Release 5 R6 Ballot (3rd Draft)

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

4.4.1.761 4.4.1.792 ValueSet http://hl7.org/fhir/ValueSet/detectedissue-category

Clinical Decision Support icon Work Group   Maturity Level : 0 Informative Use Context : Country: World
Official URL : http://hl7.org/fhir/ValueSet/detectedissue-category Version : 5.0.0 6.0.0-ballot3
draft active as of 2023-03-26 2025-04-01 Computable Name : DetectedIssueCategory
Flags : OID : 2.16.840.1.113883.4.642.3.204

This value set is used in the following places:

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


This value set includes codes based on the following rules: Include codes from

http://terminology.hl7.org/CodeSystem/v3-ActCode Generated Narrative: ValueSet detectedissue-category where concept is-a _AdministrationDetectedIssueCode

Include codes from http://terminology.hl7.org/CodeSystem/v3-ActCode where concept is-a _ActSuppliedItemDetectedIssueCode
Include codes from http://terminology.hl7.org/CodeSystem/v3-ActCode

Last updated: 2025-04-01T12:16:37.966+11:00

Profile: Shareable ValueSet where concept is-a _ClinicalActionDetectedIssueCode

  • Include these codes from as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode icon 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 http://terminology.hl7.org/CodeSystem/v3-ActCode    TPROD http://terminology.hl7.org/CodeSystem/v3-ActCode Therapeutic Product Alert    REACT http://terminology.hl7.org/CodeSystem/v3-ActCode Reaction Alert    RINT http://terminology.hl7.org/CodeSystem/v3-ActCode Related Intolerance Alert    DUPTHPCLS http://terminology.hl7.org/CodeSystem/v3-ActCode duplicate therapeutic alass alert
    Code System Display Definition
    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 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Food Interaction Alert Proposed therapy may interact with certain foods
    Proposed therapy may interact with an existing or recent therapeutic product    DRG DRUG icon 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 based on the potential for a patient reaction to the proposed product    ALGY icon http://terminology.hl7.org/CodeSystem/v3-ActCode 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 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.
    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 icon http://terminology.hl7.org/CodeSystem/v3-ActCode Duplicate Therapy Alert The proposed therapy appears to duplicate an existing therapy
**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
   DUPTHPGEN http://terminology.hl7.org/CodeSystem/v3-ActCode 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

**Description:**The request is suspected to have a fraudulent basis. This expansion generated 01 Apr 2025

   PLYDOC http://terminology.hl7.org/CodeSystem/v3-ActCode Poly-orderer Alert
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) icon http://terminology.hl7.org/CodeSystem/v3-ActCode dosage-condition alert **Description:**Proposed dosage is inappropriate due to patient's medical condition.

   DOSEDUR http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration Alert

Proposed length of therapy differs from standard practice. This value set contains 4 concepts

Proposed dosage is below suggested therapeutic levels for the patient's weight    MDOSE http://terminology.hl7.org/CodeSystem/v3-ActCode maximum dosage reached
   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
   DOSEDURLIND FOOD icon http://terminology.hl7.org/CodeSystem/v3-ActCode 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

   DOSELINDW DRUG icon http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose for Weight Drug Interaction Alert

**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.

   STRTLATE ALGY icon http://terminology.hl7.org/CodeSystem/v3-ActCode Start Too Late Allergy Alert

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.)

   TOOSOON DUPTHPY icon http://terminology.hl7.org/CodeSystem/v3-ActCode Refill Too Soon Duplicate Therapy 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 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

Additional Language Displays Code English (English, en) _AdministrationDetectedIssueCode _AppropriatenessDetectedIssueCode _InteractionDetectedIssueCode FOOD TPROD DRG NHP NONRX OBSA AGE ADALRT DOSEHINDA DOSELINDA GEALRT PEALRT COND HGHT LACT PREG WGHT CREACT GEN GEND LAB REACT ALGY INT RREACT RALG RAR RINT PREVINEF COMPLY DUPTHPY DUPTHPCLS DUPTHPGEN ABUSE FRAUD PLYDOC PLYPHRM Poly-pharmacy Alert DACT DOSE DOSECOND DOSEDUR DOSEDURH DOSEDURHIND DOSEDURL DOSEDURLIND DOSEH DOSEHIND DOSEHINDSA DOSEHINDW DOSEIVL DOSEIVLIND DOSEL DOSELIND DOSELINDSA DOSELINDW MDOSE TIME ALRTENDLATE ALRTSTRTLATE _DrugActionDetectedIssueCode _TimingDetectedIssueCode ENDLATE STRTLATE _ActSuppliedItemDetectedIssueCode _SupplyDetectedIssueCode ALLDONE FULFIL NOTACTN NOTEQUIV NOTEQUIVGEN NOTEQUIVTHER TIMING INTERVAL MINFREQ HELD TOOLATE TOOSOON HISTORIC PATPREF PATPREFALT _ClinicalActionDetectedIssueCode CAREGAP CODINGGAP

 

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