HL7.TERMINOLOGY\ActDetectedIssueCode

This page is part of the HL7 Terminology (v3.1.0: 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

Official URL: http://terminology.hl7.org/ValueSet/v3-ActDetectedIssueCode		Version: 2.0.0
Active as of 2014-03-26	Computable Name: ActDetectedIssueCode
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.16124

Identifies types of detected issues for Act class “ALRT”

References

Included into MedicationOrderAbortReasonCode
Included into RefusalReasonCode
Included into UpdateRefusalReasonCode

Logical Definition (CLD)

This value set includes codes based on the following rules:

Include codes from http://terminology.hl7.org/CodeSystem/v3-ActCode where concept is-a ISSUE
Import all the codes that are contained in http://terminology.hl7.org/ValueSet/v3-ActSuppliedItemDetectedIssueCode
Import all the codes that are contained in http://terminology.hl7.org/ValueSet/v3-ActAdministrativeDetectedIssueCode

Expansion

This value set contains 100 concepts

Expansion based on:

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-ActCode

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

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

System

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