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

: ER_Asendamatuse põhjus - JSON Representation

Active as of 2024-09-16

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{
  "resourceType" : "CodeSystem",
  "id" : "ravimi-asendamatuse-pohjus",
  "language" : "et",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"et\" lang=\"et\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ravimi-asendamatuse-pohjus</b></p><a name=\"ravimi-asendamatuse-pohjus\"> </a><a name=\"hcravimi-asendamatuse-pohjus\"> </a><a name=\"ravimi-asendamatuse-pohjus-en-US\"> </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></div><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>display</td><td>display</td><td>http://terminology.hl7.org/CodeSystem/designation-usage|display</td><td>string</td><td>Display</td></tr><tr><td>Status</td><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>Status</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Status</b></td><td><b>English (English, en)</b></td></tr><tr><td style=\"white-space:nowrap\">KP01<a name=\"ravimi-asendamatuse-pohjus-KP01\"> </a></td><td>tegemist on bioloogilise ravimiga</td><td>active</td><td>Prohibited since it is a biological medicinal product</td></tr><tr><td style=\"white-space:nowrap\">KP02<a name=\"ravimi-asendamatuse-pohjus-KP02\"> </a></td><td>tegemist on kitsa terapeutilise vahemikuga ravimiga</td><td>active</td><td>Prohibited since it is a medicinal product with narrow therapeutic index</td></tr><tr><td style=\"white-space:nowrap\">KP03<a name=\"ravimi-asendamatuse-pohjus-KP03\"> </a></td><td>patsiendil esineb ülitundlikkus abiaine vastu, mis esineb kõigis teistes sarnastes ja sama toimeainega ravimites</td><td>active</td><td>Prohibited because the patient has hypersensitivity for the excipient which is present in all similar medicinal products with same active ingredient</td></tr><tr><td style=\"white-space:nowrap\">KP04<a name=\"ravimi-asendamatuse-pohjus-KP04\"> </a></td><td>patsienti on õpetatud kasutama konkreetset manustamisvahendit</td><td>active</td><td>Prohibited because the patient has been taught to use this specific means for administration</td></tr><tr><td style=\"white-space:nowrap\">KP05<a name=\"ravimi-asendamatuse-pohjus-KP05\"> </a></td><td>patsiendile on paremini talutav konkreetne ravim, mille toimekestus erineb kõigist teistest sama toimeainega ja ravimvormis ravimitest</td><td>active</td><td>Prohibited because the patient tolerates this specific medicinal product due to the duration of action, which differs from all other medicinal products with same ingredient and dose form</td></tr><tr><td style=\"white-space:nowrap\">KP06<a name=\"ravimi-asendamatuse-pohjus-KP06\"> </a></td><td>tegemist on toiteseguga</td><td>active</td><td>Prohibited since it is a nutrition preparation</td></tr><tr><td style=\"white-space:nowrap\">KP07<a name=\"ravimi-asendamatuse-pohjus-KP07\"> </a></td><td>abiainete koostis tagab toimeaine sellise vabanemiskoha, mis erineb kõigist teistest sarnastest ja sama toimeainega ravimitest</td><td>active</td><td>Prohibited because the content of excipients ensures the site of release for ingredients, which is different from all other similar and with same ingredient medicinal products</td></tr><tr><td style=\"white-space:nowrap\">KP08<a name=\"ravimi-asendamatuse-pohjus-KP08\"> </a></td><td>patsiendil on diagnoositud kaasuv psüühika- või käitumishäire</td><td>active</td><td>Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder</td></tr><tr><td style=\"white-space:nowrap\">KP09<a name=\"ravimi-asendamatuse-pohjus-KP09\"> </a></td><td>tegemist on müügiloata/erisoodustusega ravimiga</td><td>active</td><td>Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/web-source",
      "valueUrl" : "https://termx.kodality.dev/fhir/ValueSet/ravimi-asendamatuse-pohjus"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel",
      "valueCode" : "executable"
    }
  ],
  "url" : "https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.28284.6.2.1.281"
    },
    {
      "type" : {
        "coding" : [
          {
            "code" : "version"
          }
        ]
      },
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.28284.6.2.1.281.1"
    }
  ],
  "version" : "1.0.0",
  "versionAlgorithmString" : "integer",
  "name" : "RavimiAsendamatusePohjus",
  "title" : "ER_Asendamatuse põhjus",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-09-16T12:34:03+00:00",
  "publisher" : "TEHIK",
  "contact" : [
    {
      "name" : "TEHIK",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.tehik.ee"
        },
        {
          "system" : "email",
          "value" : "fhir@tehik.ee"
        }
      ]
    },
    {
      "name" : "TEHIK Andmekorraldus",
      "telecom" : [
        {
          "system" : "email",
          "value" : "andmekorraldus@tehik.ee",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Elektrooniline retsept (ER) - Asendamatuse põhjus märgitakse, kui ravim kirjutatakse välja preparaadi nimetuse põhiselt.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "EE",
          "display" : "Estonia"
        }
      ]
    }
  ],
  "effectivePeriod" : {
    "start" : "2016-10-10T00:00:00Z"
  },
  "author" : [
    {
      "name" : "Tervisekassa"
    }
  ],
  "caseSensitive" : false,
  "content" : "complete",
  "property" : [
    {
      "code" : "display",
      "uri" : "http://terminology.hl7.org/CodeSystem/designation-usage|display",
      "description" : "Display",
      "type" : "string"
    },
    {
      "code" : "status",
      "uri" : "http://hl7.org/fhir/concept-properties#status",
      "description" : "Status",
      "type" : "code"
    }
  ],
  "concept" : [
    {
      "code" : "KP01",
      "display" : "tegemist on bioloogilise ravimiga",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited since it is a biological medicinal product"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP02",
      "display" : "tegemist on kitsa terapeutilise vahemikuga ravimiga",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited since it is a medicinal product with narrow therapeutic index"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP03",
      "display" : "patsiendil esineb ülitundlikkus abiaine vastu, mis esineb kõigis teistes sarnastes ja sama toimeainega ravimites",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited because the patient has hypersensitivity for the excipient which is present in all similar medicinal products with same active ingredient"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP04",
      "display" : "patsienti on õpetatud kasutama konkreetset manustamisvahendit",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited because the patient has been taught to use this specific means for administration"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP05",
      "display" : "patsiendile on paremini talutav konkreetne ravim, mille toimekestus erineb kõigist teistest sama toimeainega ja ravimvormis ravimitest",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited because the patient tolerates this specific medicinal product due to the duration of action, which differs from all other medicinal products with same ingredient and dose form"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP06",
      "display" : "tegemist on toiteseguga",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited since it is a nutrition preparation"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP07",
      "display" : "abiainete koostis tagab toimeaine sellise vabanemiskoha, mis erineb kõigist teistest sarnastest ja sama toimeainega ravimitest",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited because the content of excipients ensures the site of release for ingredients, which is different from all other similar and with same ingredient medicinal products"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP08",
      "display" : "patsiendil on diagnoositud kaasuv psüühika- või käitumishäire",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    },
    {
      "code" : "KP09",
      "display" : "tegemist on müügiloata/erisoodustusega ravimiga",
      "designation" : [
        {
          "language" : "en",
          "use" : {
            "code" : "display"
          },
          "value" : "Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        }
      ]
    }
  ]
}