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
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="prescription-adrenalin"/>
<meta>
<profile value="https://fhir.ee/StructureDefinition/ee-tis-prescription"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest prescription-adrenalin</b></p><a name="prescription-adrenalin"> </a><a name="hcprescription-adrenalin"> </a><a name="prescription-adrenalin-en-US"> </a><blockquote><p><b>ExtensionEETISReimbursementRate</b></p><ul><li>reimbursementRate: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-soodustuse-maar 50}">50%</span></li><li>reimbursementCondition: <span title="Codes:">siia tuleb kirjeldus vajalikud-tingimused-loendist</span></li></ul></blockquote><p><b>ExtensionEETISDispensationAuthorization</b>: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-volituse-liik public}">Avalik</span></p><blockquote><p><b>ExtensionEETISLockStatus</b></p><ul><li>lockStatus: true</li><li>lockOwner: Tehiku Apteek</li></ul></blockquote><blockquote><p><b>ExtensionEETISUnauthorizedProductRequest</b></p><ul><li>requestNumber: 123456</li><li>requestReason: <span title="Codes:{https://fhir.ee/CodeSystem/myygiloata-ravimi-pohjendus ML01}">Eestis puudub haiguse/seisundi raviks müügiloaga ravim</span></li><li>requestStatus: <span title="Codes:{https://fhir.ee/CodeSystem/myygiloata-ravimi-taotluse-otsus N}">Otsus negatiivne</span></li><li>requestDate: 2023-11-11</li><li>requestNegDecision: <span title="Codes:{https://fhir.ee/CodeSystem/myygiloata-ravimi-neg-otsuse-pohjendus ON04}">Taotletud ravimil on kehtiv müügiluba ning seda turustatakse Eestis. Ei vaja arsti taotlust.</span></li></ul></blockquote><p><b>identifier</b>: 1018862058</p><p><b>status</b>: Active</p><p><b>statusChanged</b>: 2023-11-07</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-liik 1}">tavaretsept</span>, <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-kordsus 1}">1-kordne</span></p><h3>Medications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><a href="Medication-adrenalin.html">Medication: extension = Epinefriin,1 ML,Adrenaliin; doseForm = süstelahus; totalVolume = 5</a></td></tr></table><p><b>subject</b>: <a href="Patient-pat1MatiMeri.html">Mati Meri (official) Male, DoB Unknown ( https://fhir.ee/sid/pid/est/ni#Estonian Personal National Identification Code#38301105216)</a></p><p><b>authoredOn</b>: 2023-11-07</p><h3>Reasons</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/rhk-10 D89.8}">Immuunmehhanismi hõlmavad mujal klassifitseerimata muud täpsustatud haigusseisundid</span></td></tr></table><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Count 1 times, Once</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1(unit ML from https://fhir.ee/CodeSystem/retsept-annustamise-yhik)<span style="background: LightGoldenRodYellow"> (Details: ER_Ühikud annustamine codeML = 'milliliter(s)')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td></tr><tr><td style="display: none">*</td><td>2023-11-07 --> 2024-02-07</td></tr></table></div>
</text>
<extension
url="https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate">
<extension url="reimbursementRate">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.ee/CodeSystem/retsepti-soodustuse-maar"/>
<code value="50"/>
<display value="50%"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="reimbursementCondition">
<valueCodeableConcept>
<coding>
<code value="50_1"/>
<display
value="siia tuleb kirjeldus vajalikud-tingimused-loendist"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization">
<valueCodeableConcept>
<coding>
<system value="https://fhir.ee/CodeSystem/retsepti-volituse-liik"/>
<code value="public"/>
<display value="Avalik"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="https://fhir.ee/StructureDefinition/ee-tis-lock-status">
<extension url="lockStatus">
<valueBoolean value="true"/>
</extension>
<extension url="lockOwner">
<valueString value="Tehiku Apteek"/>
</extension>
</extension>
<extension
url="https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request">
<extension url="requestNumber">
<valueId value="123456"/>
</extension>
<extension url="requestReason">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.ee/CodeSystem/myygiloata-ravimi-pohjendus"/>
<code value="ML01"/>
<display
value="Eestis puudub haiguse/seisundi raviks müügiloaga ravim"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="requestStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.ee/CodeSystem/myygiloata-ravimi-taotluse-otsus"/>
<code value="N"/>
<display value="Otsus negatiivne"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="requestDate">
<valueDateTime value="2023-11-11"/>
</extension>
<extension url="requestNegDecision">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.ee/CodeSystem/myygiloata-ravimi-neg-otsuse-pohjendus"/>
<code value="ON04"/>
<display
value="Taotletud ravimil on kehtiv müügiluba ning seda turustatakse Eestis. Ei vaja arsti taotlust."/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<value value="1018862058"/>
</identifier>
<status value="active"/>
<statusChanged value="2023-11-07"/>
<intent value="proposal"/>
<category>
<coding>
<system value="https://fhir.ee/CodeSystem/retsepti-liik"/>
<code value="1"/>
<display value="tavaretsept"/>
</coding>
</category>
<category>
<coding>
<system value="https://fhir.ee/CodeSystem/retsepti-kordsus"/>
<code value="1"/>
<display value="1-kordne"/>
</coding>
</category>
<medication>
<reference>🔗
<reference value="Medication/adrenalin"/>
</reference>
</medication>
<subject>🔗
<reference value="Patient/pat1MatiMeri"/>
</subject>
<authoredOn value="2023-11-07"/>
<reason>
<concept>
<coding>
<system value="https://fhir.ee/CodeSystem/rhk-10"/>
<code value="D89.8"/>
<display
value="Immuunmehhanismi hõlmavad mujal klassifitseerimata muud täpsustatud haigusseisundid"/>
</coding>
</concept>
</reason>
<dosageInstruction>
<timing>
<repeat>
<count value="1"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<system value="https://fhir.ee/CodeSystem/retsept-annustamise-yhik"/>
<code value="ML"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2023-11-07"/>
<end value="2024-02-07"/>
</validityPeriod>
</dispenseRequest>
</MedicationRequest>