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
@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 "MedicationStatementAdrenalin"] ; #
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 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>"
] ; #
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 "KP09" ] ;
fhir:display [ fhir:v "Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia" ] ] ) ] ] ) ;
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 "5"^^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 "5"^^xsd:integer ] ] [
fhir:url [ fhir:v "daysDispensed"^^xsd:anyURI ] ;
fhir:value [ fhir:v "5"^^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 "50" ] ;
fhir:display [ fhir:v "50%" ] ] ) ] ] [
fhir:url [ fhir:v "reimbursementCondition"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:code [ fhir:v "50_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:extension [
fhir:url [ fhir:v "requestNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123456" ] ] [
fhir:url [ fhir:v "requestReason"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/myygiloata-ravimi-pohjendus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ML01" ] ;
fhir:display [ fhir:v "Eestis puudub haiguse/seisundi raviks müügiloaga ravim" ] ] ) ] ] [
fhir:url [ fhir:v "requestStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/myygiloata-ravimi-taotluse-otsus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "P" ] ;
fhir:display [ fhir:v "Otsus positiivne" ] ] ) ] ] [
fhir:url [ fhir:v "requestDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-11-11"^^xsd:date ] ] [
fhir:url [ fhir:v "requestReasonText"^^xsd:anyURI ] ;
fhir:value [ fhir:v "siia miskit tarka juttu" ] ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "lockStatus"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ] ] [
fhir:url [ fhir:v "lockOwner"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Tehiku Apteek" ] ] ) ;
fhir:url [ fhir:v "https://fhir.ee/StructureDefinition/ee-tis-lock-status"^^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 "private" ] ;
fhir:display [ fhir:v "Privaatne" ] ] ) ]
] [
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 "U" ] ;
fhir:display [ fhir:v "Ühekordne" ] ] ) ;
fhir:text [ fhir:v "ühekordne" ]
] [
( 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:text [ fhir:v "tavaretsept" ]
] [
( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsepti-kordsus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "1-kordne" ] ] ) ;
fhir:text [ fhir:v "1-kordne" ]
] ) ; #
fhir:medication [
fhir:reference [
fhir:reference [ fhir:v "Medication/adrenalin" ] ]
] ; #
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:derivedFrom ( [
fhir:reference [ fhir:v "MedicationRequest/prescription-adrenalin-pos-dec" ]
] ) ; #
fhir:reason ( [
fhir:concept [
( fhir:coding [
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/rhk-10"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D89.8" ] ;
fhir:display [ fhir:v "Immuunmehhanismi hõlmavad mujal klassifitseerimata muud täpsustatud haigusseisundid" ] ] ) ]
] ) ; #
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 "lõpuks ometi sai müügiloataotlus rahuldatud ja saab ravimit tellida" ]
] ) ; #
fhir:dosage ( [
fhir:patientInstruction [ fhir:v "none" ] ;
fhir:timing [
fhir:repeat [
fhir:count [ fhir:v "1"^^xsd:positiveInteger ] ] ] ;
fhir:asNeeded [ fhir:v "true"^^xsd:boolean ] ;
( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "https://fhir.ee/CodeSystem/retsept-annustamise-yhik"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TK" ] ] ] )
] ) . #
IG © 2024 TEHIK. Package ig-ee-medication-scheme#1.0.0 based on FHIR 5.0.0. Generated 2024-10-28
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