Medication Scheme Implementation Guide
1.0.0 - draft
Medication Scheme Implementation Guide
1.0.0 - draft
Medication Scheme Implementation Guide, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions
{
"resourceType" : "ClinicalUseDefinition",
"id" : "medication-interaction1",
"meta" : {
"profile" : [
🔗 "https://fhir.ee/StructureDefinition/ee-tis-medication-interaction"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClinicalUseDefinition medication-interaction1</b></p><a name=\"medication-interaction1\"> </a><a name=\"hcmedication-interaction1\"> </a><a name=\"medication-interaction1-en-US\"> </a><p><b>ExtensionEETISAffectedMedicationStatements</b>: <a href=\"MedicationStatement-MedicationStatement-metformin.html\">MedicationStatement: extension = ,100,2023-11-07,,,Avalik,order,; status = recorded; category = Pidev,ei ole patsiendi ytluse põhjal,tavaretsept,3-kordne; effective[x] = 2015-02-07 13:28:17-0500 --> (ongoing); note = patsient peaks iga päev veresuhkrut mõõtma</a></p><p><b>ExtensionEETISAffectedMedicationStatements</b>: <a href=\"MedicationStatement-MedicationStatementAdrenalin.html\">MedicationStatement: extension = ,5,2023-11-07,,,,,Privaatne,order,; status = recorded; category = Ühekordne,ei ole patsiendi ytluse põhjal,tavaretsept,1-kordne; effective[x] = 2015-02-07 13:28:17-0500 --> (ongoing); note = lõpuks ometi sai müügiloataotlus rahuldatud ja saab ravimit tellida</a></p><p><b>ExtensionEETISAdditionalInformationLink</b>: www.synbase.ee/metformin+adrenalin</p><p><b>type</b>: Interaction</p><p><b>subject</b>: <a href=\"#hcmedication-interaction1/metformin\">Medication: extension = metformiin; doseForm = tablett+õhukese polümeerikattega tablett; totalVolume = 120</a></p><p><b>status</b>: <span title=\"Codes:\">active</span></p><blockquote><p><b>interaction</b></p><h3>Interactants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#hcmedication-interaction1/adrenalin\">Medication: extension = Epinefriin,1 ML,Adrenaliin; doseForm = süstelahus; totalVolume = 5</a></td></tr></table><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/interaction-type drug-drug}\">drug to drug interaction</span></p><h3>Effects</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Consequences. Ravim A vererõhku alandav ja diureetiline toime võib ravim B-ga kooskasutamisel nõrgeneda ning suurendada kehakaalu. Vererõhk kõrgeneb enamasti vähe või mõõdukalt, kuid hüpertensiooni tüsistuste tekke oht võib suureneda, eriti eakatel.</span></td></tr></table><p><b>incidence</b>: <span title=\"Codes:\">D0</span></p><p><b>management</b>: <span title=\"Codes:\">Recommendation. Kui kooskasutamine on vajalik, on soovitatav hoolikalt jälgida vererõhku ja kehakaalu. Ravimi A annust võib olla vaja kohandada. Kaaluda raviks xxx, kuna Ravim B ei vähenda toimet.</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #metformin</b></p><a name=\"medication-interaction1/metformin\"> </a><a name=\"hcmedication-interaction1/metformin\"> </a><a name=\"medication-interaction1/metformin-en-US\"> </a><p><b>ExtensionEETISMedicinalProductClassification</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/atc-ee A10BA02}\">metformiin</span></p><p><b>doseForm</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/ravimvormid 1518}\">tablett+õhukese polümeerikattega tablett</span></p><p><b>totalVolume</b>: 120</p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.ee/CodeSystem/toimeained 11354}\">metformiin</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 500(unit MG from https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud mahu- ja massiühikud codeMG = 'milligram(s)')</span>/1(unit TABL from https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud mahu- ja massiühikud codeTABL = 'tablet(s)')</span></p></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #adrenalin</b></p><a name=\"medication-interaction1/adrenalin\"> </a><a name=\"hcmedication-interaction1/adrenalin\"> </a><a name=\"medication-interaction1/adrenalin-en-US\"> </a><p><b>ExtensionEETISMedicinalProductClassification</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/atc-ee C01CA24}\">Epinefriin</span></p><p><b>ExtensionEETISSizeOfItem</b>: 1(unit ML from https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud mahu- ja massiühikud codeML = 'milliliter(s)')</span></p><p><b>ExtensionEETISMedicinalProductName</b>: Adrenaliin</p><p><b>doseForm</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/ravimvormid 739}\">süstelahus</span></p><p><b>totalVolume</b>: 5</p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.ee/CodeSystem/toimeained 8554}\">epinefriin</span></td></tr></table><p><b>isActive</b>: true</p><p><b>strength</b>: 1(unit MG from https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud mahu- ja massiühikud codeMG = 'milligram(s)')</span>/1(unit ML from https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud mahu- ja massiühikud codeML = 'milliliter(s)')</span></p></blockquote></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "metformin",
"meta" : {
"profile" : [
🔗 "https://fhir.ee/StructureDefinition/ee-tis-medication-epc"
]
},
"extension" : [
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/atc-ee",
"code" : "A10BA02",
"display" : "metformiin"
}
]
}
}
],
"doseForm" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/ravimvormid",
"code" : "1518",
"display" : "tablett+õhukese polümeerikattega tablett"
}
]
},
"totalVolume" : {
"value" : 120
},
"ingredient" : [
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/toimeained",
"code" : "11354",
"display" : "metformiin"
}
]
}
},
"isActive" : true,
"strengthRatio" : {
"numerator" : {
"value" : 500,
"system" : "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik",
"code" : "MG"
},
"denominator" : {
"value" : 1,
"system" : "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik",
"code" : "TABL"
}
}
}
]
},
{
"resourceType" : "Medication",
"id" : "adrenalin",
"meta" : {
"profile" : [
🔗 "https://fhir.ee/StructureDefinition/ee-tis-medication-epc"
]
},
"extension" : [
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/atc-ee",
"code" : "C01CA24",
"display" : "Epinefriin"
}
]
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-size-of-item",
"valueQuantity" : {
"value" : 1,
"system" : "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik",
"code" : "ML"
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name",
"valueString" : "Adrenaliin"
}
],
"doseForm" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/ravimvormid",
"code" : "739",
"display" : "süstelahus"
}
]
},
"totalVolume" : {
"value" : 5
},
"ingredient" : [
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/toimeained",
"code" : "8554",
"display" : "epinefriin"
}
]
}
},
"isActive" : true,
"strengthRatio" : {
"numerator" : {
"value" : 1,
"system" : "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik",
"code" : "MG"
},
"denominator" : {
"value" : 1,
"system" : "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik",
"code" : "ML"
}
}
}
]
}
],
"extension" : [
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-affected-medication-statements",
"valueReference" : {
🔗 "reference" : "MedicationStatement/MedicationStatement-metformin"
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-affected-medication-statements",
"valueReference" : {
🔗 "reference" : "MedicationStatement/MedicationStatementAdrenalin"
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-additional-information-link",
"valueString" : "www.synbase.ee/metformin+adrenalin"
}
],
"type" : "interaction",
"subject" : [
{
"reference" : "#metformin"
}
],
"status" : {
"coding" : [
{
"code" : "active"
}
]
},
"interaction" : {
"interactant" : [
{
"itemReference" : {
"reference" : "#adrenalin"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/interaction-type",
"code" : "drug-drug",
"display" : "drug to drug interaction"
}
],
"text" : "drug to drug interaction"
},
"effect" : {
"concept" : {
"text" : "Consequences. Ravim A vererõhku alandav ja diureetiline toime võib ravim B-ga kooskasutamisel nõrgeneda ning suurendada kehakaalu. Vererõhk kõrgeneb enamasti vähe või mõõdukalt, kuid hüpertensiooni tüsistuste tekke oht võib suureneda, eriti eakatel."
}
},
"incidence" : {
"text" : "D0"
},
"management" : [
{
"text" : "Recommendation. Kui kooskasutamine on vajalik, on soovitatav hoolikalt jälgida vererõhku ja kehakaalu. Ravimi A annust võib olla vaja kohandada. Kaaluda raviks xxx, kuna Ravim B ei vähenda toimet."
}
]
}
}