Generated Narrative: ValueSet R5-v3-RefusalReasonCode-for-R4 This value set expansion contains 123 concepts. System Version Code Display Definition http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ABUSE commonly abused/misused alert **Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ADALRT adult alert Proposed therapy is outside of the standard practice for an adult patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 AGE Age Alert Proposed therapy may be inappropriate or contraindicated due to patient age http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ALGY Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ALLDONE already performed **Definition:**The requested action has already been performed and so this request has no effect http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ALRTENDLATE end too late alert **Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ALRTSTRTLATE start too late alert **Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 BUS business constraint violation **Description:**A local business rule relating multiple elements has been violated. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 CAREGAP Caregap Identifies the type of detected issue is a care gap http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 CODE_DEPREC code has been deprecated **Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 CODE_INVAL code is not valid **Description:**The specified code is not valid against the list of codes allowed for the element. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 CODINGGAP Codinggap Identifies the type of detected issue is a risk adjustment coding gap http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 COMPLY Compliance Alert There may be an issue with the patient complying with the intentions of the proposed therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 COND Condition Alert Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 CREACT common reaction alert **Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. **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. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DACT drug action detected issue **Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSE Dosage problem Proposed dosage instructions for therapy differ from standard practice. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSECOND dosage-condition alert **Description:**Proposed dosage is inappropriate due to patient's medical condition. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEDUR Dose-Duration Alert Proposed length of therapy differs from standard practice. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEDURH Dose-Duration High Alert Proposed length of therapy is longer than standard practice http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEDURHIND Dose-Duration High for Indication Alert Proposed length of therapy is longer than standard practice for the identified indication or diagnosis http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEDURL Dose-Duration Low Alert Proposed length of therapy is shorter than that necessary for therapeutic effect http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEDURLIND Dose-Duration Low for Indication Alert Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEH High Dose Alert Proposed dosage exceeds standard practice http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEHIND High Dose for Indication Alert http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEHINDA High Dose for Age Alert Proposed dosage exceeds standard practice for the patient's age http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEHINDSA High Dose for Height/Surface Area Alert Proposed dosage exceeds standard practice for the patient's height or body surface area http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEHINDW High Dose for Weight Alert Proposed dosage exceeds standard practice for the patient's weight http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEIVL Dose-Interval Alert Proposed dosage interval/timing differs from standard practice http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEIVLIND Dose-Interval for Indication Alert Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSEL Low Dose Alert Proposed dosage is below suggested therapeutic levels http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSELIND Low Dose for Indication Alert http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSELINDA Low Dose for Age Alert Proposed dosage is below suggested therapeutic levels for the patient's age http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSELINDSA Low Dose for Height/Surface Area Alert Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DOSELINDW Low Dose for Weight Alert Proposed dosage is below suggested therapeutic levels for the patient's weight http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DRG Drug Interaction Alert Proposed therapy may interact with an existing or recent drug therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DUPTHPCLS duplicate therapeutic alass alert **Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DUPTHPGEN duplicate generic alert **Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 DUPTHPY Duplicate Therapy Alert The proposed therapy appears to duplicate an existing therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ENDLATE End Too Late Alert Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 FOOD Food Interaction Alert Proposed therapy may interact with certain foods http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 FORMAT invalid format **Description:**The element does not follow the formatting or type rules defined for the field. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 FRAUD potential fraud **Description:**The request is suspected to have a fraudulent basis. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 FULFIL fulfillment alert **Definition:**The therapy being performed is in some way out of alignment with the requested therapy. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 GEALRT geriatric alert Proposed therapy is outside of standard practice for a geriatric patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 GEN Genetic Alert Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 GEND Gender Alert Proposed therapy may be inappropriate or contraindicated due to patient gender. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 HELD held/suspended alert **Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 HGHT http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 HISTORIC record recorded as historical Description: While the record was accepted in the repository, there is a more recent version of a record of this type. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ILLEGAL illegal **Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 INT Intolerance Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 INTERVAL outside requested time **Definition:**The therapy action is being performed outside the bounds of the time period requested http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 ISSUE detected issue There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 KEY204 Unknown key identifier The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 KEY205 Duplicate key identifier The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.). http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 KEY206 non-matching identification Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 LAB Lab Alert Proposed therapy may be inappropriate or contraindicated due to recent lab test results http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 LACT Lactation Alert Proposed therapy may be inappropriate or contraindicated when breast-feeding http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 LEN_LONG length is too long **Description:**The length of the data specified is greater than the maximum length defined for the element. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 LEN_RANGE length out of range **Description:**The length of the data specified falls out of the range defined for the element. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 LEN_SHORT length is too short **Description:**The length of the data specified is less than the minimum length defined for the element. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MAXOCCURS repetitions above maximum **Description:**The number of repeating elements is above the maximum number of repetitions allowed. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MDOSE maximum dosage reached **Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MINFREQ too soon within frequency based on the usage **Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MINOCCURS repetitions below minimum **Description:**The number of repeating elements is below the minimum number of repetitions allowed. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MISSCOND conditional element missing **Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 MISSMAND mandatory element missing **Description:**The specified element is mandatory and was not included in the instance. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NAT Insufficient authorization The requesting party has insufficient authorization to invoke the interaction. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NHP Natural Health Product Alert Proposed therapy may interact with existing or recent natural health product therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NODUPS duplicate values are not permitted **Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NONRX Non-Prescription Interaction Alert Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NOPERSIST element will not be persisted Description: Element in submitted message will not persist in data storage based on detected issue. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NOTACTN no longer actionable **Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NOTEQUIV not equivalent alert **Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NOTEQUIVGEN not generically equivalent alert **Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 NOTEQUIVTHER not therapeutically equivalent alert **Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 OBSA Observation Alert Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 OBSOLETE obsolete record returned Description: One or more records in the query response have a status of 'obsolete'. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PATPREF violates stated preferences **Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PATPREFALT violates stated preferences, alternate available **Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PEALRT pediatric alert Proposed therapy is outside of the standard practice for a pediatric patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PLYDOC Poly-orderer Alert A similar or identical therapy was recently ordered by a different practitioner. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PLYPHRM Poly-supplier Alert This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PREG Pregnancy Alert Proposed therapy may be inappropriate or contraindicated during pregnancy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 PREVINEF previously ineffective **Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 RALG Related Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 RAR Related Prior Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 REACT Reaction Alert Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 REP_RANGE repetitions out of range **Description:**The number of repeating elements falls outside the range of the allowed number of repetitions. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 RINT Related Intolerance Alert 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.) http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 RREACT Related Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 STRTLATE Start Too Late Alert Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 SUPPRESSED record suppressed Description: One or more records in the query response have been suppressed due to consent or privacy restrictions. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 TIME timing detected issue **Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 TIMING event timing incorrect alert **Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 TOOLATE Refill Too Late Alert The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 TOOSOON Refill Too Soon Alert The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 TPROD Therapeutic Product Alert Proposed therapy may interact with an existing or recent therapeutic product http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 VALIDAT validation issue **Description:**The specified element did not pass business-rule validation. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 WGHT http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ActAdministrativeAuthorizationDetectedIssueCode ActAdministrativeAuthorizationDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ActAdministrativeDetectedIssueCode ActAdministrativeDetectedIssueCode Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ActAdministrativeRuleDetectedIssueCode ActAdministrativeRuleDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ActFinancialDetectedIssueCode ActFinancialDetectedIssueCode Identifies types of detected issues for Act class "ALRT" for the financial acts domain. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ActSuppliedItemDetectedIssueCode ActSuppliedItemDetectedIssueCode Identifies types of detected issues regarding the administration or supply of an item to a patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _AdministrationDetectedIssueCode AdministrationDetectedIssueCode Administration of the proposed therapy may be inappropriate or contraindicated as proposed http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _AppropriatenessDetectedIssueCode AppropriatenessDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _ClinicalActionDetectedIssueCode ClinicalActionDetectedIssueCode Identifies types of issues detected regarding the performance of a clinical action on a patient. http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _DrugActionDetectedIssueCode DrugActionDetectedIssueCode Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _InteractionDetectedIssueCode InteractionDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _SupplyDetectedIssueCode SupplyDetectedIssueCode Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy http://terminology.hl7.org/CodeSystem/v3-ActCode 8.0.0 _TimingDetectedIssueCode TimingDetectedIssueCode Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOAGNTPERM no agent permission Description: The agent does not have permission. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOMATCH no match Description: There is no match. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOPERM no permission Description: There is no permission. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOPRODMTCH no product match Description: There is no match for the product in the master file repository. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NORECMTCH no record match Description: There is no match for the record in the database. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOSERMTCH no service match Description: There is no match for the service in the master file repository. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOUSERPERM no user permission **Definition:**The user does not have permission http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOUSRPERM no user permission Description: The user does not have permission. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 NOVERMTCH no version match Description: There is no match for the record and version. http://terminology.hl7.org/CodeSystem/v3-ActReason 2.1.0 _RefusalReasonCode RefusalReasonCode Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
Cross-version ValueSet R5.RefusalReasonCode for use in FHIR R4
This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-RefusalReasonCode|2.0.0` for use in FHIR R4.
This value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-RefusalReasonCode|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-RefusalReasonCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4
too soon within frequency based on the usage
violates stated preferences, alternate available