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

: prescription-ospen - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="prescription-ospen"/>
  <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-ospen</b></p><a name="prescription-ospen"> </a><a name="hcprescription-ospen"> </a><a name="prescription-ospen-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><p><b>identifier</b>: 1018862058</p><p><b>status</b>: Active</p><p><b>statusChanged</b>: 2023-11-09</p><p><b>intent</b>: Order</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-fenoksymetyylpenitsilliin.html">Medication: extension = fenoksümetüülpenitsilliin,Ospen; doseForm = Õhukese polümeerikattega tablett; totalVolume = 12</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 J20.2}">Streptokokitekkene äge bronhiit</span></td></tr></table><p><b>courseOfTherapyType</b>: <span title="Codes:{https://fhir.ee/CodeSystem/ravikuuri-tyyp F}">Fikseeritud</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: 3 per 1 days</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 tablett<span style="background: LightGoldenRodYellow"> (Details: ER_Ühikud annustamine  codeTA = 'tablet(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 --&gt; 2024-05-07</td></tr></table><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:{https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus KP02}">Prohibited since it is a medicinal product with narrow therapeutic index</span></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>
  <identifier>
    <value value="1018862058"/>
  </identifier>
  <status value="active"/>
  <statusChanged value="2023-11-09"/>
  <intent value="order"/>
  <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/fenoksymetyylpenitsilliin"/>
    </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="J20.2"/>
        <display value="Streptokokitekkene äge bronhiit"/>
      </coding>
    </concept>
  </reason>
  <courseOfTherapyType>
    <coding>
      <system value="https://fhir.ee/CodeSystem/ravikuuri-tyyp"/>
      <code value="F"/>
      <display value="Fikseeritud"/>
    </coding>
  </courseOfTherapyType>
  <dosageInstruction>
    <timing>
      <repeat>
        <boundsDuration>
          <value value="7"/>
          <unit value="d"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </boundsDuration>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <doseAndRate>
      <doseQuantity>
        <value value="1"/>
        <unit value="tablett"/>
        <system value="https://fhir.ee/CodeSystem/retsept-annustamise-yhik"/>
        <code value="TA"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2023-11-07"/>
      <end value="2024-05-07"/>
    </validityPeriod>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
    <reason>
      <coding>
        <system
                value="https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus"/>
        <code value="KP02"/>
        <display
                 value="Prohibited since it is a medicinal product with narrow therapeutic index"/>
      </coding>
    </reason>
  </substitution>
</MedicationRequest>