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

Resources that use this resource

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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"
      }
    ]
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "1",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedication"
        ]
      },
      "extension": [
        {
          "url": "http://resepti.kanta.fi/StructureDefinition/extension/pharmaceuticalProductStrength",
          "valueString": "5 mg/ml"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/medicationKnowledgeReference",
          "valueReference": {
            "reference": "#2"
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.32.2007",
            "code": "S01AA01",
            "display": "kloramfenikoli"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "text": "kloramfenikoli"
          },
          "isActive": true
        }
      ]
    },
    {
      "resourceType": "MedicationKnowledge",
      "id": "2",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListMedicationKnowledge"
        ]
      },
      "extension": [
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/marketingAuthorizationHolder",
          "valueString": "SANTEN"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/productInformation",
          "valueString": "suojakotelo"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/reasonCodeBiologicalMedicine",
          "valueCoding": {
            "system": "urn:oid:1.2.246.537.6.616.202301",
            "code": "3"
          }
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/reasonTextBiologicalMedicine",
          "valueString": "Perustelu muun kuin edullisimman biologisen lääkkeen käytölle"
        },
        {
          "url": "http://resepti.kanta.fi/StructureDefinition/extension/narcotic",
          "valueBoolean": false
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/productName",
          "valueString": "valmisteen koodaamaton kauppanimi"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.6.55.2004",
            "code": "010215",
            "display": "OFTAN AKVAKOL"
          }
        ]
      },
      "doseForm": {
        "text": "silmätipat, liuos, kerta-annospakkaus"
      },
      "amount": {
        "extension": [
          {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageFactor",
            "valuePositiveInt": 30
          },
          {
            "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/packageAmountText",
            "valueString": "30 x 0,25 ml"
          }
        ],
        "value": 0.25,
        "unit": "ml"
      },
      "packaging": {
        "type": {
          "text": "kerta-annospakkaus"
        }
      },
      "medicineClassification": [
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "270",
                "display": "lisäseurannassa"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.6.112.2007",
                  "code": "E"
                }
              ]
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "271",
                "display": "biologinen lääke"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.6.112.2007",
                  "code": "E"
                }
              ]
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "272",
                "display": "biosimilaari"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.6.112.2007",
                  "code": "E"
                }
              ]
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "274",
                "display": "lääkeryhmä"
              }
            ]
          },
          "classification": [
            {
              "text": "lääkeryhmä"
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "275",
                "display": "veri- tai plasmaperäinen valmiste"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.6.112.2007",
                  "code": "E"
                }
              ]
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "119",
                "display": "PKV-lääkemääräys"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.5.40118.2006",
                  "code": "Z"
                }
              ]
            }
          ]
        },
        {
          "type": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.12.2002.126",
                "code": "164",
                "display": "valmisteen laji"
              }
            ]
          },
          "classification": [
            {
              "coding": [
                {
                  "system": "urn:oid:1.2.246.537.6.604.2014",
                  "code": "1"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "resourceType": "Patient",
      "id": "3",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPatient"
        ]
      },
      "identifier": [
        {
          "use": "official",
          "system": "urn:oid:1.2.246.21",
          "value": "050520A909R"
        }
      ],
      "name": [
        {
          "use": "official",
          "family": " Mokkinen",
          "_family": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                "valueString": " Mokkinen"
              }
            ]
          },
          "given": [
            "Mikko"
          ]
        },
        {
          "use": "nickname",
          "given": [
            "Mikko"
          ]
        }
      ],
      "gender": "male",
      "birthDate": "2020-05-05"
    },
    {
      "resourceType": "PractitionerRole",
      "id": "4",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPractitionerRole"
        ]
      },
      "practitioner": {
        "reference": "#5"
      },
      "organization": {
        "reference": "#6"
      },
      "code": [
        {
          "coding": [
            {
              "system": "urn:oid:1.2.246.537.5.40006.2003",
              "code": "LAL"
            }
          ]
        }
      ]
    },
    {
      "resourceType": "Practitioner",
      "id": "5",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListPractitioner"
        ]
      },
      "identifier": [
        {
          "system": "urn:oid:1.2.246.537.25",
          "value": "030429"
        },
        {
          "system": "urn:oid:1.2.246.537.26",
          "value": "01098701780"
        }
      ],
      "name": [
        {
          "use": "official",
          "family": "Seppänen",
          "given": [
            "Milena"
          ]
        }
      ],
      "qualification": [
        {
          "code": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.140.2008",
                "code": "034"
              }
            ]
          }
        },
        {
          "code": {
            "coding": [
              {
                "system": "urn:oid:1.2.246.537.6.148.2008",
                "code": "86161-580"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "Organization",
      "id": "6",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization"
        ]
      },
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.246.537.26.1098701780"
        }
      ],
      "name": "Testi terveysasema, palveluyksikkö",
      "partOf": {
        "reference": "#7"
      },
      "contact": [
        {
          "telecom": [
            {
              "system": "phone",
              "value": "tel:02063411"
            }
          ]
        }
      ]
    },
    {
      "resourceType": "Organization",
      "id": "7",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization"
        ]
      },
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.246.537.26.1098701780"
        }
      ],
      "name": "Testi hyvinvointialue, palvelunantaja",
      "contact": [
        {
          "telecom": [
            {
              "system": "phone",
              "value": "tel:02063411"
            }
          ]
        }
      ]
    },
    {
      "resourceType": "Basic",
      "id": "8",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListRenewalBasic"
        ],
        "tag": [
          {
            "system": "http://resepti.kanta.fi/fhir/cdaHeaderTemplateId",
            "code": "1.2.246.777.11.2023.3"
          }
        ]
      },
      "extension": [
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
          "valueDateTime": "2024-03-27T12:45:14+02:00"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/note",
          "valueString": "Potilas käynyt verikokeissa"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/patientTelecom",
          "valueContactPoint": {
            "system": "phone",
            "value": "tel:02063411"
          }
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/renewalRecorder",
          "valuecoding": {
            "system": "urn:oid:1.2.246.537.5.40129.202301",
            "code": "2"
          }
        }
      ],
      "identifier": [
        {
          "system": "http://resepti.kanta.fi/fhir/id/id",
          "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123"
        },
        {
          "system": "http://resepti.kanta.fi/fhir/id/setId",
          "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.5.40105.2006",
            "code": "8"
          }
        ]
      },
      "subject": {
        "reference": "#9"
      }
    },
    {
      "resourceType": "Organization",
      "id": "9",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization"
        ]
      },
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.246.537.26.1098701780"
        }
      ],
      "name": "Uusimispyynnön vastaanottaja organisaation nimi"
    },
    {
      "resourceType": "Basic",
      "id": "10",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListStatusBasic"
        ],
        "tag": [
          {
            "system": "http://resepti.kanta.fi/fhir/cdaHeaderTemplateId",
            "code": "1.2.246.777.11.2023.3"
          }
        ]
      },
      "extension": [
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/effectiveTime",
          "valueDateTime": "2024-03-27T12:45:14+02:00"
        },
        {
          "url": "http://resepti.kanta.fi/fhir/StructureDefinition/extension/comment",
          "valueString": "Lukitaan iterointivälin tarkistuksen ajaksi"
        }
      ],
      "identifier": [
        {
          "system": "http://resepti.kanta.fi/fhir/id/id",
          "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123"
        },
        {
          "system": "http://resepti.kanta.fi/fhir/id/setId",
          "value": "urn:oid:1.2.246.10.11111111.93001.2024.11711543513872123"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "urn:oid:1.2.246.537.5.40105.2006",
            "code": "4"
          }
        ]
      },
      "author": {
        "reference": "#11"
      }
    },
    {
      "resourceType": "Organization",
      "id": "11",
      "meta": {
        "profile": [
          "http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListOrganization"
        ]
      },
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.246.537.26.1098701780"
        }
      ]
    }
  ],
  "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": "3"
          }
        },
        {
          "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": [
      {
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}