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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-ObservationAlert-for-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ObservationAlert-for-R4</b></p><a name="R5-v3-ObservationAlert-for-R4"> </a><a name="hcR5-v3-ObservationAlert-for-R4"> </a><p>This value set expansion contains 23 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-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ADALRT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-ADALRT">ADALRT</a></td><td>adult alert</td><td><div><p>Proposed therapy is outside of the standard practice for an adult patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-AGE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-AGE">AGE</a></td><td>Age Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to patient age</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ALGY"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-ALGY">ALGY</a></td><td>Allergy Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-COND"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-COND">COND</a></td><td>Condition Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CREACT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-CREACT">CREACT</a></td><td>common reaction alert</td><td><div><p>**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.</p>
<p>**Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DOSEHINDA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-DOSEHINDA">DOSEHINDA</a></td><td>High Dose for Age Alert</td><td><div><p>Proposed dosage exceeds standard practice for the patient's age</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DOSELINDA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-DOSELINDA">DOSELINDA</a></td><td>Low Dose for Age Alert</td><td><div><p>Proposed dosage is below suggested therapeutic levels for the patient's age</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GEALRT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-GEALRT">GEALRT</a></td><td>geriatric alert</td><td><div><p>Proposed therapy is outside of standard practice for a geriatric patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GEN"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-GEN">GEN</a></td><td>Genetic Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GEND"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-GEND">GEND</a></td><td>Gender Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to patient gender.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-HGHT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-HGHT">HGHT</a></td><td/><td><div/></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-INT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-INT">INT</a></td><td>Intolerance Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-LAB"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-LAB">LAB</a></td><td>Lab Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to recent lab test results</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-LACT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-LACT">LACT</a></td><td>Lactation Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated when breast-feeding</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-OBSA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-OBSA">OBSA</a></td><td>Observation Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PEALRT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-PEALRT">PEALRT</a></td><td>pediatric alert</td><td><div><p>Proposed therapy is outside of the standard practice for a pediatric patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PREG"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-PREG">PREG</a></td><td>Pregnancy Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated during pregnancy</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RALG"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RALG">RALG</a></td><td>Related Allergy Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RAR"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RAR">RAR</a></td><td>Related Prior Reaction Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-REACT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-REACT">REACT</a></td><td>Reaction Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RINT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RINT">RINT</a></td><td>Related Intolerance Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RREACT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RREACT">RREACT</a></td><td>Related Reaction Alert</td><td><div><p>Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationAlert-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-WGHT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-v3-ActCode.html#v3-ActCode-WGHT">WGHT</a></td><td/><td><div/></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r4"/>
</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.r4"/>
</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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</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">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ObservationAlert-for-R4"/>
<version value="0.1.0"/>
<name value="R5V3ObservationAlertForR4"/>
<title
value="Cross-version ValueSet R5.ObservationAlert for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T21:02:03.8104715+00:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ObservationAlert|2.0.0` for use in FHIR R4."/>
<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://terminology.hl7.org/ValueSet/v3-ObservationAlert|2.0.0` as defined in FHIR R5
in FHIR R4.
The source value set is bound to the following FHIR R5 elements:
*
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ObservationAlert|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"/>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<concept>
<code value="ADALRT"/>
<display value="adult alert"/>
</concept>
<concept>
<code value="AGE"/>
<display value="Age Alert"/>
</concept>
<concept>
<code value="ALGY"/>
<display value="Allergy Alert"/>
</concept>
<concept>
<code value="COND"/>
<display value="Condition Alert"/>
</concept>
<concept>
<code value="CREACT"/>
<display value="common reaction alert"/>
</concept>
<concept>
<code value="DOSEHINDA"/>
<display value="High Dose for Age Alert"/>
</concept>
<concept>
<code value="DOSELINDA"/>
<display value="Low Dose for Age Alert"/>
</concept>
<concept>
<code value="GEALRT"/>
<display value="geriatric alert"/>
</concept>
<concept>
<code value="GEN"/>
<display value="Genetic Alert"/>
</concept>
<concept>
<code value="GEND"/>
<display value="Gender Alert"/>
</concept>
<concept>
<code value="HGHT"/>
</concept>
<concept>
<code value="INT"/>
<display value="Intolerance Alert"/>
</concept>
<concept>
<code value="LAB"/>
<display value="Lab Alert"/>
</concept>
<concept>
<code value="LACT"/>
<display value="Lactation Alert"/>
</concept>
<concept>
<code value="OBSA"/>
<display value="Observation Alert"/>
</concept>
<concept>
<code value="PEALRT"/>
<display value="pediatric alert"/>
</concept>
<concept>
<code value="PREG"/>
<display value="Pregnancy Alert"/>
</concept>
<concept>
<code value="RALG"/>
<display value="Related Allergy Alert"/>
</concept>
<concept>
<code value="RAR"/>
<display value="Related Prior Reaction Alert"/>
</concept>
<concept>
<code value="REACT"/>
<display value="Reaction Alert"/>
</concept>
<concept>
<code value="RINT"/>
<display value="Related Intolerance Alert"/>
</concept>
<concept>
<code value="RREACT"/>
<display value="Related Reaction Alert"/>
</concept>
<concept>
<code value="WGHT"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="ADALRT"/>
<display value="adult alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="AGE"/>
<display value="Age Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="ALGY"/>
<display value="Allergy Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="COND"/>
<display value="Condition Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="CREACT"/>
<display value="common reaction alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="DOSEHINDA"/>
<display value="High Dose for Age Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="DOSELINDA"/>
<display value="Low Dose for Age Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="GEALRT"/>
<display value="geriatric alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="GEN"/>
<display value="Genetic Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="GEND"/>
<display value="Gender Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="HGHT"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="INT"/>
<display value="Intolerance Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="LAB"/>
<display value="Lab Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="LACT"/>
<display value="Lactation Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="OBSA"/>
<display value="Observation Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="PEALRT"/>
<display value="pediatric alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="PREG"/>
<display value="Pregnancy Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="RALG"/>
<display value="Related Allergy Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="RAR"/>
<display value="Related Prior Reaction Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="REACT"/>
<display value="Reaction Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="RINT"/>
<display value="Related Intolerance Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="RREACT"/>
<display value="Related Reaction Alert"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="WGHT"/>
</contains>
</expansion>
</ValueSet>