FHIR Cross-Version Extensions package for FHIR R4B from FHIR R3 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 1 |
{
"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>"
},
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
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"extension" : [
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"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r3.r4b"
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{
"url" : "version",
"valueString" : "0.0.1-snapshot-2"
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"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
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{
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"valueCode" : "informative",
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/3.0/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
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],
"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" : [
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"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
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],
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{
"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"
}
]
}
]
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"timestamp" : "2025-09-01T22:35:56.66513+10:00",
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "TPROD",
"display" : "Therapeutic Product Alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "NHP",
"display" : "Natural Health Product Alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "PREVINEF",
"display" : "previously ineffective"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "TIME",
"display" : "timing detected issue"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "ALRTSTRTLATE",
"display" : "start too late alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "STRTLATE",
"display" : "Start Too Late Alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "FULFIL",
"display" : "fulfillment alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "NOTEQUIV",
"display" : "not equivalent alert"
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{
"system" : "http://hl7.org/fhir/v3/ActCode",
"version" : "2016-11-11",
"code" : "NOTEQUIVTHER",
"display" : "not therapeutically equivalent alert"
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{
"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"
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]
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}