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
<MedicationStatement xmlns="http://hl7.org/fhir">
<id value="MedicationStatementNovorapid"/>
<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 MedicationStatementNovorapid</b></p><a name="MedicationStatementNovorapid"> </a><a name="hcMedicationStatementNovorapid"> </a><a name="MedicationStatementNovorapid-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>: 15</p><p><b>ExtensionEETISPrescriptionValidityTime</b>: 2023-11-07</p><blockquote><p><b>ExtensionEETISMedicationRemainder</b></p><ul><li>daysAvailable: 30</li><li>daysDispensed: 10</li></ul></blockquote><blockquote><p><b>ExtensionEETISReimbursementRate</b></p><ul><li>reimbursementRate: <span title="Codes:{https://fhir.ee/CodeSystem/retsepti-soodustuse-maar 100}">100%</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><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-novorapid.html">Medication: extension = fenoksümetüülpenitsilliin,Novorapid Flexpen; 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 --> (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 E10.9}">Insuliinisõltuv suhkurtõbi tüsistusteta</span></td></tr></table><p><b>note</b>: patsient jälgib ilusti ravimiskeemi (By Practitioner/N98765 @2023-09-01)</p><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: süstida kõhunaha alla</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>12 toimeaine ühik<span style="background: LightGoldenRodYellow"> (Details: ER_Ühikud annustamine codeTY = 'unit(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="KP08"/>
<display
value="Prohibited because the patient has been diagnosed with concurrent mental or behavioural disorder"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount">
<valueQuantity>
<value value="15"/>
</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="30"/>
</extension>
<extension url="daysDispensed">
<valueInteger value="10"/>
</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="100"/>
<display value="100%"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="reimbursementCondition">
<valueCodeableConcept>
<coding>
<code value="100_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-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="P"/>
<display value="Pidev"/>
</coding>
<text value="pidev"/>
</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="3"/>
<display value="3-kordne"/>
</coding>
<text value="3-kordne"/>
</category>
<medication>
<reference>🔗
<reference value="Medication/novorapid"/>
</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="E10.9"/>
<display value="Insuliinisõltuv suhkurtõbi tüsistusteta"/>
</coding>
</concept>
</reason>
<note>
<authorReference>🔗
<reference value="Practitioner/N98765"/>
</authorReference>
<time value="2023-09-01"/>
<text value="patsient jälgib ilusti ravimiskeemi"/>
</note>
<dosage>
<patientInstruction value="süstida kõhunaha alla"/>
<timing>
<repeat>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="12"/>
<unit value="toimeaine ühik"/>
<system value="https://fhir.ee/CodeSystem/retsept-annustamise-yhik"/>
<code value="TY"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>