HL7.TERMINOLOGY\UpdateRefusalReasonCode

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

UpdateRefusalReasonCode

Summary

Defining URL:

http://terminology.hl7.org/ValueSet/v3-UpdateRefusalReasonCode

Version:

2.0.0

Name:

UpdateRefusalReasonCode

Status:

Active

Title:

UpdateRefusalReasonCode

OID:

2.16.840.1.113883.1.11.20346 (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:

Include codes from http://terminology.hl7.org/CodeSystem/v3-ActReason where concept is-a _RefusalReasonCode
Import all the codes that are contained in http://terminology.hl7.org/ValueSet/v3-ActDetectedIssueCode

Expansion

This value set contains 108 concepts

Expansion based on:

Code	System	Display	Definition
_RefusalReasonCode	http://terminology.hl7.org/CodeSystem/v3-ActReason	RefusalReasonCode	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.
NOMATCH	http://terminology.hl7.org/CodeSystem/v3-ActReason	no match	Description: There is no match.
NORECMTCH	http://terminology.hl7.org/CodeSystem/v3-ActReason	no record match	Description: There is no match for the record in the database.
NOPRODMTCH	http://terminology.hl7.org/CodeSystem/v3-ActReason	no product match	Description: There is no match for the product in the master file repository.
NOSERMTCH	http://terminology.hl7.org/CodeSystem/v3-ActReason	no service match	Description: There is no match for the service in the master file repository.
NOVERMTCH	http://terminology.hl7.org/CodeSystem/v3-ActReason	no version match	Description: There is no match for the record and version.
NOPERM	http://terminology.hl7.org/CodeSystem/v3-ActReason	no permission	Description: There is no permission.
NOUSERPERM	http://terminology.hl7.org/CodeSystem/v3-ActReason	no user permission	Definition:The user does not have permission
NOAGNTPERM	http://terminology.hl7.org/CodeSystem/v3-ActReason	no agent permission	Description: The agent does not have permission.
NOUSRPERM	http://terminology.hl7.org/CodeSystem/v3-ActReason	no user permission	Description: The user does not have permission.
ISSUE	http://terminology.hl7.org/CodeSystem/v3-ActCode	detected issue	There 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)
_ActAdministrativeDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ActAdministrativeDetectedIssueCode	Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
_ActAdministrativeAuthorizationDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ActAdministrativeAuthorizationDetectedIssueCode
NAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	Insufficient authorization	The requesting party has insufficient authorization to invoke the interaction.
SUPPRESSED	http://terminology.hl7.org/CodeSystem/v3-ActCode	record suppressed	Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
VALIDAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	validation issue	Description:The specified element did not pass business-rule validation.
KEY204	http://terminology.hl7.org/CodeSystem/v3-ActCode	Unknown key identifier	The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
KEY205	http://terminology.hl7.org/CodeSystem/v3-ActCode	Duplicate key identifier	The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
COMPLY	http://terminology.hl7.org/CodeSystem/v3-ActCode	Compliance Alert	There may be an issue with the patient complying with the intentions of the proposed therapy
DUPTHPY	http://terminology.hl7.org/CodeSystem/v3-ActCode	Duplicate Therapy Alert	The proposed therapy appears to duplicate an existing therapy
DUPTHPCLS	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	commonly abused/misused alert	Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
FRAUD	http://terminology.hl7.org/CodeSystem/v3-ActCode	potential fraud	Description:The request is suspected to have a fraudulent basis.
PLYDOC	http://terminology.hl7.org/CodeSystem/v3-ActCode	Poly-orderer Alert	A similar or identical therapy was recently ordered by a different practitioner.
PLYPHRM	http://terminology.hl7.org/CodeSystem/v3-ActCode	Poly-supplier Alert	This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
DOSE	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dosage problem	Proposed dosage instructions for therapy differ from standard practice.
DOSECOND	http://terminology.hl7.org/CodeSystem/v3-ActCode	dosage-condition alert	Description:Proposed dosage is inappropriate due to patient's medical condition.
DOSEDUR	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Duration Alert	Proposed length of therapy differs from standard practice.
DOSEDURH	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Duration High Alert	Proposed length of therapy is longer than standard practice
DOSEDURHIND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Duration High for Indication Alert	Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
DOSEDURL	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Duration Low Alert	Proposed length of therapy is shorter than that necessary for therapeutic effect
DOSEDURLIND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Duration Low for Indication Alert	Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
DOSEH	http://terminology.hl7.org/CodeSystem/v3-ActCode	High Dose Alert	Proposed dosage exceeds standard practice
DOSEHINDA	http://terminology.hl7.org/CodeSystem/v3-ActCode	High Dose for Age Alert	Proposed dosage exceeds standard practice for the patient's age
DOSEHIND	http://terminology.hl7.org/CodeSystem/v3-ActCode	High Dose for Indication Alert
DOSEHINDSA	http://terminology.hl7.org/CodeSystem/v3-ActCode	High Dose for Height/Surface Area Alert	Proposed dosage exceeds standard practice for the patient's height or body surface area
DOSEHINDW	http://terminology.hl7.org/CodeSystem/v3-ActCode	High Dose for Weight Alert	Proposed dosage exceeds standard practice for the patient's weight
DOSEIVL	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Interval Alert	Proposed dosage interval/timing differs from standard practice
DOSEIVLIND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Dose-Interval for Indication Alert	Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
DOSEL	http://terminology.hl7.org/CodeSystem/v3-ActCode	Low Dose Alert	Proposed dosage is below suggested therapeutic levels
DOSELINDA	http://terminology.hl7.org/CodeSystem/v3-ActCode	Low Dose for Age Alert	Proposed dosage is below suggested therapeutic levels for the patient's age
DOSELIND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Low Dose for Indication Alert
DOSELINDSA	http://terminology.hl7.org/CodeSystem/v3-ActCode	Low Dose for Height/Surface Area Alert	Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
DOSELINDW	http://terminology.hl7.org/CodeSystem/v3-ActCode	Low Dose for Weight Alert	Proposed dosage is below suggested therapeutic levels for the patient's weight
MDOSE	http://terminology.hl7.org/CodeSystem/v3-ActCode	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.
OBSA	http://terminology.hl7.org/CodeSystem/v3-ActCode	Observation Alert	Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
AGE	http://terminology.hl7.org/CodeSystem/v3-ActCode	Age Alert	Proposed therapy may be inappropriate or contraindicated due to patient age
ADALRT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adult alert	Proposed therapy is outside of the standard practice for an adult patient.
GEALRT	http://terminology.hl7.org/CodeSystem/v3-ActCode	geriatric alert	Proposed therapy is outside of standard practice for a geriatric patient.
PEALRT	http://terminology.hl7.org/CodeSystem/v3-ActCode	pediatric alert	Proposed therapy is outside of the standard practice for a pediatric patient.
COND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Condition Alert	Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
HGHT	http://terminology.hl7.org/CodeSystem/v3-ActCode
LACT	http://terminology.hl7.org/CodeSystem/v3-ActCode	Lactation Alert	Proposed therapy may be inappropriate or contraindicated when breast-feeding
PREG	http://terminology.hl7.org/CodeSystem/v3-ActCode	Pregnancy Alert	Proposed therapy may be inappropriate or contraindicated during pregnancy
WGHT	http://terminology.hl7.org/CodeSystem/v3-ActCode
CREACT	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	Genetic Alert	Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
GEND	http://terminology.hl7.org/CodeSystem/v3-ActCode	Gender Alert	Proposed therapy may be inappropriate or contraindicated due to patient gender.
LAB	http://terminology.hl7.org/CodeSystem/v3-ActCode	Lab Alert	Proposed therapy may be inappropriate or contraindicated due to recent lab test results
REACT	http://terminology.hl7.org/CodeSystem/v3-ActCode	Reaction Alert	Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
ALGY	http://terminology.hl7.org/CodeSystem/v3-ActCode	Allergy Alert	Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
INT	http://terminology.hl7.org/CodeSystem/v3-ActCode	Intolerance 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	http://terminology.hl7.org/CodeSystem/v3-ActCode	Related Reaction Alert	Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
RALG	http://terminology.hl7.org/CodeSystem/v3-ActCode	Related 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	http://terminology.hl7.org/CodeSystem/v3-ActCode	Related Prior Reaction Alert	Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
RINT	http://terminology.hl7.org/CodeSystem/v3-ActCode	Related 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.)
BUS	http://terminology.hl7.org/CodeSystem/v3-ActCode	business constraint violation	Description:A local business rule relating multiple elements has been violated.
CODE_INVAL	http://terminology.hl7.org/CodeSystem/v3-ActCode	code is not valid	Description:The specified code is not valid against the list of codes allowed for the element.
CODE_DEPREC	http://terminology.hl7.org/CodeSystem/v3-ActCode	code has been deprecated	Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.
FORMAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	invalid format	Description:The element does not follow the formatting or type rules defined for the field.
ILLEGAL	http://terminology.hl7.org/CodeSystem/v3-ActCode	illegal	Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
LEN_RANGE	http://terminology.hl7.org/CodeSystem/v3-ActCode	length out of range	Description:The length of the data specified falls out of the range defined for the element.
LEN_LONG	http://terminology.hl7.org/CodeSystem/v3-ActCode	length is too long	Description:The length of the data specified is greater than the maximum length defined for the element.
LEN_SHORT	http://terminology.hl7.org/CodeSystem/v3-ActCode	length is too short	Description:The length of the data specified is less than the minimum length defined for the element.
MISSCOND	http://terminology.hl7.org/CodeSystem/v3-ActCode	conditional 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.
MISSMAND	http://terminology.hl7.org/CodeSystem/v3-ActCode	mandatory element missing	Description:The specified element is mandatory and was not included in the instance.
NODUPS	http://terminology.hl7.org/CodeSystem/v3-ActCode	duplicate 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.
NOPERSIST	http://terminology.hl7.org/CodeSystem/v3-ActCode	element will not be persisted	Description: Element in submitted message will not persist in data storage based on detected issue.
REP_RANGE	http://terminology.hl7.org/CodeSystem/v3-ActCode	repetitions out of range	Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
MAXOCCURS	http://terminology.hl7.org/CodeSystem/v3-ActCode	repetitions above maximum	Description:The number of repeating elements is above the maximum number of repetitions allowed.
MINOCCURS	http://terminology.hl7.org/CodeSystem/v3-ActCode	repetitions below minimum	Description:The number of repeating elements is below the minimum number of repetitions allowed.
_ActAdministrativeRuleDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ActAdministrativeRuleDetectedIssueCode
KEY206	http://terminology.hl7.org/CodeSystem/v3-ActCode	non-matching identification	Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
OBSOLETE	http://terminology.hl7.org/CodeSystem/v3-ActCode	obsolete record returned	Description: One or more records in the query response have a status of 'obsolete'.
_ActSuppliedItemDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ActSuppliedItemDetectedIssueCode	Identifies types of detected issues regarding the administration or supply of an item to a patient.
_AdministrationDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	AdministrationDetectedIssueCode	Administration of the proposed therapy may be inappropriate or contraindicated as proposed
_AppropriatenessDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	AppropriatenessDetectedIssueCode
_InteractionDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	InteractionDetectedIssueCode
FOOD	http://terminology.hl7.org/CodeSystem/v3-ActCode	Food Interaction Alert	Proposed therapy may interact with certain foods
TPROD	http://terminology.hl7.org/CodeSystem/v3-ActCode	Therapeutic Product Alert	Proposed therapy may interact with an existing or recent therapeutic product
DRG	http://terminology.hl7.org/CodeSystem/v3-ActCode	Drug Interaction Alert	Proposed therapy may interact with an existing or recent drug therapy
NHP	http://terminology.hl7.org/CodeSystem/v3-ActCode	Natural Health Product Alert	Proposed therapy may interact with existing or recent natural health product therapy
NONRX	http://terminology.hl7.org/CodeSystem/v3-ActCode	Non-Prescription Interaction Alert	Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
PREVINEF	http://terminology.hl7.org/CodeSystem/v3-ActCode	previously ineffective	Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
DACT	http://terminology.hl7.org/CodeSystem/v3-ActCode	drug action detected issue	Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
TIME	http://terminology.hl7.org/CodeSystem/v3-ActCode	timing detected issue	Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ALRTENDLATE	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	DrugActionDetectedIssueCode	Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
_TimingDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	TimingDetectedIssueCode	Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ENDLATE	http://terminology.hl7.org/CodeSystem/v3-ActCode	End Too Late Alert	Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATE	http://terminology.hl7.org/CodeSystem/v3-ActCode	Start Too Late Alert	Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
_SupplyDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	SupplyDetectedIssueCode	Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ALLDONE	http://terminology.hl7.org/CodeSystem/v3-ActCode	already performed	Definition:The requested action has already been performed and so this request has no effect
FULFIL	http://terminology.hl7.org/CodeSystem/v3-ActCode	fulfillment alert	Definition:The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTN	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	not equivalent alert	Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGEN	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	event timing incorrect alert	Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVAL	http://terminology.hl7.org/CodeSystem/v3-ActCode	outside requested time	Definition:The therapy action is being performed outside the bounds of the time period requested
MINFREQ	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	held/suspended alert	Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
TOOLATE	http://terminology.hl7.org/CodeSystem/v3-ActCode	Refill 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	http://terminology.hl7.org/CodeSystem/v3-ActCode	Refill 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	http://terminology.hl7.org/CodeSystem/v3-ActCode	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	http://terminology.hl7.org/CodeSystem/v3-ActCode	violates stated preferences	Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALT	http://terminology.hl7.org/CodeSystem/v3-ActCode	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.
_ActFinancialDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ActFinancialDetectedIssueCode	Identifies types of detected issues for Act class "ALRT" for the financial acts domain.
_ClinicalActionDetectedIssueCode	http://terminology.hl7.org/CodeSystem/v3-ActCode	ClinicalActionDetectedIssueCode	Identifies 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

Date

Action

Author

Custodian

Comment

2020-05-06

revise