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" : "MedicationStatementAdrenalin",
"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 MedicationStatementAdrenalin</b></p><a name=\"MedicationStatementAdrenalin\"> </a><a name=\"hcMedicationStatementAdrenalin\"> </a><a name=\"MedicationStatementAdrenalin-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 KP09}\">Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia</span></li></ul></blockquote><p><b>ExtensionEETISTotalPrescribedAmount</b>: 5</p><p><b>ExtensionEETISPrescriptionValidityTime</b>: 2023-11-07</p><blockquote><p><b>ExtensionEETISMedicationRemainder</b></p><ul><li>daysAvailable: 5</li><li>daysDispensed: 5</li></ul></blockquote><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><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 P}\">Otsus positiivne</span></li><li>requestDate: 2023-11-11</li><li>requestReasonText: siia miskit tarka juttu</li></ul></blockquote><blockquote><p><b>ExtensionEETISLockStatus</b></p><ul><li>lockStatus: true</li><li>lockOwner: Tehiku Apteek</li></ul></blockquote><p><b>ExtensionEETISDispensationAuthorization</b>: <span title=\"Codes:{https://fhir.ee/CodeSystem/retsepti-volituse-liik private}\">Privaatne</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 U}\">ühekordne</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-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>effective</b>: 2015-02-07 13:28:17-0500 --> (ongoing)</p><p><b>derivedFrom</b>: <a href=\"MedicationRequest-prescription-adrenalin-pos-dec.html\">MedicationRequest: extension = ,Avalik,,; identifier = 1018862058; status = active; statusChanged = 2023-11-07; intent = proposal; category = tavaretsept,1-kordne; authoredOn = 2023-11-07</a></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><p><b>note</b>: lõpuks ometi sai müügiloataotlus rahuldatud ja saab ravimit tellida (By Practitioner/N98765 @2023-09-01)</p><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: none</p><p><b>timing</b>: Count 1 times, Once</p><p><b>asNeeded</b>: true</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 TK from https://fhir.ee/CodeSystem/retsept-annustamise-yhik)<span style=\"background: LightGoldenRodYellow\"> (Details: ER_Ühikud annustamine codeTK = 'piece(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" : "KP09",
"display" : "Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia"
}
]
}
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-substitution"
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount",
"valueQuantity" : {
"value" : 5
}
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time",
"valueDateTime" : "2023-11-07"
},
{
"extension" : [
{
"url" : "daysAvailable",
"valueInteger" : 5
},
{
"url" : "daysDispensed",
"valueInteger" : 5
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-medication-remainder"
},
{
"extension" : [
{
"url" : "reimbursementRate",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-soodustuse-maar",
"code" : "50",
"display" : "50%"
}
]
}
},
{
"url" : "reimbursementCondition",
"valueCodeableConcept" : {
"coding" : [
{
"code" : "50_1",
"display" : "siia tuleb kirjeldus vajalikud-tingimused-loendist"
}
]
}
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"
},
{
"extension" : [
{
"url" : "requestNumber",
"valueId" : "123456"
},
{
"url" : "requestReason",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/myygiloata-ravimi-pohjendus",
"code" : "ML01",
"display" : "Eestis puudub haiguse/seisundi raviks müügiloaga ravim"
}
]
}
},
{
"url" : "requestStatus",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/myygiloata-ravimi-taotluse-otsus",
"code" : "P",
"display" : "Otsus positiivne"
}
]
}
},
{
"url" : "requestDate",
"valueDateTime" : "2023-11-11"
},
{
"url" : "requestReasonText",
"valueString" : "siia miskit tarka juttu"
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request"
},
{
"extension" : [
{
"url" : "lockStatus",
"valueBoolean" : true
},
{
"url" : "lockOwner",
"valueString" : "Tehiku Apteek"
}
],
"url" : "https://fhir.ee/StructureDefinition/ee-tis-lock-status"
},
{
"url" : "https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-volituse-liik",
"code" : "private",
"display" : "Privaatne"
}
]
}
},
{
"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" : "U",
"display" : "Ühekordne"
}
],
"text" : "ühekordne"
},
{
"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"
}
],
"text" : "tavaretsept"
},
{
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/retsepti-kordsus",
"code" : "1",
"display" : "1-kordne"
}
],
"text" : "1-kordne"
}
],
"medication" : {
"reference" : {
🔗 "reference" : "Medication/adrenalin"
}
},
"subject" : {
🔗 "reference" : "Patient/pat1MatiMeri"
},
"effectivePeriod" : {
"start" : "2015-02-07T13:28:17-05:00"
},
"derivedFrom" : [
{
🔗 "reference" : "MedicationRequest/prescription-adrenalin-pos-dec"
}
],
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.ee/CodeSystem/rhk-10",
"code" : "D89.8",
"display" : "Immuunmehhanismi hõlmavad mujal klassifitseerimata muud täpsustatud haigusseisundid"
}
]
}
}
],
"note" : [
{
"authorReference" : {
🔗 "reference" : "Practitioner/N98765"
},
"time" : "2023-09-01",
"text" : "lõpuks ometi sai müügiloataotlus rahuldatud ja saab ravimit tellida"
}
],
"dosage" : [
{
"patientInstruction" : "none",
"timing" : {
"repeat" : {
"count" : 1
}
},
"asNeeded" : true,
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"system" : "https://fhir.ee/CodeSystem/retsept-annustamise-yhik",
"code" : "TK"
}
}
]
}
]
}