HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

RefusalReasonCode

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-RefusalReasonCode
Version:2.0.0
Name:RefusalReasonCode
Status:Active
Title:RefusalReasonCode
OID:2.16.840.1.113883.1.11.20345 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

This value set is not used

Content Logical Definition

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 108 concepts

Expansion based on:

CodeSystemDisplayDefinition
_RefusalReasonCodehttp://terminology.hl7.org/CodeSystem/v3-ActReasonRefusalReasonCode**Description:** Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
NOMATCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno match**Description:** There is no match.
NORECMTCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno record match**Description:** There is no match for the record in the database.
NOPRODMTCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno product match**Description:** There is no match for the product in the master file repository.
NOSERMTCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno service match**Description:** There is no match for the service in the master file repository.
NOVERMTCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno version match**Description:** There is no match for the record and version.
NOPERMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno permission**Description:** There is no permission.
NOUSERPERMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno user permission**Definition:**The user does not have permission
NOAGNTPERMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno agent permission**Description:** The agent does not have permission.
NOUSRPERMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonno user permission**Description:** The user does not have permission.
ISSUEhttp://terminology.hl7.org/CodeSystem/v3-ActCodedetected issueThere is a clinical issue for the therapy that makes continuation of the therapy inappropriate. *Open Issue:* The definition of this code does not correctly represent the concept space of its specializations (children)
_ActAdministrativeDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActAdministrativeDetectedIssueCodeIdentifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
_ActAdministrativeAuthorizationDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActAdministrativeAuthorizationDetectedIssueCode
NAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeInsufficient authorizationThe requesting party has insufficient authorization to invoke the interaction.
SUPPRESSEDhttp://terminology.hl7.org/CodeSystem/v3-ActCoderecord suppressed**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.
VALIDAThttp://terminology.hl7.org/CodeSystem/v3-ActCodevalidation issue**Description:**The specified element did not pass business-rule validation.
KEY204http://terminology.hl7.org/CodeSystem/v3-ActCodeUnknown key identifierThe ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
KEY205http://terminology.hl7.org/CodeSystem/v3-ActCodeDuplicate key identifierThe ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
COMPLYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCompliance AlertThere may be an issue with the patient complying with the intentions of the proposed therapy
DUPTHPYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDuplicate Therapy AlertThe proposed therapy appears to duplicate an existing therapy
DUPTHPCLShttp://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.
DUPTHPGENhttp://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.
ABUSEhttp://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.
FRAUDhttp://terminology.hl7.org/CodeSystem/v3-ActCodepotential fraud**Description:**The request is suspected to have a fraudulent basis.
PLYDOChttp://terminology.hl7.org/CodeSystem/v3-ActCodePoly-orderer AlertA similar or identical therapy was recently ordered by a different practitioner.
PLYPHRMhttp://terminology.hl7.org/CodeSystem/v3-ActCodePoly-supplier AlertThis patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
DOSEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDosage problemProposed dosage instructions for therapy differ from standard practice.
DOSECONDhttp://terminology.hl7.org/CodeSystem/v3-ActCodedosage-condition alert**Description:**Proposed dosage is inappropriate due to patient's medical condition.
DOSEDURhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration AlertProposed length of therapy differs from standard practice.
DOSEDURHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High AlertProposed length of therapy is longer than standard practice
DOSEDURHINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High for Indication AlertProposed length of therapy is longer than standard practice for the identified indication or diagnosis
DOSEDURLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low AlertProposed length of therapy is shorter than that necessary for therapeutic effect
DOSEDURLINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low for Indication AlertProposed length of therapy is shorter than standard practice for the identified indication or diagnosis
DOSEHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose AlertProposed dosage exceeds standard practice
DOSEHINDAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Age AlertProposed dosage exceeds standard practice for the patient's age
DOSEHINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Indication Alert
DOSEHINDSAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Height/Surface Area AlertProposed dosage exceeds standard practice for the patient's height or body surface area
DOSEHINDWhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Weight AlertProposed dosage exceeds standard practice for the patient's weight
DOSEIVLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval AlertProposed dosage interval/timing differs from standard practice
DOSEIVLINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval for Indication AlertProposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
DOSELhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose AlertProposed dosage is below suggested therapeutic levels
DOSELINDAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Age AlertProposed dosage is below suggested therapeutic levels for the patient's age
DOSELINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Indication Alert
DOSELINDSAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Height/Surface Area AlertProposed dosage is below suggested therapeutic levels for the patient's height or body surface area
DOSELINDWhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Weight AlertProposed dosage is below suggested therapeutic levels for the patient's weight
MDOSEhttp://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.
OBSAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeObservation AlertProposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
AGEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAge AlertProposed therapy may be inappropriate or contraindicated due to patient age
ADALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadult alertProposed therapy is outside of the standard practice for an adult patient.
GEALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodegeriatric alertProposed therapy is outside of standard practice for a geriatric patient.
PEALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodepediatric alertProposed therapy is outside of the standard practice for a pediatric patient.
CONDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCondition AlertProposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
HGHThttp://terminology.hl7.org/CodeSystem/v3-ActCode
LACThttp://terminology.hl7.org/CodeSystem/v3-ActCodeLactation AlertProposed therapy may be inappropriate or contraindicated when breast-feeding
PREGhttp://terminology.hl7.org/CodeSystem/v3-ActCodePregnancy AlertProposed therapy may be inappropriate or contraindicated during pregnancy
WGHThttp://terminology.hl7.org/CodeSystem/v3-ActCode
CREACThttp://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.
GENhttp://terminology.hl7.org/CodeSystem/v3-ActCodeGenetic AlertProposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
GENDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeGender AlertProposed therapy may be inappropriate or contraindicated due to patient gender.
LABhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLab AlertProposed therapy may be inappropriate or contraindicated due to recent lab test results
REACThttp://terminology.hl7.org/CodeSystem/v3-ActCodeReaction AlertProposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
ALGYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAllergy AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
INThttp://terminology.hl7.org/CodeSystem/v3-ActCodeIntolerance AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
RREACThttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Reaction AlertProposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
RALGhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated 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.)
RARhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Prior Reaction AlertProposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
RINThttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated 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.)
BUShttp://terminology.hl7.org/CodeSystem/v3-ActCodebusiness constraint violation**Description:**A local business rule relating multiple elements has been violated.
CODE_INVALhttp://terminology.hl7.org/CodeSystem/v3-ActCodecode is not valid**Description:**The specified code is not valid against the list of codes allowed for the element.
CODE_DEPREChttp://terminology.hl7.org/CodeSystem/v3-ActCodecode has been deprecated**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.
FORMAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeinvalid format**Description:**The element does not follow the formatting or type rules defined for the field.
ILLEGALhttp://terminology.hl7.org/CodeSystem/v3-ActCodeillegal**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
LEN_RANGEhttp://terminology.hl7.org/CodeSystem/v3-ActCodelength out of range**Description:**The length of the data specified falls out of the range defined for the element.
LEN_LONGhttp://terminology.hl7.org/CodeSystem/v3-ActCodelength is too long**Description:**The length of the data specified is greater than the maximum length defined for the element.
LEN_SHORThttp://terminology.hl7.org/CodeSystem/v3-ActCodelength is too short**Description:**The length of the data specified is less than the minimum length defined for the element.
MISSCONDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeconditional element missing**Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.
MISSMANDhttp://terminology.hl7.org/CodeSystem/v3-ActCodemandatory element missing**Description:**The specified element is mandatory and was not included in the instance.
NODUPShttp://terminology.hl7.org/CodeSystem/v3-ActCodeduplicate values are not permitted**Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set.
NOPERSISThttp://terminology.hl7.org/CodeSystem/v3-ActCodeelement will not be persisted**Description:** Element in submitted message will not persist in data storage based on detected issue.
REP_RANGEhttp://terminology.hl7.org/CodeSystem/v3-ActCoderepetitions out of range**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.
MAXOCCURShttp://terminology.hl7.org/CodeSystem/v3-ActCoderepetitions above maximum**Description:**The number of repeating elements is above the maximum number of repetitions allowed.
MINOCCURShttp://terminology.hl7.org/CodeSystem/v3-ActCoderepetitions below minimum**Description:**The number of repeating elements is below the minimum number of repetitions allowed.
_ActAdministrativeRuleDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActAdministrativeRuleDetectedIssueCode
KEY206http://terminology.hl7.org/CodeSystem/v3-ActCodenon-matching identification**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
OBSOLETEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeobsolete record returned**Description:** One or more records in the query response have a status of 'obsolete'.
_ActSuppliedItemDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActSuppliedItemDetectedIssueCodeIdentifies types of detected issues regarding the administration or supply of an item to a patient.
_AdministrationDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeAdministrationDetectedIssueCodeAdministration of the proposed therapy may be inappropriate or contraindicated as proposed
_AppropriatenessDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeAppropriatenessDetectedIssueCode
_InteractionDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeInteractionDetectedIssueCode
FOODhttp://terminology.hl7.org/CodeSystem/v3-ActCodeFood Interaction AlertProposed therapy may interact with certain foods
TPRODhttp://terminology.hl7.org/CodeSystem/v3-ActCodeTherapeutic Product AlertProposed therapy may interact with an existing or recent therapeutic product
DRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDrug Interaction AlertProposed therapy may interact with an existing or recent drug therapy
NHPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNatural Health Product AlertProposed therapy may interact with existing or recent natural health product therapy
NONRXhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNon-Prescription Interaction AlertProposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
PREVINEFhttp://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.
DACThttp://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.
TIMEhttp://terminology.hl7.org/CodeSystem/v3-ActCodetiming detected issue**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ALRTENDLATEhttp://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.
ALRTSTRTLATEhttp://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.
_DrugActionDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeDrugActionDetectedIssueCodeProposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
_TimingDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeTimingDetectedIssueCodeProposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ENDLATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeEnd Too Late AlertProposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeStart Too Late AlertProposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
_SupplyDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeSupplyDetectedIssueCodeSupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ALLDONEhttp://terminology.hl7.org/CodeSystem/v3-ActCodealready performed**Definition:**The requested action has already been performed and so this request has no effect
FULFILhttp://terminology.hl7.org/CodeSystem/v3-ActCodefulfillment alert**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTNhttp://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.)
NOTEQUIVhttp://terminology.hl7.org/CodeSystem/v3-ActCodenot equivalent alert**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGENhttp://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.
NOTEQUIVTHERhttp://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.
TIMINGhttp://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
INTERVALhttp://terminology.hl7.org/CodeSystem/v3-ActCodeoutside requested time**Definition:**The therapy action is being performed outside the bounds of the time period requested
MINFREQhttp://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
HELDhttp://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.
TOOLATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRefill 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
TOOSOONhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRefill 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
HISTORIChttp://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.
PATPREFhttp://terminology.hl7.org/CodeSystem/v3-ActCodeviolates stated preferences**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALThttp://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.
_ActFinancialDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActFinancialDetectedIssueCodeIdentifies types of detected issues for Act class "ALRT" for the financial acts domain.
_ClinicalActionDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeClinicalActionDetectedIssueCodeIdentifies types of issues detected regarding the performance of a clinical action on a patient.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The 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
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26