Medication Scheme Implementation Guide
1.0.0 - draft Estonia flag

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 - XML Representation

Active as of 2024-10-28

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="ravimi-asendamatuse-pohjus"/>
  <language value="et"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/web-source">
    <valueUrl
              value="https://termx.kodality.dev/fhir/ValueSet/ravimi-asendamatuse-pohjus"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel">
    <valueCode value="executable"/>
  </extension>
  <url value="https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.28284.6.2.1.281"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <code value="version"/>
      </coding>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.28284.6.2.1.281.1"/>
  </identifier>
  <version value="1.0.0"/>
  <versionAlgorithmString value="integer"/>
  <name value="RavimiAsendamatusePohjus"/>
  <title value="ER_Asendamatuse põhjus"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-10-28T13:04:39+00:00"/>
  <publisher value="TEHIK"/>
  <contact>
    <name value="TEHIK"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.tehik.ee"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fhir@tehik.ee"/>
    </telecom>
  </contact>
  <contact>
    <name value="TEHIK Andmekorraldus"/>
    <telecom>
      <system value="email"/>
      <value value="andmekorraldus@tehik.ee"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Elektrooniline retsept (ER) - Asendamatuse põhjus märgitakse, kui ravim kirjutatakse välja preparaadi nimetuse põhiselt."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="EE"/>
      <display value="Estonia"/>
    </coding>
  </jurisdiction>
  <effectivePeriod>
    <start value="2016-10-10T00:00:00Z"/>
  </effectivePeriod>
  <author>
    <name value="Tervisekassa"/>
  </author>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <property>
    <code value="display"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/designation-usage|display"/>
    <description value="Display"/>
    <type value="string"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description value="Status"/>
    <type value="code"/>
  </property>
  <concept>
    <code value="KP01"/>
    <display value="tegemist on bioloogilise ravimiga"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value value="Prohibited since it is a biological medicinal product"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP02"/>
    <display value="tegemist on kitsa terapeutilise vahemikuga ravimiga"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             value="Prohibited since it is a medicinal product with narrow therapeutic index"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP03"/>
    <display
             value="patsiendil esineb ülitundlikkus abiaine vastu, mis esineb kõigis teistes sarnastes ja sama toimeainega ravimites"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             value="Prohibited because the patient has hypersensitivity for the excipient which is present in all similar medicinal products with same active ingredient"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP04"/>
    <display
             value="patsienti on õpetatud kasutama konkreetset manustamisvahendit"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             value="Prohibited because the patient has been taught to use this specific means for administration"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP05"/>
    <display
             value="patsiendile on paremini talutav konkreetne ravim, mille toimekestus erineb kõigist teistest sama toimeainega ja ravimvormis ravimitest"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             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"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP06"/>
    <display value="tegemist on toiteseguga"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value value="Prohibited since it is a nutrition preparation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP07"/>
    <display
             value="abiainete koostis tagab toimeaine sellise vabanemiskoha, mis erineb kõigist teistest sarnastest ja sama toimeainega ravimitest"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             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"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP08"/>
    <display
             value="patsiendil on diagnoositud kaasuv psüühika- või käitumishäire"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             value="Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="KP09"/>
    <display value="tegemist on müügiloata/erisoodustusega ravimiga"/>
    <designation>
      <language value="en"/>
      <use>
        <code value="display"/>
      </use>
      <value
             value="Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
</CodeSystem>