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 - XML Representation

Draft as of 2026-06-15

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="canshare-sact-toxicity-discontinue-reason"/>
      <text>
        <status value="generated"/>
        <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>
      </text>
      <url
           value="https://nzhts.digital.health.nz/fhir/ValueSet/canshare-sact-toxicity-discontinue-reason"/>
      <version value="0.5.0"/>
      <name value="RegimenDiscontinuedToxicity"/>
      <title value="Toxicity reasons why a regimen was discontinued"/>
      <status value="draft"/>
      <experimental value="false"/>
      <date value="2026-06-15T22:12:46+00:00"/>
      <publisher value="Te aho o te kahu - Cancer Control Agency"/>
      <contact>
        <name value="Te aho o te kahu - Cancer Control Agency"/>
        <telecom>
          <system value="email"/>
          <value value="mailto:david.hay25@gmail.com"/>
        </telecom>
      </contact>
      <description
                   value="Toxicity factors that may result in the discontinuation of a systemic anti-cancer therapy (SACT) treatment."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="NZ"/>
          <display value="New Zealand"/>
        </coding>
      </jurisdiction>
      <compose>
        <include>
          <system value="http://snomed.info/sct/21000210109"/>
          <concept>
            <code value="75183008"/>
            <display value="Abnormal liver function"/>
          </concept>
          <concept>
            <code value="39539005"/>
            <display value="Abnormal renal function"/>
          </concept>
          <concept>
            <code value="863954001"/>
            <display value="Cardiotoxicity"/>
          </concept>
          <concept>
            <code value="62315008"/>
            <display value="Diarrhoea"/>
          </concept>
          <concept>
            <code value="416098002"/>
            <display value="Drug allergy"/>
          </concept>
          <concept>
            <code value="84229001"/>
            <display value="Fatigue"/>
          </concept>
          <concept>
            <code value="128540005"/>
            <display value="Hearing disorder"/>
          </concept>
          <concept>
            <code value="40733004"/>
            <display value="Infection"/>
          </concept>
          <concept>
            <code value="57662003"/>
            <display value="Vascular injury"/>
          </concept>
          <concept>
            <code value="370569000"/>
            <display value="Myelosuppression"/>
          </concept>
          <concept>
            <code value="422587007"/>
            <display value="Nausea"/>
          </concept>
          <concept>
            <code value="386033004"/>
            <display value="Neuropathy"/>
          </concept>
          <concept>
            <code value="846605006"/>
            <display value="Pulmonary toxicity"/>
          </concept>
          <concept>
            <code value="271807003"/>
            <display value="Skin rash"/>
          </concept>
          <concept>
            <code value="61170000"/>
            <display value="Stomatitis"/>
          </concept>
          <concept>
            <code value="422400008"/>
            <display value="Vomiting"/>
          </concept>
        </include>
      </compose>
    </ValueSet>