This
page
is
part
of
the
FHIR
Specification
(v5.0.0:
R5
-
STU
v6.0.0-ballot3:
Release
6
Ballot
(3rd
Draft)
(see
Ballot
Notes
).
This
is
the
The
current
published
version
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Include
these
codes
from
as
defined
in
http://terminology.hl7.org/CodeSystem/v3-ActCode
where
concept
is-a
_SupplyDetectedIssueCode
4.4.1.761.3
Expansion
This
expansion
generated
26
Mar
2023
This
value
set
contains
78
concepts
Expansion
based
on
ActCode
v8.0.0
(CodeSystem)
AdministrationDetectedIssueCode
Administration
of
the
proposed
therapy
may
be
inappropriate
or
contraindicated
as
proposed
_AppropriatenessDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
AppropriatenessDetectedIssueCode
_InteractionDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
InteractionDetectedIssueCode
FOOD
Proposed
therapy
may
interact
with
an
existing
or
recent
therapeutic
product
DRG
DRUG
http://terminology.hl7.org/CodeSystem/v3-ActCode
Drug
Interaction
Alert
Proposed
therapy
may
interact
with
an
existing
or
recent
drug
therapy
NHP
http://terminology.hl7.org/CodeSystem/v3-ActCode
Natural
Health
Product
Alert
Proposed
therapy
may
interact
with
existing
or
recent
natural
health
product
therapy
NONRX
http://terminology.hl7.org/CodeSystem/v3-ActCode
Non-Prescription
Interaction
Alert
Proposed
therapy
may
interact
with
a
non-prescription
drug
(e.g.
alcohol,
tobacco,
Aspirin)
OBSA
http://terminology.hl7.org/CodeSystem/v3-ActCode
Observation
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
conditions
or
characteristics
of
the
patient
AGE
http://terminology.hl7.org/CodeSystem/v3-ActCode
Age
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
patient
age
ADALRT
http://terminology.hl7.org/CodeSystem/v3-ActCode
adult
alert
Proposed
therapy
is
outside
of
the
standard
practice
for
an
adult
patient.
DOSEHINDA
http://terminology.hl7.org/CodeSystem/v3-ActCode
High
Dose
for
Age
Alert
Proposed
dosage
exceeds
standard
practice
for
the
patient's
age
DOSELINDA
http://terminology.hl7.org/CodeSystem/v3-ActCode
Low
Dose
for
Age
Alert
Proposed
dosage
is
below
suggested
therapeutic
levels
for
the
patient's
age
GEALRT
http://terminology.hl7.org/CodeSystem/v3-ActCode
geriatric
alert
Proposed
therapy
is
outside
of
standard
practice
for
a
geriatric
patient.
PEALRT
http://terminology.hl7.org/CodeSystem/v3-ActCode
pediatric
alert
Proposed
therapy
is
outside
The
introduction
of
the
standard
practice
for
a
pediatric
patient.
COND
http://terminology.hl7.org/CodeSystem/v3-ActCode
Condition
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
an
existing/recent
patient
condition
or
diagnosis
HGHT
http://terminology.hl7.org/CodeSystem/v3-ActCode
LACT
http://terminology.hl7.org/CodeSystem/v3-ActCode
Lactation
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
when
breast-feeding
PREG
http://terminology.hl7.org/CodeSystem/v3-ActCode
Pregnancy
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
during
pregnancy
WGHT
http://terminology.hl7.org/CodeSystem/v3-ActCode
CREACT
http://terminology.hl7.org/CodeSystem/v3-ActCode
common
reaction
alert
**Description:**Proposed
therapy
may
be
inappropriate
or
contraindicated
because
of
drug
into
a
common
but
non-patient
specific
reaction
to
subject
with
the
product.
**Example:**There
is
no
record
intention
of
a
specific
sensitivity
for
the
patient,
but
altering
its
biologic
state
with
the
presence
intent
of
the
sensitivity
is
common
and
therefore
caution
is
warranted.
GEN
http://terminology.hl7.org/CodeSystem/v3-ActCode
Genetic
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
patient
genetic
indicators.
GEND
http://terminology.hl7.org/CodeSystem/v3-ActCode
Gender
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
patient
gender.
LAB
http://terminology.hl7.org/CodeSystem/v3-ActCode
Lab
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
due
to
recent
lab
test
results
improving
its
health
status.
Proposed
therapy
may
be
inappropriate
or
contraindicated
because
of
a
recorded
patient
allergy
to
the
proposed
product.
(Allergies
are
immune
based
reactions.)
INT
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
Related
Reaction
Alert
Proposed
therapy
may
be
inappropriate
or
contraindicated
because
of
a
potential
patient
reaction
to
a
cross-sensitivity
related
product.
RALG
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
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.)
PREVINEF
http://terminology.hl7.org/CodeSystem/v3-ActCode
previously
ineffective
**Definition:**The
same
or
similar
treatment
has
previously
been
attempted
with
the
patient
without
achieving
a
positive
effect.
COMPLY
http://terminology.hl7.org/CodeSystem/v3-ActCode
Compliance
Alert
There
may
be
an
issue
with
the
patient
complying
with
the
intentions
of
the
proposed
therapy
DUPTHPY
**Description:**The
proposed
therapy
appears
to
have
the
same
intended
therapeutic
benefit
as
an
existing
therapy,
though
the
specific
mechanisms
of
action
vary.
**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
http://terminology.hl7.org/CodeSystem/v3-ActCode
commonly
abused/misused
alert
**Description:**The
proposed
therapy
is
frequently
misused
or
abused
and
therefore
should
be
used
with
caution
and/or
monitoring.
4.4.1.792.3
Expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode
potential
fraud
**Description:**The
request
is
suspected
to
have
a
fraudulent
basis.
This
expansion
generated
01
Apr
2025
A
similar
or
identical
therapy
was
recently
ordered
by
a
different
practitioner.
PLYPHRM
http://terminology.hl7.org/CodeSystem/v3-ActCode
Poly-supplier
Alert
ValueSet
This
patient
was
recently
supplied
a
similar
or
identical
therapy
from
a
different
pharmacy
or
supplier.
DACT
http://terminology.hl7.org/CodeSystem/v3-ActCode
drug
action
detected
issue
**Description:**Proposed
therapy
may
be
contraindicated
or
ineffective
Expansion
performed
internally
based
on
an
existing
or
recent
drug
therapy.
DOSE
http://terminology.hl7.org/CodeSystem/v3-ActCode
Dosage
problem
Proposed
dosage
instructions
for
therapy
differ
from
standard
practice.
DOSECOND
codesystem
ActCode
v9.0.0
(CodeSystem)
http://terminology.hl7.org/CodeSystem/v3-ActCode
dosage-condition
alert
**Description:**Proposed
dosage
is
inappropriate
due
to
patient's
medical
condition.
Proposed
length
of
therapy
differs
from
standard
practice.
This
value
set
contains
4
concepts
DOSEDURH
http://terminology.hl7.org/CodeSystem/v3-ActCode
Code
Dose-Duration
High
Alert
Proposed
length
of
therapy
is
longer
than
standard
practice
DOSEDURHIND
http://terminology.hl7.org/CodeSystem/v3-ActCode
System
Dose-Duration
High
for
Indication
Alert
Proposed
length
of
therapy
is
longer
than
standard
practice
for
the
identified
indication
or
diagnosis
DOSEDURL
http://terminology.hl7.org/CodeSystem/v3-ActCode
Display
Dose-Duration
Low
Alert
Proposed
length
of
therapy
is
shorter
than
that
necessary
for
therapeutic
effect
Definition
Dose-Duration
Low
for
Indication
Food
Interaction
Alert
Proposed
length
of
therapy
is
shorter
than
standard
practice
for
the
identified
indication
or
diagnosis
DOSEH
http://terminology.hl7.org/CodeSystem/v3-ActCode
High
Dose
Alert
Proposed
dosage
exceeds
standard
practice
DOSEHIND
http://terminology.hl7.org/CodeSystem/v3-ActCode
High
Dose
for
Indication
Alert
DOSEHINDSA
http://terminology.hl7.org/CodeSystem/v3-ActCode
High
Dose
for
Height/Surface
Area
Alert
Proposed
dosage
exceeds
standard
practice
for
the
patient's
height
or
body
surface
area
DOSEHINDW
http://terminology.hl7.org/CodeSystem/v3-ActCode
High
Dose
for
Weight
Alert
Proposed
dosage
exceeds
standard
practice
for
the
patient's
weight
DOSEIVL
http://terminology.hl7.org/CodeSystem/v3-ActCode
Dose-Interval
Alert
Proposed
dosage
interval/timing
differs
from
standard
practice
DOSEIVLIND
http://terminology.hl7.org/CodeSystem/v3-ActCode
Dose-Interval
for
Indication
Alert
Proposed
dosage
interval/timing
differs
from
standard
practice
for
the
identified
indication
or
diagnosis
DOSEL
http://terminology.hl7.org/CodeSystem/v3-ActCode
Low
Dose
Alert
Proposed
dosage
is
below
suggested
therapeutic
levels
DOSELIND
http://terminology.hl7.org/CodeSystem/v3-ActCode
Low
Dose
for
Indication
Alert
DOSELINDSA
http://terminology.hl7.org/CodeSystem/v3-ActCode
Low
Dose
for
Height/Surface
Area
Alert
Proposed
dosage
is
below
suggested
therapeutic
levels
for
the
patient's
height
or
body
surface
area
may
interact
with
certain
foods
Proposed
dosage
is
below
suggested
therapeutic
levels
for
the
patient's
weight
MDOSE
http://terminology.hl7.org/CodeSystem/v3-ActCode
maximum
dosage
reached
**Description:**The
maximum
quantity
The
introduction
of
this
a
drug
allowed
to
be
administered
within
into
a
particular
time-range
(month,
year,
lifetime)
has
been
reached
or
exceeded.
TIME
http://terminology.hl7.org/CodeSystem/v3-ActCode
timing
detected
issue
**Description:**Proposed
therapy
may
be
inappropriate
or
ineffective
based
on
the
proposed
start
or
end
time.
ALRTENDLATE
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
start
too
late
alert
**Definition:**Proposed
therapy
may
be
inappropriate
or
ineffective
because
the
start
of
administration
is
too
late
after
subject
with
the
onset
intention
of
altering
its
biologic
state
with
the
condition.
_DrugActionDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
DrugActionDetectedIssueCode
Proposed
therapy
may
be
contraindicated
or
ineffective
based
on
an
existing
or
recent
drug
therapy
_TimingDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
TimingDetectedIssueCode
Proposed
therapy
may
be
inappropriate
or
ineffective
based
on
the
proposed
start
or
end
time.
ENDLATE
http://terminology.hl7.org/CodeSystem/v3-ActCode
End
Too
Late
Alert
Proposed
therapy
may
be
inappropriate
or
ineffective
because
the
end
intent
of
administration
is
too
close
to
another
planned
therapy
improving
its
health
status.
Proposed
therapy
may
be
inappropriate
or
ineffective
contraindicated
because
the
start
of
administration
is
too
late
after
the
onset
of
the
condition
_ActSuppliedItemDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
ActSuppliedItemDetectedIssueCode
Identifies
types
of
detected
issues
regarding
the
administration
or
supply
of
an
item
to
a
patient.
_SupplyDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
SupplyDetectedIssueCode
Supplying
the
product
at
this
time
may
be
inappropriate
or
indicate
compliance
issues
with
the
associated
therapy
ALLDONE
http://terminology.hl7.org/CodeSystem/v3-ActCode
already
performed
**Definition:**The
requested
action
has
already
been
performed
and
so
this
request
has
no
effect
FULFIL
http://terminology.hl7.org/CodeSystem/v3-ActCode
fulfillment
alert
**Definition:**The
therapy
being
performed
is
in
some
way
out
of
alignment
with
the
requested
therapy.
NOTACTN
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
not
equivalent
alert
**Definition:**The
therapy
being
performed
is
not
sufficiently
equivalent
to
the
therapy
which
was
requested.
NOTEQUIVGEN
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
not
therapeutically
equivalent
alert
**Definition:**The
therapy
being
performed
is
not
therapeutically
equivalent
(having
the
same
overall
recorded
patient
effect)
allergy
to
the
therapy
which
was
requested.
TIMING
http://terminology.hl7.org/CodeSystem/v3-ActCode
event
timing
incorrect
alert
**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
**Definition:**The
therapy
action
is
being
performed
outside
the
bounds
of
the
time
period
requested
MINFREQ
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
held/suspended
alert
**Definition:**There
should
be
no
actions
taken
in
fulfillment
of
a
request
that
has
been
held
or
suspended.
TOOLATE
http://terminology.hl7.org/CodeSystem/v3-ActCode
Refill
Too
Late
Alert
The
patient
is
receiving
a
subsequent
fill
significantly
later
than
would
be
expected
proposed
product.
(Allergies
are
immune
based
on
the
amount
previously
supplied
and
the
therapy
dosage
instructions
reactions.)
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
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
http://terminology.hl7.org/CodeSystem/v3-ActCode
violates
stated
preferences
**Definition:**The
proposed
therapy
goes
against
preferences
or
consent
constraints
recorded
in
the
patient's
record.
PATPREFALT
http://terminology.hl7.org/CodeSystem/v3-ActCode
violates
stated
preferences,
alternate
available
**Definition:**The
proposed
therapy
goes
against
preferences
or
consent
constraints
recorded
in
the
patient's
record.
An
alternate
appears
to
duplicate
an
existing
therapy
meeting
those
constraints
is
available.
_ClinicalActionDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode
ClinicalActionDetectedIssueCode
Identifies
types
of
issues
detected
regarding
the
performance
of
a
clinical
action
on
a
patient.
CAREGAP
http://terminology.hl7.org/CodeSystem/v3-ActCode
Caregap
Identifies
the
type
of
detected
issue
is
a
care
gap
CODINGGAP
http://terminology.hl7.org/CodeSystem/v3-ActCode
Codinggap
Identifies
the
type
of
detected
issue
is
a
risk
adjustment
coding
gap
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