Current Build Value Set

Clinical Decision Support Work Group Maturity Level: 1Trial Use Use Context: Not Intended for Production use

This is a value set defined by the FHIR project.


Defining URL:
Name:Detected Issue Mitigation Action

Kinds of mitigating actions and observations that can be associated with a detected issue or contraindication, such as 'added concurrent therapy', 'prior therapy documented', etc.

Committee:Clinical Decision Support Work Group
OID:2.16.840.1.113883.4.642.3.205 (for OID based terminology systems)
Source ResourceXML / JSON

This value set is used in the following places:

This value set includes codes from the following code systems:


This expansion generated 07 Aug 2018

This value set contains 24 concepts

Expansion based on version 2018-04-01

All codes from system

0_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations
1  _ActAdministrativeDetectedIssueManagementCodeActAdministrativeDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
2    _AuthorizationIssueManagementCodeAuthorization Issue Management CodeAuthorization Issue Management Code
3      EMAUTHemergency authorization overrideUsed to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
4        21authorization confirmedDescription: Indicates that the permissions have been externally verified and the request should be processed.
1  1Therapy AppropriateConfirmed drug therapy appropriate
2    19Consulted SupplierConsulted other supplier/pharmacy, therapy confirmed
2    2Assessed PatientAssessed patient, therapy is appropriate
2    22appropriate indication or diagnosisDescription: The patient has the appropriate indication or diagnosis for the action to be taken.
2    23prior therapy documentedDescription: It has been confirmed that the appropriate pre-requisite therapy has been tried.
2    3Patient ExplanationPatient gave adequate explanation
2    4Consulted Other SourceConsulted other supply source, therapy still appropriate
2    5Consulted PrescriberConsulted prescriber, therapy confirmed
3      6Prescriber Declined ChangeConsulted prescriber and recommended change, prescriber declined
2    7Interacting Therapy No Longer Active/PlannedConcurrent therapy triggering alert is no longer on-going or planned
1  14Supply AppropriateConfirmed supply action appropriate
2    15ReplacementPatient's existing supply was lost/wasted
2    16Vacation SupplySupply date is due to patient vacation
2    17Weekend SupplySupply date is intended to carry patient over weekend
2    18Leave of AbsenceSupply is intended for use during a leave of absence from an institution.
2    20additional quantity on separate dispenseDescription: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
1  8Other Action TakenOrder is performed as issued, but other action taken to mitigate potential adverse effects
2    10Provided Patient EducationProvided education or training to the patient on appropriate therapy use
2    11Added Concurrent TherapyInstituted an additional therapy to mitigate potential negative effects
2    12Temporarily Suspended Concurrent TherapySuspended existing therapy that triggered interaction for the duration of this therapy
2    13Stopped Concurrent TherapyAborted existing therapy that triggered interaction.
2    9Instituted Ongoing Monitoring ProgramArranged to monitor patient for adverse effects


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