Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). 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

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.167 4.4.1.491 Value Set ValueSet http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action

Clinical Decision Support icon Work Group   Maturity Level : 0 Informative Use Context : Any Country: World
This is a value set defined by the FHIR project.
    Summary
  • Narrative Defining URL:
    • http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action
  • XML Version:
    • 4.3.0
  • JSON Name:
    • DetectedIssueMitigationAction
  • TTL
Committee:
Official URL : Title: http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action Detected Issue Mitigation Action Definition: Kinds of mitigating actions and observations that can be associated with a detected issue or contraindication, such as 'added concurrent therapy', 'prior therapy documented', etc. Version : 5.0.0-draft-final
draft as of 2023-03-01 Clinical Decision Support Computable Name : DetectedIssueMitigationAction Work Group
OID: Flags : 2.16.840.1.113883.4.642.3.205 (for OID based terminology systems) Source Resource XML / JSON : 2.16.840.1.113883.4.642.3.205

This value set is used in the following places:

4.4.1.167.1 4.4.1.491.1 Definition

Kinds of mitigating actions and observations that can be associated with a detected issue or contraindication, such as 'added concurrent therapy', 'prior therapy documented', etc.

4.4.1.491.2 Content Logical Definition

 

4.4.1.167.2 4.4.1.491.3 Expansion

This expansion generated 28 May 2022 01 Mar 2023

This value set contains 24 concepts

Expansion based on ActCode v6.1.0 (CodeSystem) All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-ActCode icon

Level Code System Display Definition
1    _ActDetectedIssueManagementCode icon http://terminology.hl7.org/CodeSystem/v3-ActCode ActDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations

2      _ActAdministrativeDetectedIssueManagementCode icon http://terminology.hl7.org/CodeSystem/v3-ActCode ActAdministrativeDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.

3        _AuthorizationIssueManagementCode icon http://terminology.hl7.org/CodeSystem/v3-ActCode Authorization Issue Management Code
4          EMAUTH icon http://terminology.hl7.org/CodeSystem/v3-ActCode emergency authorization override

Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.

5            21 icon http://terminology.hl7.org/CodeSystem/v3-ActCode authorization confirmed **Description:**

Description: Indicates that the permissions have been externally verified and the request should be processed.

2      1 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Therapy Appropriate

Confirmed drug therapy appropriate

3        19 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Supplier

Consulted other supplier/pharmacy, therapy confirmed

3        2 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Assessed Patient

Assessed patient, therapy is appropriate

3        22 icon http://terminology.hl7.org/CodeSystem/v3-ActCode appropriate indication or diagnosis **Description:**

Description: The patient has the appropriate indication or diagnosis for the action to be taken.

3        23 icon http://terminology.hl7.org/CodeSystem/v3-ActCode prior therapy documented **Description:**

Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.

3        3 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Patient Explanation

Patient gave adequate explanation

3        4 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Other Source

Consulted other supply source, therapy still appropriate

3        5 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Prescriber

Consulted prescriber, therapy confirmed

4          6 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Prescriber Declined Change

Consulted prescriber and recommended change, prescriber declined

3        7 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Interacting Therapy No Longer Active/Planned

Concurrent therapy triggering alert is no longer on-going or planned

2      14 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Supply Appropriate

Confirmed supply action appropriate

3        15 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Replacement

Patient's existing supply was lost/wasted

3        16 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Vacation Supply

Supply date is due to patient vacation

3        17 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Weekend Supply

Supply date is intended to carry patient over weekend

3        18 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Leave of Absence

Supply is intended for use during a leave of absence from an institution.

3        20 icon http://terminology.hl7.org/CodeSystem/v3-ActCode additional quantity on separate dispense **Description:**

Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.

2      8 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Other Action Taken

Order is performed as issued, but other action taken to mitigate potential adverse effects

3        10 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Provided Patient Education

Provided education or training to the patient on appropriate therapy use

3        11 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Added Concurrent Therapy

Instituted an additional therapy to mitigate potential negative effects

3        12 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Temporarily Suspended Concurrent Therapy

Suspended existing therapy that triggered interaction for the duration of this therapy

3        13 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Stopped Concurrent Therapy

Aborted existing therapy that triggered interaction.

3        9 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Instituted Ongoing Monitoring Program

Arranged to monitor patient for adverse effects

2      _ActFinancialDetectedIssueManagementCode icon http://terminology.hl7.org/CodeSystem/v3-ActCode ActFinancialDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations for the financial acts domain.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code