R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Codesystem-med-dispense-status-reason.xml

Pharmacy Work GroupMaturity Level: N/ABallot Status: Informative

Raw XML (canonical form)

Definition for Code System MedicationDispenseStatusReason

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="med-dispense-status-reason"/> 
  <meta> 
    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> MedicationDispenseStatusReason</h2> 
      <div> 
        <p> A code describing why a dispense was not performed</p> 

      </div> 
      <p> This code system http://hl7.org/fhir/med-dispense-status-reason defines the following
         codes:</p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr01
            <a name="med-dispense-status-reason-frr01"> </a> 
          </td> 
          <td> Order Stopped</td> 
          <td> The order has been stopped by the prescriber but this fact has not necessarily captured
             electronically. Example: A verbal stop, a fax, etc.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr02
            <a name="med-dispense-status-reason-frr02"> </a> 
          </td> 
          <td> Stale-dated order</td> 
          <td> Order has not been fulfilled within a reasonable amount of time, and might not be current.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr03
            <a name="med-dispense-status-reason-frr03"> </a> 
          </td> 
          <td> Incomplete data</td> 
          <td> Data 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr04
            <a name="med-dispense-status-reason-frr04"> </a> 
          </td> 
          <td> Product unavailable</td> 
          <td> Product not available or manufactured. Cannot supply.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr05
            <a name="med-dispense-status-reason-frr05"> </a> 
          </td> 
          <td> Ethical/religious</td> 
          <td> The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing
             the product.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">frr06
            <a name="med-dispense-status-reason-frr06"> </a> 
          </td> 
          <td> Unable to provide care</td> 
          <td> Fulfiller 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">altchoice
            <a name="med-dispense-status-reason-altchoice"> </a> 
          </td> 
          <td> Try another treatment first</td> 
          <td> This therapy has been ordered as a backup to a preferred therapy. This order will be released
             when and if the preferred therapy is unsuccessful.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">clarif
            <a name="med-dispense-status-reason-clarif"> </a> 
          </td> 
          <td> Prescription requires clarification</td> 
          <td> Clarification is required before the order can be acted upon.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">drughigh
            <a name="med-dispense-status-reason-drughigh"> </a> 
          </td> 
          <td> Drug level too high</td> 
          <td> The 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">hospadm
            <a name="med-dispense-status-reason-hospadm"> </a> 
          </td> 
          <td> Admission to hospital</td> 
          <td> The patient has been admitted to a care facility and their community medications are suspended
             until hospital discharge.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">labint
            <a name="med-dispense-status-reason-labint"> </a> 
          </td> 
          <td> Lab interference issues</td> 
          <td> The therapy would interfere with a planned lab test and the therapy is being withdrawn
             until the test is completed.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">non-avail
            <a name="med-dispense-status-reason-non-avail"> </a> 
          </td> 
          <td> Patient not-available</td> 
          <td> Patient not available for a period of time due to a scheduled therapy, leave of absence
             or other reason.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">preg
            <a name="med-dispense-status-reason-preg"> </a> 
          </td> 
          <td> Parent is pregnant/breast feeding</td> 
          <td> The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy
             is complete and the patient is no longer breastfeeding.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">salg
            <a name="med-dispense-status-reason-salg"> </a> 
          </td> 
          <td> Allergy</td> 
          <td> The patient is believed to be allergic to a substance that is part of the therapy and
             the therapy is being temporarily withdrawn to confirm.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">sddi
            <a name="med-dispense-status-reason-sddi"> </a> 
          </td> 
          <td> Drug interacts with another drug</td> 
          <td> The drug interacts with a short-term treatment that is more urgently required. This order
             will be resumed when the short-term treatment is complete.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">sdupther
            <a name="med-dispense-status-reason-sdupther"> </a> 
          </td> 
          <td> Duplicate therapy</td> 
          <td> Another short-term co-occurring therapy fulfills the same purpose as this therapy. This
             therapy will be resumed when the co-occuring therapy is complete.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">sintol
            <a name="med-dispense-status-reason-sintol"> </a> 
          </td> 
          <td> Suspected intolerance</td> 
          <td> The 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">surg
            <a name="med-dispense-status-reason-surg"> </a> 
          </td> 
          <td> Patient scheduled for surgery</td> 
          <td> The 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">washout
            <a name="med-dispense-status-reason-washout"> </a> 
          </td> 
          <td> Waiting for old drug to wash out</td> 
          <td> The 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.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="phx"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Draft"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://hl7.org/fhir/med-dispense-status-reason"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.356"/> 
  </identifier> 
  <version value="3.3.0"/> 
  <name value="MedicationDispenseStatusReason"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2018-04-03T12:05:46+10:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="A code describing why a dispense was not performed"/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/med-dispense-status-reason"/> 
  <content value="complete"/> 
  <concept> 
    <code value="frr01"/> 
    <display value="Order Stopped"/> 
    <definition value="The order has been stopped by the prescriber but this fact has not necessarily captured
     electronically. Example: A verbal stop, a fax, etc."/> 
  </concept> 
  <concept> 
    <code value="frr02"/> 
    <display value="Stale-dated order"/> 
    <definition value="Order has not been fulfilled within a reasonable amount of time, and might not be current."/> 
  </concept> 
  <concept> 
    <code value="frr03"/> 
    <display value="Incomplete data"/> 
    <definition value="Data 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."/> 
  </concept> 
  <concept> 
    <code value="frr04"/> 
    <display value="Product unavailable"/> 
    <definition value="Product not available or manufactured. Cannot supply."/> 
  </concept> 
  <concept> 
    <code value="frr05"/> 
    <display value="Ethical/religious"/> 
    <definition value="The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing
     the product."/> 
  </concept> 
  <concept> 
    <code value="frr06"/> 
    <display value="Unable to provide care"/> 
    <definition value="Fulfiller 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."/> 
  </concept> 
  <concept> 
    <code value="altchoice"/> 
    <display value="Try another treatment first"/> 
    <definition value="This therapy has been ordered as a backup to a preferred therapy. This order will be released
     when and if the preferred therapy is unsuccessful."/> 
  </concept> 
  <concept> 
    <code value="clarif"/> 
    <display value="Prescription requires clarification"/> 
    <definition value="Clarification is required before the order can be acted upon."/> 
  </concept> 
  <concept> 
    <code value="drughigh"/> 
    <display value="Drug level too high"/> 
    <definition value="The 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."/> 
  </concept> 
  <concept> 
    <code value="hospadm"/> 
    <display value="Admission to hospital"/> 
    <definition value="The patient has been admitted to a care facility and their community medications are suspended
     until hospital discharge."/> 
  </concept> 
  <concept> 
    <code value="labint"/> 
    <display value="Lab interference issues"/> 
    <definition value="The therapy would interfere with a planned lab test and the therapy is being withdrawn
     until the test is completed."/> 
  </concept> 
  <concept> 
    <code value="non-avail"/> 
    <display value="Patient not-available"/> 
    <definition value="Patient not available for a period of time due to a scheduled therapy, leave of absence
     or other reason."/> 
  </concept> 
  <concept> 
    <code value="preg"/> 
    <display value="Parent is pregnant/breast feeding"/> 
    <definition value="The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy
     is complete and the patient is no longer breastfeeding."/> 
  </concept> 
  <concept> 
    <code value="salg"/> 
    <display value="Allergy"/> 
    <definition value="The patient is believed to be allergic to a substance that is part of the therapy and
     the therapy is being temporarily withdrawn to confirm."/> 
  </concept> 
  <concept> 
    <code value="sddi"/> 
    <display value="Drug interacts with another drug"/> 
    <definition value="The drug interacts with a short-term treatment that is more urgently required. This order
     will be resumed when the short-term treatment is complete."/> 
  </concept> 
  <concept> 
    <code value="sdupther"/> 
    <display value="Duplicate therapy"/> 
    <definition value="Another short-term co-occurring therapy fulfills the same purpose as this therapy. This
     therapy will be resumed when the co-occuring therapy is complete."/> 
  </concept> 
  <concept> 
    <code value="sintol"/> 
    <display value="Suspected intolerance"/> 
    <definition value="The 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."/> 
  </concept> 
  <concept> 
    <code value="surg"/> 
    <display value="Patient scheduled for surgery"/> 
    <definition value="The 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."/> 
  </concept> 
  <concept> 
    <code value="washout"/> 
    <display value="Waiting for old drug to wash out"/> 
    <definition value="The 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."/> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.