FHIR Cross-Version Extensions package for FHIR R4B from FHIR R4 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R4-detectedissue-category-for-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4-detectedissue-category-for-R4B</b></p><a name="R4-detectedissue-category-for-R4B"> </a><a name="hcR4-detectedissue-category-for-R4B"> </a><p>This value set expansion contains 8 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="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-TPROD"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TPROD">TPROD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>Therapeutic Product Alert</td><td><div><p>Proposed therapy may interact with an existing or recent therapeutic product</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-NHP"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NHP">NHP</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-PREVINEF"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PREVINEF">PREVINEF</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-TIME"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TIME">TIME</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOTEQUIVTHER"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOTEQUIVTHER">NOTEQUIVTHER</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-INTERVAL"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-INTERVAL">INTERVAL</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-HELD"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-HELD">HELD</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-detectedissue-category-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-TOOSOON"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TOOSOON">TOOSOON</a></td><td>http://terminology.hl7.org/CodeSystem/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>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cds"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4.r4b"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/4.0/ValueSet/R4-detectedissue-category-for-R4B"/>
<version value="0.0.1-snapshot-2"/>
<name value="R4_detectedissue_category_for_R4B"/>
<title
value="Cross-version VS for R4.DetectedIssueCategory for use in FHIR R4B"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:36:16.277758+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-category|4.0.1 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 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://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<concept>
<code value="TPROD"/>
<display value="Therapeutic Product Alert"/>
</concept>
<concept>
<code value="NHP"/>
<display value="Natural Health Product Alert"/>
</concept>
<concept>
<code value="PREVINEF"/>
<display value="previously ineffective"/>
</concept>
<concept>
<code value="TIME"/>
<display value="timing detected issue"/>
</concept>
<concept>
<code value="NOTEQUIVTHER"/>
<display value="not therapeutically equivalent alert"/>
</concept>
<concept>
<code value="INTERVAL"/>
<display value="outside requested time"/>
</concept>
<concept>
<code value="HELD"/>
<display value="held/suspended alert"/>
</concept>
<concept>
<code value="TOOSOON"/>
<display value="Refill Too Soon Alert"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:36:16.27776+10:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="TPROD"/>
<display value="Therapeutic Product Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="NHP"/>
<display value="Natural Health Product Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="PREVINEF"/>
<display value="previously ineffective"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="TIME"/>
<display value="timing detected issue"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="NOTEQUIVTHER"/>
<display value="not therapeutically equivalent alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="INTERVAL"/>
<display value="outside requested time"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="HELD"/>
<display value="held/suspended alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="2018-08-12"/>
<code value="TOOSOON"/>
<display value="Refill Too Soon Alert"/>
</contains>
</expansion>
</ValueSet>