Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-medicationdispense-status-reason-for-R3"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-medicationdispense-status-reason-for-R3</b></p><a name="R5-medicationdispense-status-reason-for-R3"> </a><a name="hcR5-medicationdispense-status-reason-for-R3"> </a><p>This value set expansion contains 21 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-altchoice"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-altchoice">altchoice</a></td><td>Try another treatment first</td><td>This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-clarif"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-clarif">clarif</a></td><td>Prescription/Request requires clarification</td><td>Clarification is required before the order can be acted upon.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-drughigh"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-drughigh">drughigh</a></td><td>Drug level too high</td><td>The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr01"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr01">frr01</a></td><td>Order Stopped</td><td>The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example: A verbal stop, a fax, etc.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr02"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr02">frr02</a></td><td>Stale-dated Order</td><td>Order has not been fulfilled within a reasonable amount of time, and might not be current.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr03"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr03">frr03</a></td><td>Incomplete data</td><td>Data needed to safely act on the order which was expected to become available independent of the order is not yet available. Example: Lab results, diagnostic imaging, etc.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr04"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr04">frr04</a></td><td>Product unavailable</td><td>Product not available or manufactured. Cannot supply.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr05"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr05">frr05</a></td><td>Ethical/religious</td><td>The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-frr06"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-frr06">frr06</a></td><td>Unable to provide care</td><td>Fulfiller not able to provide appropriate care associated with fulfilling the order. Example: Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-hospadm"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-hospadm">hospadm</a></td><td>Admission to hospital</td><td>The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-labint"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-labint">labint</a></td><td>Lab interference issues</td><td>The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-non-avail"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-non-avail">non-avail</a></td><td>Patient not available</td><td>Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-offmarket"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-offmarket">offmarket</a></td><td>Drug not available - off market</td><td>Drug no longer marketed Cannot supply.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-outofstock"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-outofstock">outofstock</a></td><td>Drug not available - out of stock</td><td>Drug out of stock. Cannot supply.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-preg"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-preg">preg</a></td><td>Patient is pregnant or breastfeeding</td><td>The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-saig"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-saig">saig</a></td><td>Allergy</td><td>The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-sddi"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-sddi">sddi</a></td><td>Drug interacts with another drug</td><td>The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-sdupther"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-sdupther">sdupther</a></td><td>Duplicate therapy</td><td>Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-sintol"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-sintol">sintol</a></td><td>Suspected intolerance</td><td>The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-surg"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-surg">surg</a></td><td>Patient scheduled for surgery</td><td>The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.</td></tr><tr><td><a name="R5-medicationdispense-status-reason-for-R3-http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason-washout"> </a><code>http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-medicationdispense-status-reason.html#medicationdispense-status-reason-washout">washout</a></td><td>Washout</td><td>The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="phx"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r3"/>
</extension>
<extension url="version">
<valueString value="0.1.0"/>
</extension>
<extension url="uri">
<valueUri
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueUri
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ValueSet/R5-medicationdispense-status-reason-for-R3"/>
<version value="0.1.0"/>
<name value="R5MedicationdispenseStatusReasonForR3"/>
<title
value="Cross-version ValueSet R5.MedicationDispenseStatusReasonCodes for use in FHIR STU3"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T21:02:03.8104715+00:00"/>
<publisher value="Pharmacy"/>
<contact>
<name value="Pharmacy"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/medication"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0` for use in FHIR STU3."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<purpose
value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0` as defined in FHIR R5
in FHIR STU3.
The source value set is bound to the following FHIR R5 elements:
* `MedicationDispense.notPerformedReason` as Example
Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0`
* `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.3.0`
* `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.0.1`
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (21).
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (21).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3"/>
<compose>
<include>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<concept>
<code value="altchoice"/>
<display value="Try another treatment first"/>
</concept>
<concept>
<code value="clarif"/>
<display value="Prescription/Request requires clarification"/>
</concept>
<concept>
<code value="drughigh"/>
<display value="Drug level too high"/>
</concept>
<concept>
<code value="frr01"/>
<display value="Order Stopped"/>
</concept>
<concept>
<code value="frr02"/>
<display value="Stale-dated Order"/>
</concept>
<concept>
<code value="frr03"/>
<display value="Incomplete data"/>
</concept>
<concept>
<code value="frr04"/>
<display value="Product unavailable"/>
</concept>
<concept>
<code value="frr05"/>
<display value="Ethical/religious"/>
</concept>
<concept>
<code value="frr06"/>
<display value="Unable to provide care"/>
</concept>
<concept>
<code value="hospadm"/>
<display value="Admission to hospital"/>
</concept>
<concept>
<code value="labint"/>
<display value="Lab interference issues"/>
</concept>
<concept>
<code value="non-avail"/>
<display value="Patient not available"/>
</concept>
<concept>
<code value="offmarket"/>
<display value="Drug not available - off market"/>
</concept>
<concept>
<code value="outofstock"/>
<display value="Drug not available - out of stock"/>
</concept>
<concept>
<code value="preg"/>
<display value="Patient is pregnant or breastfeeding"/>
</concept>
<concept>
<code value="saig"/>
<display value="Allergy"/>
</concept>
<concept>
<code value="sddi"/>
<display value="Drug interacts with another drug"/>
</concept>
<concept>
<code value="sdupther"/>
<display value="Duplicate therapy"/>
</concept>
<concept>
<code value="sintol"/>
<display value="Suspected intolerance"/>
</concept>
<concept>
<code value="surg"/>
<display value="Patient scheduled for surgery"/>
</concept>
<concept>
<code value="washout"/>
<display value="Washout"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="altchoice"/>
<display value="Try another treatment first"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="clarif"/>
<display value="Prescription/Request requires clarification"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="drughigh"/>
<display value="Drug level too high"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr01"/>
<display value="Order Stopped"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr02"/>
<display value="Stale-dated Order"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr03"/>
<display value="Incomplete data"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr04"/>
<display value="Product unavailable"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr05"/>
<display value="Ethical/religious"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="frr06"/>
<display value="Unable to provide care"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="hospadm"/>
<display value="Admission to hospital"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="labint"/>
<display value="Lab interference issues"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="non-avail"/>
<display value="Patient not available"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="offmarket"/>
<display value="Drug not available - off market"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="outofstock"/>
<display value="Drug not available - out of stock"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="preg"/>
<display value="Patient is pregnant or breastfeeding"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="saig"/>
<display value="Allergy"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="sddi"/>
<display value="Drug interacts with another drug"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="sdupther"/>
<display value="Duplicate therapy"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="sintol"/>
<display value="Suspected intolerance"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="surg"/>
<display value="Patient scheduled for surgery"/>
</contains>
<contains>
<system
value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"/>
<version value="5.0.0"/>
<code value="washout"/>
<display value="Washout"/>
</contains>
</expansion>
</ValueSet>