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4.4.1.191 ValueSet http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action

Clinical Decision Support icon Work Group  Maturity Level: 0 Informative Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action Version: 6.0.0-ballot3
draft as of 2025-10-14 Computable Name: DetectedIssueMitigationAction
Flags: OID: 2.16.840.1.113883.4.642.3.205

This value set is used in the following places:

4.4.1.191.1 Definition

Kinds of mitigating actions and observations that can be associated with a detected issue or contraindication, such as 'added concurrent therapy', 'prior therapy documented', etc.

4.4.1.191.2 Content Logical Definition

Generated Narrative: ValueSet detectedissue-mitigation-action

Last updated: 2025-10-14T17:29:05.908Z

Profile: Shareable ValueSet

 

4.4.1.191.3 Expansion

This expansion generated 14 Oct 2025

ValueSet

Expansion performed internally based on codesystem ActCode v9.0.0 (CodeSystem) icon

This value set contains 28 concepts

LevelSystemCodeDisplayInactiveDefinition
1 http://terminology.hl7.org/CodeSystem/v3-ActCode   _ActDetectedIssueManagementCode icon ActDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations

2 http://terminology.hl7.org/CodeSystem/v3-ActCode     _ActAdministrativeDetectedIssueManagementCode icon ActAdministrativeDetectedIssueManagementCode

Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       _AuthorizationIssueManagementCode icon Authorization Issue Management Code
4 http://terminology.hl7.org/CodeSystem/v3-ActCode         EMAUTH icon emergency authorization override

Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.

5 http://terminology.hl7.org/CodeSystem/v3-ActCode           21 icon authorization confirmed

Description: Indicates that the permissions have been externally verified and the request should be processed.

2 http://terminology.hl7.org/CodeSystem/v3-ActCode     1 icon Therapy Appropriate

Confirmed drug therapy appropriate

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       19 icon Consulted Supplier

Consulted other supplier/pharmacy, therapy confirmed

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       2 icon Assessed Patient

Assessed patient, therapy is appropriate

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       22 icon appropriate indication or diagnosis

Description: The patient has the appropriate indication or diagnosis for the action to be taken.

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       23 icon prior therapy documented

Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       3 icon Patient Explanation

Patient gave adequate explanation

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       4 icon Consulted Other Source

Consulted other supply source, therapy still appropriate

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       5 icon Consulted Prescriber

Consulted prescriber, therapy confirmed

4 http://terminology.hl7.org/CodeSystem/v3-ActCode         6 icon Prescriber Declined Change

Consulted prescriber and recommended change, prescriber declined

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       7 icon Interacting Therapy No Longer Active/Planned

Concurrent therapy triggering alert is no longer on-going or planned

2 http://terminology.hl7.org/CodeSystem/v3-ActCode     14 icon Supply Appropriate

Confirmed supply action appropriate

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       15 icon Replacement

Patient's existing supply was lost/wasted

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       16 icon Vacation Supply

Supply date is due to patient vacation

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       17 icon Weekend Supply

Supply date is intended to carry patient over weekend

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       18 icon Leave of Absence

Supply is intended for use during a leave of absence from an institution.

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       20 icon additional quantity on separate dispense

Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.

2 http://terminology.hl7.org/CodeSystem/v3-ActCode     8 icon Other Action Taken

Order is performed as issued, but other action taken to mitigate potential adverse effects

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       10 icon Provided Patient Education

Provided education or training to the patient on appropriate therapy use

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       11 icon Added Concurrent Therapy

Instituted an additional therapy to mitigate potential negative effects

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       12 icon Temporarily Suspended Concurrent Therapy

Suspended existing therapy that triggered interaction for the duration of this therapy

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       13 icon Stopped Concurrent Therapy

Aborted existing therapy that triggered interaction.

3 http://terminology.hl7.org/CodeSystem/v3-ActCode       9 icon Instituted Ongoing Monitoring Program

Arranged to monitor patient for adverse effects

2 http://terminology.hl7.org/CodeSystem/v3-ActCode     _ActFinancialDetectedIssueManagementCode icon ActFinancialDetectedIssueManagementCode inactive

Codes dealing with the management of Detected Issue observations for the financial acts domain.

 

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