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.

Context of Use

This extension may be used on the following element(s):

  • Element ID MedicationStatement
  • Element ID MedicationRequest
  • Element ID MedicationDispense

Usage info

Usage:

Formal Views of Extension Content

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

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.

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

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine.
... 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 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 Description (No ValueSet): (preferred): "Vajalikud tingimused -loend" retseptikeskusest

... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine.
... 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 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 Description (No ValueSet): (preferred): "Vajalikud tingimused -loend" retseptikeskusest

... 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.

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

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine.
... 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 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 Description (No ValueSet): (preferred): "Vajalikud tingimused -loend" retseptikeskusest

... 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 & Constraintsdoco
.. Extension 0..* Extension Reimbursement rate and reason of prescription medicine.
... 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 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 Description (No ValueSet): (preferred): "Vajalikud tingimused -loend" retseptikeskusest

... url 1..1 uri "https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:reimbursementRate.value[x]preferredRetseptiSoodustuseMaar (a valid code from ER_Soodustuse määr)
https://fhir.ee/ValueSet/retsepti-soodustuse-maar
from this IG
Extension.extension:reimbursementCondition.value[x]preferred

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()