R4 Draft for Comment

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4.3.1.355 Value Set http://hl7.org/fhir/ValueSet/med-dispense-status-reason

Pharmacy Work Group Maturity Level: 1Draft Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/med-dispense-status-reason
Name:MedicationDispenseStatusReason
Definition:

A code describing why a dispense was not performed

Committee:Pharmacy Work Group
OID:2.16.840.1.113883.4.642.3.355 (for OID based terminology systems)
Source ResourceXML / JSON

This value set is used in the following places:

4.3.1.355.1 Content Logical Definition

This value set includes codes from the following code systems:

 

4.3.1.355.2 Expansion

This expansion generated 20 Dec 2017

This value set contains 19 concepts

Expansion based on http://hl7.org/fhir/med-dispense-status-reason version 3.2.0

All codes from system http://hl7.org/fhir/med-dispense-status-reason

CodeDisplayDefinition
frr01Order StoppedThe order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.
frr02Stale-dated orderOrder has not been fulfilled within a reasonable amount of time, and might not be current.
frr03Incomplete dataData needed to safely act on the order which was expected to become available independent of the order is not yet available. Example:Lab results, diagnostic imaging, etc.
frr04Product unavailableProduct not available or manufactured. Cannot supply.
frr05Ethical/religiousThe dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
frr06Unable to provide careFulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.
altchoiceTry another treatment firstThis therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
clarifPrescription requires clarificationClarification is required before the order can be acted upon.
drughighDrug level too highThe 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.
hospadmAdmission to hospitalThe patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
labintLab interference issuesThe therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
non-availPatient not-availablePatient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
pregParent is pregnant/breast feedingThe patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
salgAllergyThe patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
sddiDrug interacts with another drugThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
sduptherDuplicate therapyAnother short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
sintolSuspected intoleranceThe 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.
surgPatient scheduled for surgeryThe 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.
washoutWaiting for old drug to wash outThe 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.

 

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