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4.4.1.696 Value Set http://hl7.org/fhir/ValueSet/detectedissue-category

Clinical Decision Support Work Group Maturity Level: 0Informative Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/detectedissue-category
Version:4.5.0
Name:DetectedIssueCategory
Title:Detected Issue Category
Definition:

Kinds of issues or contraindications, such as 'drug-drug interaction', 'duplicate therapy', etc.

Committee:Clinical Decision Support Work Group
OID:2.16.840.1.113883.4.642.3.204 (for OID based terminology systems)
Source ResourceXML / JSON

This value set is used in the following places:


This value set includes codes based on the following rules:

 

This expansion generated 25 Sep 2020


This value set contains 76 concepts

Expansion based on ActCode v2.0.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v3-ActCode

CodeDisplayCodeEnglish (English, en)Definition
_AdministrationDetectedIssueCode AdministrationDetectedIssueCodeAdministration of the proposed therapy may be inappropriate or contraindicated as proposed
_AppropriatenessDetectedIssueCode AppropriatenessDetectedIssueCode
_InteractionDetectedIssueCode InteractionDetectedIssueCode
FOOD Food Interaction AlertProposed therapy may interact with certain foods
TPROD Therapeutic Product AlertProposed therapy may interact with an existing or recent therapeutic product
DRG Drug Interaction AlertProposed therapy may interact with an existing or recent drug therapy
NHP Natural Health Product AlertProposed therapy may interact with existing or recent natural health product therapy
NONRX Non-Prescription Interaction AlertProposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
OBSA Observation AlertProposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
AGE Age AlertProposed therapy may be inappropriate or contraindicated due to patient age
ADALRT adult alertProposed therapy is outside of the standard practice for an adult patient.
DOSEHINDA High Dose for Age AlertProposed dosage exceeds standard practice for the patient's age
DOSELINDA Low Dose for Age AlertProposed dosage is below suggested therapeutic levels for the patient's age
GEALRT geriatric alertProposed therapy is outside of standard practice for a geriatric patient.
PEALRT pediatric alertProposed therapy is outside of the standard practice for a pediatric patient.
COND Condition AlertProposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
HGHT
LACT Lactation AlertProposed therapy may be inappropriate or contraindicated when breast-feeding
PREG Pregnancy AlertProposed therapy may be inappropriate or contraindicated during pregnancy
WGHT
CREACT common reaction alert**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. **Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.
GEN Genetic AlertProposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
GEND Gender AlertProposed therapy may be inappropriate or contraindicated due to patient gender.
LAB Lab AlertProposed therapy may be inappropriate or contraindicated due to recent lab test results
REACT Reaction AlertProposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
ALGY Allergy AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
INT Intolerance AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
RREACT Related Reaction AlertProposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
RALG Related Allergy AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
RAR Related Prior Reaction AlertProposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
RINT Related Intolerance AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)
PREVINEF previously ineffective**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
COMPLY Compliance AlertThere may be an issue with the patient complying with the intentions of the proposed therapy
DUPTHPY Duplicate Therapy AlertThe proposed therapy appears to duplicate an existing therapy
DUPTHPCLS duplicate therapeutic alass alert**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
DUPTHPGEN duplicate generic alert**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.
ABUSE commonly abused/misused alert**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
FRAUD potential fraud**Description:**The request is suspected to have a fraudulent basis.
PLYDOC Poly-orderer AlertA similar or identical therapy was recently ordered by a different practitioner.
PLYPHRM Poly-supplier AlertThis patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.Poly-pharmacy Alert
DACT drug action detected issue**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
DOSE Dosage problemProposed dosage instructions for therapy differ from standard practice.
DOSECOND dosage-condition alert**Description:**Proposed dosage is inappropriate due to patient's medical condition.
DOSEDUR Dose-Duration AlertProposed length of therapy differs from standard practice.
DOSEDURH Dose-Duration High AlertProposed length of therapy is longer than standard practice
DOSEDURHIND Dose-Duration High for Indication AlertProposed length of therapy is longer than standard practice for the identified indication or diagnosis
DOSEDURL Dose-Duration Low AlertProposed length of therapy is shorter than that necessary for therapeutic effect
DOSEDURLIND Dose-Duration Low for Indication AlertProposed length of therapy is shorter than standard practice for the identified indication or diagnosis
DOSEH High Dose AlertProposed dosage exceeds standard practice
DOSEHIND High Dose for Indication Alert
DOSEHINDSA High Dose for Height/Surface Area AlertProposed dosage exceeds standard practice for the patient's height or body surface area
DOSEHINDW High Dose for Weight AlertProposed dosage exceeds standard practice for the patient's weight
DOSEIVL Dose-Interval AlertProposed dosage interval/timing differs from standard practice
DOSEIVLIND Dose-Interval for Indication AlertProposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
DOSEL Low Dose AlertProposed dosage is below suggested therapeutic levels
DOSELIND Low Dose for Indication Alert
DOSELINDSA Low Dose for Height/Surface Area AlertProposed dosage is below suggested therapeutic levels for the patient's height or body surface area
DOSELINDW Low Dose for Weight AlertProposed dosage is below suggested therapeutic levels for the patient's weight
MDOSE maximum dosage reached**Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
TIME timing detected issue**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ALRTENDLATE end too late alert**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
ALRTSTRTLATE start too late alert**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
_DrugActionDetectedIssueCode DrugActionDetectedIssueCodeProposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
_TimingDetectedIssueCode TimingDetectedIssueCodeProposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ENDLATE End Too Late AlertProposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATE Start Too Late AlertProposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
_ActSuppliedItemDetectedIssueCode ActSuppliedItemDetectedIssueCodeIdentifies types of detected issues regarding the administration or supply of an item to a patient.
_SupplyDetectedIssueCode SupplyDetectedIssueCodeSupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ALLDONE already performed**Definition:**The requested action has already been performed and so this request has no effect
FULFIL fulfillment alert**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTN no longer actionable**Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)
NOTEQUIV not equivalent alert**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGEN not generically equivalent alert**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
NOTEQUIVTHER not therapeutically equivalent alert**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
TIMING event timing incorrect alert**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVAL outside requested time**Definition:**The therapy action is being performed outside the bounds of the time period requested
MINFREQ too soon within frequency based on the usage**Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency
HELD held/suspended alert**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.
TOOLATE Refill Too Late AlertThe patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
TOOSOON Refill Too Soon AlertThe patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
HISTORIC record recorded as historical**Description:** While the record was accepted in the repository, there is a more recent version of a record of this type.
PATPREF violates stated preferences**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALT violates stated preferences, alternate available**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.

Additional Language Displays

_AdministrationDetectedIssueCode
_AppropriatenessDetectedIssueCode
_InteractionDetectedIssueCode
FOOD
TPROD
DRG
NHP
NONRX
OBSA
AGE
ADALRT
DOSEHINDA
DOSELINDA
GEALRT
PEALRT
COND
HGHT
LACT
PREG
WGHT
CREACT
GEN
GEND
LAB
REACT
ALGY
INT
RREACT
RALG
RAR
RINT
PREVINEF
COMPLY
DUPTHPY
DUPTHPCLS
DUPTHPGEN
ABUSE
FRAUD
PLYDOC
PLYPHRMPoly-pharmacy Alert
DACT
DOSE
DOSECOND
DOSEDUR
DOSEDURH
DOSEDURHIND
DOSEDURL
DOSEDURLIND
DOSEH
DOSEHIND
DOSEHINDSA
DOSEHINDW
DOSEIVL
DOSEIVLIND
DOSEL
DOSELIND
DOSELINDSA
DOSELINDW
MDOSE
TIME
ALRTENDLATE
ALRTSTRTLATE
_DrugActionDetectedIssueCode
_TimingDetectedIssueCode
ENDLATE
STRTLATE
_ActSuppliedItemDetectedIssueCode
_SupplyDetectedIssueCode
ALLDONE
FULFIL
NOTACTN
NOTEQUIV
NOTEQUIVGEN
NOTEQUIVTHER
TIMING
INTERVAL
MINFREQ
HELD
TOOLATE
TOOSOON
HISTORIC
PATPREF
PATPREFALT

 

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Explanation of the columns that may appear on this page:

LvlA 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
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DefinitionAn explanation of the meaning of the concept
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