Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

: R5V3PharmacySupplyRequestRenewalRefusalReasonCodeForR4 - XML Representation

Page standards status: Trial-use Maturity Level: 0

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-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-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4</b></p><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4"> </a><a name="hcR5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4"> </a><p>This value set expansion contains 12 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-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-ALREADYRX"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-ALREADYRX">ALREADYRX</a></td><td>new prescription exists</td><td><div><p>**Definition:**Patient has already been given a new (renewal) prescription.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-DISCONT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-DISCONT">DISCONT</a></td><td>product discontinued</td><td><div><p>**Description:**The medication is no longer being manufactured or is otherwise no longer available.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-FAMPHYS"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-FAMPHYS">FAMPHYS</a></td><td>family physician must authorize further fills</td><td><div><p>**Definition:**Request for further authorization must be done through patient's family physician.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-MODIFY"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-MODIFY">MODIFY</a></td><td>modified prescription exists</td><td><div><p>**Definition:**Therapy has been changed and new prescription issued</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-NEEDAPMT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-NEEDAPMT">NEEDAPMT</a></td><td>patient must make appointment</td><td><div><p>**Definition:**Patient must see prescriber prior to further fills.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-NOTAVAIL"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-NOTAVAIL">NOTAVAIL</a></td><td>prescriber not available</td><td><div><p>**Definition:**Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-NOTPAT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-NOTPAT">NOTPAT</a></td><td>patient no longer in this practice</td><td><div><p>**Definition:**Patient no longer or has never been under this prescribers care.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-ONHOLD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-ONHOLD">ONHOLD</a></td><td>medication on hold</td><td><div><p>**Definition:**This medication is on hold.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-PRNA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-PRNA">PRNA</a></td><td>product not available</td><td><div><p>**Description:**This product is not available or manufactured.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-STOPMED"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-STOPMED">STOPMED</a></td><td>prescriber stopped medication for patient</td><td><div><p>Renewing or original prescriber informed patient to stop using the medication.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-TOOEARLY"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-TOOEARLY">TOOEARLY</a></td><td>too early</td><td><div><p>**Definition:**The patient should have medication remaining.</p>
</div></td></tr><tr><td><a name="R5-v3-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_PharmacySupplyRequestRenewalRefusalReasonCode"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-_PharmacySupplyRequestRenewalRefusalReasonCode">_PharmacySupplyRequestRenewalRefusalReasonCode</a></td><td>pharmacy supply request renewal refusal reason</td><td><div><p>**Definition:**A collection of concepts that identifies why a renewal prescription has been refused.</p>
</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-PharmacySupplyRequestRenewalRefusalReasonCode-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3PharmacySupplyRequestRenewalRefusalReasonCodeForR4"/>
  <title
         value="Cross-version ValueSet R5.PharmacySupplyRequestRenewalRefusalReasonCode 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-PharmacySupplyRequestRenewalRefusalReasonCode|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-PharmacySupplyRequestRenewalRefusalReasonCode|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-PharmacySupplyRequestRenewalRefusalReasonCode|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-ActReason"/>
      <version value="2.1.0"/>
      <concept>
        <code value="ALREADYRX"/>
        <display value="new prescription exists"/>
      </concept>
      <concept>
        <code value="DISCONT"/>
        <display value="product discontinued"/>
      </concept>
      <concept>
        <code value="FAMPHYS"/>
        <display value="family physician must authorize further fills"/>
      </concept>
      <concept>
        <code value="MODIFY"/>
        <display value="modified prescription exists"/>
      </concept>
      <concept>
        <code value="NEEDAPMT"/>
        <display value="patient must make appointment"/>
      </concept>
      <concept>
        <code value="NOTAVAIL"/>
        <display value="prescriber not available"/>
      </concept>
      <concept>
        <code value="NOTPAT"/>
        <display value="patient no longer in this practice"/>
      </concept>
      <concept>
        <code value="ONHOLD"/>
        <display value="medication on hold"/>
      </concept>
      <concept>
        <code value="PRNA"/>
        <display value="product not available"/>
      </concept>
      <concept>
        <code value="STOPMED"/>
        <display value="prescriber stopped medication for patient"/>
      </concept>
      <concept>
        <code value="TOOEARLY"/>
        <display value="too early"/>
      </concept>
      <concept>
        <code value="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
        <display value="pharmacy supply request renewal refusal reason"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="ALREADYRX"/>
      <display value="new prescription exists"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="DISCONT"/>
      <display value="product discontinued"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="FAMPHYS"/>
      <display value="family physician must authorize further fills"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="MODIFY"/>
      <display value="modified prescription exists"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="NEEDAPMT"/>
      <display value="patient must make appointment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="NOTAVAIL"/>
      <display value="prescriber not available"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="NOTPAT"/>
      <display value="patient no longer in this practice"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="ONHOLD"/>
      <display value="medication on hold"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="PRNA"/>
      <display value="product not available"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="STOPMED"/>
      <display value="prescriber stopped medication for patient"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="TOOEARLY"/>
      <display value="too early"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
      <display value="pharmacy supply request renewal refusal reason"/>
    </contains>
  </expansion>
</ValueSet>