HL7 Terminology (THO)
4.0.0 - Publication World

This page is part of the HL7 Terminology (v4.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: UpdateRefusalReasonCode

Official URL: http://terminology.hl7.org/ValueSet/v3-UpdateRefusalReasonCode Version: 2.0.0
Active as of 2014-03-26 Computable Name: UpdateRefusalReasonCode
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.20346

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 109 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 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)

  _ActAdministrativeDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActAdministrativeDetectedIssueCode

Identifies 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 authorization

The 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 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.

  KEY205http://terminology.hl7.org/CodeSystem/v3-ActCodeDuplicate key identifier

The 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 Alert

There may be an issue with the patient complying with the intentions of the proposed therapy

  DUPTHPYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDuplicate Therapy Alert

The 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 Alert

A similar or identical therapy was recently ordered by a different practitioner.

  PLYPHRMhttp://terminology.hl7.org/CodeSystem/v3-ActCodePoly-supplier Alert

This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

  DOSEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDosage problem

Proposed 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 Alert

Proposed length of therapy differs from standard practice.

  DOSEDURHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High Alert

Proposed length of therapy is longer than standard practice

  DOSEDURHINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration High for Indication Alert

Proposed length of therapy is longer than standard practice for the identified indication or diagnosis

  DOSEDURLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low Alert

Proposed length of therapy is shorter than that necessary for therapeutic effect

  DOSEDURLINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Duration Low for Indication Alert

Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

  DOSEHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose Alert

Proposed dosage exceeds standard practice

  DOSEHINDAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Age Alert

Proposed 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 Alert

Proposed dosage exceeds standard practice for the patient's height or body surface area

  DOSEHINDWhttp://terminology.hl7.org/CodeSystem/v3-ActCodeHigh Dose for Weight Alert

Proposed dosage exceeds standard practice for the patient's weight

  DOSEIVLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval Alert

Proposed dosage interval/timing differs from standard practice

  DOSEIVLINDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDose-Interval for Indication Alert

Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

  DOSELhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose Alert

Proposed dosage is below suggested therapeutic levels

  DOSELINDAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLow Dose for Age Alert

Proposed 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 Alert

Proposed 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 Alert

Proposed 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 Alert

Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

  AGEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeAge Alert

Proposed therapy may be inappropriate or contraindicated due to patient age

  ADALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadult alert

Proposed therapy is outside of the standard practice for an adult patient.

  GEALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodegeriatric alert

Proposed therapy is outside of standard practice for a geriatric patient.

  PEALRThttp://terminology.hl7.org/CodeSystem/v3-ActCodepediatric alert

Proposed therapy is outside of the standard practice for a pediatric patient.

  CONDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCondition Alert

Proposed 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 Alert

Proposed therapy may be inappropriate or contraindicated when breast-feeding

  PREGhttp://terminology.hl7.org/CodeSystem/v3-ActCodePregnancy Alert

Proposed 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 Alert

Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

  GENDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeGender Alert

Proposed therapy may be inappropriate or contraindicated due to patient gender.

  LABhttp://terminology.hl7.org/CodeSystem/v3-ActCodeLab Alert

Proposed therapy may be inappropriate or contraindicated due to recent lab test results

  REACThttp://terminology.hl7.org/CodeSystem/v3-ActCodeReaction Alert

Proposed 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 Alert

Proposed 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 Alert

Proposed 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 Alert

Proposed 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 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.)

  RARhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRelated Prior Reaction Alert

Proposed 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 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.)

  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-ActCodeActSuppliedItemDetectedIssueCode

Identifies types of detected issues regarding the administration or supply of an item to a patient.

  _AdministrationDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeAdministrationDetectedIssueCode

Administration 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 Alert

Proposed therapy may interact with certain foods

  TPRODhttp://terminology.hl7.org/CodeSystem/v3-ActCodeTherapeutic Product Alert

Proposed therapy may interact with an existing or recent therapeutic product

  DRGhttp://terminology.hl7.org/CodeSystem/v3-ActCodeDrug Interaction Alert

Proposed therapy may interact with an existing or recent drug therapy

  NHPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNatural Health Product Alert

Proposed therapy may interact with existing or recent natural health product therapy

  NONRXhttp://terminology.hl7.org/CodeSystem/v3-ActCodeNon-Prescription Interaction Alert

Proposed 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-ActCodeDrugActionDetectedIssueCode

Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy

  _TimingDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeTimingDetectedIssueCode

Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

  ENDLATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeEnd Too Late Alert

Proposed 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 Alert

Proposed 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-ActCodeSupplyDetectedIssueCode

Supplying 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 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

  TOOSOONhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRefill 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

  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-ActCodeActFinancialDetectedIssueCode

Identifies types of detected issues for Act class "ALRT" for the financial acts domain.

  _ClinicalActionDetectedIssueCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeClinicalActionDetectedIssueCode

Identifies types of issues detected regarding the performance of a clinical action on a patient.

  CAREGAPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCaregap

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

DateActionCustodianAuthorComment
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26