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4.4.1.765 ValueSet http://hl7.org/fhir/ValueSet/detectedissue-category

Clinical Decision Support icon Work Group Maturity Level: 0Informative Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/detectedissue-category Version: 6.0.0-cibuild
draft as of 2024-02-21 Computable Name: DetectedIssueCategory
Flags: OID: 2.16.840.1.113883.4.642.3.204

This value set is used in the following places:

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


 

This expansion generated 21 Feb 2024


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

This value set contains 86 concepts.

CodeSystemDisplayInactiveDefinition
  _AdministrationDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAdministrationDetectedIssueCode

Administration of the proposed therapy may be inappropriate or contraindicated as proposed

  _AppropriatenessDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAppropriatenessDetectedIssueCode
  _InteractionDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeInteractionDetectedIssueCode
  FOOD iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeFood Interaction Alert

Proposed therapy may interact with certain foods

  TPROD iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeTherapeutic Product Alert

Proposed therapy may interact with an existing or recent therapeutic product

  DRG iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDrug Interaction Alert

Proposed therapy may interact with an existing or recent drug therapy

  NHP iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNatural Health Product Alert

Proposed therapy may interact with existing or recent natural health product therapy

  NONRX iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNon-Prescription Interaction Alert

Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)

  OBSA iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeObservation Alert

Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

  AGE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAge Alert

Proposed therapy may be inappropriate or contraindicated due to patient age

  ADALRT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadult alert

Proposed therapy is outside of the standard practice for an adult patient.

  DOSEHINDA iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Age Alert

Proposed dosage exceeds standard practice for the patient's age

  DOSELINDA iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Age Alert

Proposed dosage is below suggested therapeutic levels for the patient's age

  GEALRT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodegeriatric alert

Proposed therapy is outside of standard practice for a geriatric patient.

  PEALRT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodepediatric alert

Proposed therapy is outside of the standard practice for a pediatric patient.

  COND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCondition Alert

Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis

  HGHT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCode
  LACT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLactation Alert

Proposed therapy may be inappropriate or contraindicated when breast-feeding

  PREG iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodePregnancy Alert

Proposed therapy may be inappropriate or contraindicated during pregnancy

  WGHT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCode
  CREACT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodecommon 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeGenetic Alert

Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

  GEND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeGender Alert

Proposed therapy may be inappropriate or contraindicated due to patient gender.

  LAB iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLab Alert

Proposed therapy may be inappropriate or contraindicated due to recent lab test results

  REACT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeReaction Alert

Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product

  ALGY iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAllergy Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)

  INT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeIntolerance Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)

  RREACT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Reaction Alert

Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.

  RALG iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Allergy Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)

  RAR iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Prior Reaction Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.

  RINT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Intolerance Alert

Proposed 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodepreviously ineffective

**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.

  COMPLY iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCompliance Alert

There may be an issue with the patient complying with the intentions of the proposed therapy

  DUPTHPY iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDuplicate Therapy Alert

The proposed therapy appears to duplicate an existing therapy

  DUPTHPCLS iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeduplicate 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeduplicate 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodecommonly abused/misused alert

**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.

  FRAUD iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodepotential fraud

**Description:**The request is suspected to have a fraudulent basis.

  PLYDOC iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodePoly-orderer Alert

A similar or identical therapy was recently ordered by a different practitioner.

  PLYPHRM iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodePoly-supplier Alert

This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

  DACT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodedrug action detected issue

**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.

  DOSE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDosage problem

Proposed dosage instructions for therapy differ from standard practice.

  DOSECOND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodedosage-condition alert

**Description:**Proposed dosage is inappropriate due to patient's medical condition.

  DOSEDUR iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Alert

Proposed length of therapy differs from standard practice.

  DOSEDURH iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High Alert

Proposed length of therapy is longer than standard practice

  DOSEDURHIND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High for Indication Alert

Proposed length of therapy is longer than standard practice for the identified indication or diagnosis

  DOSEDURL iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low Alert

Proposed length of therapy is shorter than that necessary for therapeutic effect

  DOSEDURLIND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low for Indication Alert

Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

  DOSEH iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose Alert

Proposed dosage exceeds standard practice

  DOSEHIND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Indication Alert
  DOSEHINDSA iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Height/Surface Area Alert

Proposed dosage exceeds standard practice for the patient's height or body surface area

  DOSEHINDW iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Weight Alert

Proposed dosage exceeds standard practice for the patient's weight

  DOSEIVL iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval Alert

Proposed dosage interval/timing differs from standard practice

  DOSEIVLIND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval for Indication Alert

Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

  DOSEL iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose Alert

Proposed dosage is below suggested therapeutic levels

  DOSELIND iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Indication Alert
  DOSELINDSA iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Height/Surface Area Alert

Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area

  DOSELINDW iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Weight Alert

Proposed dosage is below suggested therapeutic levels for the patient's weight

  MDOSE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodemaximum 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodetiming detected issue

**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

  ALRTENDLATE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeend too late alert

**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.

  ALRTSTRTLATE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodestart 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDrugActionDetectedIssueCodeinactive

Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy

  _TimingDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeTimingDetectedIssueCodeinactive

Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

  ENDLATE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeEnd Too Late Alert

Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy

  STRTLATE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeStart Too Late Alert

Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition

  _ActSuppliedItemDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeActSuppliedItemDetectedIssueCode

Identifies types of detected issues regarding the administration or supply of an item to a patient.

  _SupplyDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeSupplyDetectedIssueCode

Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy

  ALLDONE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodealready performed

**Definition:**The requested action has already been performed and so this request has no effect

  FULFIL iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodefulfillment alert

**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.

  NOTACTN iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodenot equivalent alert

**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.

  NOTEQUIVGEN iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodenot generically equivalent alert

**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.

  NOTEQUIVTHER iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodenot 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeevent timing incorrect alert

**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested

  INTERVAL iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeoutside requested time

**Definition:**The therapy action is being performed outside the bounds of the time period requested

  MINFREQ iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodetoo 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeheld/suspended alert

**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.

  TOOLATE iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRefill Too Late Alert

The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions

  TOOSOON iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRefill Too Soon Alert

The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions

  HISTORIC iconhttp://terminology.hl7.org/CodeSystem/v3-ActCoderecord 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 iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeviolates stated preferences

**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.

  PATPREFALT iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeviolates 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.

  _ClinicalActionDetectedIssueCode iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeClinicalActionDetectedIssueCode

Identifies types of issues detected regarding the performance of a clinical action on a patient.

  CAREGAP iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCaregap

Identifies the type of detected issue is a care gap

  CODINGGAP iconhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCodinggap

Identifies the type of detected issue is a risk adjustment coding gap

Additional Language Displays

CodeEnglish (English, en)
_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
_ClinicalActionDetectedIssueCode
CAREGAP
CODINGGAP

 

See the full registry of value sets defined as part of FHIR.


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
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code