": "h" } }, "asNeededBoolean": false, "route": { "coding": [ { "system": "urn:oid:1.2.246.537.6.1403.202001", "code": "1053" } ] }, "doseAndRate": [ { "doseRange": { "low": { "value": 1, "unit": "tippa", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "38" }, "high": { "value": 2, "unit": "tippa", "system": "urn:oid:1.2.246.537.6.138.202001", "code": "38" } } } ] } ], "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": "2019-10-17T18:44:16+02:00" }, "numberOfRepeatsAllowed": 3, "dispenseInterval": { "value": 30, "unit": "d" } }, "substitution": { "allowedBoolean": true } }
Esimerkki 10
Esimerkissä on Kanta-lääkityslistan versiolla annettuja tietoja. Siinä palautuu uusi medicineDiscontinuation -laajennos, jossa on Lääkkeen lopetuspäivä ja Lääkkeen lopetuksen syy. Sekä esimerkkiä on muokattu niin, että Määrätyn määrän esittämistapa = 9 (ei toimitettavaa määrää) ja esimerkissä on vain tämä yksi Määrätyn määrän esittämistapa, ei muita esittämistapoja niin kuin muissa esimerkeissä. Kun lääkemääräyksen määrätyn määrän esittämistapa = 9, on kyseisen lääkemääräyksen toimitustila = 1 (toimittamaton) ja muita määrättyyn määrään liittyviä tietoja ei palaudu.
Annostusohje: 1 tabletti 2 kertaa päivässä
Tässä esimerkissä annoksia on kaksi ja annostusohje on kirjattu rakenteisena.
Esimerkissä annosjakson pituus on 1 vrk ja annosmäärät on annettu vakio arvona.
{ "resourceType": "MedicationRequest", "id": "medicationrequestesim10", "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": "1" } }, { "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": "2135345766" } ] }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/medicineDiscontinuation", "extension": [ { "url": "stopDay", "valueDateTime": "2024-12-16T13:20:45+02:00" }, { "url": "stopReasonCode", "valueCoding": { "system": "urn:oid:1.2.246.537.6.600.2013", "code": "5" } } ] } ], "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": "2024-10-16T18:44:16+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", "additionalInstruction": [ { "text": "tähän tulee käyttöohjeen lisätieto" } ], "timing": { "repeat": { "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": "9" } }, { "url": "http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatus", "valueCoding": { "system": "urn:oid:1.2.246.537.5.40123.2006", "code": "1" } } ], "validityPeriod": { "end": "2024-12-16T11:34:31+02:00" } }, "substitution": { "allowedBoolean": true } }