R4 Ballot #1 #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: (v3.5.0: R4 Ballot 2). #2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.3.1.204 4.4.1.625 Value Set http://hl7.org/fhir/ValueSet/detectedissue-category

Clinical Decision Support Work Group   Maturity Level : 1 0 Trial Use Informative Use Context : Not Intended for Production use

This is a value set defined by the FHIR project.

Summary

Defining URL: http://hl7.org/fhir/ValueSet/detectedissue-category
Version: 3.5.0
Name: DetectedIssueCategory
Title: Detected Issue Category
Definition:

Kinds of issues or contraindications, such as 'drug-drug interaction', 'duplicate therapy', etc.

Committee: Clinical Decision Support Work Group
OID: 2.16.840.1.113883.4.642.3.204 (for OID based terminology systems)
Source Resource XML / JSON

This value set is used in the following places:

4.3.1.204.1 4.4.1.625.1 Content Logical Definition

 

4.3.1.204.2 4.4.1.625.2 Expansion

This expansion generated 03 Apr 19 Aug 2018

This value set contains 82 27 concepts

Expansion based on http://terminology.hl7.org/CodeSystem/v3-ActCode version 2018-08-12

All codes from system http://hl7.org/fhir/v3/ActCode http://terminology.hl7.org/CodeSystem/v3-ActCode

Code Display Definition
_AdministrationDetectedIssueCode AdministrationDetectedIssueCode Administration of the proposed therapy may be inappropriate or contraindicated as proposed _AppropriatenessDetectedIssueCode AppropriatenessDetectedIssueCode AppropriatenessDetectedIssueCode _InteractionDetectedIssueCode InteractionDetectedIssueCode InteractionDetectedIssueCode FOOD Food Interaction Alert Proposed therapy may interact with certain foods
TPROD Therapeutic Product Alert Proposed therapy may interact with an existing or recent therapeutic product
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 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 a positive effect.
OBSA Observation Alert Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient AGE Age Alert Proposed therapy may be inappropriate or contraindicated due to patient age ADALRT adult alert Proposed therapy is outside of the standard practice for an adult patient. GEALRT geriatric alert Proposed therapy is outside of standard practice for a geriatric patient. PEALRT pediatric alert Proposed therapy is outside of the standard practice for a pediatric patient. DOSEHINDA High Dose for Age Alert Proposed dosage exceeds standard practice for the patient's age DOSELINDA Low Dose for Age Alert Proposed dosage is below suggested therapeutic levels for the patient's age COND Condition Alert Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis HGHT HGHT LACT Lactation Alert Proposed therapy may be inappropriate or contraindicated when breast-feeding PREG Pregnancy Alert Proposed therapy may be inappropriate or contraindicated during pregnancy WGHT WGHT CREACT common reaction alert Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted. GEN Genetic Alert Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators. GEND Gender Alert Proposed therapy may be inappropriate or contraindicated due to patient gender. LAB Lab Alert Proposed therapy may be inappropriate or contraindicated due to recent lab test results REACT Reaction Alert Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product ALGY Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.) INT Intolerance Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.) RREACT Related Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product. RALG Related Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.) RAR Related Prior Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product. RINT Related Intolerance Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.) 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 the start of administration is too late after the onset of the condition.
_TimingDetectedIssueCode TimingDetectedIssueCode Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. ENDLATE End Too Late Alert Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATE Start Too Late Alert Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
COMPLY Compliance Alert There may be an issue with the patient complying with the intentions of the proposed therapy DUPTHPY Duplicate Therapy Alert The proposed therapy appears to duplicate an existing therapy DUPTHPCLS duplicate therapeutic alass alert Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary. DUPTHPGEN duplicate generic alert Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy. ABUSE commonly abused/misused alert Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring. FRAUD potential fraud Description:The request is suspected to have a fraudulent basis. PLYDOC Poly-orderer Alert A similar or identical therapy was recently ordered by a different practitioner. PLYPHRM Poly-supplier Alert This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier. DOSE Dosage problem Proposed dosage instructions for therapy differ from standard practice. DOSECOND dosage-condition alert Description:Proposed dosage is inappropriate due to patient's medical condition. DOSEDUR Dose-Duration Alert Proposed length of therapy differs from standard practice. DOSEDURH Dose-Duration High Alert Proposed length of therapy is longer than standard practice DOSEDURHIND Dose-Duration High for Indication Alert Proposed length of therapy is longer than standard practice for the identified indication or diagnosis DOSEDURL Dose-Duration Low Alert Proposed length of therapy is shorter than that necessary for therapeutic effect DOSEDURLIND Dose-Duration Low for Indication Alert Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis DOSEH High Dose Alert Proposed dosage exceeds standard practice DOSEHIND High Dose for Indication Alert High Dose for Indication Alert DOSEHINDSA High Dose for Height/Surface Area Alert Proposed dosage exceeds standard practice for the patient's height or body surface area DOSEHINDW High Dose for Weight Alert Proposed dosage exceeds standard practice for the patient's weight DOSEIVL Dose-Interval Alert Proposed dosage interval/timing differs from standard practice DOSEIVLIND Dose-Interval for Indication Alert Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis DOSEL Low Dose Alert Proposed dosage is below suggested therapeutic levels DOSELIND Low Dose for Indication Alert Low Dose for Indication Alert DOSELINDSA Low Dose for Height/Surface Area Alert Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area DOSELINDW Low Dose for Weight Alert Proposed dosage is below suggested therapeutic levels for the patient's weight MDOSE maximum dosage reached Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded. _ActSuppliedItemDetectedIssueCode ActSuppliedItemDetectedIssueCode Identifies types of detected issues regarding the administration or supply of an item to a patient. _SupplyDetectedIssueCode SupplyDetectedIssueCode Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy ALLDONE already performed Definition:The requested action has already been performed and so this request has no effect
FULFIL fulfillment alert Definition:The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTN no longer actionable Definition:The status of the request being fulfilled has changed such that it is 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.)
NOTEQUIV not equivalent alert Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGEN not generically equivalent alert Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
NOTEQUIVTHER 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 Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVAL outside requested time Definition:The therapy action is being performed outside the bounds of the time period requested
MINFREQ too soon within frequency based on the usage Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
HELD held/suspended alert Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
TOOLATE Refill Too Late Alert The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
TOOSOON Refill Too Soon Alert The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
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.
PATPREF violates stated preferences Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALT violates stated preferences, alternate available Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.

 

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