MetaDataMedicationRequest
MetaDataMedicationRequest profiilia käytetäään Lääkemääräyksen yksilöintitietojen hakuoperaation vastauksessa ja siihen on profiloitu palautettavat Lääkemääräyksen yksilöintitiedot.
Kanta-lääkityslistan siirtymävaiheeseen on MetaDataMedicationRequestista profiloitu versio 1.2.0. Siihen on lisätty lääkkeen lopetuksen tietoja, laajennus medicineDiscontinuation, jossa palautuu Lääkkeen lopetuspäivä ja Lääkkeen lopetuksen syy, jos palautettava lääkemääräys liittyy käytössä olevan lääkkeen lääkejatkumoon ja jatkumossa on lopettamismerkintä, jonka lopettamismerkinnäntila on "voimassa" tai "toteutunut". Sekä rajapinnassa palautuu myös Määrätyn määrän esittämistapa = 9 (ei toimitettavaa määrää) tieto ja muita määrättyyn määrään liittyviä tietoja ei palaudu.
Alempana status elementin mappaus kohdassa kerrottu Kanta-lääkityslistan siirtymävaiheessa palautuvat lääkemääräyksen voimassaolotilat.
Rakenteiseen annostukseen liittyvä puolisuus tieto on lisätty MedicationRequest.dosageInstruction.site elementtiin.
Määrittelyssä on pyritty noudattamaan mahdollisimman paljon FHIR standardia. Lisäksi on jouduttu tekemään laajennuksia. Tarvittavat laajennukset on kuvattu kootusti omassa osiossaan Laajennukset.
| MetaDataMedicationRequest (MedicationRequest) | C | MedicationRequest | There are no (further) constraints on this element Element idMedicationRequestShort description Ordering of medication for patient or group Alternate namesPrescription, Order DefinitionAn order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationRequest.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.meta.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.meta.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationRequest.meta.versionIdShort description Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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| lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element idMedicationRequest.meta.lastUpdatedShort description When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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| source | Σ | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.meta.sourceShort description Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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| profile | Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element idMedicationRequest.meta.profileShort description Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
http://resepti.kanta.fi/fhir/StructureDefinition/MetaDataMedicationRequest|1.2.0 | ||
| security | Σ | 0..* | CodingBinding | Element idMedicationRequest.meta.securityShort description Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Unordered, Open, by system(Value) BindingSecurity Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints
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| underagedConsentCode | Σ | 0..* | CodingBinding | Element idMedicationRequest.meta.security:underagedConsentCodeShort description Alaikäisen potilastietojen luovuttaminen huoltajille DefinitionTieto siitä, että alaikäinen on asettanut kiellon luovuttaa omia reseptitietojaan huoltajalleen The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.meta.security:underagedConsentCode.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.meta.security:underagedConsentCode.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idMedicationRequest.meta.security:underagedConsentCode.systemShort description THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston OID DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. THL - Alaikäisen potilastietojen luovuttaminen huoltajille -luokitusta käytetään terveydenhuollon tietojärjestelmissä ja Kanta-palveluissa ilmaisemaan, onko huoltajilla oikeus nähdä alaikäisen lapsensa potilastiedot Omakannassa ja onko tietojen luovuttaminen heille sallittu terveydenhuollon palveluissa.
urn:oid:1.2.246.537.5.40202.201901Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.meta.security:underagedConsentCode.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | code | Element idMedicationRequest.meta.security:underagedConsentCode.codeShort description THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston arvo DefinitionTHL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston arvo. Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.meta.security:underagedConsentCode.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.meta.security:underagedConsentCode.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationRequest.meta.tagShort description Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationRequest.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationRequest.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | Element idMedicationRequest.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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| versionNumber | C | 0..* | Extension(positiveInt) | Element idMedicationRequest.extension:versionNumberShort description Asiakirjan versio Alternate namesextensions, user content DefinitionLääkitysasiakirjan versiointinumero. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/versionNumber ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| neRep | C | 0..* | Extension(boolean) | Element idMedicationRequest.extension:neRepShort description Reseptin uudistamiskielto Alternate namesextensions, user content DefinitionTieto siitä, sisältääkö resepti hoidollisesta syystä tehdyn uudistamiskiellon. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/neRep ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| permanentMedication | C | 0..* | Extension(boolean) | Element idMedicationRequest.extension:permanentMedicationShort description Pysyvä lääkitys Alternate namesextensions, user content DefinitionTieto siitä, onko kyseessä pysyvä lääkitys (jatkuva / toistaiseksi voimassa oleva). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/permanentMedication ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| doseDispensing | C | 0..* | Extension(boolean) | Element idMedicationRequest.extension:doseDispensingShort description Annosjakelu Alternate namesextensions, user content DefinitionLääkkeen määrääjän kirjaama tieto siitä, annosjaellaanko tällä reseptillä määrätty lääke. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/doseDispensing ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| dosageIfNeeded | C | 0..* | Extension(boolean) | Element idMedicationRequest.extension:dosageIfNeededShort description Annostus tarvittaessa Alternate namesextensions, user content DefinitionTieto siitä, otetaanko määrätyn lääkkeen annokset tarvittaessa Huom. Tekninen apukenttä. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| usage | C | 0..* | Extension(string) | Element idMedicationRequest.extension:usageShort description Lääkkeen käyttötarkoitus tekstinä Alternate namesextensions, user content DefinitionMäärätyn lääkkeen käyttötarkoitus. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/usage ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| dispenseStatus | C | 0..* | Extension(Complex) | Element idMedicationRequest.extension:dispenseStatusShort description Toimituksen tilatiedot Alternate namesextensions, user content DefinitionToimituksen tilatieto ja toimituksen tilatietomuutoksen teksti. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/dispenseStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reservedStatus | C | 0..* | Extension(Complex) | Element idMedicationRequest.extension:reservedStatusShort description Varauksen tilatiedot Alternate namesextensions, user content DefinitionVarauksen tilatieto ja varauksen tehneen organisaation -tieto (OID). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/reservedStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| lockStatus | C | 0..* | Extension(Complex) | Element idMedicationRequest.extension:lockStatusShort description Lukituksen tilatiedot Alternate namesextensions, user content DefinitionLukituksen tilatieto ja lukituksen tehneen organisaation -tieto (OID). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/lockStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| renewalStatus | C | 0..* | Extension(Coding) | Element idMedicationRequest.extension:renewalStatusShort description Uusimispyynnön tila Alternate namesextensions, user content DefinitionLääkemääräyksen uusimispyynnön tila There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/renewalStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| prescriptionSavedByPharmacy | C | 0..* | Extension(Coding) | Element idMedicationRequest.extension:prescriptionSavedByPharmacyShort description Apteekissa tallennettu lääkemääräys Alternate namesextensions, user content DefinitionApteekissa tallennettu lääkemääräys Sähköinen lääkemääräys - Apteekissa tallennettu lääkemääräys -koodiston mukaan. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/prescriptionSavedByPharmacy ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| medicineId | C | 0..* | Extension(Complex) | Element idMedicationRequest.extension:medicineIdShort description Määrätyn lääkkeen yksilöivä tunniste ja määrätyn lääkkeen osatunniste Alternate namesextensions, user content DefinitionMäärätyn lääkkeen tunniste ja sen osatunniste There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/medicineId ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| medicineDiscontinuation | C | 0..1 | Extension(Complex) | Element idMedicationRequest.extension:medicineDiscontinuationShort description Lääkkeen lopettamispäivämäärä ja lääkkeen lopetuksen syy Alternate namesextensions, user content DefinitionLääkkeen lopettamispäivämäärä ja lääkkeen lopetuksen syy. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/medicineDiscontinuation ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| identifier | 0..* | Identifier | Element idMedicationRequest.identifierShort description External ids for this request DefinitionIdentifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier. Unordered, Open, by system(Value) Constraints
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| id | 0..* | Identifier | Element idMedicationRequest.identifier:idShort description Asiakirjan tunniste (Lääkemääräyksen tunniste) DefinitionReseptiasiakirjan yksilöivä tunniste Huom. Tunniste voi olla esimerkiksi reseptiasiakirjan tietyn version yksilöivä tunniste. This is a business identifier, not a resource identifier.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idMedicationRequest.identifier:id.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi).
http://resepti.kanta.fi/fhir/id/idExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 1..1 | string | Element idMedicationRequest.identifier:id.valueShort description Asiakirjan/lääkemääräyksen yksilöivä OID-tunniste DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi). (If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.)
General 123456Mappings
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| period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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| assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.identifier:id.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| setId | 0..* | Identifier | Element idMedicationRequest.identifier:setIdShort description Alkuperäisen asiakirjan tunniste DefinitionAlkuperäisen reseptiasiakirjan tunniste, jolla yhdistetään asiakirjan eri versiot. This is a business identifier, not a resource identifier.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idMedicationRequest.identifier:setId.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Huom. tässä tehty setId:lle systemi:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi).
http://resepti.kanta.fi/fhir/id/setIdExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 1..1 | string | Element idMedicationRequest.identifier:setId.valueShort description Alkuperäisen asiakirjan tunniste DefinitionAlkuperäisen reseptiasiakirjan tunniste, jolla yhdistetään asiakirjan eri versiot. Huom. tässä tehty setId:lle systemi:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi). (If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.)
General 123456Mappings
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| period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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| assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.identifier:setId.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| status | Σ ?! | 1..1 | codeBinding | Element idMedicationRequest.statusShort description active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown DefinitionSähköinen lääkemääräys - Lääkemääräyksen voimassaolotila -koodisto (1.2.246.537.5.40300.2015). 1 = voimassa, 2 = mitätöity, 3 = vanhentunut, 4 = päättynyt, 5 = lopetettu Käytetään status arvoja: active, on-hold, cancelled, completed, stopped active = voimassa, cancelled = mitätöity, completed = vanhentunut, on-hold = päättynyt, stopped = lopetettu This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. medicationrequest Status (required) Constraints
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| statusReason | 0..1 | CodeableConcept | Element idMedicationRequest.statusReasonShort description Reseptisanoman tyyppi DefinitionSähköinen lääkemääräys - Reseptisanoman tyyppi -koodistosta käytettävät arvot: 1 = Lääkemääräys 2 = Lääkemääräyksen mitätöinti 3 = Lääkemääräyksen korjaus This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here. Identifies the reasons for a given status. medicationRequest Status Reason Codes (example) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.statusReason.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.statusReason.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationRequest.statusReason.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.statusReason.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.statusReason.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idMedicationRequest.statusReason.coding.systemShort description Sähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston OID DefinitionSähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston OID urn:oid:1.2.246.537.5.40105.2006 Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
urn:oid:1.2.246.537.5.40105.2006Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.statusReason.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 1..1 | code | Element idMedicationRequest.statusReason.coding.codeShort description Sähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston arvo DefinitionSähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston arvot: 1 = Lääkemääräys 2 = Lääkemääräyksen mitätöinti 3 = Lääkemääräyksen korjaus Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.statusReason.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.statusReason.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.statusReason.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| intent | Σ ?! | 1..1 | codeBinding | Element idMedicationRequest.intentShort description proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option DefinitionKäytetään vakiona arvoa: order It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of medication order. medicationRequest Intent (required) Constraints
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| category | 0..* | CodeableConcept | Element idMedicationRequest.categoryShort description Type of medication usage DefinitionIndicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). The category can be used to include where the medication is expected to be consumed or other types of requests. Unordered, Open, by coding.system(Value) BindingA coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. medicationRequest Category Codes (example) Constraints
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| prescriptionValue | 0..* | CodeableConcept | Element idMedicationRequest.category:prescriptionValueShort description Reseptin laji DefinitionTieto siitä, millaisesta lääkemääräyksestä on kyse. The category can be used to include where the medication is expected to be consumed or other types of requests. A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. medicationRequest Category Codes (example) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 1..1 | Coding | Element idMedicationRequest.category:prescriptionValue.codingShort description Reseptin laji DefinitionTieto siitä, millaisesta lääkemääräyksestä on kyse. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idMedicationRequest.category:prescriptionValue.coding.systemShort description THL - Reseptin laji koodiston OID DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. THL - Reseptin laji -luokitusta käytetään lääkemerkinnässä, sähköisessä reseptissä ja Tiedonhallintapalvelun lääkityslistalla ilmoittamaan, mistä lääke toimitetaan.
urn:oid:1.2.246.537.6.605.2014Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 1..1 | code | Element idMedicationRequest.category:prescriptionValue.coding.codeShort description THL - Reseptin laji koodiston arvo DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.category:prescriptionValue.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.priorityShort description routine | urgent | asap | stat DefinitionIndicates how quickly the Medication Request should be addressed with respect to other requests. Identifies the level of importance to be assigned to actioning the request.
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| doNotPerform | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.doNotPerformShort description True if request is prohibiting action DefinitionIf true indicates that the provider is asking for the medication request not to occur. If do not perform is not specified, the request is a positive request e.g. "do perform".
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| reported[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.reported[x]Short description Reported rather than primary record DefinitionIndicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
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| reportedBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | There are no (further) constraints on this element Data typeReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | ||||
| medication[x] | Σ | 1..1 | Element idMedicationRequest.medication[x]Short description Viittaus Medication resurssiin DefinitionIdentifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. A coded concept identifying substance or product that can be ordered. SNOMEDCTMedicationCodes (example) Constraints
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| medicationCodeableConcept | CodeableConcept | Data type | ||||
| medicationReference | Reference(Medication | MetaDataMedication) | Data type | ||||
| subject | Σ | 1..1 | Reference(Patient | Group) | Element idMedicationRequest.subjectShort description Viittaus Patient resurssiin DefinitionA link to a resource representing the person or set of individuals to whom the medication will be given. The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
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| encounter | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idMedicationRequest.encounterShort description Encounter created as part of encounter/admission/stay DefinitionThe Encounter during which this [x] was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
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| supportingInformation | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationRequest.supportingInformationShort description Information to support ordering of the medication DefinitionInclude additional information (for example, patient height and weight) that supports the ordering of the medication.
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| authoredOn | Σ | 0..1 | dateTime | Element idMedicationRequest.authoredOnShort description Lääkemääräyksen määräyspäivä DefinitionPäivämäärä, jolloin resepti on tehty.
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| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element idMedicationRequest.requesterShort description Who/What requested the Request DefinitionThe individual, organization, or device that initiated the request and has responsibility for its activation. Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Constraints
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| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | There are no (further) constraints on this element Element idMedicationRequest.performerShort description Intended performer of administration DefinitionThe specified desired performer of the medication treatment (e.g. the performer of the medication administration). Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Constraints
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| performerType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.performerTypeShort description Desired kind of performer of the medication administration DefinitionIndicates the type of performer of the administration of the medication. If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available. Identifies the type of individual that is desired to administer the medication. ProcedurePerformerRoleCodes (example) Constraints
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| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idMedicationRequest.recorderShort description Person who entered the request DefinitionThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. Reference(Practitioner | PractitionerRole) Constraints
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| reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.reasonCodeShort description Reason or indication for ordering or not ordering the medication DefinitionThe reason or the indication for ordering or not ordering the medication. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. A coded concept indicating why the medication was ordered. Condition/Problem/DiagnosisCodes (example) Constraints
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| reasonReference | 0..* | Reference(Condition | Observation) | There are no (further) constraints on this element Element idMedicationRequest.reasonReferenceShort description Condition or observation that supports why the prescription is being written DefinitionCondition or observation that supports why the medication was ordered. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. Reference(Condition | Observation) Constraints
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| instantiatesCanonical | Σ | 0..* | canonical() | There are no (further) constraints on this element Element idMedicationRequest.instantiatesCanonicalShort description Instantiates FHIR protocol or definition DefinitionThe URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
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| instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element idMedicationRequest.instantiatesUriShort description Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
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| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | There are no (further) constraints on this element Element idMedicationRequest.basedOnShort description What request fulfills DefinitionA plan or request that is fulfilled in whole or in part by this medication request. Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) Constraints
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| groupIdentifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idMedicationRequest.groupIdentifierShort description Composite request this is part of DefinitionA shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
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| courseOfTherapyType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.courseOfTherapyTypeShort description Overall pattern of medication administration DefinitionThe description of the overall patte3rn of the administration of the medication to the patient. This attribute should not be confused with the protocol of the medication. Identifies the overall pattern of medication administratio. medicationRequest Course of Therapy Codes (example) Constraints
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| insurance | 0..* | Reference(Coverage | ClaimResponse) | There are no (further) constraints on this element Element idMedicationRequest.insuranceShort description Associated insurance coverage DefinitionInsurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Reference(Coverage | ClaimResponse) Constraints
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationRequest.noteShort description Information about the prescription DefinitionExtra information about the prescription that could not be conveyed by the other attributes.
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| dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationRequest.dosageInstructionShort description How the medication should be taken DefinitionIndicates how the medication is to be used by the patient. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | Element idMedicationRequest.dosageInstruction.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| onlyTextDosageInUse | C | 0..* | Extension(boolean) | Element idMedicationRequest.dosageInstruction.extension:onlyTextDosageInUseShort description Annostusohje vain tekstinä Alternate namesextensions, user content DefinitionTieto siitä, onko määrätyn lääkkeen annostusohje käyttäjän vapaamuotoisena tekstinä kirjaama eikä rakenteisia annostustietoja ole tallennettu Huom. Jos arvo on false, tekstimuotoinen annostusohje on muodostettu automaattisesti rakenteisten annostustietojen pohjalta. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/onlyTextDosageInUse ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| sic | C | 0..* | Extension(boolean) | Element idMedicationRequest.dosageInstruction.extension:sicShort description Sic!-merkintä Alternate namesextensions, user content DefinitionTieto siitä, onko lääkemääräys tarkoituksellisesti määrätty kirjoitetulla tavalla, eikä määräystä tule kyseenalaistaa (lat. 'sic erat scriptum', suom. 'näin se oli kirjoitettu') Huom. Pääsääntöisesti merkintää 'Sic!' käytetään ilmoittamaan, että lääkemäärärykseen kirjattu määrätyn lääkkeen annostus poikkeaa lääkkeen normaalista annostuksesta, mutta sitä voidaan käyttää myös jos lääkettä määrätään muulla tavoin hoitokäytännöistä poiketen. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/sic ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| medicinePauseInterval | C | 0..* | Extension(Period) | Element idMedicationRequest.dosageInstruction.extension:medicinePauseIntervalShort description Lääke tauolla Alternate namesextensions, user content DefinitionAjanjakso, jolloin määrätty lääke on tauolla. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/medicinePauseInterval ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| sequence | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.sequenceShort description The order of the dosage instructions DefinitionIndicates the order in which the dosage instructions should be applied or interpreted. If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
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| text | Σ | 0..1 | string | Element idMedicationRequest.dosageInstruction.textShort description Annostusohje tekstinä DefinitionTekstimuotoinen lääkkeen annostusohje, joka on tuotettu rakenteisen annostuksen tietojen pohjalta tai jonka lääkkeen määrääjä kirjaa silloin, kun rakenteista annostusta ei kirjata. Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
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| additionalInstruction | Σ | 0..* | CodeableConcept | Element idMedicationRequest.dosageInstruction.additionalInstructionShort description Käyttöohjeen lisätieto DefinitionAnnostuksen tarkenne Huom. Esimerkiksi: lääkkeen annostuksen vasteohje (esim. jos B-gluK >12) tai lääkityksen aloitus X vrk ennen leikkausta. Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example) Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.additionalInstruction.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.additionalInstruction.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.additionalInstruction.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| text | Σ | 0..1 | string | Element idMedicationRequest.dosageInstruction.additionalInstruction.textShort description Käyttöohjeen lisätieto DefinitionAnnostuksen tarkenne Huom. Esimerkiksi: lääkkeen annostuksen vasteohje (esim. jos B-gluK >12) tai lääkityksen aloitus X vrk ennen leikkausta. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.patientInstructionShort description Patient or consumer oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer.
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| timing | Σ | 0..1 | Timing | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timingShort description When medication should be administered DefinitionWhen medication should be administered. The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| event | Σ | 0..* | dateTime | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.eventShort description When the event occurs DefinitionIdentifies specific times when the event occurs. In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
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| repeat | Σ C | 0..1 | Element | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeatShort description When the event is to occur DefinitionA set of rules that describe when the event is scheduled. Many timing schedules are determined by regular repetitions.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| bounds[x] | Σ | 0..1 | Element idMedicationRequest.dosageInstruction.timing.repeat.bounds[x]Short description Annostelukauden kesto, vakio tai vaihteluväli tai annostelukauden alkuaika ja päättymisaika DefinitionAnnostelukauden kesto, vakio arvona (Duration) tai vaihteluvälinä (Range), annostelukauden alkuaika ja päättymisaika (Period). Jos annostelukauden kestossa on annostelukauden alkuaika ja kesto vakiona (esim. 5 päivän ajan 15.1.2021 alkaen), annostelukauden alkuajasta on tehty laajennus: boundsDurationStartDate. Jos annostelukauden kestossa on annostelukauden alkuaika ja kesto vaihteluvälinä (esim. 5-7 päivän ajan 15.1.2021 alkaen), annostelukauden alkuajasta on tehty laajennus: boundsRangeStartDate.
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| boundsDuration | TimingBoundsDuration | Data type | ||||
| boundsRange | TimingBoundsRange | Data type | ||||
| boundsPeriod | Period | Data type | ||||
| count | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.countShort description Number of times to repeat DefinitionA total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. Repetitions may be limited by end time or total occurrences. If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
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| countMax | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.countMaxShort description Maximum number of times to repeat DefinitionIf present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
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| duration | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.durationShort description How long when it happens DefinitionHow long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. Some activities are not instantaneous and need to be maintained for a period of time. For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
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| durationMax | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.durationMaxShort description How long when it happens (Max) DefinitionIf present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. Some activities are not instantaneous and need to be maintained for a period of time. For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
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| durationUnit | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.durationUnitShort description s | min | h | d | wk | mo | a - unit of time (UCUM) DefinitionThe units of time for the duration, in UCUM units. A unit of time (units from UCUM).
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| frequency | Σ | 0..1 | positiveInt | Element idMedicationRequest.dosageInstruction.timing.repeat.frequencyShort description Toistuman määrä DefinitionMontako kertaa annos toistuu esim. "2 kertaa päivässä" silloin määränä "2". Tai jos annos annettu esim. "1-3 kertaa päivässä" silloin toistuman alarajana arvona "1". If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
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| frequencyMax | Σ | 0..1 | positiveInt | Element idMedicationRequest.dosageInstruction.timing.repeat.frequencyMaxShort description Toistuman max. arvo DefinitionMontako kertaa annos toistuu maksimissaan esim. "1-3 kertaa päivässä" silloin max. arvona "3".
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| period | Σ | 0..1 | decimal | Element idMedicationRequest.dosageInstruction.timing.repeat.periodShort description Annosjakson pituus, vakio arvo tai arvon alaraja DefinitionAnnosjakson pituus, vakio arvona tai arvon alaraja (periodMax annetaan arvon yläraja tieto). Esim. annotusohje "Tarvittaessa 1-2 tippaa 3-4 tunnin välein." siinä alaraja arvona "3". Huom. Annosjakso tarkoittaa ajanjaksoa, jolle määrätyn lääkkeen annokset määrätään käytettäviksi samanlaisena toistuvana sarjana.
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| periodMax | Σ | 0..1 | decimal | Element idMedicationRequest.dosageInstruction.timing.repeat.periodMaxShort description Annosjakson pituus, yläraja DefinitionAnnosjakson pituus, yläraja. Esim. annotusohje "Tarvittaessa 1-2 tippaa 3-4 tunnin välein." siinä yläraja arvona "4".
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| periodUnit | Σ | 0..1 | codeBinding | Element idMedicationRequest.dosageInstruction.timing.repeat.periodUnitShort description s | min | h | d | wk | mo | a - unit of time (UCUM) DefinitionAnnosjakson yksikkö (UCUM mukaan), vuorokausi tai tunti (d tai h), muita arvoja ei sallita. Määrätyn lääkkeen annosjakson pituuden yksikkö annetaan UCUM mukaisilla yksiköillä vuorokausina tai tunteina. A unit of time (units from UCUM).
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| dayOfWeek | Σ | 0..* | codeBinding | Element idMedicationRequest.dosageInstruction.timing.repeat.dayOfWeekShort description mon | tue | wed | thu | fri | sat | sun DefinitionAnnosjakson päivä, jolloin annos otetaan. THL - Viikonpäivä -koodisto (OID: 1.2.246.537.6.136.202001) sarake HL7DaysOfWeek. If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
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| timeOfDay | Σ | 0..* | time | Element idMedicationRequest.dosageInstruction.timing.repeat.timeOfDayShort description Annosaika DefinitionKellonaika, jolloin määrätyn lääkkeen annos otetaan Huom. Tämä on vaihtoehtoinen tietokenttä annosajankohdan kanssa. Annosajankohta voidaan tallentaa myös annosajan lisätietona. When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
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| when | Σ | 0..* | codeBinding | Element idMedicationRequest.dosageInstruction.timing.repeat.whenShort description Annosajankohta DefinitionMäärätyn lääkkeen annosajankohta (esim. aamulla, illalla) THL - Vuorokaudenaika -koodisto (OID: 1.2.246.537.6.137.202001) sarake HL7EventTiming Timings are frequently determined by occurrences such as waking, eating and sleep. When more than one event is listed, the event is tied to the union of the specified events. Real world event relating to the schedule.
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| offset | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.offsetShort description Minutes from event (before or after) DefinitionThe number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
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| code | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.codeShort description BID | TID | QID | AM | PM | QD | QOD | + DefinitionA code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). Code for a known / defined timing pattern. TimingAbbreviation (preferred) Constraints
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| asNeeded[x] | Σ | 0..1 | Element idMedicationRequest.dosageInstruction.asNeeded[x]Short description Annos tarvittaessa DefinitionTieto siitä, otetaanko kyseinen annos vain tarvittaessa Huom. Tekninen apukenttä. Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints
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| asNeededBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
| site | Σ | 0..1 | CodeableConceptBinding | Element idMedicationRequest.dosageInstruction.siteShort description Puolisuus -tieto, lääkkeenantoreitin ja -tavan lisätieto DefinitionPuolisuus -tieto, lääkkeenantoreitin ja -tavan lisätieto. THL - Toimenpideluokitus -koodiston mukaan. A coded specification of the anatomic site where the medication first enters the body. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Value set, jota käytetään lääkkeenantoreitin ja -tavan lisätiedon puolisuus -tiedon palauttamiseen. Value set sisältää ne koodiston THL - Toimenpideluokitus (1.2.246.537.6.2.2007) arvot, joita puolisuus tietona voidaan antaa.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | Element idMedicationRequest.dosageInstruction.site.codingShort description Puolisuus -tieto, lääkkeenantoreitin ja -tavan lisätieto DefinitionPuolisuus -tieto, lääkkeenantoreitin ja -tavan lisätieto. THL - Toimenpideluokitus -koodiston mukaan. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idMedicationRequest.dosageInstruction.site.coding.systemShort description THL - Toimenpideluokitus koodiston OID DefinitionTHL - Toimenpideluokitus koodiston OID. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
urn:oid:1.2.246.537.6.2.2007Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | code | Element idMedicationRequest.dosageInstruction.site.coding.codeShort description THL - Toimenpideluokitus koodiston arvo DefinitionTHL - Toimenpideluokitus koodiston arvo. Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| route | Σ | 0..1 | CodeableConcept | Element idMedicationRequest.dosageInstruction.routeShort description How drug should enter body DefinitionHow drug should enter body. A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Unordered, Open, by coding.system(Value) BindingA coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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| dosageRoute | Σ | 0..1 | CodeableConcept | Element idMedicationRequest.dosageInstruction.route:dosageRouteShort description Lääkkeen antoreitti- ja tapa DefinitionMäärätyn lääkkeen antoreitti ja antotapa. Fimea - Lääkkeenantoreitti ja -tapa koodiston OID: 1.2.246.537.6.1403.202001. A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| coding | Σ | 0..* | Coding | Element idMedicationRequest.dosageInstruction.route:dosageRoute.codingShort description Lääkkeen antoreitti- ja tapa koodiston oid ja arvo DefinitionLääkkeen antoreitti- ja tapa koodiston oid ja arvo. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.systemShort description Fimea - Lääkkeenantoreitti ja -tapa koodiston OID DefinitionMäärätyn lääkkeen antoreitti ja antotapa. Fimea - Lääkkeenantoreitti ja -tapa koodisto OID: 1.2.246.537.6.1403.202001. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
urn:oid:1.2.246.537.6.1403.202001Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | code | Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.codeShort description Fimea - Lääkkeenantoreitti ja -tapa koodiston arvo DefinitionMäärätyn lääkkeen antoreitti ja antotapa. Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route:dosageRoute.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| method | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.methodShort description Technique for administering medication DefinitionTechnique for administering medication. A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. Terminologies used often pre-coordinate this term with the route and or form of administration. A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example) Constraints
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| doseAndRate | Σ | 0..* | Element | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRateShort description Amount of medication administered DefinitionThe amount of medication administered.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRate.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRate.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRate.typeShort description The kind of dose or rate specified DefinitionThe kind of dose or rate specified, for example, ordered or calculated. If the type is not populated, assume to be "ordered". The kind of dose or rate specified.
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| dose[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRate.dose[x]Short description Amount of medication per dose DefinitionAmount of medication per dose. The amount of therapeutic or other substance given at one administration event. Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
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| doseRange | Range | There are no (further) constraints on this element Data type | ||||
| doseQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||||
| rate[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.doseAndRate.rate[x]Short description Amount of medication per unit of time DefinitionAmount of medication per unit of time. Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
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| rateRatio | Ratio | There are no (further) constraints on this element Data type | ||||
| rateRange | Range | There are no (further) constraints on this element Data type | ||||
| rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||||
| maxDosePerPeriod | Σ | 0..1 | Ratio | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerPeriodShort description Upper limit on medication per unit of time DefinitionUpper limit on medication per unit of time. The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
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| maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerAdministrationShort description Upper limit on medication per administration DefinitionUpper limit on medication per administration. The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
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| maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerLifetimeShort description Upper limit on medication per lifetime of the patient DefinitionUpper limit on medication per lifetime of the patient. The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
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| dispenseRequest | 0..1 | BackboneElement | Element idMedicationRequest.dispenseRequestShort description lääkkeen määrä reseptillä DefinitionIndicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | Element idMedicationRequest.dispenseRequest.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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| prescriptionType | C | 0..* | Extension(Coding) | Element idMedicationRequest.dispenseRequest.extension:prescriptionTypeShort description Määrätyn määrän esittämistapa Alternate namesextensions, user content DefinitionTieto määrätyn lääkemäärän esittämistavasta reseptillä. Sähköinen lääkemääräys - Määrätyn määrän esittämistapa -koodiston mukaan. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/prescriptionType ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://resepti.kanta.fi/StructureDefinition/extension/prescriptionTypeMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x]Short description Määrätyn määrän esittämistapa DefinitionTieto määrätyn lääkemäärän esittämistavasta reseptillä. Sähköinen lääkemääräys - Määrätyn määrän esittämistapa koodiston mukaan.
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| valueCoding | Coding | There are no (further) constraints on this element Data type | ||||
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].systemShort description Sähköinen lääkemääräys - Määrätyn määrän esittämistapa -koodiston OID DefinitionSähköinen lääkemääräys - Määrätyn määrän esittämistapa -koodiston OID Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
urn:oid:1.2.246.537.5.40100.2006Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | code | Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].codeShort description Sähköinen lääkemääräys - Määrätyn määrän esittämistapa -koodiston arvo DefinitionSähköinen lääkemääräys - Määrätyn määrän esittämistapa -koodiston arvo. Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:prescriptionType.value[x].userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| package | C | 0..* | Extension(Complex) | Element idMedicationRequest.dispenseRequest.extension:packageShort description Pakkaus Alternate namesextensions, user content DefinitionKun määrätyn määrän esittämistapa on 1 (=pakkaus). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://resepti.kanta.fi/StructureDefinition/extension/package ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | Element idMedicationRequest.dispenseRequest.extension:package.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| packageFactor | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageFactorShort description Pakkauskoon kerroin Alternate namesextensions, user content DefinitionLääkepakkauksen koon kerroin Lääketietokannan mukaisesti ilmaistuna. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageFactor.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageFactor.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageFactor.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. packageFactorMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageFactor.value[x]Short description Pakkauskoon kerroin DefinitionLääkepakkauksen koon kerroin Lääketietokannan mukaisesti ilmaistuna.
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| valuePositiveInt | positiveInt | There are no (further) constraints on this element Data type | ||||
| packageAmount | C | 0..* | Extension | Element idMedicationRequest.dispenseRequest.extension:package.extension:packageAmountShort description Pakkausten lukumäärä Alternate namesextensions, user content DefinitionLääkepakkausten lukumäärä. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageAmount.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageAmount.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
| ||
| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageAmount.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. packageAmountMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageAmount.value[x]Short description Pakkausten lukumäärä DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
| ||||
| valuePositiveInt | positiveInt | There are no (further) constraints on this element Data type | ||||
| packageSizeText | C | 0..* | Extension | Element idMedicationRequest.dispenseRequest.extension:package.extension:packageSizeTextShort description Pakkauskoko tekstinä Alternate namesextensions, user content DefinitionPakkauskoko tekstimuodossa. Yhden lääkepakkauksen sisältämä lääkemäärä. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageSizeText.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageSizeText.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.extension:packageSizeText.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. packageSizeTextMappings
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| value[x] | 0..1 | Element idMedicationRequest.dispenseRequest.extension:package.extension:packageSizeText.value[x]Short description Pakkauskoko tekstinä DefinitionPakkauskoko tekstimuodossa. Yhden lääkepakkauksen sisältämä lääkemäärä.
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| valueString | string | There are no (further) constraints on this element Data type | ||||
| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://resepti.kanta.fi/StructureDefinition/extension/packageMappings
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| value[x] | 0..0 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:package.value[x]Short description Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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| totalAmount | C | 0..* | Extension(Quantity) | Element idMedicationRequest.dispenseRequest.extension:totalAmountShort description Lääkkeen kokonaismäärä ja määrän yksikkö Alternate namesextensions, user content DefinitionKun määrätyn määrän esittämistapa=2 (kokonaismäärä). Määrätyn lääkkeen kokonaismäärä ja yksikkö. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/totalAmount ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://resepti.kanta.fi/StructureDefinition/extension/totalAmountMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x]Short description Lääkkeen kokonaismäärä ja määrän yksikkö DefinitionLääkkeen kokonaismäärä ja määrän yksikkö (esim. 800 fol, 300 ml)
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| valueQuantity | Quantity | There are no (further) constraints on this element Data type | ||||
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| value | Σ | 0..1 | decimal | Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].valueShort description Lääkkeen kokonaismäärä DefinitionMäärätyn lääkkeen kokonaismäärä. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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| comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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| unit | Σ | 0..1 | string | Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].unitShort description Lääkkeen kokonaismäärän yksikkö DefinitionMäärätyn lääkkeen kokonaismäärän yksikkö. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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| system | Σ C | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
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| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:totalAmount.value[x].codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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| validityTime | C | 0..* | Extension(Duration) | Element idMedicationRequest.dispenseRequest.extension:validityTimeShort description Lääkkeen määrä ajanjaksolla ilmaistuna Alternate namesextensions, user content DefinitionKun määrätyn määrän esittämistapa=3 (lääkehoidon kestoaika). Määrätään lääkettä tietylle ajalle. Määrätyn lääkkeen määrä, jonka potilas tarvitsee määrätyn ajanjakson aikana, esimerkiksi 1 vuoden aikana käytössä tarvittava lääkemäärä Huom. Tietokenttää tulee käyttää ainoastaan silloin kun tarvittavaa määrää ei pystytä etukäteen arvioimaan, esimerkiksi ruokailun yhteydessa käytettävä vaihteleva annos insuliinia tai kohtausten yhteydessä käytettävä astmalääke. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/validityTime ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://resepti.kanta.fi/StructureDefinition/extension/validityTimeMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x]Short description Ajan määrä ja yksikkö. DefinitionKun määrätyn määrän esittämistapa=3 (lääkehoidon kestoaika). Määrätään lääkettä tietylle ajalle, esim. 30 d, 2 wk.
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| valueDuration | Duration | There are no (further) constraints on this element Data type | ||||
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| value | Σ | 0..1 | decimal | Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].valueShort description Ajan määrä DefinitionAjan määrä, kun lääkettä on määrätty tietylle ajalle. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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| comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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| unit | Σ | 0..1 | string | Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].unitShort description Ajan yksikkö DefinitionAjan yksikkö, kun lääkettä on määrätty tietylle ajalle. Ucum:n mukainen: d, wk, mo tai a. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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| system | Σ C | 0..1 | uriFixed Value | Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].systemShort description UCUM koodisto DefinitionUCUM koodisto Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
http://unitsofmeasure.orgMappings
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| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:validityTime.value[x].codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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| realDispenseStatus | C | 0..* | Extension(Coding) | Element idMedicationRequest.dispenseRequest.extension:realDispenseStatusShort description Todellinen toimitustila Alternate namesextensions, user content DefinitionTodellinen toimitustila There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatusMappings
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| value[x] | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x]Short description Toimitustila koodiston oid ja arvo DefinitionTodellinen toimitustilan tiedot haetaan Sähköinen lääkemääräys - Lääkemääräyksen toimitustilat koodistosta. Toimitustila koodiston oid ja arvo.
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| valueCoding | Coding | There are no (further) constraints on this element Data type | ||||
| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| system | Σ | 0..1 | uriFixed Value | Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].systemShort description Sähköinen lääkemääräys - Lääkemääräyksen toimitustilat koodiston OID DefinitionSähköinen lääkemääräys - Lääkemääräyksen toimitustilat koodiston OID Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
urn:oid:1.2.246.537.5.40123.2006Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 0..1 | code | Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].codeShort description Todellinen toimitustilan koodi arvo DefinitionSähköinen lääkemääräys - Lääkemääräyksen toimitustilat koodiston arvo. Need to refer to a particular code in the system.
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| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension:realDispenseStatus.value[x].userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| drugPrescribedQuantityText | C | 0..* | Extension(string) | Element idMedicationRequest.dispenseRequest.extension:drugPrescribedQuantityTextShort description Lääkkeen määrätty määrä tekstinä Alternate namesextensions, user content DefinitionLääkkeen määrätty määrä tekstinä. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/drugPrescribedQuantityText ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| drugRemainingQuantityText | C | 0..* | Extension(string) | Element idMedicationRequest.dispenseRequest.extension:drugRemainingQuantityTextShort description Jäljellä oleva lääkkeen määrä tekstinä Alternate namesextensions, user content DefinitionJäljellä oleva lääkkeen määrä tekstinä, jonka apteekki on ilmoittanut. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/drugRemainingQuantityText ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| dispenseEffectiveTime | C | 0..* | Extension(dateTime) | Element idMedicationRequest.dispenseRequest.extension:dispenseEffectiveTimeShort description Toimituksen ajankohta Alternate namesextensions, user content DefinitionToimituksen ajankohta (viimeisen toimituksen päivämäärä). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/dispenseEffectiveTime ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| previousDispense | C | 0..* | Extension(string) | Element idMedicationRequest.dispenseRequest.extension:previousDispenseShort description Edellinen toimitettu määrä Alternate namesextensions, user content DefinitionEdellinen toimitettu määrä, jonka apteekki on ilmoittanut. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. http://resepti.kanta.fi/StructureDefinition/extension/previousDispense ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
| ||
| initialFill | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFillShort description First fill details DefinitionIndicates the quantity or duration for the first dispense of the medication. If populating this element, either the quantity or the duration must be included.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFill.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFill.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
| ||
| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFill.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| quantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFill.quantityShort description First fill quantity DefinitionThe amount or quantity to provide as part of the first dispense.
| |||
| duration | 0..1 | Duration | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.initialFill.durationShort description First fill duration DefinitionThe length of time that the first dispense is expected to last.
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| dispenseInterval | 0..1 | Duration | Element idMedicationRequest.dispenseRequest.dispenseIntervalShort description Iterointien väli päivissä ja iterointivälin yksikkö DefinitionIterointien väli päivissä ja iterointivälin yksikkö
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.dispenseInterval.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.dispenseInterval.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| value | Σ | 0..1 | decimal | Element idMedicationRequest.dispenseRequest.dispenseInterval.valueShort description Iterointien väli päivissä DefinitionRakenteisesti ilmoitettu lääkkeen toimitusväli, kun lääkkeen määrääjä on rajoittanut lääkkeen uudelleen toimittamista. Huom. Arvo annetaan päivinä. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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| comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.dispenseInterval.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented.
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| unit | Σ | 0..1 | string | Element idMedicationRequest.dispenseRequest.dispenseInterval.unitShort description Iterointivälin yksikkö DefinitionYksikkö on aina päivä. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
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| system | Σ C | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.dispenseInterval.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. The cardinality or value of this element may be affected by these constraints: qty-3 Constraints
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| code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.dispenseInterval.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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| validityPeriod | 0..1 | Period | Element idMedicationRequest.dispenseRequest.validityPeriodShort description Reseptin voimassaolon loppupäivä DefinitionReseptin voimassaolon loppupäivä. Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| start | Σ C | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.startShort description Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known. The cardinality or value of this element may be affected by these constraints: per-1 Constraints
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| end | Σ C | 0..1 | dateTime | Element idMedicationRequest.dispenseRequest.validityPeriod.endShort description Reseptin voimassaolon loppupäivä DefinitionReseptin viimeinen voimassaolopäivämäärä Huom. Oletusarvona on, että resepti on voimassa vuoden tai kaksi vuotta sen mukaan, mitä lääkettä reseptillä on määrätty. Lääkkeen määrääjä voi asettaa oletusarvoista voimassaoloaikaa lyhyemmän voimassaoloajan. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing The cardinality or value of this element may be affected by these constraints: per-1 Constraints
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| numberOfRepeatsAllowed | 0..1 | unsignedInt | Element idMedicationRequest.dispenseRequest.numberOfRepeatsAllowedShort description Iterointien lukumäärä DefinitionLääkkeen määrääjän kirjaama rajoitus siitä, kuinka monta kertaa määrätty lääke voidaan määräajoin toimittaa uudelleen. Huom. Sallitut arvot vain 1, 2 tai 3. If displaying "number of authorized fills", add 1 to this number.
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| quantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.quantityShort description Amount of medication to supply per dispense DefinitionThe amount that is to be dispensed for one fill.
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| expectedSupplyDuration | 0..1 | Duration | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.expectedSupplyDurationShort description Number of days supply per dispense DefinitionIdentifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last. In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
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| performer | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.performerShort description Intended dispenser DefinitionIndicates the intended dispensing Organization specified by the prescriber.
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| substitution | 0..1 | BackboneElement | Element idMedicationRequest.substitutionShort description Lääkevaihtokielto DefinitionTieto siitä, sisältääkö resepti lääkevaihtokiellon.
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.substitution.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| allowed[x] | 1..1 | Element idMedicationRequest.substitution.allowed[x]Short description Lääkevaihtokielto DefinitionTieto siitä, sisältääkö resepti lääkevaihtokiellon. This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. Identifies the type of substitution allowed. v3.ActSubstanceAdminSubstitutionCode (example) Constraints
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| allowedBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| allowedCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
| reason | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.substitution.reasonShort description Why should (not) substitution be made DefinitionIndicates the reason for the substitution, or why substitution must or must not be performed. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example) Constraints
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| priorPrescription | 0..1 | Reference(MedicationRequest) | There are no (further) constraints on this element Element idMedicationRequest.priorPrescriptionShort description An order/prescription that is being replaced DefinitionA link to a resource representing an earlier order related order or prescription.
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| detectedIssue | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationRequest.detectedIssueShort description Clinical Issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc. This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
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| eventHistory | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationRequest.eventHistoryShort description A list of events of interest in the lifecycle DefinitionLinks to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
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Linkki Simplifierista löytyvään profiilimäärittelyyn: MetaDataMedicationRequest
MedicationRequest.status (Required) ja MedicationRequest.statusReason (Example) tiedot
- MedicationRequest.status tieto on pakollinen tieto MedicationRequest resurssissa. Se on koodattu tieto ja tieto on annettava pakollisella FHIR koodistolla http://hl7.org/fhir/valueset-medicationrequest-status.html.
- Lääkemääräyksen yksilöintitiedoissa palautettava Voimassolotila -tieto on mapattu tähän tietoon.
- Voimassaolotila ilmaistaan Kansallisen koodistopalvelun Sähköinen lääkemääräys - Lääkemääräyksen voimassaolontila -koodiston koodeilla.
- Lääkemääräyksen yksilöintitietojen hakuoperaation vastauksessa on käytettävä FHIR koodiston arvoja ja nämä koodiston arvot on mapattu Voimassaolotila-koodeihin alla olevan taulukon mukaisesti.
| Valueset-medicationrequest-status | Voimassaolotilan koodi arvo ja selite |
|---|---|
| active | 1=voimassa |
| cancelled | 2=mitätöity |
| completed (huom. oli ennen Kanta-lääkityslistan siirtymäaikaa stopped) | 3=vanhentunut |
Kanta-lääkityslistan siirtymävaiheessa palautuu myös yllä olevien voimassaolotilojen lisäksi päättynyt ja lopetettu voimassaolotilat ja ne on mapattu:
| Valueset-medicationrequest-status | Voimassaolotilan koodi arvo ja selite |
|---|---|
| on-hold | 4=päättynyt |
| stopped | 5=lopetettu |
- MedicationRequest.statusReason tieto on optionaalinen MedicationRequest resurssissa ja se on koodattu tieto. Koodattuun tietoon on sallittua sitoa oma koodisto.
- Lääkemääräyksen yksilöintitiedoissa palautettava Reseptisanoman tyyppi on mapattu tähän tietoon.
- Reseptisanoman tyyppi ilmaistaan Kansallisen koodistopalvelun Sähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston koodeilla.
- Tämän koodiston käyttö on kuvattu alla olevan taulukon mukaisesti.
| MedicationRequest.statusReason (code) | Reseptisanoman tyypin selite |
|---|---|
| 1 | lääkemääräys |
| 2 | lääkemääräyksen mitätöinti |
| 3 | lääkemääräyksen korjaus |
Esimerkki: voimassaolontila 1=voimassa ja reseptisanoman tyyppi 1=lääkemääräys:
"status": "active",
"statusReason": {
"coding": {
"system": "urn:oid:1.2.246.537.5.40105.2006",
"code": "1"
}
MedicationRequest.dosageInstruction.doseAndRate.dose (doseRange/doseQuantity)
Yksilöintitietojen palautuksen FHIR-rapapinnassa Dosage.doseAndRate.dose (doseRange/doseQuantity) -elementin tietoa doseRange käytetään kun palautetaan annos, jossa annokseen sisältyvä lääkkeen määrä on annettu lukuvälinä (esim. 1-2 tablettia) ja doseQuantity tietoa käytetään kun palautetaan annos, jossa annokseen sisältyvä lääkkeen määrä on annettu tarkkana lukuna (esim. 1 tabletti).
Potilasystävällisen ja fysikaalisen annoksen annos ja annosyksikkö palautuvat molemmat yllä mainituissa elementeissä. Ne ovat keskenään vaihtoehtoisia tietoja lääkemääräyksellä, jos potilasystävällinen annos ja annosyksikkö on annettu, silloin fysikaalista annos ja annosyksikköä ei ole voitu antaa.
FHIRssa rakenteisen annostuksen tiedot esitetään toistuvassa MedicationRequest.dosageInstruction rakenteessa.
Vaihtuvat annokset esim. ”2 tablettia aamulla ja 1 tabletti illalla 6 päivän ajan” annetaan toistamalla koko dosageInstruction rakennetta (sequence-toistuma), tätä on käytetty mm. MedicationRequest esimerkissä 2.
FHIR .dosageInstruction toistuman seurauksena osa THL tietosisältömäärittelyn rakenteisen annostuksen tiedoista toistuu per vaihtuva annos. Näitä toistuvia tietoja ovat mm. THL tietosisällön Annostelukausi-rakenteen tiedot toistuvat (paitsi annostus tarvittaessa –tieto) ja myös ylemmän tason rakenteiset tiedot Annostusohje (lääkkeenantoreitti ja –tapa, käyttöohjeen lisätieto) ja Annostustiedot (annostusohje vain tekstinä, tekstimuotoinen annostusohje, sic-merkintä) toistuvat.
Vastaavasti FHIR toistuman seurauksena Annostelukausi tiedot (annostelukauden kesto, annostelukauden alkuaika ja päättymisaika, annosjakson pituus) ja Annoksen tiedot (annosajankohta, annosaika ja annosjakson päivä) toistuvat per vaihtuva annos. Tämä johtuu siitä, että nämä THL tietosisällön tiedot menevät dosageInstruction rakenteen timing elementtiin (joka on tietotyyppiä Timing) ja se ei ole toistuva tieto.
THL:n tietosisällön ja FHIR tietomallin rakenteisen annostuksen erot:
FHIRssa annoksen toistumissa hyödynnetään MedicationRequest.dosageInstruction.timing.frequency ja MedicationRequest.dosageInstruction.timing.frequencyMax elementtejä. FHIRssa esim. ” 1 tabletti 3 kertaa päivässä” ei vaadi saman sisältöisen Annokset rakenteen toistamista kolmea kertaa, vaan toistuma voidaan ilmoittaa yhdellä erillisellä tiedolla. Esimerkissä 1 on käytetty frequency tietoa (”1 tabletti 2 kertaa päivässä) ja esimerkissä 4 on käytetty frequency ja frequencyMax –tietoa (”1-2 tablettia 1 – 3 kertaa päivässä”). Rakenteita frequency ja frequencyMax käytettäessä, ei ole tarvetta toistaa Annokset rakennetta. Mutta tällöin myöskään Annos tarvittaessa tieto ei toistu ja ei siis mene kuten S1 Kirjaa ja muodosta rakenteinen annostusohje –määrittelyssä, jossa ensimmäisessä toistumassa Annos tarvittaessa = false ja muissa toistumissa Annos tarvittaessa = true. Itse asiassa kyseessä S1-määrittelyssä ei ole Annos tarvittaessa tiedosta, että se tulisi annostusohjeelle, vaan tällä ratkaisulla saadaan S1-määrittelyssä tuotettua annostusohjeelle 1-3 kertaa (sama tieto ”Annos tarvittaessa” on siis kahdessa merkityksessä). Jos tarvittaessa tieto on annettava FHIR-rakenteessa per annos, pitäisi se FHIRssa antaa toistamalla MedicationRequest.dosageInstruction rakennetta.
Tämän oppaan osiossa Esimerkit - MedicationRequest on kuvattu erilaiset MetaDataMedicationRequest profiiliin liittyvät esimerkit.
Dosage tietotyyppiin liittyvä Timing ja sen yleiset käyttötarkoitukset on kuvattu Timing yhteenvetotaulukossa.
MedicationRequest resurssin palautumista Bundle-resurssin sisällä sekä viitattujen resurssien palautumista on kuvattu tämän oppaan osiossa Vastauksen HTTP body