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

: MedicationStatement-complex-dosaging - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:MedicationStatement ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "MedicationStatement-complex-dosaging"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.ee/StructureDefinition/ee-tis-medication-statement"^^xsd:anyURI ;
fhir:link <https://fhir.ee/StructureDefinition/ee-tis-medication-statement>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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 --&gt; (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>"
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "substitutionAllowed"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:url [ fhir:v "substitutionAllowedReason"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "KP08" ] ;
fhir:display [ fhir:v "Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder" ]         ] )       ]     ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-substitution"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "100"^^xsd:decimal ]     ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-11-07"^^xsd:date ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "daysAvailable"^^xsd:anyURI ] ;
fhir:value [ fhir:v "100"^^xsd:integer ]     ] [
fhir:url [ fhir:v "daysDispensed"^^xsd:anyURI ] ;
fhir:value [ fhir:v "30"^^xsd:integer ]     ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-medication-remainder"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "reimbursementRate"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsepti-soodustuse-maar"^^xsd:anyURI ] ;
fhir:code [ fhir:v "90" ] ;
fhir:display [ fhir:v "90%" ]         ] )       ]     ] [
fhir:url [ fhir:v "reimbursementCondition"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:code [ fhir:v "90_1" ] ;
fhir:display [ fhir:v "siia tuleb kirjeldus vajalikud-tingimused-loendist" ]         ] )       ]     ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsepti-volituse-liik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "public" ] ;
fhir:display [ fhir:v "Avalik" ]       ] )     ]
  ] [
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-prescription-intent"^^xsd:anyURI ] ;
fhir:value [ fhir:v "order" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "verificationTime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-11-09"^^xsd:date ]     ] [
fhir:url [ fhir:v "verificationAuthor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "PractitionerRole/PractRoleD12345" ]       ]     ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-verification"^^xsd:anyURI ]
  ] ) ; # 
  fhir:status [ fhir:v "recorded"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/ravikuuri-tyyp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "P" ] ;
fhir:display [ fhir:v "Pidev" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/statement-origin-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "123" ] ;
fhir:display [ fhir:v "ei ole patsiendi ytluse põhjal" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsepti-liik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "tavaretsept" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsepti-kordsus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "3-kordne" ]     ] )
  ] ) ; # 
  fhir:medication [
fhir:reference [
fhir:reference [ fhir:v "Medication/metformin" ]     ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/pat1MatiMeri" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2015-02-07T13:28:17-05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:reason ( [
fhir:concept [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/rhk-10"^^xsd:anyURI ] ;
fhir:code [ fhir:v "E12" ] ;
fhir:display [ fhir:v "Väärtoitumussuhkurtõbi" ]       ] )     ]
  ] ) ; # 
  fhir:note ( [
fhir:author [
a fhir:Reference ;
fhir:reference [ fhir:v "Practitioner/N98765" ]     ] ;
fhir:time [ fhir:v "2023-09-01"^^xsd:date ] ;
fhir:text [ fhir:v "muutuv ravimiskeem" ]
  ] ) ; # 
  fhir:dosage ( [
fhir:sequence [ fhir:v "1"^^xsd:integer ] ;
fhir:text [ fhir:v "esimene nädal" ] ;
fhir:patientInstruction [ fhir:v "pool tabletti õhtuti" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Duration ;
fhir:value [ fhir:v "7"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ;
        ( fhir:timeOfDay [ fhir:v "21:00:00"^^xsd:time ] )       ]     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "0.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablett" ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-annustamise-yhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TA" ]       ]     ] )
  ] [
fhir:sequence [ fhir:v "2"^^xsd:integer ] ;
fhir:text [ fhir:v "teine nädal" ] ;
fhir:patientInstruction [ fhir:v "1 tablett õhtuti" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Duration ;
fhir:value [ fhir:v "7"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ;
        ( fhir:timeOfDay [ fhir:v "21:00:00"^^xsd:time ] )       ]     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablett" ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-annustamise-yhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TA" ]       ]     ] )
  ] [
fhir:sequence [ fhir:v "3"^^xsd:integer ] ;
fhir:text [ fhir:v "kolmas nädal ja edasi" ] ;
fhir:patientInstruction [ fhir:v "1 tablett hommikul ja 1 tablett õhtul" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Duration ;
fhir:value [ fhir:v "7"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ;
        ( fhir:timeOfDay [ fhir:v "09:00:00"^^xsd:time ] )       ]     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablett" ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-annustamise-yhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TA" ]       ]     ] )
  ] [
fhir:sequence [ fhir:v "3"^^xsd:integer ] ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ] ;
        ( fhir:timeOfDay [ fhir:v "21:00:00"^^xsd:time ] )       ]     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablett" ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-annustamise-yhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TA" ]       ]     ] )
  ] ) . #