R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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 Value Set http://hl7.org/fhir/ValueSet/detectedissue-category

Clinical Decision Support

Work Group

Maturity Level: 1

Trial Use

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

Name:

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:

DetectedIssue.category (Preferred)

4.3.1.204.1 Content Logical Definition

This value set includes codes from the following code systems:

Include codes from http://hl7.org/fhir/v3/ActCode where concept is-a _AdministrationDetectedIssueCode
Include codes from http://hl7.org/fhir/v3/ActCode where concept is-a _ActSuppliedItemDetectedIssueCode
Include codes from http://hl7.org/fhir/v3/ActCode where concept is-a _SupplyDetectedIssueCode

4.3.1.204.2 Expansion

This expansion generated 20 Dec 2017

This value set contains 82 concepts

All codes from system http://hl7.org/fhir/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.

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 organise 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