Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R5-v3-CombinedPharmacyOrderSuspendReasonCode-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-CombinedPharmacyOrderSuspendReasonCode-for-R4</b></p><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4\"> </a><a name=\"hcR5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4\"> </a><p>This value set expansion contains 13 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-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-ALTCHOICE\"> </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-ALTCHOICE\">ALTCHOICE</a></td><td>try another treatment first</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-CLARIF\"> </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-CLARIF\">CLARIF</a></td><td>prescription requires clarification</td><td><div><p>**Description:**Clarification is required before the order can be acted upon.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DRUGHIGH\"> </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-DRUGHIGH\">DRUGHIGH</a></td><td>drug level too high</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-HOSPADM\"> </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-HOSPADM\">HOSPADM</a></td><td>admission to hospital</td><td><div><p>**Description:**The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-LABINT\"> </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-LABINT\">LABINT</a></td><td>lab interference issues</td><td><div><p>**Description:**The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-NON-AVAIL\"> </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-NON-AVAIL\">NON-AVAIL</a></td><td>patient not-available</td><td><div><p>**Description:**Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PREG\"> </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-PREG\">PREG</a></td><td>parent is pregnant/breast feeding</td><td><div><p>**Description:**The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-SALG\"> </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-SALG\">SALG</a></td><td>allergy</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-SDDI\"> </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-SDDI\">SDDI</a></td><td>drug interacts with another drug</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-SDUPTHER\"> </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-SDUPTHER\">SDUPTHER</a></td><td>duplicate therapy</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-SINTOL\"> </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-SINTOL\">SINTOL</a></td><td>suspected intolerance</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-SURG\"> </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-SURG\">SURG</a></td><td>patient scheduled for surgery</td><td><div><p>**Description:**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.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-WASHOUT\"> </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-WASHOUT\">WASHOUT</a></td><td>waiting for old drug to wash out</td><td><div><p>**Description:**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.</p>\n</div></td></tr></table></div>"
},
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{
"extension" : [
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"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
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{
"url" : "version",
"valueString" : "0.1.0"
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{
"url" : "uri",
"valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
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],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
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{
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"valueInteger" : 0,
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"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
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],
"url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-CombinedPharmacyOrderSuspendReasonCode-for-R4",
"version" : "0.1.0",
"name" : "R5V3CombinedPharmacyOrderSuspendReasonCodeForR4",
"title" : "Cross-version ValueSet R5.CombinedPharmacyOrderSuspendReasonCode 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-CombinedPharmacyOrderSuspendReasonCode|2.0.0` for use in FHIR R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
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]
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],
"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-CombinedPharmacyOrderSuspendReasonCode|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-CombinedPharmacyOrderSuspendReasonCode|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" : "ALTCHOICE",
"display" : "try another treatment first"
},
{
"code" : "CLARIF",
"display" : "prescription requires clarification"
},
{
"code" : "DRUGHIGH",
"display" : "drug level too high"
},
{
"code" : "HOSPADM",
"display" : "admission to hospital"
},
{
"code" : "LABINT",
"display" : "lab interference issues"
},
{
"code" : "NON-AVAIL",
"display" : "patient not-available"
},
{
"code" : "PREG",
"display" : "parent is pregnant/breast feeding"
},
{
"code" : "SALG",
"display" : "allergy"
},
{
"code" : "SDDI",
"display" : "drug interacts with another drug"
},
{
"code" : "SDUPTHER",
"display" : "duplicate therapy"
},
{
"code" : "SINTOL",
"display" : "suspected intolerance"
},
{
"code" : "SURG",
"display" : "patient scheduled for surgery"
},
{
"code" : "WASHOUT",
"display" : "waiting for old drug to wash out"
}
]
}
]
},
"expansion" : {
"timestamp" : "2026-03-17T21:02:03.8104715+00:00",
"contains" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "ALTCHOICE",
"display" : "try another treatment first"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "CLARIF",
"display" : "prescription requires clarification"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "DRUGHIGH",
"display" : "drug level too high"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "HOSPADM",
"display" : "admission to hospital"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "LABINT",
"display" : "lab interference issues"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "NON-AVAIL",
"display" : "patient not-available"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "PREG",
"display" : "parent is pregnant/breast feeding"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "SALG",
"display" : "allergy"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "SDDI",
"display" : "drug interacts with another drug"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "SDUPTHER",
"display" : "duplicate therapy"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "SINTOL",
"display" : "suspected intolerance"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "SURG",
"display" : "patient scheduled for surgery"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"version" : "2.1.0",
"code" : "WASHOUT",
"display" : "waiting for old drug to wash out"
}
]
}
}