{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-ActSupplyFulfillmentRefusalReason-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActSupplyFulfillmentRefusalReason-for-R4</b></p><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4\"> </a><a name=\"hcR5-v3-ActSupplyFulfillmentRefusalReason-for-R4\"> </a><p>This value set expansion contains 7 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-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR01\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR01\">FRR01</a></td><td>order stopped</td><td><div><p>**Definition:**The order has been stopped by the prescriber but this fact has not necessarily captured electronically.</p>\n<p>**Example:**A verbal stop, a fax, etc.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR02\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR02\">FRR02</a></td><td>stale-dated order</td><td><div><p>**Definition:**Order has not been fulfilled within a reasonable amount of time, and may not be current.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR03\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR03\">FRR03</a></td><td>incomplete data</td><td><div><p>**Definition:**Data needed to safely act on the order which was expected to become available independent of the order is not yet available</p>\n<p>**Example:**Lab results, diagnostic imaging, etc.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR04\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR04\">FRR04</a></td><td>product unavailable</td><td><div><p>**Definition:**Product not available or manufactured. Cannot supply.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR05\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR05\">FRR05</a></td><td>ethical/religious</td><td><div><p>**Definition:**The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FRR06\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-FRR06\">FRR06</a></td><td>unable to provide care</td><td><div><p>**Definition:**Fulfiller not able to provide appropriate care associated with fulfilling the order.</p>\n<p>**Example:**Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ActSupplyFulfillmentRefusalReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActSupplyFulfillmentRefusalReason\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ActReason.html#v3-ActReason-_ActSupplyFulfillmentRefusalReason\">_ActSupplyFulfillmentRefusalReason</a></td><td>ActSupplyFulfillmentRefusalReason</td><td><div><p>Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. &quot;Suspect fraud&quot;, &quot;Possible abuse&quot;, &quot;Contraindicated&quot;.</p>\n<p>(used when capturing 'refusal to fill' annotations)</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r5.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  },
  {
    "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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActSupplyFulfillmentRefusalReason-for-R4",
  "version" : "0.1.0",
  "name" : "R5V3ActSupplyFulfillmentRefusalReasonForR4",
  "title" : "Cross-version ValueSet R5.ActSupplyFulfillmentRefusalReason for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActSupplyFulfillmentRefusalReason|2.0.0` for use in FHIR R4.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ActSupplyFulfillmentRefusalReason|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActSupplyFulfillmentRefusalReason|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "concept" : [{
        "code" : "FRR01",
        "display" : "order stopped"
      },
      {
        "code" : "FRR02",
        "display" : "stale-dated order"
      },
      {
        "code" : "FRR03",
        "display" : "incomplete data"
      },
      {
        "code" : "FRR04",
        "display" : "product unavailable"
      },
      {
        "code" : "FRR05",
        "display" : "ethical/religious"
      },
      {
        "code" : "FRR06",
        "display" : "unable to provide care"
      },
      {
        "code" : "_ActSupplyFulfillmentRefusalReason",
        "display" : "ActSupplyFulfillmentRefusalReason"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR01",
      "display" : "order stopped"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR02",
      "display" : "stale-dated order"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR03",
      "display" : "incomplete data"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR04",
      "display" : "product unavailable"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR05",
      "display" : "ethical/religious"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "FRR06",
      "display" : "unable to provide care"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "version" : "2.1.0",
      "code" : "_ActSupplyFulfillmentRefusalReason",
      "display" : "ActSupplyFulfillmentRefusalReason"
    }]
  }
}