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

: MedicationStatementAdrenalin - XML Representation

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<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="MedicationStatementAdrenalin"/>
  <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 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 --&gt; (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>
  </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="KP09"/>
          <display
                   value="Prohibited since it is a medicinal product with fringe benefit or without market authorization in Estonia"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount">
    <valueQuantity>
      <value value="5"/>
    </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="5"/>
    </extension>
    <extension url="daysDispensed">
      <valueInteger value="5"/>
    </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="50"/>
          <display value="50%"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="reimbursementCondition">
      <valueCodeableConcept>
        <coding>
          <code value="50_1"/>
          <display
                   value="siia tuleb kirjeldus vajalikud-tingimused-loendist"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request">
    <extension url="requestNumber">
      <valueId value="123456"/>
    </extension>
    <extension url="requestReason">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://fhir.ee/CodeSystem/myygiloata-ravimi-pohjendus"/>
          <code value="ML01"/>
          <display
                   value="Eestis puudub haiguse/seisundi raviks müügiloaga ravim"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="requestStatus">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://fhir.ee/CodeSystem/myygiloata-ravimi-taotluse-otsus"/>
          <code value="P"/>
          <display value="Otsus positiivne"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="requestDate">
      <valueDateTime value="2023-11-11"/>
    </extension>
    <extension url="requestReasonText">
      <valueString value="siia miskit tarka juttu"/>
    </extension>
  </extension>
  <extension url="https://fhir.ee/StructureDefinition/ee-tis-lock-status">
    <extension url="lockStatus">
      <valueBoolean value="true"/>
    </extension>
    <extension url="lockOwner">
      <valueString value="Tehiku Apteek"/>
    </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="private"/>
        <display value="Privaatne"/>
      </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-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="U"/>
      <display value="Ühekordne"/>
    </coding>
    <text value="ühekordne"/>
  </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/adrenalin"/>
    </reference>
  </medication>
  <subject>🔗 
    <reference value="Patient/pat1MatiMeri"/>
  </subject>
  <effectivePeriod>
    <start value="2015-02-07T13:28:17-05:00"/>
  </effectivePeriod>
  <derivedFrom>🔗 
    <reference value="MedicationRequest/prescription-adrenalin-pos-dec"/>
  </derivedFrom>
  <reason>
    <concept>
      <coding>
        <system value="https://fhir.ee/CodeSystem/rhk-10"/>
        <code value="D89.8"/>
        <display
                 value="Immuunmehhanismi hõlmavad mujal klassifitseerimata muud täpsustatud haigusseisundid"/>
      </coding>
    </concept>
  </reason>
  <note>
    <authorReference>🔗 
      <reference value="Practitioner/N98765"/>
    </authorReference>
    <time value="2023-09-01"/>
    <text
          value="lõpuks ometi sai müügiloataotlus rahuldatud ja saab ravimit tellida"/>
  </note>
  <dosage>
    <patientInstruction value="none"/>
    <timing>
      <repeat>
        <count value="1"/>
      </repeat>
    </timing>
    <asNeeded value="true"/>
    <doseAndRate>
      <doseQuantity>
        <value value="1"/>
        <system value="https://fhir.ee/CodeSystem/retsept-annustamise-yhik"/>
        <code value="TK"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
</MedicationStatement>