Medication Scheme Implementation Guide
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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

: renal-function-failure - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ClinicalUseDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "renal-function-failure"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.ee/StructureDefinition/ee-tis-renal-failure-ds"^^xsd:anyURI ;
fhir:link <https://fhir.ee/StructureDefinition/ee-tis-renal-failure-ds>     ] )
  ] ; # 
  fhir:language [ fhir:v "et"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"et\" lang=\"et\"><p class=\"res-header-id\"><b>Generated Narrative: ClinicalUseDefinition renal-function-failure</b></p><a name=\"renal-function-failure\"> </a><a name=\"hcrenal-function-failure\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: et</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ee-tis-renal-failure-ds.html\">EETISRenalFailureDS</a></p></div><p><b>ExtensionEETISAffectedMedicationStatements</b>: <a href=\"MedicationStatement-MedicationStatement-metformin.html\">MedicationStatement: extension = ,100,2023-11-07,,,Avalik,order,; status = recorded; category = Pidev,Tavaretsept,3-kordne; effective[x] = 2015-02-07 13:28:17-0500 --&gt; (ongoing); note = patsient peaks iga päev veresuhkrut mõõtma</a></p><p><b>ExtensionEETISAdditionalInformationLink</b>: www.synbase.ee/metformin-neerufunktsioon</p><p><b>ExtensionEETISNephrotoxic</b>: false</p><blockquote><p><b>ExtensionEETISDosageModification</b></p><ul><li>dosageIntervalMin: 6</li><li>dosageIntervalMax: 12</li><li>recommendation: Siin on soovitused</li></ul></blockquote><p><b>ExtensionEETISRelatedObservationOrCondition</b>: <a href=\"Observation-observation-egfr1.html\">Observation 62238-1</a></p><p><b>type</b>: Undesirable Effect</p><p><b>category</b>: <span title=\"Codes:{https://fhir.ee/drug-form-group 2}\">Kirjeldus siia text alla, kui on veel vaja midagi lisada</span>, <span title=\"Codes:{https://fhir.ee/failure-degree 1}\">Kirjeldus siia text alla, kui on veel vaja midagi lisada</span>, <span title=\"Codes:\">Kuna vosoritiidi ohutust ja efektiivsust neerukahjustuse korral ei ole hinnatud [(1)],[(2)], ei saa tõenduspõhiseid soovitusi anda. Siiski, tuginedes eliminatsioonimehhanismile, ei mõjuta neerupuudulikkus ilmselt vosoritiidi farmakokineetikat. Vosoritiid on modifitseeritud C-tüüpi natriureetiline peptiid. Vosoritiidi metabolism toimub eeldatavasti kataboolsete radade kaudu ja laguneb väikesteks peptiidideks ja aminohapeteks [(1)], [(2)].</span></p><p><b>subject</b>: <a href=\"#hcrenal-function-failure/metformin\">Medication: extension = metformiin; identifier = https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend#123456; doseForm = tablett+õhukese polümeerikattega tablett; totalVolume = 120</a></p><p><b>status</b>: <span title=\"Codes:\">active</span></p><h3>UndesirableEffects</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Classification</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.ee/synbase-warning-classification C}\">Kui on veel vaja midagi lisada</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #metformin</b></p><a name=\"renal-function-failure/metformin\"> </a><a name=\"hcrenal-function-failure/metformin\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: et</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ee-tis-medication-epc.html\">EETISMedicationEPC</a></p></div><p><b>ExtensionEETISMedicinalProductClassification</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/atc-ee A10BA02}\">metformiin</span></p><p><b>identifier</b>: <code>https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend</code>/123456</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: retsept-mahu-ja-massiyhik  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></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:contained ( [
a fhir:Medication ;
fhir:id [ fhir:v "metformin" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "https://fhir.ee/StructureDefinition/ee-tis-medication-epc"^^xsd:anyURI ;
fhir:link <https://fhir.ee/StructureDefinition/ee-tis-medication-epc>       ] )     ] ;
fhir:language [ fhir:v "et" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/atc-ee"^^xsd:anyURI ] ;
fhir:code [ fhir:v "A10BA02" ] ;
fhir:display [ fhir:v "metformiin" ]         ] )       ]     ] ) ;
    ( fhir:identifier [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123456" ]     ] ) ;
fhir:doseForm [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/ravimvormid"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1518" ] ;
fhir:display [ fhir:v "tablett+õhukese polümeerikattega tablett" ]       ] )     ] ;
fhir:totalVolume [
fhir:value [ fhir:v "120"^^xsd:decimal ]     ] ;
    ( fhir:ingredient [
fhir:item [
fhir:concept [
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/toimeained"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11354" ] ;
fhir:display [ fhir:v "metformiin" ]           ] )         ]       ] ;
fhir:isActive [ fhir:v true ] ;
fhir:strength [
a fhir:Ratio ;
fhir:numerator [
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MG" ]         ] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-mahu-ja-massiyhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TABL" ]         ]       ]     ] )
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-affected-medication-statements"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "MedicationStatement/MedicationStatement-metformin" ]     ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-additional-information-link"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "www.synbase.ee/metformin-neerufunktsioon"     ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-nephrotoxic"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "dosageIntervalMin"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "6"^^xsd:decimal ]       ]     ] [
fhir:url [ fhir:v "dosageIntervalMax"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "12"^^xsd:decimal ]       ]     ] [
fhir:url [ fhir:v "recommendation"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Siin on soovitused"       ]     ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-dosage-modification"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-related-observation-or-condition"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/observation-egfr1" ]     ]
  ] ) ; # 
  fhir:type [ fhir:v "undesirable-effect"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/drug-form-group"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "süsteemne" ]     ] ) ;
fhir:text [ fhir:v "Kirjeldus siia text alla, kui on veel vaja midagi lisada" ]
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/failure-degree"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "GFR 30-59 ml/min (mõõdukas neerupuudulikkus)" ]     ] ) ;
fhir:text [ fhir:v "Kirjeldus siia text alla, kui on veel vaja midagi lisada" ]
  ] [
fhir:text [ fhir:v "Kuna vosoritiidi ohutust ja efektiivsust neerukahjustuse korral ei ole hinnatud [(1)],[(2)], ei saa tõenduspõhiseid soovitusi anda. Siiski, tuginedes eliminatsioonimehhanismile, ei mõjuta neerupuudulikkus ilmselt vosoritiidi farmakokineetikat. Vosoritiid on modifitseeritud C-tüüpi natriureetiline peptiid. Vosoritiidi metabolism toimub eeldatavasti kataboolsete radade kaudu ja laguneb väikesteks peptiidideks ja aminohapeteks [(1)], [(2)]." ]
  ] ) ; # 
  fhir:subject ( [
fhir:reference [ fhir:v "#metformin" ]
  ] ) ; # 
  fhir:status [
    ( fhir:coding [
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:undesirableEffect [
fhir:classification [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/synbase-warning-classification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "C" ] ;
fhir:display [ fhir:v "Annust või annustamise vahemikku tuleb kohandada" ]       ] ) ;
fhir:text [ fhir:v "Kui on veel vaja midagi lisada" ]     ]
  ] . #