Medication Scheme Implementation Guide
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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-ospen2 - XML Representation

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<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="MedicationStatement-ospen2"/>
  <meta>
    <profile
             value="https://fhir.ee/StructureDefinition/ee-tis-medication-statement"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationStatement MedicationStatement-ospen2</b></p><a name="MedicationStatement-ospen2"> </a><a name="hcMedicationStatement-ospen2"> </a><a name="MedicationStatement-ospen2-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 KP03}">Prohibited because the patient has hypersensitivity for the excipient which is present in all similar medicinal products with same active ingredient</span></li></ul></blockquote><p><b>ExtensionEETISTotalPrescribedAmount</b>: 12</p><p><b>ExtensionEETISPrescriptionValidityTime</b>: 2023-11-07</p><blockquote><p><b>ExtensionEETISMedicationRemainder</b></p><ul><li>daysAvailable: 12</li><li>daysDispensed: 12</li></ul></blockquote><blockquote><p><b>ExtensionEETISReimbursementRate</b></p><ul><li>reimbursementRate: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-soodustuse-maar 75}">75%</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 v}">Volitatud</span></p><p><b>ExtensionEETISPrescriptionIntent</b>: order</p><p><b>ExtensionEETISCancelledStatusReason</b>: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-annulleerimise-pohjus AN01}">Raviskeemi muudatus: soovimatu koos- või kõrvaltoime</span></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 F}">fikseeritud</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 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>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 J13}">Streptococcus pneumoniae tekkene kopsupõletik e pneumoonia</span></td></tr></table><p><b>note</b>: teised antibiootikumid ei anna tulemust (By Practitioner/N98765 @2023-09-01)</p><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: 3 korda päevas</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(unit TA from https://fhir.ee/CodeSystem/retsept-annustamise-yhik)<span style="background: LightGoldenRodYellow"> (Details: ER_Ühikud annustamine  codeTA = 'tablet(s)')</span></td></tr></table></blockquote></div>
  </text>
  <extension url="https://fhir.ee/StructureDefinition/ee-tis-substitution">
    <extension url="substitutionAllowed">
      <valueBoolean value="true"/>
    </extension>
    <extension url="substitutionAllowedReason">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://fhir.ee/CodeSystem/ravimi-asendamatuse-pohjus"/>
          <code value="KP03"/>
          <display
                   value="Prohibited because the patient has hypersensitivity for the excipient which is present in all similar medicinal products with same active ingredient"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount">
    <valueQuantity>
      <value value="12"/>
    </valueQuantity>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time">
    <valueDateTime value="2023-11-07"/>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-medication-remainder">
    <extension url="daysAvailable">
      <valueInteger value="12"/>
    </extension>
    <extension url="daysDispensed">
      <valueInteger value="12"/>
    </extension>
  </extension>
  <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="75"/>
          <display value="75%"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="reimbursementCondition">
      <valueCodeableConcept>
        <coding>
          <code value="75_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="v"/>
        <display value="Volitatud"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-prescription-intent">
    <valueCode value="order"/>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason">
    <valueCodeableConcept>
      <coding>
        <system
                value="https://fhir.ee/CodeSystem/retsepti-annulleerimise-pohjus"/>
        <code value="AN01"/>
        <display
                 value="Raviskeemi muudatus: soovimatu koos- või kõrvaltoime"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="https://fhir.ee/StructureDefinition/ee-tis-verification">
    <extension url="verificationTime">
      <valueDateTime value="2023-11-09"/>
    </extension>
    <extension url="verificationAuthor">
      <valueReference>🔗 
        <reference value="PractitionerRole/PractRoleD12345"/>
      </valueReference>
    </extension>
  </extension>
  <status value="recorded"/>
  <category>
    <coding>
      <system value="https://fhir.ee/CodeSystem/ravikuuri-tyyp"/>
      <code value="F"/>
      <display value="Fikseeritud"/>
    </coding>
    <text value="fikseeritud"/>
  </category>
  <category>
    <coding>
      <system value="https://fhir.ee/CodeSystem/statement-origin-category"/>
      <code value="123"/>
      <display value="ei ole patsiendi ytluse põhjal"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="https://fhir.ee/CodeSystem/retsepti-liik"/>
      <code value="1"/>
      <display value="tavaretsept"/>
    </coding>
    <text value="tavaretsept"/>
  </category>
  <category>
    <coding>
      <system value="https://fhir.ee/CodeSystem/retsepti-kordsus"/>
      <code value="1"/>
      <display value="1-kordne"/>
    </coding>
    <text value="1-kordne"/>
  </category>
  <medication>
    <reference>🔗 
      <reference value="Medication/fenoksymetyylpenitsilliin"/>
    </reference>
  </medication>
  <subject>🔗 
    <reference value="Patient/pat1MatiMeri"/>
  </subject>
  <effectivePeriod>
    <start value="2015-02-07T13:28:17-05:00"/>
  </effectivePeriod>
  <reason>
    <concept>
      <coding>
        <system value="https://fhir.ee/CodeSystem/rhk-10"/>
        <code value="J13"/>
        <display
                 value="Streptococcus pneumoniae tekkene kopsupõletik e pneumoonia"/>
      </coding>
    </concept>
  </reason>
  <note>
    <authorReference>🔗 
      <reference value="Practitioner/N98765"/>
    </authorReference>
    <time value="2023-09-01"/>
    <text value="teised antibiootikumid ei anna tulemust"/>
  </note>
  <dosage>
    <patientInstruction value="3 korda päevas"/>
    <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"/>
        <system value="https://fhir.ee/CodeSystem/retsept-annustamise-yhik"/>
        <code value="TA"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
</MedicationStatement>