{
  "resourceType" : "ValueSet",
  "id" : "R3-detectedissue-category-for-R4B",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R3-detectedissue-category-for-R4B</b></p><a name=\"R3-detectedissue-category-for-R4B\"> </a><a name=\"hcR3-detectedissue-category-for-R4B\"> </a><p>This value set expansion contains 13 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-TPROD\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-TPROD\">TPROD</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>Therapeutic Product Alert</td><td><div><p>Proposed therapy may interact with an existing or recent therapeutic product</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-NHP\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-NHP\">NHP</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>Natural Health Product Alert</td><td><div><p>Proposed therapy may interact with existing or recent natural health product therapy</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-PREVINEF\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-PREVINEF\">PREVINEF</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>previously ineffective</td><td><div><p>Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-TIME\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-TIME\">TIME</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>timing detected issue</td><td><div><p>Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-ALRTSTRTLATE\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-ALRTSTRTLATE\">ALRTSTRTLATE</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>start too late alert</td><td><div><p>Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-STRTLATE\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-STRTLATE\">STRTLATE</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>Start Too Late Alert</td><td><div><p>Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-FULFIL\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-FULFIL\">FULFIL</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>fulfillment alert</td><td><div><p>Definition:The therapy being performed is in some way out of alignment with the requested therapy.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-NOTEQUIV\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-NOTEQUIV\">NOTEQUIV</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>not equivalent alert</td><td><div><p>Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-NOTEQUIVTHER\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-NOTEQUIVTHER\">NOTEQUIVTHER</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>not therapeutically equivalent alert</td><td><div><p>Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-INTERVAL\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-INTERVAL\">INTERVAL</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>outside requested time</td><td><div><p>Definition:The therapy action is being performed outside the bounds of the time period requested</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-HELD\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-HELD\">HELD</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>held/suspended alert</td><td><div><p>Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-TOOSOON\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-TOOSOON\">TOOSOON</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>Refill Too Soon Alert</td><td><div><p>The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R3-detectedissue-category-for-R4B-http://hl7.org/fhir/v3/ActCode-PATPREF\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-PATPREF\">PATPREF</a></td><td>http://hl7.org/fhir/v3/ActCode</td><td>violates stated preferences</td><td><div><p>Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r3.r4b"
    },
    {
      "url" : "version",
      "valueString" : "0.0.1-snapshot-2"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/3.0/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/3.0/ValueSet/R3-detectedissue-category-for-R4B",
  "version" : "0.0.1-snapshot-2",
  "name" : "R3_detectedissue_category_for_R4B",
  "title" : "Cross-version VS for R3.Detected Issue Category for use in FHIR R4B",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:35:56.665137+10:00",
  "publisher" : "Clinical Decision Support",
  "contact" : [{
    "name" : "Clinical Decision Support",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss"
    }]
  }],
  "description" : "This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/detectedissue-category|3.0.2 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R3 to R4B.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "concept" : [{
        "code" : "TPROD",
        "display" : "Therapeutic Product Alert"
      },
      {
        "code" : "NHP",
        "display" : "Natural Health Product Alert"
      },
      {
        "code" : "PREVINEF",
        "display" : "previously ineffective"
      },
      {
        "code" : "TIME",
        "display" : "timing detected issue"
      },
      {
        "code" : "ALRTSTRTLATE",
        "display" : "start too late alert"
      },
      {
        "code" : "STRTLATE",
        "display" : "Start Too Late Alert"
      },
      {
        "code" : "FULFIL",
        "display" : "fulfillment alert"
      },
      {
        "code" : "NOTEQUIV",
        "display" : "not equivalent alert"
      },
      {
        "code" : "NOTEQUIVTHER",
        "display" : "not therapeutically equivalent alert"
      },
      {
        "code" : "INTERVAL",
        "display" : "outside requested time"
      },
      {
        "code" : "HELD",
        "display" : "held/suspended alert"
      },
      {
        "code" : "TOOSOON",
        "display" : "Refill Too Soon Alert"
      },
      {
        "code" : "PATPREF",
        "display" : "violates stated preferences"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:35:56.66513+10:00",
    "contains" : [{
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "TPROD",
      "display" : "Therapeutic Product Alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "NHP",
      "display" : "Natural Health Product Alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "PREVINEF",
      "display" : "previously ineffective"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "TIME",
      "display" : "timing detected issue"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "ALRTSTRTLATE",
      "display" : "start too late alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "STRTLATE",
      "display" : "Start Too Late Alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "FULFIL",
      "display" : "fulfillment alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "NOTEQUIV",
      "display" : "not equivalent alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "NOTEQUIVTHER",
      "display" : "not therapeutically equivalent alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "INTERVAL",
      "display" : "outside requested time"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "HELD",
      "display" : "held/suspended alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "TOOSOON",
      "display" : "Refill Too Soon Alert"
    },
    {
      "system" : "http://hl7.org/fhir/v3/ActCode",
      "version" : "2016-11-11",
      "code" : "PATPREF",
      "display" : "violates stated preferences"
    }]
  }
}