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

Extension: ExtensionEETISReimbursementRate

Official URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate Version: 1.0.0
Draft as of 2024-01-31 Computable Name: ExtensionEETISReimbursementRate

Soodustuse määr ja tingimused (soodusravimite nimekirja järgi). For representation of the reimbursement rate and reason of prescription medicine. Speciality of prescriber if available and necessary

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

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

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available.
... Slices for extension Content/Rules for all slices
.... extension:reimbursementRate 0..* Extension Extension
..... extension 0..0
..... url 1..1 uri "reimbursementRate"
..... value[x] 0..1 CodeableConcept Reimbursement rate of prescription medicine. 0 | 50 | 75 | 90 | 100
Binding: ER_Soodustuse määr . (preferred): Retsepti soodustuse määr. Loend
.... extension:reimbursementCondition 0..* Extension NB! This is fake cs/VS! Just a name for system. Condition according to the list of reimbursed pharmaceuticals. Code from Retseptikeskus and description as display in text field.
..... extension 0..0
..... url 1..1 uri "reimbursementCondition"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: https://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused (preferred): "Vajalikud tingimused -loend" retseptikeskusest
.... extension:reimbursementSpeciality 0..1 Extension Speciality when prescribing medicine is required as some specialities may have right for a higher reimbursement rate than others.
..... extension 0..0
..... url 1..1 uri "reimbursementSpeciality"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Erialad . (required): "Erialade -loend"
... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available.
... id 0..1 id Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:reimbursementRate 0..* Extension Extension
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementRate"
..... value[x] 0..1 CodeableConcept Reimbursement rate of prescription medicine. 0 | 50 | 75 | 90 | 100
Binding: ER_Soodustuse määr . (preferred): Retsepti soodustuse määr. Loend
.... extension:reimbursementCondition 0..* Extension NB! This is fake cs/VS! Just a name for system. Condition according to the list of reimbursed pharmaceuticals. Code from Retseptikeskus and description as display in text field.
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementCondition"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: https://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused (preferred): "Vajalikud tingimused -loend" retseptikeskusest
.... extension:reimbursementSpeciality 0..1 Extension Speciality when prescribing medicine is required as some specialities may have right for a higher reimbursement rate than others.
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementSpeciality"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Erialad . (required): "Erialade -loend"
... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Soodustuse määr ja tingimused (soodusravimite nimekirja järgi). For representation of the reimbursement rate and reason of prescription medicine. Speciality of prescriber if available and necessary

  • reimbursementRate: CodeableConcept: An Extension
  • reimbursementCondition: CodeableConcept: "Vajalikud tingimused"loendist kood ning kirjeldus. Soodusravimite loetelule vastav tingimus.
  • reimbursementSpeciality: CodeableConcept: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available.
... Slices for extension Content/Rules for all slices
.... extension:reimbursementRate 0..* Extension Extension
..... extension 0..0
..... url 1..1 uri "reimbursementRate"
..... value[x] 0..1 CodeableConcept Reimbursement rate of prescription medicine. 0 | 50 | 75 | 90 | 100
Binding: ER_Soodustuse määr . (preferred): Retsepti soodustuse määr. Loend
.... extension:reimbursementCondition 0..* Extension NB! This is fake cs/VS! Just a name for system. Condition according to the list of reimbursed pharmaceuticals. Code from Retseptikeskus and description as display in text field.
..... extension 0..0
..... url 1..1 uri "reimbursementCondition"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: https://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused (preferred): "Vajalikud tingimused -loend" retseptikeskusest
.... extension:reimbursementSpeciality 0..1 Extension Speciality when prescribing medicine is required as some specialities may have right for a higher reimbursement rate than others.
..... extension 0..0
..... url 1..1 uri "reimbursementSpeciality"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Erialad . (required): "Erialade -loend"
... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available.
... id 0..1 id Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:reimbursementRate 0..* Extension Extension
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementRate"
..... value[x] 0..1 CodeableConcept Reimbursement rate of prescription medicine. 0 | 50 | 75 | 90 | 100
Binding: ER_Soodustuse määr . (preferred): Retsepti soodustuse määr. Loend
.... extension:reimbursementCondition 0..* Extension NB! This is fake cs/VS! Just a name for system. Condition according to the list of reimbursed pharmaceuticals. Code from Retseptikeskus and description as display in text field.
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementCondition"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: https://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused (preferred): "Vajalikud tingimused -loend" retseptikeskusest
.... extension:reimbursementSpeciality 0..1 Extension Speciality when prescribing medicine is required as some specialities may have right for a higher reimbursement rate than others.
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reimbursementSpeciality"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Erialad . (required): "Erialade -loend"
... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Soodustuse määr ja tingimused (soodusravimite nimekirja järgi). For representation of the reimbursement rate and reason of prescription medicine. Speciality of prescriber if available and necessary

  • reimbursementRate: CodeableConcept: An Extension
  • reimbursementCondition: CodeableConcept: "Vajalikud tingimused"loendist kood ning kirjeldus. Soodusravimite loetelule vastav tingimus.
  • reimbursementSpeciality: CodeableConcept: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:reimbursementRate.value[x]preferredRetseptiSoodustuseMaar .
https://fhir.ee/ValueSet/retsepti-soodustuse-maar
Extension.extension:reimbursementCondition.value[x]preferredhttps://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused
https://fhir.ee/ValueSet/ravimi-soodustuse-vajalikud-tingimused
Extension.extension:reimbursementSpeciality.value[x]requiredErialad .
https://fhir.ee/ValueSet/erialad

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()