ACT-NOW Implementation Guide
0.5.0 - ci-build

ACT-NOW Implementation Guide, published by Te aho o te kahu - Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/actnow/ and changes regularly. See the Directory of published versions

## ValueSet: Dose adjustment reason

Official URL: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-sact-dose-adjustment-reason | Version: 0.5.0
Draft as of 2026-06-15 | Computable Name: DoseAdjustmentReason

Reasons for adjusting the dose of a systemic anti-cancer therapy (SACT) treatment cycle plus other value.

References

- DoseAdjustmentReason

### Logical Definition (CLD)

- Include these codes as defined in `http://snomed.info/sct/21000210109` version Not Stated (use latest from terminology server)

  Code | Display
  271737000 | Anaemia
  262121000210102 | CNS toxicity
  14760008 | Constipation
  414029004 | Immune system disorder
  262111000210107 | Adjusted body weight calculation
  262101000210105 | Dose rounding
  424122007 | ECOG performance status finding
  105593004 | Electrolyte imbalance
  106176003 | Endocrine finding
  248279007 | Frailty
  106028002 | Musculoskeletal finding
  165517008 | Neutropenia
  49808004 | Advanced age
  74964007 | Other
  407566003 | Patient on maximum tolerated dose
  302226006 | Peripheral neuropathy
  302215000 | Thrombocytopenia
  365921005 | Weight change finding

### Expansion

No Expansion for this valueset (Unknown Code System)

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | 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)
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