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Codesystem-medicationrequest-status-reason.xml

Pharmacy Work GroupMaturity Level: N/AStandards Status: Informative

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Definition for Code System medicationRequest Status Reason Codes

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="medicationrequest-status-reason"/> 
  <meta> 
    <lastUpdated value="2019-06-19T03:07:23.560+00:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Medication request  status  reason  codes</h2> 
      <div> 
        <p> MedicationRequest Status Reason Codes</p> 

      </div> 
      <p> This code system http://terminology.hl7.org/CodeSystem/medicationrequest-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">altchoice
            <a name="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-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="medicationrequest-status-reason-sdupther"> </a> 
          </td> 
          <td> Duplicate therapy</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">sintol
            <a name="medicationrequest-status-reason-sintol"> </a> 
          </td> 
          <td> Suspected intolerance</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">surg
            <a name="medicationrequest-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="medicationrequest-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-standards-status">
    <valueCode value="draft"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1325"/> 
  </identifier> 
  <version value="4.1.0"/> 
  <name value="medicationRequest Status Reason Codes"/> 
  <title value="Medication request  status  reason  codes"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <publisher value="FHIR Project team"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <description value="MedicationRequest Status Reason Codes"/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"/> 
  <content value="complete"/> 
  <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="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="sintol"/> 
    <display value="Suspected intolerance"/> 
    <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="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.