<status value="active"/> <experimental value="false"/> <date value="2025-09-01T22:35:56.67069+10:00"/> <publisher value="Clinical Decision Support"/> <contact> <name value="Clinical Decision Support"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/dss"/> </telecom> </contact> <description value="This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action|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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <compose> <include> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <concept> <code value="EMAUTH"/> <display value="emergency authorization override"/> </concept> <concept> <code value="1"/> <display value="Therapy Appropriate"/> </concept> <concept> <code value="2"/> <display value="Assessed Patient"/> </concept> <concept> <code value="23"/> <display value="prior therapy documented"/> </concept> <concept> <code value="4"/> <display value="Consulted Other Source"/> </concept> <concept> <code value="6"/> <display value="Prescriber Declined Change"/> </concept> <concept> <code value="14"/> <display value="Supply Appropriate"/> </concept> <concept> <code value="16"/> <display value="Vacation Supply"/> </concept> <concept> <code value="18"/> <display value="Leave of Absence"/> </concept> <concept> <code value="8"/> <display value="Other Action Taken"/> </concept> <concept> <code value="11"/> <display value="Added Concurrent Therapy"/> </concept> <concept> <code value="13"/> <display value="Stopped Concurrent Therapy"/> </concept> </include> </compose> <expansion> <timestamp value="2025-09-01T22:35:56.670684+10:00"/> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="EMAUTH"/> <display value="emergency authorization override"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="1"/> <display value="Therapy Appropriate"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="2"/> <display value="Assessed Patient"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="23"/> <display value="prior therapy documented"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="4"/> <display value="Consulted Other Source"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="6"/> <display value="Prescriber Declined Change"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="14"/> <display value="Supply Appropriate"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="16"/> <display value="Vacation Supply"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="18"/> <display value="Leave of Absence"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="8"/> <display value="Other Action Taken"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="11"/> <display value="Added Concurrent Therapy"/> </contains> <contains> <system value="http://hl7.org/fhir/v3/ActCode"/> <version value="2016-11-11"/> <code value="13"/> <display value="Stopped Concurrent Therapy"/> </contains> </expansion> </ValueSet>

Generated Narrative: ValueSet R3-detectedissue-mitigation-action-for-R4B

This value set expansion contains 12 concepts.

Code	System	Display	Definition
EMAUTH	http://hl7.org/fhir/v3/ActCode	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.
1	http://hl7.org/fhir/v3/ActCode	Therapy Appropriate	Confirmed drug therapy appropriate
2	http://hl7.org/fhir/v3/ActCode	Assessed Patient	Assessed patient, therapy is appropriate
23	http://hl7.org/fhir/v3/ActCode	prior therapy documented	Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
4	http://hl7.org/fhir/v3/ActCode	Consulted Other Source	Consulted other supply source, therapy still appropriate
6	http://hl7.org/fhir/v3/ActCode	Prescriber Declined Change	Consulted prescriber and recommended change, prescriber declined
14	http://hl7.org/fhir/v3/ActCode	Supply Appropriate	Confirmed supply action appropriate
16	http://hl7.org/fhir/v3/ActCode	Vacation Supply	Supply date is due to patient vacation
18	http://hl7.org/fhir/v3/ActCode	Leave of Absence	Supply is intended for use during a leave of absence from an institution.
8	http://hl7.org/fhir/v3/ActCode	Other Action Taken	Order is performed as issued, but other action taken to mitigate potential adverse effects
11	http://hl7.org/fhir/v3/ActCode	Added Concurrent Therapy	Instituted an additional therapy to mitigate potential negative effects
13	http://hl7.org/fhir/v3/ActCode	Stopped Concurrent Therapy	Aborted existing therapy that triggered interaction.