Merkintä toimintakyvystä
Merkinnästä toimintakyvystä on julkaistu yksi esimerkki, joka kuvaa sosiaalihuollossa laaditun merkinnän toimintakyvystä ja sen metatiedot. Esimerkki on luonteeltaan tekninen eikä vastaa todellista kirjausta.
{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"request": {
"method": "POST",
"url": "Observation"
},
"fullUrl": "urn:oid:1.2.246.10.12345678.10.0.95.2025.8.6.5",
"resource": {
"resourceType": "Observation",
"id": "1.2.246.10.12345678.10.0.95.2025.8.6.5",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationNotation"
]
},
"language": "fi",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"fi\"><p>Tähän tulee merkinnän toimintakyvystä näyttömuoto.</p></div>"
},
"identifier": [
{
"system": "http://organisaationmaarittelemanimiavaruus.fi",
"value": "1.2.246.10.12345678.10.0.95.2025.8.6.12"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://gen.kanta.fi/figen-cs-observationcode",
"code": "1",
"display": "Toimintakykymerkintä"
}
]
},
"contained": [
{
"resourceType": "PractitionerRole",
"id": "AMM-HLO-ROLE-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationPractitionerRole"
]
},
"practitioner": {
"reference": "#AMM-HLO-PRAC-1"
},
"organization": {
"reference": "#AMM-HLO-ORG-1"
}
},
{
"resourceType": "Practitioner",
"id": "AMM-HLO-PRAC-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaPractitionerV2"
]
},
"extension": [
{
"url": "https://gen.kanta.fi/fhir/StructureDefinition/extension/PractitionerTitle",
"valueString": "Ammattihenkilön virka- tai tehtävänimike organisaatiossa"
}
],
"identifier": [
{
"system": "urn:oid:1.2.246.537.26",
"value": "12345678910"
}
],
"name": [
{
"family": "SukunimiA",
"given": [
"Etunimi1",
"Etunimi2"
]
}
]
},
{
"resourceType": "Organization",
"id": "AMM-HLO-ORG-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaOrganization"
]
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.246.537.6.202.2008.10.02"
}
],
"name": "Ammattihenkilön palveluyksikön nimi"
},
{
"resourceType": "Observation",
"id": "TO-KY-HAV-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationObservation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.48.2014",
"code": "D120",
"display": "Muu tarkoituksellinen aistiminen"
}
]
},
"valueInteger": 3,
"method": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.160112.202201",
"code": "1000",
"display": "Viivi (5-15R) -kysely"
}
]
}
},
{
"resourceType": "Observation",
"id": "TO-KY-HAV-2",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaObservationObservation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.48.2014",
"code": "E398",
"display": "Tuki ja keskinäiset suhteet, muu määritelty"
}
]
},
"valueInteger": 5,
"method": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.160112.202201",
"code": "1052",
"display": "SDQ-Fin, prososiaalinen käytös"
}
]
}
},
{
"resourceType": "Patient",
"id": "PAT-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaPatientV2"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.21",
"value": "221110A335E",
"use": "official"
}
],
"name": [
{
"family": "SukunimiAsiakas",
"given": [
"EtunimiAsiakas1",
"EtunimiAsiakas2"
]
}
]
}
],
"extension": [
{
"url": "https://gen.kanta.fi/fhir/StructureDefinition/extension/ObservationPlace",
"valueCodeableConcept": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.160111.202201",
"code": "6",
"display": "Sote-toimipaikka"
}
]
}
}
],
"subject": {
"reference": "#PAT-1"
},
"effectiveDateTime": "2025-05-05",
"issued": "2025-05-05T13:28:17.239+02:00",
"performer": [
{
"reference": "#AMM-HLO-ROLE-1"
}
],
"hasMember": [
{
"reference": "#TO-KY-HAV-1"
},
{
"reference": "#TO-KY-HAV-2"
}
]
}
},
{
"request": {
"method": "POST",
"url": "Provenance"
},
"fullUrl": "urn:oid:1.2.246.10.12345678.10.0.95.2023.8.6.1",
"resource": {
"resourceType": "Provenance",
"id": "1.2.246.10.12345678.10.0.95.2023.8.6.1",
"meta": {
"profile": [
"https://shark.kanta.fi/fhir/StructureDefinition/SocialWelfareProvenance"
]
},
"contained": [
{
"resourceType": "Organization",
"id": "REK-PIT-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaOrganization"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.6.202.2008",
"value": "1.2.246.10.101010101.10.1"
}
],
"name": "kansa testiorganisaatio 1"
},
{
"resourceType": "Organization",
"id": "PALV-TUOTT-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaOrganization"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.6.202.2008",
"value": "1.2.246.537.6.202.2008.10.02"
}
],
"name": "Palveluntuottaja A"
},
{
"resourceType": "Organization",
"id": "ALIHANK-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaOrganization"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.6.202.2008",
"value": "1.2.246.537.6.202.2008.11.01"
}
],
"name": "Alihankkijana toimiva palveluntuottaja A"
},
{
"resourceType": "Organization",
"id": "PALV-YKS-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaOrganization"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.6.202.2008",
"value": "1.2.246.537.6.202.2008.10.02"
}
],
"name": "Sosiaalihuollon palveluyksikkö A"
},
{
"resourceType": "Practitioner",
"id": "AMM-HLO-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaPractitionerV2"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.26",
"value": "12345678910"
}
],
"name": [
{
"family": "SukunimiA",
"given": [
"Etunimi1",
"Etunimi2"
]
}
]
},
{
"resourceType": "Device",
"id": "DEVICE-1",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaDevice"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.537.6.12.999.2003.34",
"value": "345675"
}
],
"deviceName": [
{
"name": "Tietojärjestelmän nimi Valviran tietojärjestelmärekisterin sosiaali- ja terveydenhuollon tietojärjestelmistä mukaan",
"type": "other"
}
],
"version": [
{
"value": "1.1"
}
]
},
{
"resourceType": "Patient",
"id": "PAT-2",
"meta": {
"profile": [
"https://gen.kanta.fi/fhir/StructureDefinition/KantaPatientV2"
]
},
"identifier": [
{
"system": "urn:oid:1.2.246.21",
"value": "221110A335E",
"use": "official"
}
],
"name": [
{
"family": "SukunimiAsiakas",
"given": [
"EtunimiAsiakas1",
"EtunimiAsiakas2"
]
}
],
"birthDate": "2010-11-22"
}
],
"language": "fi",
"extension": [
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/ProvenanceSpecialContent",
"extension": [
{
"url": "ProvenanceSpecialContent",
"valueBoolean": true
},
{
"url": "ReasonForRestriction",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1288.201901",
"code": "2",
"display": "Asiakirjan näyttäminen on lapsen edun vastaista"
}
},
{
"url": "RestrictionArgument",
"valueString": "Tekstimuotoinen perustelu miksi toimintakykymerkintä on merkitty erityissisältöiseksi."
}
]
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/ProvenanceReleaseForPatientViewing",
"extension": [
{
"url": "ReleaseDateForPatientViewing",
"valueDate": "2025-12-14"
},
{
"url": "ReasonForRestriction",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1288.201901",
"code": "2",
"display": "Asiakirjan näyttäminen on lapsen edun vastaista"
}
},
{
"url": "RestrictionArgument",
"valueString": "Tekstimuotoinen perustelu miksi näyttämistä OmaKannassa viivästetään."
}
]
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/ProvenanceAuthorizationConsent",
"extension": [
{
"url": "AuthorizationConsent",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1286.201901",
"code": "3",
"display": "Alaikäisen asiakkaan asiakirja voidaan luovuttaa huoltajille ja muille tiedonsaantiin oikeutetuille, vaikka alaikäinen kieltää asiakirjan luovuttamisen"
}
},
{
"url": "ReasonForConsent",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1287.201901",
"code": "2",
"display": "Tietojen antamatta jättäminen on selvästi vastoin alaikäisen asiakkaan omaa etua"
}
},
{
"url": "RestrictionArgument",
"valueString": "Tekstimuotoinen perustelu miksi alaikäinen pyytää asiakastietojen rajaamista huoltajalta."
}
]
},
{
"url": "https://gen.kanta.fi/fhir/StructureDefinition/extension/serviceEvent",
"valueIdentifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.246.10.2048190"
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/RelatedEncompassingEncounterId",
"valueOid": "urn:oid:1.2.246.10.2048188"
},
{
"url": "https://gen.kanta.fi/fhir/StructureDefinition/extension/RegisterType",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1264.201701",
"code": "1",
"display": "Sosiaalihuollon asiakasrekisteri"
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/FunctionCode",
"valueCodeableConcept": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.1221.201601",
"code": "24",
"display": "Lapsiperheiden palvelut"
}
]
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/DocumentType",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1506.201701",
"code": "19",
"display": "Asiakaskertomusmerkintä"
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/SpecificDocumentType",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1506.201701",
"code": "19017",
"display": "Merkintä toimintakyvystä"
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/ServiceProcess",
"valueCoding": {
"system": "urn:oid:1.2.246.537.6.1277.201701",
"code": "5",
"display": "Palvelun toteutus"
}
},
{
"url": "https://shark.kanta.fi/fhir/StructureDefinition/extension/SocialService",
"valueCodeableConcept": {
"coding": [
{
"system": "urn:oid:1.2.246.537.6.1222.201601",
"code": "2",
"display": "Ammatillinen perhehoito"
}
]
}
}
],
"target": [
{
"reference": "urn:oid:1.2.246.10.12345678.10.0.95.2025.8.6.5",
"display": "Merkintä toimintakyvystä"
}
],
"recorded": "2025-10-13T13:28:17.239+02:00",
"agent": [
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "1",
"display": "Resurssin rekisterinpitäjä"
}
]
}
],
"who": {
"reference": "#REK-PIT-1"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "2",
"display": "Resurssin tallentanut ammattihenkilö"
}
]
}
],
"who": {
"reference": "#AMM-HLO-1"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "3",
"display": "Asiakas tai potilas, jota resurssi koskee"
}
]
}
],
"who": {
"reference": "#PAT-2"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "4",
"display": "Resurssin tuottanut tietojärjestelmä"
}
]
}
],
"who": {
"reference": "#DEVICE-1"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "13",
"display": "Resurssin tuottanut palveluntuottaja"
}
]
}
],
"who": {
"reference": "#PALV-TUOTT-1"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "15",
"display": "Resurssin tuottanut alihankkijana toimiva palveluntuottaja"
}
]
}
],
"who": {
"reference": "#ALIHANK-1"
}
},
{
"role": [
{
"coding": [
{
"system": "http://gen.kanta.fi/figen-cs-provenancerolecategory",
"code": "14",
"display": "Resurssin tuottanut palveluyksikkö"
}
]
}
],
"who": {
"reference": "#PALV-YKS-1"
}
}
]
}
}
],
"signature": {
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.1",
"display": "Author's Signature"
}
],
"when": "2015-02-07T13:38:18.239+02:00",
"who": {
"reference": "Practitioner/example"
},
"targetFormat": "application/fhir+json",
"sigFormat": "application/jose",
"data": ""
}
}