An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Security Labels from the Healthcare Privacy and Security Classification System.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Tieto siitä, onko alaikäinen päätöskykyinen ja onko hän asettanut kiellon luovuttaa omia lääkemääräystietojaan huoltajilleen. Tieto on THL - Alaikäisen potilastietojen luovuttaminen huoltajille -koodiston mukaan.

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Security Labels from the Healthcare Privacy and Security Classification System.

THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston OID

THL - Alaikäisen potilastietojen luovuttaminen huoltajille -luokitusta käytetään terveydenhuollon tietojärjestelmissä ja Kanta-palveluissa ilmaisemaan, onko huoltajilla oikeus nähdä alaikäisen lapsensa potilastiedot Omakannassa ja onko tietojen luovuttaminen heille sallittu terveydenhuollon palveluissa.

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

THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston arvo.

Need to refer to a particular code in the system.

CDA R2 header määrittelyn templateId (määrittelypaketin versio).

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

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

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.

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

CDA R2 header määrittelyn templateId (määrittelypaketin versio).

Need to refer to a particular code in the system.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

An Extension

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Lääkitysasiakirjan versiointinumero.

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

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Lääkitysasiakirjan versiointinumero.

Asiakirjan luontiajankohta.

Identifiers of medicine continuum: The medicine identifier and part identifier of medicine continuum. Status information 'Latest'.

Automatically produced by an information system, a technical OID identifier that combines the entries of the same prescribed drug.

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

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Automatically produced by an information system, a technical OID identifier that combines the entries of the same prescribed drug.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Automatically produced by an information system, a technical OID identifier that combines the entries of the same prescribed drug.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Automatically produced by the information system. Separates the different continuums of the same drug (that is, simultaneously used prescriptions for the same drug). As a rule, the drug used has only one medicine continuum at a time (only one active prescription). When it is necessary to have two or more active prescriptions for a drug, for example, when the patient uses two different strengths of the drug, the medicine continuums are separated by the part identifier of the medicine continuum.

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

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Automatically produced by the information system. Separates the different continuums of the same drug (that is, simultaneously used prescriptions for the same drug). As a rule, the drug used has only one medicine continuum at a time (only one active prescription). When it is necessary to have two or more active prescriptions for a drug, for example, when the patient uses two different strengths of the drug, the medicine continuums are separated by the part identifier of the medicine continuum.

Information maintained by the Kanta Prescription Centre on what is the latest prescription in the medicine continuum. The value True says that the prescription is the latest prescription in the continuum.

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

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Information maintained by the Kanta Prescription Centre on what is the latest prescription in the medicine continuum. The value True says that the prescription is the latest prescription in the continuum.

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

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

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

Information on whether the doses of the prescribed medicine shall be taken if necessary. Note: Technical auxiliary field.

Alle 12-vuotiaan potilaan paino, Sic!-merkintä, Sic!-merkinnän syy, Sic!-merkinnän lisätieto, Annostusohje vain tekstinä, Annostusohjeen muutos sallittu

Lääkehoidon indikaatio koodilla ilmaistuna. THL - Tautiluokitus ICD-10 -koodiston mukaan tai Kuntaliitto - ICPC Perusterveydenhuollon luokitus -koodiston mukaan. Voi olla toistuvana tietona.

Reseptin hallinnolliset tiedot: Lääkärin palkkio, Lääkärinpalkkio erikoislääkärinä, Apteekissa tallennetun lääkemääräyksen alkuperä, Apteekissa tallennetun lääkemääräyksen perustelukoodi, Apteekissa tallennetun lääkemääräyksen perustelun tarkenne, Hoitolaji, Annosjakelu, Potilaan tunnistaminen

Information of whether this is the initiation of a medication. This is information recorded by the prescriber, especially for the pharmacy.

Reseptin uusimiskielto on tieto siitä, sisältääkö lääkemääräys hoidollisesta syystä tehdyn uusimiskiellon. Se ei estä lääkemääräyksen uusimista, vaan se estää ainoastaan sähköisen uusimispyynnön tekemisen. Reseptin uusimiskiellon perustelu on perusteluteksti sille, miksi reseptin uusimiskielto on tehty.

Määrätyn lääkkeen käyttötarkoitus.

Information as to whether the drug is prescribed for the treatment of a generally hazardous disease under the Communicable Diseases Act.

Lääkemääräyksen tilatiedot: Lääkemääräyksen lukitustila, Lääkemääräyksen varaustila, Uusimispyynnön tila ja Lääkemääräyksen toimitustila. Jos Historiahaussa ja Historiahaussa ilman käytössä olevan lääkkeen tunnisteita palautuu lääkemääräyksen vanhoja versioita, näille vanhoille versioille ei palauteta tätä laajennosta.

Päivämäärä (sekä tarvittaessa aika), jolloin lääke on alunperin aloitettu. Päivämäärä voi olla myös tulevaisuudessa, jos lääke oli tarkoitus aloittaa myöhemmin. Ajankohta voidaan kirjata päivämäärän, kuukauden tai vuoden tarkkuudella. Epätarkemmissa tiedoissa, esimerkiksi vuosikymmenen tarkkuudella kirjattaessa, käytetään kymmenlukuun pyöristettyä vuoden tarkkuutta, esim. 1980.

Läkkeen määrääjän valitsema Lääketietokannan mukainen erillisselvitys, jonka perusteella potilas voi saada lääkekorvausta rajoitetusti korvattavasta lääkkeestä. Kela/Lääketietokanta - Erillisselvitys -koodiston mukaan. Erillisselvitykseen liittyvä päivämäärä on lääkkeen määrääjän valitsemaan erillisselvitykseen liittyvän tapahtuman tai toimenpiteen päivämäärä tai lääke- tai tukihoidon aloittamispäivämäärä. Lisätietoa päivämäärän täyttämiseksi löytyy koodistosta Kela/Lääketietokanta - Erillisselvitys kunkin erillisselvityksen kohdalta.

Tieto siitä, onko kyseessä säännöllisesti vai tarvittaessa käytettävä lääke. THL - Lääkkeen käytön säännöllisyys -koodiston mukaan.

Viittaus MedicationListRenewalBasic profiiliin, jossa uusimispyynnön ja uusimispyynnön vastauksen tiedot.

Viittaus MedicationListStatusBasic profiiliin, jossa lukituksen ja varauksien tiedot.

Additional information on the change and correction of medication: Justification of the correction of prescription Additional notes for the correction of prescription The reason for the change in medication Further information on the change in medication

Diagnosis code and the corresponding name for the adverse effect of the drug. According to the Kanta code system 'THL - Tautiluokitus ICD-10'. Repeated information, there may be several diagnosis codes linked to an adverse effect.

The extension is provided if the type of the prescription message = 2 Invalidation of a prescription. Additional information about prescription invalidation includes: The type of prescription invalidation Additional information about the invalidation Invalidator of the prescription Consent for the invalidation

Tieto onko lääkemääräykseen tehty poikkeustoimitus. Arvo on true, jos poikkeustoimitus on tehty. Tieto ei palaudu, jos lääkemääräykseen ei kohdistu poikkeustoimitusta.

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

This is a business identifier, not a resource identifier.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Lääkemääräysasiakirjan yksilöivä tunniste. Tunniste voi olla esimerkiksi lääkemääräysasiakirjan tietyn version yksilöivä tunniste.

This is a business identifier, not a resource identifier.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi).

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Lääkemääräys asiakirjan yksilöivä OID-tunniste.

Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi). (If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.)

Alkuperäisen lääkemääräysasiakirjan tunniste, jolla yhdistetään asiakirjan eri versiot.

This is a business identifier, not a resource identifier.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Huom. tässä tehty setId:lle systemi:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi).

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alkuperäisen lääkemääräysasiakirjan tunniste, jolla yhdistetään asiakirjan eri versiot.

Huom. tässä tehty setId:lle systemi:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi). (If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.)

Sähköinen lääkemääräys - Lääkemääräyksen voimassaolotila -koodisto (1.2.246.537.5.40300.2015). 1 = voimassa, 2 = mitätöity, 3 = vanhentunut, 4 = päättynyt, 5 = lopetettu

Käytetään status arvoja: active, on-hold, cancelled, completed, stopped, unknown active = voimassa, cancelled = mitätöity, completed = vanhentunut, on-hold = päättynyt, stopped = lopetettu unknown = tämä palautetaan voimassaolotilana niille lääkemääräyksille, jotka eivät ole lääkemääräyksen uusimpia versioita esim. historiahaussa, jos hakija on antanut hakuparametriksi, että haluaa lääkemääräyksen kaikki versiot (x-extent -parametri)

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

Tällä tiedolla kerrotaan, onko palautuvat tiedot lääkemääräyksen vai sen eri versioiden tietoja eli lääkemääräyksen mitätöinnin tai lääkemääräyksen korjauksen tietoja. Tieto on Sähköinen lääkemääräys - Reseptisanoman tyyppi -koodiston arvo, sen mukaan mistä lääkemääräysasiakirjasta on kyse: 1 = Lääkemääräys 2 = Lääkemääräyksen mitätöinti 3 = Lääkemääräyksen korjaus

This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.

Identifies the reasons for a given status.

Sähköinen lääkemääräys - Reseptisanoman tyyppi -koodisto.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Allows for alternative encodings within a code system, and translations to other code systems.

Sähköinen lääkemääräys - Reseptisanoman tyyppi koodiston OID

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.

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

Sähköinen lääkemääräys - Reseptisanoman tyyppi koodiston arvo: 1 = Lääkemääräys 2 = Lääkemääräyksen mitätöinti 3 = Lääkemääräyksen korjaus

Need to refer to a particular code in the system.

Käytetään vakiona arvoa: order

It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.

An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.

This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

The kind of medication order.

Tieto siitä, millaisesta lääkemääräyksestä on kyse. Tieto on THL - Reseptin laji koodiston mukaan.

The category can be used to include where the medication is expected to be consumed or other types of requests.

A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.

Tieto siitä, millaisesta lääkemääräyksestä on kyse. Tieto on THL - Reseptin laji koodiston mukaan.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Allows for alternative encodings within a code system, and translations to other code systems.

THL - Reseptin laji koodiston OID.

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.

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

THL - Reseptin laji koodiston arvo.

Need to refer to a particular code in the system.

Indicates how quickly the Medication Request should be addressed with respect to other requests.

Identifies the level of importance to be assigned to actioning the request.

If true indicates that the provider is asking for the medication request not to occur.

If do not perform is not specified, the request is a positive request e.g. "do perform".

Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.

Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

A link to a resource representing the person or set of individuals to whom the medication will be given.

The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.

The Encounter during which this [x] was created or to which the creation of this record is tightly associated.

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.

Include additional information (for example, patient height and weight) that supports the ordering of the medication.

Päivämäärä, jolloin lääkemääräys on tehty.

The individual, organization, or device that initiated the request and has responsibility for its activation.

The specified desired performer of the medication treatment (e.g. the performer of the medication administration).

Indicates the type of performer of the administration of the medication.

If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.

Identifies the type of individual that is desired to administer the medication.

The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

The reason or the indication for ordering or not ordering the medication.

This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.

A coded concept indicating why the medication was ordered.

Condition or observation that supports why the medication was ordered.

This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.

The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.

A plan or request that is fulfilled in whole or in part by this medication request.

A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.

Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

Tieto siitä, onko kyseessä pysyväisluonteinen vai määräaikainen lääke. AR/YDIN - Pysyvyys koodiston mukaan.

This attribute should not be confused with the protocol of the medication.

Identifies the overall pattern of medication administratio.

AR/YDIN - Pysyvyys -koodisto.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Allows for alternative encodings within a code system, and translations to other code systems.

AR/YDIN - Pysyvyys koodiston OID.

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.

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

AR/YDIN - Pysyvyys koodiston arvo.

Need to refer to a particular code in the system.

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.

Extra information about the prescription that could not be conveyed by the other attributes.

Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.

An Extension

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Määrätyn määrän esittämistapa ja Pakkausten lukumäärä, kun Määrätyn määrän esittämistapa = 1 (pakkaus). tai Lääkkeen kokonaismäärä ja määrän yksikkö, kun Määrätyn määrän esittämistapa = 2 (kokonaismäärä). Lääkemääräys tehty kokonaismäärälle. tai Lääkkeen määrä ajanjaksolla ilmaistuna, kun Määrätyn määrän esittämistapa = 3 (lääkehoidon kestoaika). Määrätty lääkettä tietylle ajalle. tai Määrätyn määrän esittämistapa (prescriptionType ) -tieto, kun Määrätyn määrän esittämistapa = 9 (ei toimitettavaa määrää).

Message from the prescriber to the pharmacy.

Todellinen toimitustila.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Iterointien väli päivissä tieto on rakenteisesti ilmoitettu lääkkeen toimitusväli, kun lääkkeen määrääjä on rajoittanut lääkkeen uudelleen toimittamista. Arvo annetaan päivinä. Päivien lukumäärä ja yksikkö tietona on aina päivä (d).

Iterointien väli päivissä on päivien lukumäärä esim. 30.

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).

Precision is handled implicitly in almost all cases of measurement.

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.

How the Quantity should be understood and represented.

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

Yksikkö on aina päivä eli d.

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

Lääkemääräyksen voimassaolon alkupäivämäärä, kun lääkkeen määrääjä on rajoittanut lääkemääräyksen voimassaoloaikaa (lääkkeen määrääjä on asettanut oletusarvoista voimassaoloaikaa lyhyemmän voimassaoloajan kuin vuosi tai kaksi vuotta). Sekä lääkemääräyksen viimeinen voimassaolopäivämäärä, jos lääkkeen määrääjä on asettanut oletusarvoista voimassaoloaikaa lyhyemmän voimassaoloajan. (lyhyempi aika kuin vuosi tai kaksi vuotta sen mukaan, mitä lääkettä reseptillä on määrätty). Jos lääkkeen määrääjä ei ole rajoittanut voimassaoloa, silloin voimassaolon loppupäivä on Reseptikeskuksen laskema.

It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.

Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.

Lääkemääräyksen voimassaolon alkupäivämäärä, kun lääkkeen määrääjä on rajoittanut lääkemääräyksen voimassaoloaikaa (lääkkeen määrääjä on asettanut oletusarvoista voimassaoloaikaa lyhyemmän voimassaoloajan kuin vuosi tai kaksi vuotta). Päivämäärä palautuu päivän tarkkuudella, YYYY-MM-DD.

If the low element is missing, the meaning is that the low boundary is not known.

Lääkemääräyksen viimeinen voimassaolopäivämäärä, jos lääkkeen määrääjä on asettanut oletusarvoista voimassaoloaikaa lyhyemmän voimassaoloajan. (lyhyempi aika kuin vuosi tai kaksi vuotta sen mukaan, mitä lääkettä lääkemääräyksellä on määrätty). Jos lääkkeen määrääjä ei ole rajoittanut voimassaoloa, silloin voimassaolon loppupäivä on Reseptikeskuksen laskema. Päivämäärä palautuu päivän tarkkuudella, YYYY-MM-DD.

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Lääkkeen määrääjän kirjaama rajoitus siitä, kuinka monta kertaa määrätty lääke voidaan määräajoin toimittaa uudelleen. Sallitut arvot vain 1, 2 tai 3.

If displaying "number of authorized fills", add 1 to this number.

Tieto siitä, onko lääkemääräyksellä lääkevaihtokielto.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Tieto siitä, onko lääkemääräyksellä lääkevaihtokielto, false = on lääkevaihtokielto (lääkevaihto kielletty), true = ei lääkevaihtokieltoa (lääkevaihto sallittu).

This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.

A link to a resource representing an earlier order related order or prescription.

Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.

This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.

Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.

This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Tieto siitä, onko alaikäinen päätöskykyinen ja onko hän asettanut kiellon luovuttaa omia lääkemääräystietojaan huoltajilleen. Tieto on THL - Alaikäisen potilastietojen luovuttaminen huoltajille -koodiston mukaan.

THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston OID

THL - Alaikäisen potilastietojen luovuttaminen huoltajille -luokitusta käytetään terveydenhuollon tietojärjestelmissä ja Kanta-palveluissa ilmaisemaan, onko huoltajilla oikeus nähdä alaikäisen lapsensa potilastiedot Omakannassa ja onko tietojen luovuttaminen heille sallittu terveydenhuollon palveluissa.

THL - Alaikäisen potilastietojen luovuttaminen huoltajille koodiston arvo.

CDA R2 header määrittelyn templateId (määrittelypaketin versio).

CDA R2 header määrittelyn templateId (määrittelypaketin versio).

Asiakirjan luontiajankohta.

Alle 12-vuotiaan potilaan paino, Sic!-merkintä, Sic!-merkinnän syy, Sic!-merkinnän lisätieto, Annostusohje vain tekstinä, Annostusohjeen muutos sallittu

Reseptin hallinnolliset tiedot: Lääkärin palkkio, Lääkärinpalkkio erikoislääkärinä, Apteekissa tallennetun lääkemääräyksen alkuperä, Apteekissa tallennetun lääkemääräyksen perustelukoodi, Apteekissa tallennetun lääkemääräyksen perustelun tarkenne, Hoitolaji, Annosjakelu, Potilaan tunnistaminen

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Lääkemääräysasiakirjan yksilöivä tunniste. Tunniste voi olla esimerkiksi lääkemääräysasiakirjan tietyn version yksilöivä tunniste.

Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi).

Lääkemääräys asiakirjan yksilöivä OID-tunniste.

Huom. tässä tehty id:lle system:iin oma nimiavaruus, toinen vaihtoehto olisi ollut laittaa system:iksi urn:ietf:rfc:3986 ja koodittaa tunnisteet type-elementillä (id:lle oma koodi, setId:lle oma koodi). (If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.)

Alkuperäisen lääkemääräysasiakirjan tunniste, jolla yhdistetään asiakirjan eri versiot.