Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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

4.4.1.519 ValueSet http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action

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-mitigation-action
Version:5.0.0-ballot
Name:DetectedIssueMitigationAction
Title:Detected Issue Mitigation Action
Status:draft
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)
Flags:

This value set is used in the following places:

4.4.1.519.1 Content Logical Definition

 

4.4.1.519.2 Expansion

This expansion generated 07 Sep 2022

This value set contains 24 concepts

Expansion based on ActCode v6.1.0 (CodeSystem)

LevelCodeSystemDisplayDefinition
1  _ActDetectedIssueManagementCode http://terminology.hl7.org/CodeSystem/v3-ActCodeActDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations

2    _ActAdministrativeDetectedIssueManagementCode http://terminology.hl7.org/CodeSystem/v3-ActCodeActAdministrativeDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.

3      _AuthorizationIssueManagementCode http://terminology.hl7.org/CodeSystem/v3-ActCodeAuthorization Issue Management Code
4        EMAUTH http://terminology.hl7.org/CodeSystem/v3-ActCodeemergency 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.

5          21 http://terminology.hl7.org/CodeSystem/v3-ActCodeauthorization confirmed

Description: Indicates that the permissions have been externally verified and the request should be processed.

2    1 http://terminology.hl7.org/CodeSystem/v3-ActCodeTherapy Appropriate

Confirmed drug therapy appropriate

3      19 http://terminology.hl7.org/CodeSystem/v3-ActCodeConsulted Supplier

Consulted other supplier/pharmacy, therapy confirmed

3      2 http://terminology.hl7.org/CodeSystem/v3-ActCodeAssessed Patient

Assessed patient, therapy is appropriate

3      22 http://terminology.hl7.org/CodeSystem/v3-ActCodeappropriate indication or diagnosis

Description: The patient has the appropriate indication or diagnosis for the action to be taken.

3      23 http://terminology.hl7.org/CodeSystem/v3-ActCodeprior therapy documented

Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.

3      3 http://terminology.hl7.org/CodeSystem/v3-ActCodePatient Explanation

Patient gave adequate explanation

3      4 http://terminology.hl7.org/CodeSystem/v3-ActCodeConsulted Other Source

Consulted other supply source, therapy still appropriate

3      5 http://terminology.hl7.org/CodeSystem/v3-ActCodeConsulted Prescriber

Consulted prescriber, therapy confirmed

4        6 http://terminology.hl7.org/CodeSystem/v3-ActCodePrescriber Declined Change

Consulted prescriber and recommended change, prescriber declined

3      7 http://terminology.hl7.org/CodeSystem/v3-ActCodeInteracting Therapy No Longer Active/Planned

Concurrent therapy triggering alert is no longer on-going or planned

2    14 http://terminology.hl7.org/CodeSystem/v3-ActCodeSupply Appropriate

Confirmed supply action appropriate

3      15 http://terminology.hl7.org/CodeSystem/v3-ActCodeReplacement

Patient's existing supply was lost/wasted

3      16 http://terminology.hl7.org/CodeSystem/v3-ActCodeVacation Supply

Supply date is due to patient vacation

3      17 http://terminology.hl7.org/CodeSystem/v3-ActCodeWeekend Supply

Supply date is intended to carry patient over weekend

3      18 http://terminology.hl7.org/CodeSystem/v3-ActCodeLeave of Absence

Supply is intended for use during a leave of absence from an institution.

3      20 http://terminology.hl7.org/CodeSystem/v3-ActCodeadditional quantity on separate dispense

Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.

2    8 http://terminology.hl7.org/CodeSystem/v3-ActCodeOther Action Taken

Order is performed as issued, but other action taken to mitigate potential adverse effects

3      10 http://terminology.hl7.org/CodeSystem/v3-ActCodeProvided Patient Education

Provided education or training to the patient on appropriate therapy use

3      11 http://terminology.hl7.org/CodeSystem/v3-ActCodeAdded Concurrent Therapy

Instituted an additional therapy to mitigate potential negative effects

3      12 http://terminology.hl7.org/CodeSystem/v3-ActCodeTemporarily Suspended Concurrent Therapy

Suspended existing therapy that triggered interaction for the duration of this therapy

3      13 http://terminology.hl7.org/CodeSystem/v3-ActCodeStopped Concurrent Therapy

Aborted existing therapy that triggered interaction.

3      9 http://terminology.hl7.org/CodeSystem/v3-ActCodeInstituted Ongoing Monitoring Program

Arranged to monitor patient for adverse effects

2    _ActFinancialDetectedIssueManagementCode http://terminology.hl7.org/CodeSystem/v3-ActCodeActFinancialDetectedIssueManagementCode

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:

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
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code