This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Clinical Decision Support Work Group | Maturity Level: 0 | Informative | Use Context: Country: World |
Official URL: http://hl7.org/fhir/ValueSet/detectedissue-category
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Version: 5.0.0 | |||
draft as of 2023-03-26 | Computable Name: DetectedIssueCategory | |||
Flags: | OID: 2.16.840.1.113883.4.642.3.204 |
This value set is used in the following places:
Kinds of issues or contraindications, such as 'drug-drug interaction', 'duplicate therapy', etc.
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/v3-ActCode
where concept is-a _AdministrationDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode
where concept is-a _ActSuppliedItemDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode
where concept is-a _ClinicalActionDetectedIssueCode http://terminology.hl7.org/CodeSystem/v3-ActCode
where concept is-a _SupplyDetectedIssueCode
This expansion generated 26 Mar 2023
This value set contains 78 concepts
Expansion based on ActCode v8.0.0 (CodeSystem)
Code | System | Display | Definition |
_AdministrationDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | AdministrationDetectedIssueCode | Administration of the proposed therapy may be inappropriate or contraindicated as proposed |
_AppropriatenessDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | AppropriatenessDetectedIssueCode | |
_InteractionDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | InteractionDetectedIssueCode | |
FOOD | http://terminology.hl7.org/CodeSystem/v3-ActCode | Food Interaction Alert | Proposed therapy may interact with certain foods |
TPROD | http://terminology.hl7.org/CodeSystem/v3-ActCode | Therapeutic Product Alert | Proposed therapy may interact with an existing or recent therapeutic product |
DRG | http://terminology.hl7.org/CodeSystem/v3-ActCode | Drug Interaction Alert | Proposed therapy may interact with an existing or recent drug therapy |
NHP | http://terminology.hl7.org/CodeSystem/v3-ActCode | Natural Health Product Alert | Proposed therapy may interact with existing or recent natural health product therapy |
NONRX | http://terminology.hl7.org/CodeSystem/v3-ActCode | Non-Prescription Interaction Alert | Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin) |
OBSA | http://terminology.hl7.org/CodeSystem/v3-ActCode | Observation Alert | Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient |
AGE | http://terminology.hl7.org/CodeSystem/v3-ActCode | Age Alert | Proposed therapy may be inappropriate or contraindicated due to patient age |
ADALRT | http://terminology.hl7.org/CodeSystem/v3-ActCode | adult alert | Proposed therapy is outside of the standard practice for an adult patient. |
DOSEHINDA | http://terminology.hl7.org/CodeSystem/v3-ActCode | High Dose for Age Alert | Proposed dosage exceeds standard practice for the patient's age |
DOSELINDA | http://terminology.hl7.org/CodeSystem/v3-ActCode | Low Dose for Age Alert | Proposed dosage is below suggested therapeutic levels for the patient's age |
GEALRT | http://terminology.hl7.org/CodeSystem/v3-ActCode | geriatric alert | Proposed therapy is outside of standard practice for a geriatric patient. |
PEALRT | http://terminology.hl7.org/CodeSystem/v3-ActCode | pediatric alert | Proposed therapy is outside of the standard practice for a pediatric patient. |
COND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Condition Alert | Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis |
HGHT | http://terminology.hl7.org/CodeSystem/v3-ActCode | ||
LACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | Lactation Alert | Proposed therapy may be inappropriate or contraindicated when breast-feeding |
PREG | http://terminology.hl7.org/CodeSystem/v3-ActCode | Pregnancy Alert | Proposed therapy may be inappropriate or contraindicated during pregnancy |
WGHT | http://terminology.hl7.org/CodeSystem/v3-ActCode | ||
CREACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
GEN | http://terminology.hl7.org/CodeSystem/v3-ActCode | Genetic Alert | Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators. |
GEND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Gender Alert | Proposed therapy may be inappropriate or contraindicated due to patient gender. |
LAB | http://terminology.hl7.org/CodeSystem/v3-ActCode | Lab Alert | Proposed therapy may be inappropriate or contraindicated due to recent lab test results |
REACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | Reaction Alert | Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product |
ALGY | http://terminology.hl7.org/CodeSystem/v3-ActCode | Allergy Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.) |
INT | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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.) |
RREACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | Related Reaction Alert | Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product. |
RALG | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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.) |
RAR | http://terminology.hl7.org/CodeSystem/v3-ActCode | Related Prior Reaction Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product. |
RINT | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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.) |
PREVINEF | http://terminology.hl7.org/CodeSystem/v3-ActCode | previously ineffective | **Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect. |
COMPLY | http://terminology.hl7.org/CodeSystem/v3-ActCode | Compliance Alert | There may be an issue with the patient complying with the intentions of the proposed therapy |
DUPTHPY | http://terminology.hl7.org/CodeSystem/v3-ActCode | Duplicate Therapy Alert | The proposed therapy appears to duplicate an existing therapy |
DUPTHPCLS | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
DUPTHPGEN | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
ABUSE | http://terminology.hl7.org/CodeSystem/v3-ActCode | commonly abused/misused alert | **Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring. |
FRAUD | http://terminology.hl7.org/CodeSystem/v3-ActCode | potential fraud | **Description:**The request is suspected to have a fraudulent basis. |
PLYDOC | http://terminology.hl7.org/CodeSystem/v3-ActCode | Poly-orderer Alert | A similar or identical therapy was recently ordered by a different practitioner. |
PLYPHRM | http://terminology.hl7.org/CodeSystem/v3-ActCode | Poly-supplier Alert | This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier. |
DACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | drug action detected issue | **Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy. |
DOSE | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dosage problem | Proposed dosage instructions for therapy differ from standard practice. |
DOSECOND | http://terminology.hl7.org/CodeSystem/v3-ActCode | dosage-condition alert | **Description:**Proposed dosage is inappropriate due to patient's medical condition. |
DOSEDUR | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Duration Alert | Proposed length of therapy differs from standard practice. |
DOSEDURH | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Duration High Alert | Proposed length of therapy is longer than standard practice |
DOSEDURHIND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Duration High for Indication Alert | Proposed length of therapy is longer than standard practice for the identified indication or diagnosis |
DOSEDURL | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Duration Low Alert | Proposed length of therapy is shorter than that necessary for therapeutic effect |
DOSEDURLIND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Duration Low for Indication Alert | Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis |
DOSEH | http://terminology.hl7.org/CodeSystem/v3-ActCode | High Dose Alert | Proposed dosage exceeds standard practice |
DOSEHIND | http://terminology.hl7.org/CodeSystem/v3-ActCode | High Dose for Indication Alert | |
DOSEHINDSA | http://terminology.hl7.org/CodeSystem/v3-ActCode | High Dose for Height/Surface Area Alert | Proposed dosage exceeds standard practice for the patient's height or body surface area |
DOSEHINDW | http://terminology.hl7.org/CodeSystem/v3-ActCode | High Dose for Weight Alert | Proposed dosage exceeds standard practice for the patient's weight |
DOSEIVL | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Interval Alert | Proposed dosage interval/timing differs from standard practice |
DOSEIVLIND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Dose-Interval for Indication Alert | Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis |
DOSEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | Low Dose Alert | Proposed dosage is below suggested therapeutic levels |
DOSELIND | http://terminology.hl7.org/CodeSystem/v3-ActCode | Low Dose for Indication Alert | |
DOSELINDSA | http://terminology.hl7.org/CodeSystem/v3-ActCode | Low Dose for Height/Surface Area Alert | Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area |
DOSELINDW | http://terminology.hl7.org/CodeSystem/v3-ActCode | Low Dose for Weight Alert | Proposed dosage is below suggested therapeutic levels for the patient's weight |
MDOSE | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
TIME | http://terminology.hl7.org/CodeSystem/v3-ActCode | timing detected issue | **Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. |
ALRTENDLATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | end too late alert | **Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy. |
ALRTSTRTLATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
_DrugActionDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | DrugActionDetectedIssueCode | Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy |
_TimingDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | TimingDetectedIssueCode | Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. |
ENDLATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | End Too Late Alert | Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy |
STRTLATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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 |
_ActSuppliedItemDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | ActSuppliedItemDetectedIssueCode | Identifies types of detected issues regarding the administration or supply of an item to a patient. |
_SupplyDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | SupplyDetectedIssueCode | Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy |
ALLDONE | http://terminology.hl7.org/CodeSystem/v3-ActCode | already performed | **Definition:**The requested action has already been performed and so this request has no effect |
FULFIL | http://terminology.hl7.org/CodeSystem/v3-ActCode | fulfillment alert | **Definition:**The therapy being performed is in some way out of alignment with the requested therapy. |
NOTACTN | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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.) |
NOTEQUIV | http://terminology.hl7.org/CodeSystem/v3-ActCode | not equivalent alert | **Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested. |
NOTEQUIVGEN | http://terminology.hl7.org/CodeSystem/v3-ActCode | not generically equivalent alert | **Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested. |
NOTEQUIVTHER | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
TIMING | http://terminology.hl7.org/CodeSystem/v3-ActCode | event timing incorrect alert | **Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested |
INTERVAL | http://terminology.hl7.org/CodeSystem/v3-ActCode | outside requested time | **Definition:**The therapy action is being performed outside the bounds of the time period requested |
MINFREQ | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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 |
HELD | http://terminology.hl7.org/CodeSystem/v3-ActCode | held/suspended alert | **Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended. |
TOOLATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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 |
TOOSOON | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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 |
HISTORIC | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
PATPREF | http://terminology.hl7.org/CodeSystem/v3-ActCode | violates stated preferences | **Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. |
PATPREFALT | http://terminology.hl7.org/CodeSystem/v3-ActCode | 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. |
_ClinicalActionDetectedIssueCode | http://terminology.hl7.org/CodeSystem/v3-ActCode | ClinicalActionDetectedIssueCode | Identifies types of issues detected regarding the performance of a clinical action on a patient. |
CAREGAP | http://terminology.hl7.org/CodeSystem/v3-ActCode | Caregap | Identifies the type of detected issue is a care gap |
CODINGGAP | http://terminology.hl7.org/CodeSystem/v3-ActCode | Codinggap | Identifies the type of detected issue is a risk adjustment coding gap |
Additional Language Displays
Code | English (English, en) |
_AdministrationDetectedIssueCode | |
_AppropriatenessDetectedIssueCode | |
_InteractionDetectedIssueCode | |
FOOD | |
TPROD | |
DRG | |
NHP | |
NONRX | |
OBSA | |
AGE | |
ADALRT | |
DOSEHINDA | |
DOSELINDA | |
GEALRT | |
PEALRT | |
COND | |
HGHT | |
LACT | |
PREG | |
WGHT | |
CREACT | |
GEN | |
GEND | |
LAB | |
REACT | |
ALGY | |
INT | |
RREACT | |
RALG | |
RAR | |
RINT | |
PREVINEF | |
COMPLY | |
DUPTHPY | |
DUPTHPCLS | |
DUPTHPGEN | |
ABUSE | |
FRAUD | |
PLYDOC | |
PLYPHRM | Poly-pharmacy Alert |
DACT | |
DOSE | |
DOSECOND | |
DOSEDUR | |
DOSEDURH | |
DOSEDURHIND | |
DOSEDURL | |
DOSEDURLIND | |
DOSEH | |
DOSEHIND | |
DOSEHINDSA | |
DOSEHINDW | |
DOSEIVL | |
DOSEIVLIND | |
DOSEL | |
DOSELIND | |
DOSELINDSA | |
DOSELINDW | |
MDOSE | |
TIME | |
ALRTENDLATE | |
ALRTSTRTLATE | |
_DrugActionDetectedIssueCode | |
_TimingDetectedIssueCode | |
ENDLATE | |
STRTLATE | |
_ActSuppliedItemDetectedIssueCode | |
_SupplyDetectedIssueCode | |
ALLDONE | |
FULFIL | |
NOTACTN | |
NOTEQUIV | |
NOTEQUIVGEN | |
NOTEQUIVTHER | |
TIMING | |
INTERVAL | |
MINFREQ | |
HELD | |
TOOLATE | |
TOOSOON | |
HISTORIC | |
PATPREF | |
PATPREFALT | |
_ClinicalActionDetectedIssueCode | |
CAREGAP | |
CODINGGAP |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information |
Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
Code | The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
Definition | An explanation of the meaning of the concept |
Comments | Additional notes about how to use the code |