Release 5 Preview #2

This page is part of the FHIR Specification (v4.4.0: R5 Preview #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

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

Clinical Decision Support Work Group Maturity Level: 0Informative Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/detectedissue-category
Version:4.4.0
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 ResourceXML / JSON

This value set is used in the following places:


This value set includes codes based on the following rules:

 

This expansion generated 03 May 2020


This value set contains 27 concepts

Expansion based on v3 Code System ActCode v2019-07-31 (CodeSystem)

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

CodeDisplayLogical Definition (CLD)
_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeAdministration of the proposed therapy may be inappropriate or contraindicated as proposed
_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode
_InteractionDetectedIssueCodeInteractionDetectedIssueCodeInteractionDetectedIssueCode
FOODFood Interaction AlertProposed therapy may interact with certain foods
TPRODTherapeutic Product AlertProposed therapy may interact with an existing or recent therapeutic product
DRGDrug Interaction AlertProposed therapy may interact with an existing or recent drug therapy
NHPNatural Health Product AlertProposed therapy may interact with existing or recent natural health product therapy
NONRXNon-Prescription Interaction AlertProposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
PREVINEFpreviously ineffectiveDefinition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
DACTdrug action detected issueDescription:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
TIMEtiming detected issueDescription:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ALRTENDLATEend too late alertDefinition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
ALRTSTRTLATEstart too late alertDefinition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
_TimingDetectedIssueCodeTimingDetectedIssueCodeProposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ENDLATEEnd Too Late AlertProposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATEStart Too Late AlertProposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCodeIdentifies types of detected issues regarding the administration or supply of an item to a patient.
_SupplyDetectedIssueCodeSupplyDetectedIssueCodeSupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ALLDONEalready performedDefinition:The requested action has already been performed and so this request has no effect
FULFILfulfillment alertDefinition:The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTNno longer actionableDefinition: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.)
NOTEQUIVnot equivalent alertDefinition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGENnot generically equivalent alertDefinition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
NOTEQUIVTHERnot therapeutically equivalent alertDefinition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
TIMINGevent timing incorrect alertDefinition:The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVALoutside requested timeDefinition:The therapy action is being performed outside the bounds of the time period requested
MINFREQtoo soon within frequency based on the usageDefinition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
HELDheld/suspended alertDefinition:There should be no actions taken in fulfillment of a request that has been held or suspended.
TOOLATERefill Too Late AlertThe patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
TOOSOONRefill Too Soon AlertThe patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
HISTORICrecord recorded as historicalDescription: While the record was accepted in the repository, there is a more recent version of a record of this type.
PATPREFviolates stated preferencesDefinition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALTviolates stated preferences, alternate availableDefinition: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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Explanation of the columns that may appear on this page:

LvlA 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
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CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
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