This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

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

Clinical Decision Support Work Group

Maturity Level: 0

Informative

Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:	http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action
Version:	4.3.0-snapshot1
Name:	DetectedIssueMitigationAction
Title:	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.
Committee:	Clinical Decision Support Work Group
OID:	2.16.840.1.113883.4.642.3.205 (for OID based terminology systems)
Source Resource	XML / JSON

This value set is used in the following places:

• Resource: DetectedIssue.mitigation.action (CodeableConcept / Preferred)

4.4.1.147.1 Content Logical Definition

4.4.1.147.2 Expansion

This expansion generated 20 Dec 2021

This value set contains 24 concepts

Expansion based on ActCode v6.0.0 (CodeSystem)

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-ActCode

Lvl	Code	Display	Definition
0	_ActDetectedIssueManagementCode	ActDetectedIssueManagementCode	Codes dealing with the management of Detected Issue observations
1	_ActAdministrativeDetectedIssueManagementCode	ActAdministrativeDetectedIssueManagementCode	Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
2	_AuthorizationIssueManagementCode	Authorization Issue Management Code
3	EMAUTH	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.
4	21	authorization confirmed	**Description:** Indicates that the permissions have been externally verified and the request should be processed.
1	1	Therapy Appropriate	Confirmed drug therapy appropriate
2	19	Consulted Supplier	Consulted other supplier/pharmacy, therapy confirmed
2	2	Assessed Patient	Assessed patient, therapy is appropriate
2	22	appropriate indication or diagnosis	**Description:** The patient has the appropriate indication or diagnosis for the action to be taken.
2	23	prior therapy documented	**Description:** It has been confirmed that the appropriate pre-requisite therapy has been tried.
2	3	Patient Explanation	Patient gave adequate explanation
2	4	Consulted Other Source	Consulted other supply source, therapy still appropriate
2	5	Consulted Prescriber	Consulted prescriber, therapy confirmed
3	6	Prescriber Declined Change	Consulted prescriber and recommended change, prescriber declined
2	7	Interacting Therapy No Longer Active/Planned	Concurrent therapy triggering alert is no longer on-going or planned
1	14	Supply Appropriate	Confirmed supply action appropriate
2	15	Replacement	Patient's existing supply was lost/wasted
2	16	Vacation Supply	Supply date is due to patient vacation
2	17	Weekend Supply	Supply date is intended to carry patient over weekend
2	18	Leave of Absence	Supply is intended for use during a leave of absence from an institution.
2	20	additional quantity on separate dispense	**Description:** Supply is different than expected as an additional quantity has been supplied in a separate dispense.
1	8	Other Action Taken	Order is performed as issued, but other action taken to mitigate potential adverse effects
2	10	Provided Patient Education	Provided education or training to the patient on appropriate therapy use
2	11	Added Concurrent Therapy	Instituted an additional therapy to mitigate potential negative effects
2	12	Temporarily Suspended Concurrent Therapy	Suspended existing therapy that triggered interaction for the duration of this therapy
2	13	Stopped Concurrent Therapy	Aborted existing therapy that triggered interaction.
2	9	Instituted Ongoing Monitoring Program	Arranged to monitor patient for adverse effects
1	_ActFinancialDetectedIssueManagementCode	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: