TUE & Medical Exemptions

TUE & Medical Exemptions extends the basic TUE intake into a full clinical workflow. An application captures ICD-10 diagnosis codes, the prohibited substance and its WADA reference, dosage, route of administration, frequency, treatment duration, prescribing physician details with national registration number, alternative non-prohibited treatments considered and reasons rejected, and supporting evidence uploads (lab results, imaging, specialist letters). On submission the platform routes the case to the federation's TUE Committee — a configurable board of physicians where each member is rostered with specialties (cardiology, endocrinology, pulmonology).

A quorum policy enforces a minimum number of voters and required specialty coverage for the indication; voting is collective with for/against/abstain, conditions on approval (dose ceiling, monitoring, retesting), and an explicit approved-duration. If the committee defers to a national anti-doping organisation, the NADO Referral state machine takes over with states pending → acknowledged → under_review → decided/returned, tracking per-country counterparts (AFLD in France, Antidoping Sverige in Sweden, NADA Deutschland in Germany) with their own correspondence threads, deadlines, and document exchange. Athletes see their TUE state through a player-facing console that shows active, pending, expired, and rejected exemptions, along with expiring-soon alerts at 90, 60, and 30 days.

The renewal workflow generates a pre-filled application from the prior file, allows the physician to update dosage and clinical justification, and runs through the same review path with submitted → under_review → approved/rejected states. Original and renewal records remain linked so the committee can read prior decisions, and approved TUEs are mirrored into Anti-Doping Compliance so any AAF result reviewer immediately sees coverage status.