ERA FHIR specification
1.0.0 - draft

ERA FHIR specification - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Extension: DosageInfo - Detailed Descriptions

Draft as of 2026-10-28

Definitions for the Extension-dosageInfo extension.

See the documentation on how to interpret the contents of this table

0. Extension
Definition

The weight of a patient under 12 years of age Sic! notation The reason for the Sic! notation Additional information on the Sic! notation Dosage instructions only as text


Optional Extension Element - found in all resources.

ShortWeight of a patient under 12 years of age, information of the Sic! notation and dosage instructions only as textOptional Extensions Element
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May 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.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control20..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

    4. Extension.extension:weightPatientUnder12YearsOld
    Slice NameweightPatientUnder12YearsOld
    Definition

    Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.

    ShortThe weight of a patient under 12 years of ageAdditional content defined by implementations
    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:weightPatientUnder12YearsOld.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "weightPatientUnder12YearsOld"
    }
    <url value="weightPatientUnder12YearsOld"/>
    8. Extension.extension:weightPatientUnder12YearsOld.value[x]
    Definition

    Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortThe weight of a patient under 12 years of ageValue of extension
    Control10..1
    TypeQuantity, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Extension.extension:weightPatientUnder12YearsOld.value[x].value
    Definition

    Weight of a patient under 12 years of age, e.g., 35.


    The value of the measured amount. The value includes an implicit precision in the presentation of the value.

    ShortThe weight of a patient under 12 years of ageNumerical value (with implicit precision)
    Comments

    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).

    Control10..1
    Typedecimal
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Precision is handled implicitly in almost all cases of measurement.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Extension.extension:weightPatientUnder12YearsOld.value[x].comparator
    Definition

    How 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.

    Short< | <= | >= | > - how to understand the value
    Control0..1
    BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

    How the Quantity should be understood and represented.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

    Meaning if MissingIf there is no comparator, then there is no modification of the value
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. Extension.extension:weightPatientUnder12YearsOld.value[x].unit
    Definition

    Unit of weight of a patient under 12 years of age, e.g., kg.


    A human-readable form of the unit.

    ShortUnit of weight of a patient under 12 years of ageUnit representation
    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Extension.extension:sicLabel
    Slice NamesicLabel
    Definition

    Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.

    ShortSic! notationAdditional content defined by implementations
    Control10..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Extension.extension:sicLabel.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "sicLabel"
    }
    <url value="sicLabel"/>
    20. Extension.extension:sicLabel.value[x]
    Definition

    Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortSic! notationValue of extension
    Control10..1
    Typeboolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Extension.extension:sicReasonCode
    Slice NamesicReasonCode
    Definition

    Classified justification for using the Sic! notation According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.

    ShortThe reason for the Sic! notationAdditional content defined by implementations
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Extension.extension:sicReasonCode.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "sicReasonCode"
    }
    <url value="sicReasonCode"/>
    26. Extension.extension:sicReasonCode.value[x]
    Definition

    Classified justification for using the sic! According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortThe reason for the Sic! notationValue of extension
    Control10..1
    TypeCoding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Extension.extension:sicReasonCode.value[x].system
    Definition

    OID of the Kanta code system 'THL - Sic!-merkinnän syy'


    The identification of the code system that defines the meaning of the symbol in the code.

    ShortOID of the Kanta code system 'THL - Sic!-merkinnän syy'Identity of the terminology system
    Comments

    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.

    Control10..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to be unambiguous about the source of the definition of the symbol.

    Fixed Value
    {
      "system" : "urn:oid:1.2.246.537.6.615.202301"
    }
    <system value="urn:oid:1.2.246.537.6.615.202301"/>
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Extension.extension:sicReasonCode.value[x].code
    Definition

    Code of the Kanta code system 'THL - Sic!-merkinnän syy'


    A 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).

    ShortCode of the Kanta code system 'THL - Sic!-merkinnän syy'Symbol in syntax defined by the system
    Control10..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Extension.extension:sicReasonText
    Slice NamesicReasonText
    Definition

    If necessary, freely formatted additional information for using the Sic! notation on the prescription.

    ShortAdditional information on the Sic! notationAdditional content defined by implementations
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. Extension.extension:sicReasonText.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "sicReasonText"
    }
    <url value="sicReasonText"/>
    36. Extension.extension:sicReasonText.value[x]
    Definition

    If necessary, freely formatted additional information for using the Sic! notation on the prescription.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortAdditional information on the Sic! notationValue of extension
    Control10..1
    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Extension.extension:onlyTextDosageInUse
    Slice NameonlyTextDosageInUse
    Definition

    Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.

    ShortDosage instructions only as textAdditional content defined by implementations
    Control10..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    40. Extension.extension:onlyTextDosageInUse.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "onlyTextDosageInUse"
    }
    <url value="onlyTextDosageInUse"/>
    42. Extension.extension:onlyTextDosageInUse.value[x]
    Definition

    Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortDosage instructions only as textValue of extension
    Control10..1
    Typeboolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Extension.extension:dosageChangesAllowed
    Slice NamedosageChangesAllowed
    Definition

    Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.

    ShortChange of dosage instructions allowedAdditional content defined by implementations
    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    46. Extension.extension:dosageChangesAllowed.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "dosageChangesAllowed"
    }
    <url value="dosageChangesAllowed"/>
    48. Extension.extension:dosageChangesAllowed.value[x]
    Definition

    Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortChange of dosage instructions allowedValue of extension
    Control10..1
    Typeboolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Extension.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    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.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Value
    {
      "url" : "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"
    }
    <url value="http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"/>
    52. Extension.value[x]
    Definition

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortValue of extension
    Control0..01
    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    See the documentation on how to interpret the contents of this table

    0. Extension
    Definition

    The weight of a patient under 12 years of age Sic! notation The reason for the Sic! notation Additional information on the Sic! notation Dosage instructions only as text

    ShortWeight of a patient under 12 years of age, information of the Sic! notation and dosage instructions only as text
    2. Extension.extension
    Control2..?
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

      4. Extension.extension:weightPatientUnder12YearsOld
      Slice NameweightPatientUnder12YearsOld
      Definition

      Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.

      ShortThe weight of a patient under 12 years of age
      Control0..1
      6. Extension.extension:weightPatientUnder12YearsOld.url
      Fixed Value
      {
        "url" : "weightPatientUnder12YearsOld"
      }
      <url value="weightPatientUnder12YearsOld"/>
      8. Extension.extension:weightPatientUnder12YearsOld.value[x]
      Definition

      Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.

      ShortThe weight of a patient under 12 years of age
      Control1..?
      TypeQuantity
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      10. Extension.extension:weightPatientUnder12YearsOld.value[x].value
      Definition

      Weight of a patient under 12 years of age, e.g., 35.

      ShortThe weight of a patient under 12 years of age
      Control1..?
      12. Extension.extension:weightPatientUnder12YearsOld.value[x].unit
      Definition

      Unit of weight of a patient under 12 years of age, e.g., kg.

      ShortUnit of weight of a patient under 12 years of age
      Control1..?
      14. Extension.extension:sicLabel
      Slice NamesicLabel
      Definition

      Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.

      ShortSic! notation
      Control1..1
      16. Extension.extension:sicLabel.url
      Fixed Value
      {
        "url" : "sicLabel"
      }
      <url value="sicLabel"/>
      18. Extension.extension:sicLabel.value[x]
      Definition

      Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.

      ShortSic! notation
      Control1..?
      Typeboolean
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      20. Extension.extension:sicReasonCode
      Slice NamesicReasonCode
      Definition

      Classified justification for using the Sic! notation According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.

      ShortThe reason for the Sic! notation
      Control0..?
      22. Extension.extension:sicReasonCode.url
      Fixed Value
      {
        "url" : "sicReasonCode"
      }
      <url value="sicReasonCode"/>
      24. Extension.extension:sicReasonCode.value[x]
      Definition

      Classified justification for using the sic! According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.

      ShortThe reason for the Sic! notation
      Control1..?
      TypeCoding
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      26. Extension.extension:sicReasonCode.value[x].system
      Definition

      OID of the Kanta code system 'THL - Sic!-merkinnän syy'

      ShortOID of the Kanta code system 'THL - Sic!-merkinnän syy'
      Control1..?
      Fixed Value
      {
        "system" : "urn:oid:1.2.246.537.6.615.202301"
      }
      <system value="urn:oid:1.2.246.537.6.615.202301"/>
      28. Extension.extension:sicReasonCode.value[x].code
      Definition

      Code of the Kanta code system 'THL - Sic!-merkinnän syy'

      ShortCode of the Kanta code system 'THL - Sic!-merkinnän syy'
      Control1..?
      30. Extension.extension:sicReasonText
      Slice NamesicReasonText
      Definition

      If necessary, freely formatted additional information for using the Sic! notation on the prescription.

      ShortAdditional information on the Sic! notation
      Control0..?
      32. Extension.extension:sicReasonText.url
      Fixed Value
      {
        "url" : "sicReasonText"
      }
      <url value="sicReasonText"/>
      34. Extension.extension:sicReasonText.value[x]
      Definition

      If necessary, freely formatted additional information for using the Sic! notation on the prescription.

      ShortAdditional information on the Sic! notation
      Control1..?
      Typestring
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      36. Extension.extension:onlyTextDosageInUse
      Slice NameonlyTextDosageInUse
      Definition

      Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.

      ShortDosage instructions only as text
      Control1..1
      38. Extension.extension:onlyTextDosageInUse.url
      Fixed Value
      {
        "url" : "onlyTextDosageInUse"
      }
      <url value="onlyTextDosageInUse"/>
      40. Extension.extension:onlyTextDosageInUse.value[x]
      Definition

      Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.

      ShortDosage instructions only as text
      Control1..?
      Typeboolean
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      42. Extension.extension:dosageChangesAllowed
      Slice NamedosageChangesAllowed
      Definition

      Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.

      ShortChange of dosage instructions allowed
      Control0..1
      44. Extension.extension:dosageChangesAllowed.url
      Fixed Value
      {
        "url" : "dosageChangesAllowed"
      }
      <url value="dosageChangesAllowed"/>
      46. Extension.extension:dosageChangesAllowed.value[x]
      Definition

      Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.

      ShortChange of dosage instructions allowed
      Control1..?
      Typeboolean
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      48. Extension.url
      Fixed Value
      {
        "url" : "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"
      }
      <url value="http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"/>
      50. Extension.value[x]
      Control0..0

      See the documentation on how to interpret the contents of this table

      0. Extension
      Definition

      The weight of a patient under 12 years of age Sic! notation The reason for the Sic! notation Additional information on the Sic! notation Dosage instructions only as text

      ShortWeight of a patient under 12 years of age, information of the Sic! notation and dosage instructions only as text
      Control0..*
      This element is affected by the following invariants: ele-1
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      2. Extension.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control2..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

        6. Extension.extension:weightPatientUnder12YearsOld
        Slice NameweightPatientUnder12YearsOld
        Definition

        Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.

        ShortThe weight of a patient under 12 years of age
        Control0..1
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Extension.extension:weightPatientUnder12YearsOld.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        10. Extension.extension:weightPatientUnder12YearsOld.extension
        Definition

        May 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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 12. Extension.extension:weightPatientUnder12YearsOld.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          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.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Value
          {
            "url" : "weightPatientUnder12YearsOld"
          }
          <url value="weightPatientUnder12YearsOld"/>
          14. Extension.extension:weightPatientUnder12YearsOld.value[x]
          Definition

          Information of the patient's weight and weight unit. The information is mandatory for patients under 12 years of age. It may also be recorded for older patients when it is necessary for prescribing the drug.

          ShortThe weight of a patient under 12 years of age
          Control1..1
          TypeQuantity
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Extension.extension:weightPatientUnder12YearsOld.value[x].id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          18. Extension.extension:weightPatientUnder12YearsOld.value[x].extension
          Definition

          May 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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 20. Extension.extension:weightPatientUnder12YearsOld.value[x].value
            Definition

            Weight of a patient under 12 years of age, e.g., 35.

            ShortThe weight of a patient under 12 years of age
            Comments

            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).

            Control1..1
            Typedecimal
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Precision is handled implicitly in almost all cases of measurement.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Extension.extension:weightPatientUnder12YearsOld.value[x].comparator
            Definition

            How 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.

            Short< | <= | >= | > - how to understand the value
            Control0..1
            BindingThe codes SHALL be taken from QuantityComparator
            (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

            How the Quantity should be understood and represented.

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

            Meaning if MissingIf there is no comparator, then there is no modification of the value
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. Extension.extension:weightPatientUnder12YearsOld.value[x].unit
            Definition

            Unit of weight of a patient under 12 years of age, e.g., kg.

            ShortUnit of weight of a patient under 12 years of age
            Control1..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Extension.extension:weightPatientUnder12YearsOld.value[x].system
            Definition

            The identification of the system that provides the coded form of the unit.

            ShortSystem that defines coded unit form
            Control0..1
            This element is affected by the following invariants: qty-3
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to know the system that defines the coded form of the unit.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. Extension.extension:weightPatientUnder12YearsOld.value[x].code
            Definition

            A computer processable form of the unit in some unit representation system.

            ShortCoded form of the unit
            Comments

            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.

            Control0..1
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            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.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. Extension.extension:sicLabel
            Slice NamesicLabel
            Definition

            Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.

            ShortSic! notation
            Control1..1
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Extension.extension:sicLabel.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            34. Extension.extension:sicLabel.extension
            Definition

            May 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.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 36. Extension.extension:sicLabel.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              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.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Value
              {
                "url" : "sicLabel"
              }
              <url value="sicLabel"/>
              38. Extension.extension:sicLabel.value[x]
              Definition

              Information as to whether the prescription is intentionally prescribed in the written manner and should not be questioned (in Latin 'sic erat scriptum', in English 'as it had been written'). Primarily the 'Sic!' notation is used to indicate that the dosage of the prescribed drug stated in the prescription differs from normal dosage of the drug, but it may also be used if the drug is prescribed in a way that differs from standard treatment practices.

              ShortSic! notation
              Control1..1
              Typeboolean
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Extension.extension:sicReasonCode
              Slice NamesicReasonCode
              Definition

              Classified justification for using the Sic! notation According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.

              ShortThe reason for the Sic! notation
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              42. Extension.extension:sicReasonCode.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              44. Extension.extension:sicReasonCode.extension
              Definition

              May 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.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 46. Extension.extension:sicReasonCode.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                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.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Value
                {
                  "url" : "sicReasonCode"
                }
                <url value="sicReasonCode"/>
                48. Extension.extension:sicReasonCode.value[x]
                Definition

                Classified justification for using the sic! According to the Kanta code system 'THL - Sic!-merkinnän syy' Repeated information, there may be several reasons for justifying the use of the Sic! notation.

                ShortThe reason for the Sic! notation
                Control1..1
                TypeCoding
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. Extension.extension:sicReasonCode.value[x].id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                52. Extension.extension:sicReasonCode.value[x].extension
                Definition

                May 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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 54. Extension.extension:sicReasonCode.value[x].system
                  Definition

                  OID of the Kanta code system 'THL - Sic!-merkinnän syy'

                  ShortOID of the Kanta code system 'THL - Sic!-merkinnän syy'
                  Comments

                  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.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Fixed Value
                  {
                    "system" : "urn:oid:1.2.246.537.6.615.202301"
                  }
                  <system value="urn:oid:1.2.246.537.6.615.202301"/>
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Extension.extension:sicReasonCode.value[x].version
                  Definition

                  The 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.

                  ShortVersion of the system - if relevant
                  Comments

                  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.

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  58. Extension.extension:sicReasonCode.value[x].code
                  Definition

                  Code of the Kanta code system 'THL - Sic!-merkinnän syy'

                  ShortCode of the Kanta code system 'THL - Sic!-merkinnän syy'
                  Control1..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  60. Extension.extension:sicReasonCode.value[x].display
                  Definition

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ShortRepresentation defined by the system
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  62. Extension.extension:sicReasonCode.value[x].userSelected
                  Definition

                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                  ShortIf this coding was chosen directly by the user
                  Comments

                  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.

                  Control0..1
                  Typeboolean
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  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.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. Extension.extension:sicReasonText
                  Slice NamesicReasonText
                  Definition

                  If necessary, freely formatted additional information for using the Sic! notation on the prescription.

                  ShortAdditional information on the Sic! notation
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  66. Extension.extension:sicReasonText.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  68. Extension.extension:sicReasonText.extension
                  Definition

                  May 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.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 70. Extension.extension:sicReasonText.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    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.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Value
                    {
                      "url" : "sicReasonText"
                    }
                    <url value="sicReasonText"/>
                    72. Extension.extension:sicReasonText.value[x]
                    Definition

                    If necessary, freely formatted additional information for using the Sic! notation on the prescription.

                    ShortAdditional information on the Sic! notation
                    Control1..1
                    Typestring
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    74. Extension.extension:onlyTextDosageInUse
                    Slice NameonlyTextDosageInUse
                    Definition

                    Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.

                    ShortDosage instructions only as text
                    Control1..1
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    76. Extension.extension:onlyTextDosageInUse.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    78. Extension.extension:onlyTextDosageInUse.extension
                    Definition

                    May 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.

                    ShortAdditional content defined by implementations
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 80. Extension.extension:onlyTextDosageInUse.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      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.

                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Fixed Value
                      {
                        "url" : "onlyTextDosageInUse"
                      }
                      <url value="onlyTextDosageInUse"/>
                      82. Extension.extension:onlyTextDosageInUse.value[x]
                      Definition

                      Information as to whether the dosage instructions for the prescribed medicine are recorded in free text by the author and structured dosage information has not been stored. If the value is False, the text-based dosage instructions are automatically formed on the basis of structured dosage information.

                      ShortDosage instructions only as text
                      Control1..1
                      Typeboolean
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. Extension.extension:dosageChangesAllowed
                      Slice NamedosageChangesAllowed
                      Definition

                      Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.

                      ShortChange of dosage instructions allowed
                      Control0..1
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      86. Extension.extension:dosageChangesAllowed.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      88. Extension.extension:dosageChangesAllowed.extension
                      Definition

                      May 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.

                      ShortAdditional content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 90. Extension.extension:dosageChangesAllowed.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Value
                        {
                          "url" : "dosageChangesAllowed"
                        }
                        <url value="dosageChangesAllowed"/>
                        92. Extension.extension:dosageChangesAllowed.value[x]
                        Definition

                        Information on whether the prescriber allows a nurse or pharmacist to make changes to the dosage instructions on the prescription, in accordance with the treatment plan and section 5c of the Act on Electronic Prescriptions, by issuing a new prescription.

                        ShortChange of dosage instructions allowed
                        Control1..1
                        Typeboolean
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        94. Extension.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Value
                        {
                          "url" : "http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"
                        }
                        <url value="http://resepti.kanta.fi/fhir/StructureDefinition/extension/dosageInfo"/>
                        96. Extension.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control0..0
                        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))