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

## : Toxicity reasons why a regimen was discontinued - JSON Representation

Draft as of 2026-06-15

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    {
      "resourceType" : "ValueSet",
      "id" : "canshare-sact-toxicity-discontinue-reason",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet canshare-sact-toxicity-discontinue-reason</b></p><a name=\"canshare-sact-toxicity-discontinue-reason\"> </a><a name=\"hccanshare-sact-toxicity-discontinue-reason\"> </a><ul><li>Include these codes as defined in <code>http://snomed.info/sct/21000210109</code><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>75183008</td><td>Abnormal liver function</td></tr><tr><td>39539005</td><td>Abnormal renal function</td></tr><tr><td>863954001</td><td>Cardiotoxicity</td></tr><tr><td>62315008</td><td>Diarrhoea</td></tr><tr><td>416098002</td><td>Drug allergy</td></tr><tr><td>84229001</td><td>Fatigue</td></tr><tr><td>128540005</td><td>Hearing disorder</td></tr><tr><td>40733004</td><td>Infection</td></tr><tr><td>57662003</td><td>Vascular injury</td></tr><tr><td>370569000</td><td>Myelosuppression</td></tr><tr><td>422587007</td><td>Nausea</td></tr><tr><td>386033004</td><td>Neuropathy</td></tr><tr><td>846605006</td><td>Pulmonary toxicity</td></tr><tr><td>271807003</td><td>Skin rash</td></tr><tr><td>61170000</td><td>Stomatitis</td></tr><tr><td>422400008</td><td>Vomiting</td></tr></table></li></ul></div>"
      },
      "url" : "https://nzhts.digital.health.nz/fhir/ValueSet/canshare-sact-toxicity-discontinue-reason",
      "version" : "0.5.0",
      "name" : "RegimenDiscontinuedToxicity",
      "title" : "Toxicity reasons why a regimen was discontinued",
      "status" : "draft",
      "experimental" : false,
      "date" : "2026-06-15T22:12:46+00:00",
      "publisher" : "Te aho o te kahu - Cancer Control Agency",
      "contact" : [
        {
          "name" : "Te aho o te kahu - Cancer Control Agency",
          "telecom" : [
            {
              "system" : "email",
              "value" : "mailto:david.hay25@gmail.com"
            }
          ]
        }
      ],
      "description" : "Toxicity factors that may result in the discontinuation of a systemic anti-cancer therapy (SACT) treatment.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "NZ",
              "display" : "New Zealand"
            }
          ]
        }
      ],
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct/21000210109",
            "concept" : [
              {
                "code" : "75183008",
                "display" : "Abnormal liver function"
              },
              {
                "code" : "39539005",
                "display" : "Abnormal renal function"
              },
              {
                "code" : "863954001",
                "display" : "Cardiotoxicity"
              },
              {
                "code" : "62315008",
                "display" : "Diarrhoea"
              },
              {
                "code" : "416098002",
                "display" : "Drug allergy"
              },
              {
                "code" : "84229001",
                "display" : "Fatigue"
              },
              {
                "code" : "128540005",
                "display" : "Hearing disorder"
              },
              {
                "code" : "40733004",
                "display" : "Infection"
              },
              {
                "code" : "57662003",
                "display" : "Vascular injury"
              },
              {
                "code" : "370569000",
                "display" : "Myelosuppression"
              },
              {
                "code" : "422587007",
                "display" : "Nausea"
              },
              {
                "code" : "386033004",
                "display" : "Neuropathy"
              },
              {
                "code" : "846605006",
                "display" : "Pulmonary toxicity"
              },
              {
                "code" : "271807003",
                "display" : "Skin rash"
              },
              {
                "code" : "61170000",
                "display" : "Stomatitis"
              },
              {
                "code" : "422400008",
                "display" : "Vomiting"
              }
            ]
          }
        ]
      }
    }