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

This is a value set defined by the FHIR project.


Defining URL:
Title:Detected Issue Mitigation Action

Kinds of mitigating actions and observations that can be associated with a detected issue or contraindication, such as 'added concurrent therapy', 'prior therapy documented', etc.

Committee:Clinical Decision Support Work Group
OID:2.16.840.1.113883.4.642.3.205 (for OID based terminology systems)
Source ResourceXML / JSON

This value set is used in the following places:


This expansion generated 23 May 2022

This value set contains 24 concepts

Expansion based on ActCode v6.1.0 (CodeSystem)

All codes in this table are from the system

0_ActDetectedIssueManagementCode ActDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations
1  _ActAdministrativeDetectedIssueManagementCode ActAdministrativeDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
2    _AuthorizationIssueManagementCode Authorization Issue Management Code
3      EMAUTH emergency authorization overrideUsed to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
4        21 authorization confirmed**Description:** Indicates that the permissions have been externally verified and the request should be processed.
1  1 Therapy AppropriateConfirmed drug therapy appropriate
2    19 Consulted SupplierConsulted other supplier/pharmacy, therapy confirmed
2    2 Assessed PatientAssessed patient, therapy is appropriate
2    22 appropriate indication or diagnosis**Description:** The patient has the appropriate indication or diagnosis for the action to be taken.
2    23 prior therapy documented**Description:** It has been confirmed that the appropriate pre-requisite therapy has been tried.
2    3 Patient ExplanationPatient gave adequate explanation
2    4 Consulted Other SourceConsulted other supply source, therapy still appropriate
2    5 Consulted PrescriberConsulted prescriber, therapy confirmed
3      6 Prescriber Declined ChangeConsulted prescriber and recommended change, prescriber declined
2    7 Interacting Therapy No Longer Active/PlannedConcurrent therapy triggering alert is no longer on-going or planned
1  14 Supply AppropriateConfirmed supply action appropriate
2    15 ReplacementPatient's existing supply was lost/wasted
2    16 Vacation SupplySupply date is due to patient vacation
2    17 Weekend SupplySupply date is intended to carry patient over weekend
2    18 Leave of AbsenceSupply is intended for use during a leave of absence from an institution.
2    20 additional quantity on separate dispense**Description:** Supply is different than expected as an additional quantity has been supplied in a separate dispense.
1  8 Other Action TakenOrder is performed as issued, but other action taken to mitigate potential adverse effects
2    10 Provided Patient EducationProvided education or training to the patient on appropriate therapy use
2    11 Added Concurrent TherapyInstituted an additional therapy to mitigate potential negative effects
2    12 Temporarily Suspended Concurrent TherapySuspended existing therapy that triggered interaction for the duration of this therapy
2    13 Stopped Concurrent TherapyAborted existing therapy that triggered interaction.
2    9 Instituted Ongoing Monitoring ProgramArranged to monitor patient for adverse effects
1  _ActFinancialDetectedIssueManagementCode ActFinancialDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations for the financial acts domain.


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