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

Resource Profile: EETISMedicationRenalFunction

Official URL: https://fhir.ee/StructureDefinition/ee-tis-medication-renal-function Version: 1.0.0
Draft as of 2024-02-14 Computable Name: EETISMedicationRenalFunction

Ravim neerufunktsiooni päringu sisendis. Medication resource for input when validating renal function.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... identifier Σ 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... ingredient 1..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... meta
.... versionId 0..1 id Version specific identifier
Example versionId: 1
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... identifier 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... system 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
... status 0..0 active | inactive | entered-in-error
... marketingAuthorizationHolder 0..0 Organization that has authorization to market medication
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... ingredient 1..* BackboneElement Active or inactive ingredient
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient
... batch 0..0 Details about packaged medications
... definition 0..0 Knowledge about this medication

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
Example versionId: 1
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
.... value ΣC 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... totalVolume Σ 0..1 Quantity When the specified product code does not infer a package size, this is the specific amount of drug in the product
... ingredient 1..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional content defined by implementations
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Medication.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Medication.language Base required All Languages 📍5.0.0 FHIR Std.
Medication.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Medication.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 5 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... identifier Σ 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... ingredient 1..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... meta
.... versionId 0..1 id Version specific identifier
Example versionId: 1
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... identifier 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... system 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
... status 0..0 active | inactive | entered-in-error
... marketingAuthorizationHolder 0..0 Organization that has authorization to market medication
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... ingredient 1..* BackboneElement Active or inactive ingredient
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient
... batch 0..0 Details about packaged medications
... definition 0..0 Knowledge about this medication

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
Example versionId: 1
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:atc 1..1 CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
.... extension:name 0..1 string Registered name for the medicinal product.
URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Package code when medication is prescribed based on specific package. ATC is found in extension.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
.... value ΣC 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid . (preferred)
... totalVolume Σ 0..1 Quantity When the specified product code does not infer a package size, this is the specific amount of drug in the product
... ingredient 1..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 1..1 CodeableReference(Substance | Medication) Active ingredient from Ravimiregister value set
Binding: Toimeainete loend (preferred)
.... isActive 1..1 boolean Active ingredient indicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional content defined by implementations
..... value 0..1 boolean Primitive value for boolean
Required Pattern: true
.... strength[x] 1..1 Ratio Strenght ratio of the active ingredient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Medication.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Medication.language Base required All Languages 📍5.0.0 FHIR Std.
Medication.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Medication.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
Medication.doseForm Base preferred Ravimvormid . ⏿24.0.0 term.tehik.ee
Medication.ingredient.​item Base preferred Toimeainete loend 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 5 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron