{ "resourceType" : "ValueSet", "id" : "R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4", "text" : { "status" : "generated", "div" : "

Generated Narrative: ValueSet R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4

This value set expansion contains 12 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0ALREADYRXnew prescription exists

**Definition:**Patient has already been given a new (renewal) prescription.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0DISCONTproduct discontinued

**Description:**The medication is no longer being manufactured or is otherwise no longer available.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0FAMPHYSfamily physician must authorize further fills

**Definition:**Request for further authorization must be done through patient's family physician.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0MODIFYmodified prescription exists

**Definition:**Therapy has been changed and new prescription issued

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0NEEDAPMTpatient must make appointment

**Definition:**Patient must see prescriber prior to further fills.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0NOTAVAILprescriber not available

**Definition:**Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0NOTPATpatient no longer in this practice

**Definition:**Patient no longer or has never been under this prescribers care.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0ONHOLDmedication on hold

**Definition:**This medication is on hold.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0PRNAproduct not available

**Description:**This product is not available or manufactured.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0STOPMEDprescriber stopped medication for patient

Renewing or original prescriber informed patient to stop using the medication.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0TOOEARLYtoo early

**Definition:**The patient should have medication remaining.

\n
http://terminology.hl7.org/CodeSystem/v3-ActReason2.1.0\u00a0\u00a0_PharmacySupplyRequestRenewalRefusalReasonCodepharmacy supply request renewal refusal reason

**Definition:**A collection of concepts that identifies why a renewal prescription has been refused.

\n
" }, "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-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4", "version" : "0.1.0", "name" : "R5V3PharmacySupplyRequestRenewalRefusalReasonCodeForR4", "title" : "Cross-version ValueSet R5.PharmacySupplyRequestRenewalRefusalReasonCode 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-PharmacySupplyRequestRenewalRefusalReasonCode|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-PharmacySupplyRequestRenewalRefusalReasonCode|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-PharmacySupplyRequestRenewalRefusalReasonCode|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" : "ALREADYRX", "display" : "new prescription exists" }, { "code" : "DISCONT", "display" : "product discontinued" }, { "code" : "FAMPHYS", "display" : "family physician must authorize further fills" }, { "code" : "MODIFY", "display" : "modified prescription exists" }, { "code" : "NEEDAPMT", "display" : "patient must make appointment" }, { "code" : "NOTAVAIL", "display" : "prescriber not available" }, { "code" : "NOTPAT", "display" : "patient no longer in this practice" }, { "code" : "ONHOLD", "display" : "medication on hold" }, { "code" : "PRNA", "display" : "product not available" }, { "code" : "STOPMED", "display" : "prescriber stopped medication for patient" }, { "code" : "TOOEARLY", "display" : "too early" }, { "code" : "_PharmacySupplyRequestRenewalRefusalReasonCode", "display" : "pharmacy supply request renewal refusal reason" }] }] }, "expansion" : { "timestamp" : "2026-03-17T21:02:03.8104715+00:00", "contains" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "ALREADYRX", "display" : "new prescription exists" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "DISCONT", "display" : "product discontinued" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "FAMPHYS", "display" : "family physician must authorize further fills" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "MODIFY", "display" : "modified prescription exists" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "NEEDAPMT", "display" : "patient must make appointment" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "NOTAVAIL", "display" : "prescriber not available" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "NOTPAT", "display" : "patient no longer in this practice" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "ONHOLD", "display" : "medication on hold" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "PRNA", "display" : "product not available" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "STOPMED", "display" : "prescriber stopped medication for patient" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "TOOEARLY", "display" : "too early" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "version" : "2.1.0", "code" : "_PharmacySupplyRequestRenewalRefusalReasonCode", "display" : "pharmacy supply request renewal refusal reason" }] } }