Medication Scheme Implementation Guide
1.0.0 - draft
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
{
"resourceType" : "MedicationStatement",
"id" : "MedicationStatement-complex-dosaging",
"meta" : {
"profile" : [
🔗 "https://fhir.ee/StructureDefinition/ee-tis-medication-statement"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement MedicationStatement-complex-dosaging</b></p><a name=\"MedicationStatement-complex-dosaging\"> </a><a name=\"hcMedicationStatement-complex-dosaging\"> </a><a name=\"MedicationStatement-complex-dosaging-en-US\"> </a><blockquote><p><b>ExtensionEETISSubstitution</b></p><ul><li>substitutionAllowed: true</li><li>substitutionAllowedReason: <span title=\"Codes:{https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus KP08}\">Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder</span></li></ul></blockquote><p><b>ExtensionEETISTotalPrescribedAmount</b>: 100</p><p><b>ExtensionEETISPrescriptionValidityTime</b>: 2023-11-07</p><blockquote><p><b>ExtensionEETISMedicationRemainder</b></p><ul><li>daysAvailable: 100</li><li>daysDispensed: 30</li></ul></blockquote><blockquote><p><b>ExtensionEETISReimbursementRate</b></p><ul><li>reimbursementRate: <span title=\"Codes:{https://fhir.ee/CodeSystem/retsepti-soodustuse-maar 90}\">90%</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>ExtensionEETISPrescriptionIntent</b>: order</p><blockquote><p><b>ExtensionEETISVerification</b></p><ul><li>verificationTime: 2023-11-09</li><li>verificationAuthor: <a href=\"PractitionerRole-PractRoleD12345.html\">PractitionerRole Doctor</a></li></ul></blockquote><p><b>status</b>: Recorded</p><p><b>category</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/ravikuuri-tyyp P}\">Pidev</span>, <span title=\"Codes:{https://fhir.ee/CodeSystem/statement-origin-category 123}\">ei ole patsiendi ytluse põhjal</span>, <span title=\"Codes:{https://fhir.ee/CodeSystem/retsepti-liik 1}\">tavaretsept</span>, <span title=\"Codes:{https://fhir.ee/CodeSystem/retsepti-kordsus 3}\">3-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-metformin.html\">Medication: extension = metformiin; doseForm = tablett+õhukese polümeerikattega tablett; totalVolume = 120</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>effective</b>: 2015-02-07 13:28:17-0500 --> (ongoing)</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 E12}\">Väärtoitumussuhkurtõbi</span></td></tr></table><p><b>note</b>: muutuv ravimiskeem (By Practitioner/N98765 @2023-09-01)</p><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: esimene nädal</p><p><b>patientInstruction</b>: pool tabletti õhtuti</p><p><b>timing</b>: Once 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>0.5 tablett<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud annustamine codeTA = 'tablet(s)')</span></td></tr></table></blockquote><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: teine nädal</p><p><b>patientInstruction</b>: 1 tablett õhtuti</p><p><b>timing</b>: Once 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><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 3</p><p><b>text</b>: kolmas nädal ja edasi</p><p><b>patientInstruction</b>: 1 tablett hommikul ja 1 tablett õhtul</p><p><b>timing</b>: Once 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><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 3</p><p><b>timing</b>: Once 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></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "substitutionAllowed",
"valueBoolean" : true
},
{
"url" : "substitutionAllowedReason",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus",
"code" : "KP08",
"display" : "Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder"
}
]
}
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-substitution"
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount",
"valueQuantity" : {
"value" : 100
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time",
"valueDateTime" : "2023-11-07"
},
{
"extension" : [
{
"url" : "daysAvailable",
"valueInteger" : 100
},
{
"url" : "daysDispensed",
"valueInteger" : 30
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-medication-remainder"
},
{
"extension" : [
{
"url" : "reimbursementRate",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-soodustuse-maar",
"code" : "90",
"display" : "90%"
}
]
}
},
{
"url" : "reimbursementCondition",
"valueCodeableConcept" : {
"coding" : [
{
"code" : "90_1",
"display" : "siia tuleb kirjeldus vajalikud-tingimused-loendist"
}
]
}
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-volituse-liik",
"code" : "public",
"display" : "Avalik"
}
]
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-prescription-intent",
"valueCode" : "order"
},
{
"extension" : [
{
"url" : "verificationTime",
"valueDateTime" : "2023-11-09"
},
{
"url" : "verificationAuthor",
"valueReference" : {
🔗 "reference" : "PractitionerRole/PractRoleD12345"
}
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-verification"
}
],
"status" : "recorded",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/ravikuuri-tyyp",
"code" : "P",
"display" : "Pidev"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/statement-origin-category",
"code" : "123",
"display" : "ei ole patsiendi ytluse põhjal"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-liik",
"code" : "1",
"display" : "tavaretsept"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-kordsus",
"code" : "3",
"display" : "3-kordne"
}
]
}
],
"medication" : {
"reference" : {
🔗 "reference" : "Medication/metformin"
}
},
"subject" : {
🔗 "reference" : "Patient/pat1MatiMeri"
},
"effectivePeriod" : {
"start" : "2015-02-07T13:28:17-05:00"
},
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/rhk-10",
"code" : "E12",
"display" : "Väärtoitumussuhkurtõbi"
}
]
}
}
],
"note" : [
{
"authorReference" : {
🔗 "reference" : "Practitioner/N98765"
},
"time" : "2023-09-01",
"text" : "muutuv ravimiskeem"
}
],
"dosage" : [
{
"sequence" : 1,
"text" : "esimene nädal",
"patientInstruction" : "pool tabletti õhtuti",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 7,
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d",
"timeOfDay" : [
"21:00:00"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 0.5,
"unit" : "tablett",
"system" : "https://fhir.ee/CodeSystem/retsept-annustamise-yhik",
"code" : "TA"
}
}
]
},
{
"sequence" : 2,
"text" : "teine nädal",
"patientInstruction" : "1 tablett õhtuti",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 7,
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d",
"timeOfDay" : [
"21:00:00"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tablett",
"system" : "https://fhir.ee/CodeSystem/retsept-annustamise-yhik",
"code" : "TA"
}
}
]
},
{
"sequence" : 3,
"text" : "kolmas nädal ja edasi",
"patientInstruction" : "1 tablett hommikul ja 1 tablett õhtul",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 7,
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"frequency" : 1,
"period" : 1,
"periodUnit" : "d",
"timeOfDay" : [
"09:00:00"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tablett",
"system" : "https://fhir.ee/CodeSystem/retsept-annustamise-yhik",
"code" : "TA"
}
}
]
},
{
"sequence" : 3,
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d",
"timeOfDay" : [
"21:00:00"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tablett",
"system" : "https://fhir.ee/CodeSystem/retsept-annustamise-yhik",
"code" : "TA"
}
}
]
}
]
}