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Packagehl7.fhir.uv.xver-r4.r3
Resource TypeValueSet
IdValueSet-R4-medicationrequest-status-reason-for-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r4.r3/0.1.0/ValueSet-R4-medicationrequest-status-reason-for-R3.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R4-medicationrequest-status-reason-for-R3
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR4MedicationrequestStatusReasonForR3
TitleCross-version ValueSet R4.medicationRequest Status Reason Codes for use in FHIR STU3
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` for use in FHIR STU3.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` as defined in FHIR R4 in FHIR STU3. The source value set is bound to the following FHIR R4 elements: * `MedicationRequest.statusReason` Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1`, defined in FHIR R4 does not have any mapping to FHIR STU3

Resources that use this resource

StructureDefinition
hl7.fhir.uv.xver-r4.r3#0.1.0extension-MedicationRequest.statusReasonR4: Reason for current status (new)

Resources that this resource uses

CodeSystem
hl7.terminology#currentmedicationrequest-status-reasonMedicationRequest Status Reason Codes

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet R4-medicationrequest-status-reason-for-R3

This value set expansion contains 13 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  altchoiceTry another treatment firstThis therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  clarifPrescription requires clarificationClarification is required before the order can be acted upon.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  drughighDrug level too highThe 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.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  hospadmAdmission to hospitalThe patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  labintLab interference issuesThe therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  non-availPatient not availablePatient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  pregParent is pregnant/breast feedingThe patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  salgAllergyThe patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  sddiDrug interacts with another drugThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  sduptherDuplicate therapyThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  sintolSuspected intoleranceThe drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  surgPatient 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.
http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason4.0.1  washoutWaiting for old drug to wash outThe 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.

Source1

{
  "resourceType": "ValueSet",
  "id": "R4-medicationrequest-status-reason-for-R3",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "phx"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R4-medicationrequest-status-reason-for-R3",
  "version": "0.1.0",
  "name": "R4MedicationrequestStatusReasonForR3",
  "title": "Cross-version ValueSet R4.medicationRequest Status Reason Codes for use in FHIR STU3",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "Pharmacy",
  "contact": [
    {
      "name": "Pharmacy",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/medication"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` for use in FHIR STU3.",
  "jurisdiction": [
    {
      "coding": [
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          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R4 elements:\r\n* `MedicationRequest.statusReason`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1`, defined in FHIR R4 does not have any mapping to FHIR STU3",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "concept": [
          {
            "code": "altchoice",
            "display": "Try another treatment first"
          },
          {
            "code": "clarif",
            "display": "Prescription requires clarification"
          },
          {
            "code": "drughigh",
            "display": "Drug level too high"
          },
          {
            "code": "hospadm",
            "display": "Admission to hospital"
          },
          {
            "code": "labint",
            "display": "Lab interference issues"
          },
          {
            "code": "non-avail",
            "display": "Patient not available"
          },
          {
            "code": "preg",
            "display": "Parent is pregnant/breast feeding"
          },
          {
            "code": "salg",
            "display": "Allergy"
          },
          {
            "code": "sddi",
            "display": "Drug interacts with another drug"
          },
          {
            "code": "sdupther",
            "display": "Duplicate therapy"
          },
          {
            "code": "sintol",
            "display": "Suspected intolerance"
          },
          {
            "code": "surg",
            "display": "Patient scheduled for surgery."
          },
          {
            "code": "washout",
            "display": "Waiting for old drug to wash out"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "altchoice",
        "display": "Try another treatment first"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "clarif",
        "display": "Prescription requires clarification"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "drughigh",
        "display": "Drug level too high"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "hospadm",
        "display": "Admission to hospital"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "labint",
        "display": "Lab interference issues"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "non-avail",
        "display": "Patient not available"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "preg",
        "display": "Parent is pregnant/breast feeding"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "salg",
        "display": "Allergy"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "sddi",
        "display": "Drug interacts with another drug"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "sdupther",
        "display": "Duplicate therapy"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "sintol",
        "display": "Suspected intolerance"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "surg",
        "display": "Patient scheduled for surgery."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
        "version": "4.0.1",
        "code": "washout",
        "display": "Waiting for old drug to wash out"
      }
    ]
  }
}