4.4.1.650 4.4.1.715 Value Set ValueSet http://hl7.org/fhir/ValueSet/detectedissue-category

Generated Narrative: ValueSet detectedissue-category This value set contains 27 concepts

• Include these codes from system as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 📦9.0.0 TPROD Therapeutic Product Alert

  Code	Display	Definition
  FOOD	Food Interaction Alert	Proposed therapy may interact with certain foods
  Proposed therapy may interact with an existing or recent therapeutic product DRUG DRG	Drug Interaction Alert	Proposed therapy may interact with an existing or recent drug therapy NHP Natural Health Product Alert Proposed therapy may interact with existing or recent natural health product therapy NONRX Non-Prescription Interaction Alert Proposed therapy may interact with The introduction of a non-prescription drug (e.g. alcohol, tobacco, Aspirin) PREVINEF previously ineffective Definition:The same or similar treatment has previously been attempted with the patient without achieving into a positive effect. DACT drug action detected issue Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy. TIME timing detected issue Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. ALRTENDLATE end too late alert Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy. ALRTSTRTLATE start too late alert Definition:Proposed therapy may be inappropriate or ineffective because subject with the start intention of administration is too late after altering its biologic state with the onset intent of the condition. improving its health status.
  ALGY ENDLATE	End Too Late Allergy Alert	Proposed therapy may be inappropriate or ineffective contraindicated because the end of administration is too close a recorded patient allergy to another planned therapy the proposed product. (Allergies are immune based reactions.)
  DUPTHPY STRTLATE	Start Too Late Duplicate Therapy Alert	Proposed The proposed therapy appears to duplicate an existing therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition

ValueSet

Expansion performed internally based on codesystem ActCode v9.0.0 (CodeSystem) NOTACTN no longer actionable

This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.) value set contains 4 concepts

not equivalent alert Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested. NOTEQUIVGEN not generically equivalent alert System Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.	NOTEQUIVTHER Code not therapeutically equivalent alert	Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested. TIMING event timing incorrect alert Display Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVAL http://terminology.hl7.org/CodeSystem/v3-ActCode outside requested time	FOOD MINFREQ	Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency Food Interaction Alert
HELD http://terminology.hl7.org/CodeSystem/v3-ActCode held/suspended alert	DRUG TOOLATE	Refill Too Late Drug Interaction Alert
TOOSOON http://terminology.hl7.org/CodeSystem/v3-ActCode Refill Too Soon Alert	ALGY HISTORIC	record recorded as historical Description: While the record was accepted in the repository, there is a more recent version of a record of this type. Allergy Alert
PATPREF violates stated preferences http://terminology.hl7.org/CodeSystem/v3-ActCode Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.	DUPTHPY PATPREFALT	Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available. Duplicate Therapy Alert