HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: 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

ValueSet: ActDetectedIssueCode

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-ActDetectedIssueCode
Version:2.0.0
Name:ActDetectedIssueCode
Status:Active as of 2014-03-26
Definition:

Identifies types of detected issues for Act class "ALRT"

OID:2.16.840.1.113883.1.11.16124 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 99 concepts

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

CodeDisplayDefinition
ISSUEdetected 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)
_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCodeIdentifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
_ActAdministrativeAuthorizationDetectedIssueCodeActAdministrativeAuthorizationDetectedIssueCode
NATInsufficient authorizationThe requesting party has insufficient authorization to invoke the interaction.
SUPPRESSEDrecord suppressed**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.
VALIDATvalidation issue**Description:**The specified element did not pass business-rule validation.
KEY204Unknown 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.
KEY205Duplicate key identifierThe ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
COMPLYCompliance AlertThere may be an issue with the patient complying with the intentions of the proposed therapy
DUPTHPYDuplicate Therapy AlertThe proposed therapy appears to duplicate an existing therapy
DUPTHPCLSduplicate 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.
DUPTHPGENduplicate 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.
ABUSEcommonly abused/misused alert**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
FRAUDpotential fraud**Description:**The request is suspected to have a fraudulent basis.
PLYDOCPoly-orderer AlertA similar or identical therapy was recently ordered by a different practitioner.
PLYPHRMPoly-supplier AlertThis patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
DOSEDosage problemProposed dosage instructions for therapy differ from standard practice.
DOSECONDdosage-condition alert**Description:**Proposed dosage is inappropriate due to patient's medical condition.
DOSEDURDose-Duration AlertProposed length of therapy differs from standard practice.
DOSEDURHDose-Duration High AlertProposed length of therapy is longer than standard practice
DOSEDURHINDDose-Duration High for Indication AlertProposed length of therapy is longer than standard practice for the identified indication or diagnosis
DOSEDURLDose-Duration Low AlertProposed length of therapy is shorter than that necessary for therapeutic effect
DOSEDURLINDDose-Duration Low for Indication AlertProposed length of therapy is shorter than standard practice for the identified indication or diagnosis
DOSEHHigh Dose AlertProposed dosage exceeds standard practice
DOSEHINDAHigh Dose for Age AlertProposed dosage exceeds standard practice for the patient's age
DOSEHINDHigh Dose for Indication Alert
DOSEHINDSAHigh Dose for Height/Surface Area AlertProposed dosage exceeds standard practice for the patient's height or body surface area
DOSEHINDWHigh Dose for Weight AlertProposed dosage exceeds standard practice for the patient's weight
DOSEIVLDose-Interval AlertProposed dosage interval/timing differs from standard practice
DOSEIVLINDDose-Interval for Indication AlertProposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
DOSELLow Dose AlertProposed dosage is below suggested therapeutic levels
DOSELINDALow Dose for Age AlertProposed dosage is below suggested therapeutic levels for the patient's age
DOSELINDLow Dose for Indication Alert
DOSELINDSALow Dose for Height/Surface Area AlertProposed dosage is below suggested therapeutic levels for the patient's height or body surface area
DOSELINDWLow Dose for Weight AlertProposed dosage is below suggested therapeutic levels for the patient's weight
MDOSEmaximum 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.
OBSAObservation AlertProposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
AGEAge AlertProposed therapy may be inappropriate or contraindicated due to patient age
ADALRTadult alertProposed therapy is outside of the standard practice for an adult patient.
GEALRTgeriatric alertProposed therapy is outside of standard practice for a geriatric patient.
PEALRTpediatric alertProposed therapy is outside of the standard practice for a pediatric patient.
CONDCondition AlertProposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
HGHT
LACTLactation AlertProposed therapy may be inappropriate or contraindicated when breast-feeding
PREGPregnancy AlertProposed therapy may be inappropriate or contraindicated during pregnancy
WGHT
CREACTcommon 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.
GENGenetic AlertProposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
GENDGender AlertProposed therapy may be inappropriate or contraindicated due to patient gender.
LABLab AlertProposed therapy may be inappropriate or contraindicated due to recent lab test results
REACTReaction AlertProposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
ALGYAllergy AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
INTIntolerance AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
RREACTRelated Reaction AlertProposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
RALGRelated 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.)
RARRelated Prior Reaction AlertProposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
RINTRelated 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.)
BUSbusiness constraint violation**Description:**A local business rule relating multiple elements has been violated.
CODE_INVALcode is not valid**Description:**The specified code is not valid against the list of codes allowed for the element.
CODE_DEPRECcode has been deprecated**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.
FORMATinvalid format**Description:**The element does not follow the formatting or type rules defined for the field.
ILLEGALillegal**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
LEN_RANGElength out of range**Description:**The length of the data specified falls out of the range defined for the element.
LEN_LONGlength is too long**Description:**The length of the data specified is greater than the maximum length defined for the element.
LEN_SHORTlength is too short**Description:**The length of the data specified is less than the minimum length defined for the element.
MISSCONDconditional 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.
MISSMANDmandatory element missing**Description:**The specified element is mandatory and was not included in the instance.
NODUPSduplicate 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.
NOPERSISTelement will not be persisted**Description:** Element in submitted message will not persist in data storage based on detected issue.
REP_RANGErepetitions out of range**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.
MAXOCCURSrepetitions above maximum**Description:**The number of repeating elements is above the maximum number of repetitions allowed.
MINOCCURSrepetitions below minimum**Description:**The number of repeating elements is below the minimum number of repetitions allowed.
_ActAdministrativeRuleDetectedIssueCodeActAdministrativeRuleDetectedIssueCode
KEY206non-matching identification**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
OBSOLETEobsolete record returned**Description:** One or more records in the query response have a status of 'obsolete'.
_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCodeIdentifies types of detected issues regarding the administration or supply of an item to a patient.
_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeAdministration of the proposed therapy may be inappropriate or contraindicated as proposed
_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode
_InteractionDetectedIssueCodeInteractionDetectedIssueCode
FOODFood Interaction AlertProposed therapy may interact with certain foods
TPRODTherapeutic Product AlertProposed therapy may interact with an existing or recent therapeutic product
DRGDrug Interaction AlertProposed therapy may interact with an existing or recent drug therapy
NHPNatural Health Product AlertProposed therapy may interact with existing or recent natural health product therapy
NONRXNon-Prescription Interaction AlertProposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
PREVINEFpreviously ineffective**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
DACTdrug action detected issue**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
TIMEtiming detected issue**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ALRTENDLATEend too late alert**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
ALRTSTRTLATEstart 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.
_DrugActionDetectedIssueCodeDrugActionDetectedIssueCodeProposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
_TimingDetectedIssueCodeTimingDetectedIssueCodeProposed therapy may be inappropriate or ineffective based on the proposed start or end time.
ENDLATEEnd Too Late AlertProposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
STRTLATEStart Too Late AlertProposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
_SupplyDetectedIssueCodeSupplyDetectedIssueCodeSupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ALLDONEalready performed**Definition:**The requested action has already been performed and so this request has no effect
FULFILfulfillment alert**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.
NOTACTNno 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.)
NOTEQUIVnot equivalent alert**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGENnot generically equivalent alert**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
NOTEQUIVTHERnot therapeutically equivalent alert**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
TIMINGevent timing incorrect alert**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested
INTERVALoutside requested time**Definition:**The therapy action is being performed outside the bounds of the time period requested
MINFREQtoo 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
HELDheld/suspended alert**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.
TOOLATERefill 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
TOOSOONRefill 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
HISTORICrecord recorded as historical**Description:** While the record was accepted in the repository, there is a more recent version of a record of this type.
PATPREFviolates stated preferences**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALTviolates 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.
_ActFinancialDetectedIssueCodeActFinancialDetectedIssueCodeIdentifies types of detected issues for Act class "ALRT" for the financial acts domain.
_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCodeIdentifies 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