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Packagefi.kela.kanta.res.medication.r4
Resource TypeMedicationRequest
IdMedicationListMedicationRequest_Ei_sis_Contained.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "MedicationRequest",
  "id": "1.2.246.537.25.1.30429.93.2024.319.135730",
  "meta": {
    "profile": [
      "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationRequest"
    ],
    "security": [
      {
        "system": "urn:oid:1.2.246.537.5.40202.201901",
        "code": "4"
      }
    ],
    "tag": [
      {
        "system": "http://resepti.kanta.fi/fhir/cdaHeaderTemplateId",
        "code": "1.2.246.777.11.2023.3"
      }
    ]
  },
  "extension": [
    {
      "url": "http://resepti.kanta.fi/StructureDefinition/extension/versionNumber",
      "valuePositiveInt": 1
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
      "valueDateTime": "2024-03-19T10:57:30+02:00"
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/continuum",
      "extension": [
        {
          "url": "medicineId",
          "valueIdentifier": {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730.0"
          }
        },
        {
          "url": "medicineIdPart",
          "valuePositiveInt": 2135345448
        },
        {
          "url": "newest",
          "valueBoolean": true
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/StructureDefinition/extension/dosageIfNeeded",
      "valueBoolean": false
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo",
      "extension": [
        {
          "url": "weightPatientUnder12YearsOld",
          "valueQuantity": {
            "value": 15,
            "unit": "kg"
          }
        },
        {
          "url": "sicLabel",
          "valueBoolean": true
        },
        {
          "url": "sicReasonCode",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.6.615.202301",
            "code": "4"
          }
        },
        {
          "url": "sicReasonCode",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.6.615.202301",
            "code": "5"
          }
        },
        {
          "url": "sicReasonText",
          "valueString": "sicReasonText (sic!-merkinnän lisätieto) palautuu, jos sicReasonCode= 99"
        },
        {
          "url": "onlyTextDosageInUse",
          "valueBoolean": false
        },
        {
          "url": "dosageChangesAllowed",
          "valueBoolean": true
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication",
      "valueCoding": {
        "system": "urn:oid:1.2.246.537.6.1.1999",
        "code": "H10.1"
      }
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/structuredIndication",
      "valueCoding": {
        "system": "urn:oid:1.2.246.537.6.1.1999",
        "code": "H10.2"
      }
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/administrativeInformation",
      "extension": [
        {
          "url": "doctorFee",
          "valueMoney": {
            "value": 125,
            "currency": "EUR"
          }
        },
        {
          "url": "specialDoctorFee",
          "valueBoolean": false
        },
        {
          "url": "savedPrescriptionOrigin",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40303.201501",
            "code": "1"
          }
        },
        {
          "url": "savedPrescriptionReasonCode",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40302.201501",
            "code": "3"
          }
        },
        {
          "url": "savedPrescriptionReasonText",
          "valueString": "Apteekissa tallennetun lääkemääräyksen perustelun tarkenne"
        },
        {
          "url": "treatmentType",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40101.2006",
            "code": "S"
          }
        },
        {
          "url": "dosePackaging",
          "valueBoolean": false
        },
        {
          "url": "patientIdentification",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40109.2006",
            "code": "3"
          }
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/initiationOfMedication",
      "valueBoolean": true
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalNotAllowed",
      "extension": [
        {
          "url": "renewalNotAllowed",
          "valueBoolean": true
        },
        {
          "url": "renewalNotAllowedInfo",
          "valueString": "uusinta vain vastaanotolla"
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/StructureDefinition/extension/usage",
      "valueString": "silmätulehduksen hoitoon"
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/contagiousDiseaseMedicine",
      "valueBoolean": false
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusInformation",
      "extension": [
        {
          "url": "lockStatus",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40124.2006",
            "code": "1"
          }
        },
        {
          "url": "reservedStatus",
          "extension": [
            {
              "url": "reservedStatus",
              "valueCoding": {
                "system": "urn:oid:1.2.246.537.5.40122.2006",
                "code": "2"
              }
            },
            {
              "url": "reservedLockOwner",
              "valueIdentifier": {
                "system": "urn:ietf:rfc:3986",
                "value": "urn:oid:1.2.246.10.8.8182355.10.1"
              }
            }
          ]
        },
        {
          "url": "renewalStatus",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40106.2006",
            "code": "0"
          }
        },
        {
          "url": "dispenseStatus",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.5.40123.2006",
            "code": "1"
          }
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/originalStartdate",
      "valueDateTime": "2023-01-19T10:57:30+02:00"
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/separateReport",
      "extension": [
        {
          "url": "separateReport",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.6.850.202001",
            "code": "E005"
          }
        },
        {
          "url": "separateReportDate",
          "valueDate": "2024-03-19"
        }
      ]
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/useRegularity",
      "valueCoding": {
        "system": "urn:oid:1.2.246.537.6.613.202301",
        "code": "1"
      }
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalBasicReference",
      "valueReference": {
        "reference": "#8"
      }
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/statusBasicReference",
      "valueReference": {
        "reference": "#10"
      }
    },
    {
      "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/extraDispenseCompleted",
      "valueBoolean": true
    }
  ],
  "identifier": [
    {
      "system": "http://resepti.kanta.fi/fhir/id/id",
      "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730"
    },
    {
      "system": "http://resepti.kanta.fi/fhir/id/setId",
      "value": "urn:oid:1.2.246.537.25.1.30429.93.2024.319.135730"
    }
  ],
  "status": "active",
  "statusReason": {
    "coding": [
      {
        "system": "urn:oid:1.2.246.537.5.40105.2006",
        "code": "1"
      }
    ]
  },
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "urn:oid:1.2.246.537.6.605.2014",
          "code": "1"
        }
      ]
    }
  ],
  "medicationReference": {
    "reference": "#1"
  },
  "subject": {
    "reference": "#3"
  },
  "authoredOn": "2024-03-19T10:57:30+02:00",
  "requester": {
    "reference": "#4"
  },
  "courseOfTherapyType": {
    "coding": [
      {
        "system": "urn:oid:1.2.246.537.5.40003.2003",
        "code": "PYS"
      }
    ]
  },
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.",
      "additionalInstruction": [
        {
          "text": "käyttöohjeen lisätieto"
        }
      ],
      "timing": {
        "repeat": {
          "boundsDuration": {
            "value": 4,
            "unit": "d",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d",
          "when": [
            "MORN.early"
          ]
        }
      },
      "asNeededBoolean": false,
      "site": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.2.2007",
            "code": "ZXA00"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.1403.202001",
            "code": "1053"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "annospipetillinen",
            "system": "urn:oid:1.2.246.537.6.138.202001",
            "code": "30"
          }
        }
      ]
    },
    {
      "sequence": 2,
      "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.",
      "additionalInstruction": [
        {
          "text": "käyttöohjeen lisätieto"
        }
      ],
      "timing": {
        "repeat": {
          "boundsDuration": {
            "value": 4,
            "unit": "d",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d",
          "when": [
            "NOON"
          ]
        }
      },
      "asNeededBoolean": false,
      "site": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.2.2007",
            "code": "ZXA00"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.1403.202001",
            "code": "1053"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "annospipetillinen",
            "system": "urn:oid:1.2.246.537.6.138.202001",
            "code": "30"
          }
        }
      ]
    },
    {
      "sequence": 3,
      "text": "1 annospipetillinen aamulla, 1 annospipetillinen päivällä ja 1 annospipetillinen illalla 4 päivän ajan oikeaan silmään.",
      "additionalInstruction": [
        {
          "text": "käyttöohjeen lisätieto"
        }
      ],
      "timing": {
        "repeat": {
          "boundsDuration": {
            "value": 4,
            "unit": "d",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "frequency": 1,
          "period": 1,
          "periodUnit": "d",
          "when": [
            "EVE"
          ]
        }
      },
      "asNeededBoolean": false,
      "site": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.2.2007",
            "code": "ZXA00"
          }
        ]
      },
      "route": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.1403.202001",
            "code": "1053"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "annospipetillinen",
            "system": "urn:oid:1.2.246.537.6.138.202001",
            "code": "30"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "extension": [
      {
        "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dispenserInstruction",
        "valueString": "viesti apteekille"
      },
      {
        "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/prescribedAmount",
        "extension": [
          {
            "url": "prescriptionType",
            "valueCoding": {
              "system": "urn:oid:1.2.246.537.5.40100.2006",
              "code": "1"
            }
          },
          {
            "url": "package",
            "valuePositiveInt": 4
          },
          {
            "url": "totalAmount",
            "valueQuantity": {
              "value": 700,
              "unit": "fol"
            }
          },
          {
            "url": "validityTime",
            "valueDuration": {
              "value": 1,
              "unit": "a",
              "system": "http://unitsofmeasure.org",
              "code": "a"
            }
          }
        ]
      },
      {
        "url": "http://resepti.kanta.fi/StructureDefinition/extension/realDispenseStatus",
        "valueCoding": {
          "system": "urn:oid:1.2.246.537.5.40123.2006",
          "code": "1"
        }
      }
    ],
    "dispenseInterval": {
      "value": 10,
      "unit": "d"
    },
    "validityPeriod": {
      "start": "2024-03-19",
      "end": "2024-03-30"
    },
    "numberOfRepeatsAllowed": 1
  },
  "substitution": {
    "allowedBoolean": false,
    "reason": {
      "text": "lääkevaihtokiellon syy"
    }
  }
}