Interweave Implementation Guide
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ValueSet: InterweaveMedicationRequestStatusReason

Official URL: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-MedicationRequestStatusReason Version: 0.0.1
Draft as of 2024-07-15 Computable Name: InterweaveMedicationRequestStatusReason

Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.

Defines the set of codes that can be used to record the reason why and when a medication was stopped

References

Logical Definition (CLD)

Generated Narrative: ValueSet Interweave-MedicationRequestStatusReason

This value set includes codes based on the following rules:

 

Expansion

Generated Narrative: ValueSet

Expansion based on:

This value set expansion contains 38 concepts.

CodeSystemDisplayDefinition
  274512008http://snomed.info/sctDrug therapy discontinued
  170624001http://snomed.info/sctOral steroids stopped
  170688000http://snomed.info/sctLithium stopped
  170689008http://snomed.info/sctInjectable phenothiazine stopped
  170919001http://snomed.info/sctWarfarin therapy stopped
  170958006http://snomed.info/sctHRT stopped
  182840001http://snomed.info/sctDrug treatment stopped - medical advice
  182841002http://snomed.info/sctDr stopped drugs - ineffective
  182842009http://snomed.info/sctDoctor stopped drugs - side effect
  182843004http://snomed.info/sctDr stopped drugs -inconvenient
  182844005http://snomed.info/sctDoctor stopped drugs - patient dislikes
  182845006http://snomed.info/sctDoctor stopped drugs - avoid interaction
  182846007http://snomed.info/sctDoctor stopped drugs - medical aim achieved
  309841001http://snomed.info/sctThyroxine treatment stopped
  395006008http://snomed.info/sctMedication stopped - interaction
  395007004http://snomed.info/sctMedication stopped - ineffective
  395008009http://snomed.info/sctMedication stopped - contra-indication
  395009001http://snomed.info/sctMedication stopped - side effect
  412782003http://snomed.info/sctInappropriate medication stopped
  430279008http://snomed.info/sctDrug treatment stopped at end of clinical trial (situation)
  711631000000106http://snomed.info/sctRepeat medication discontinued
  858131000000104http://snomed.info/sctAntimalarial drug prophylaxis stopped (situation)
  914821000000103http://snomed.info/sctAnti-obesity drug therapy discontinued (situation)
  1086781000000107http://snomed.info/sctHIV-PrEP (human immunodeficiency virus pre-exposure prophylaxis) discontinued
  70732231000132107http://snomed.info/sctDuplicate drug therapy stopped
  altchoicehttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonTry another treatment first

This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.

  clarifhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonPrescription requires clarification

Clarification is required before the order can be acted upon.

  drughighhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonDrug level too high

The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.

  hospadmhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonAdmission to hospital

The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.

  labinthttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonLab interference issues

The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.

  non-availhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonPatient not available

Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.

  preghttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonParent is pregnant/breast feeding

The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.

  salghttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonAllergy

The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.

  sddihttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonDrug interacts with another drug

The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.

  sduptherhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonDuplicate therapy

The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.

  sintolhttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonSuspected intolerance

The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.

  surghttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonPatient scheduled for surgery.

The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.

  washouthttp://terminology.hl7.org/CodeSystem/medicationrequest-status-reasonWaiting for old drug to wash out

The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.


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

DateActionAuthorComment
2024-07-15createChintan ChokshiInitial Valueset creation