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{
  "resourceType": "ValueSet",
  "id": "eHDSIMedicationStatusReason",
  "url": "http://terminology.ehdsi.eu/ValueSet/eHDSIMedicationStatusReason",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.12559.11.10.1.3.1.42.97"
    }
  ],
  "version": "9.1.0",
  "name": "EHDSIMedicationStatusReason",
  "title": "eHDSI Medication Status Reason",
  "status": "active",
  "experimental": false,
  "date": "2026-05-08T11:21:08+02:00",
  "publisher": "MyHealth@Eu",
  "contact": [
    {
      "name": "MyHealth@Eu",
      "telecom": [
        {
          "system": "url",
          "value": "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"
        }
      ]
    }
  ],
  "description": "The Value Set is used for coding reasons for the current state of the medication used.",
  "copyright": "The Value Set incorporates SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. For further information on the use of SNOMED CT, including translations, implementers of MyHealth@EU should review usage terms or directly contact SNOMED International: info@snomed.org.",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "106511000119106",
            "display": "Long-term current use of mycophenolate"
          },
          {
            "code": "106521000119104",
            "display": "Long-term current use of cyclophosphamide"
          },
          {
            "code": "106531000119101",
            "display": "Long-term current use of penicillamine"
          },
          {
            "code": "106571000119103",
            "display": "Long-term current use of sulfasalazine"
          },
          {
            "code": "106581000119100",
            "display": "Long-term current use of cyclosporine"
          },
          {
            "code": "106631000119102",
            "display": "Long-term current use of infliximab"
          },
          {
            "code": "106691000119103",
            "display": "Long-term current use of etanercept"
          },
          {
            "code": "106701000119103",
            "display": "Long-term current use of leflunomide"
          },
          {
            "code": "11012701000119107",
            "display": "Long-term current use of antibiotics for prevention of recurrent infection"
          },
          {
            "code": "11012741000119109",
            "display": "Long-term current use of certolizumab pegol"
          },
          {
            "code": "11281000175101",
            "display": "Platelet aggregation inhibitor therapy declined"
          },
          {
            "code": "113481000119108",
            "display": "Long-term current use of tamoxifen"
          },
          {
            "code": "113491000119106",
            "display": "Long-term current use of deferasirox"
          },
          {
            "code": "113521000119108",
            "display": "Long term current use of adalimumab therapy"
          },
          {
            "code": "113531000119106",
            "display": "Long term current use of abatacept"
          },
          {
            "code": "113541000119102",
            "display": "Long-term current use of rituximab"
          },
          {
            "code": "117431000119101",
            "display": "Long term current use of drug therapy for attention deficit hyperactivity disorder"
          },
          {
            "code": "118901000119102",
            "display": "Long-term current use of erythropoiesis stimulating therapy"
          },
          {
            "code": "118911000119104",
            "display": "Long-term current use of lenalidomide"
          },
          {
            "code": "118921000119106",
            "display": "Long-term current use of clozapine"
          },
          {
            "code": "118931000119109",
            "display": "Long-term current use of intravenous immune globulin"
          },
          {
            "code": "122621000119109",
            "display": "Prophylactic anticoagulation given"
          },
          {
            "code": "12275951000119104",
            "display": "History of opiate therapy"
          },
          {
            "code": "123371000119105",
            "display": "Prophylactic aromatase inhibitors given"
          },
          {
            "code": "12371000175103",
            "display": "Drug treatment stopped patient ran out of medication"
          },
          {
            "code": "12384021000119106",
            "display": "Long-term current use of mercaptopurine"
          },
          {
            "code": "123971000119106",
            "display": "Long-term current use of acitretin"
          },
          {
            "code": "123981000119109",
            "display": "Long-term current use of isotretinoin"
          },
          {
            "code": "125211000119106",
            "display": "History of antineoplastic chemotherapy"
          },
          {
            "code": "1269470004",
            "display": "Missed dose"
          },
          {
            "code": "126951000119109",
            "display": "Long-term current use of lithium"
          },
          {
            "code": "127721000119100",
            "display": "Long-term current use of testosterone cypionate"
          },
          {
            "code": "130721000119103",
            "display": "Long-term current use of golimumab"
          },
          {
            "code": "131531000119103",
            "display": "Long-term current use of aspirin"
          },
          {
            "code": "133621000119103",
            "display": "Long term current use of non-steroidal anti-inflammatory drug"
          },
          {
            "code": "134390006",
            "display": "Angiotensin converting enzyme inhibitor not indicated"
          },
          {
            "code": "134397009",
            "display": "Angiotensin converting enzyme inhibitor declined"
          },
          {
            "code": "1345106003",
            "display": "Drug therapy discontinued due to pregnancy planning"
          },
          {
            "code": "134651000119108",
            "display": "History of estrogen therapy"
          },
          {
            "code": "134671000119104",
            "display": "History of systemic steroid therapy"
          },
          {
            "code": "135794007",
            "display": "Drug indicated"
          },
          {
            "code": "135795008",
            "display": "Nitrate indicated"
          },
          {
            "code": "135796009",
            "display": "Calcium channel blocker indicated"
          },
          {
            "code": "135798005",
            "display": "Diuretic indicated"
          },
          {
            "code": "135799002",
            "display": "Angiotensin converting enzyme inhibitor indicated"
          },
          {
            "code": "135800003",
            "display": "Aspirin indicated"
          },
          {
            "code": "135801004",
            "display": "Beta blocker indicated"
          },
          {
            "code": "135803001",
            "display": "Warfarin indicated"
          },
          {
            "code": "139181000119106",
            "display": "Long-term current use of amiodarone"
          },
          {
            "code": "140301000119107",
            "display": "Long-term current use of hydroxychloroquine"
          },
          {
            "code": "140561000119102",
            "display": "Long-term current use of azathioprine"
          },
          {
            "code": "141381000119105",
            "display": "Long-term current use of ambrisentan"
          },
          {
            "code": "150881000119107",
            "display": "Long-term current use of postmenopausal hormone replacement therapy"
          },
          {
            "code": "152741000146103",
            "display": "Medication spat out by patient"
          },
          {
            "code": "15625371000119108",
            "display": "Long-term current use of ustekinumab"
          },
          {
            "code": "15625411000119109",
            "display": "Long-term current use of apremilast"
          },
          {
            "code": "15625451000119105",
            "display": "Long-term current use of tofacitinib"
          },
          {
            "code": "15929341000119102",
            "display": "Long-term current use of antipsychotic medication"
          },
          {
            "code": "15929381000119107",
            "display": "Long-term current use of anxiolytic medication"
          },
          {
            "code": "15929421000119103",
            "display": "Long-term current use of antiviral agent"
          },
          {
            "code": "15929461000119108",
            "display": "Long-term current use of leuprorelin"
          },
          {
            "code": "15929581000119100",
            "display": "Long-term current use of antidepressant medication"
          },
          {
            "code": "161646004",
            "display": "H/O: high risk medication"
          },
          {
            "code": "161647008",
            "display": "H/O: anticoagulant therapy"
          },
          {
            "code": "161648003",
            "display": "H/O: steroid therapy"
          },
          {
            "code": "161649006",
            "display": "H/O: insulin therapy"
          },
          {
            "code": "161650006",
            "display": "H/O: anticonvulsant therapy"
          },
          {
            "code": "161652003",
            "display": "H/O: hormone replacement (HRT)"
          },
          {
            "code": "161653008",
            "display": "H/O: chemotherapy"
          },
          {
            "code": "16234971000119108",
            "display": "Long-term current use of diuretic"
          },
          {
            "code": "16526761000119100",
            "display": "Long-term current use of secukinumab"
          },
          {
            "code": "16659291000119100",
            "display": "Long-term current use of levothyroxine"
          },
          {
            "code": "16716541000119101",
            "display": "Long-term current use of oral hypoglycemic agent"
          },
          {
            "code": "16755631000119109",
            "display": "Long-term current use of natalizumab"
          },
          {
            "code": "16755671000119107",
            "display": "Long-term current use of mesalamine"
          },
          {
            "code": "16772161000119102",
            "display": "Long-term current use of vedolizumab"
          },
          {
            "code": "16772201000119107",
            "display": "Long-term current use of everolimus"
          },
          {
            "code": "16863441000119108",
            "display": "Long-term current use of stimulant"
          },
          {
            "code": "16863481000119103",
            "display": "Long-term current use of benzodiazepine"
          },
          {
            "code": "16890821000119107",
            "display": "Long-term current use of ixekizumab"
          },
          {
            "code": "170622002",
            "display": "Oral steroids started"
          },
          {
            "code": "170624001",
            "display": "Oral steroids stopped"
          },
          {
            "code": "170688000",
            "display": "Lithium stopped"
          },
          {
            "code": "170689008",
            "display": "Injectable phenothiazine stopped"
          },
          {
            "code": "170919001",
            "display": "Warfarin therapy stopped"
          },
          {
            "code": "170920007",
            "display": "Warfarin therapy started"
          },
          {
            "code": "170954008",
            "display": "Hormone replacement therapy contraindicated"
          },
          {
            "code": "170955009",
            "display": "Hormone replacement therapy started"
          },
          {
            "code": "170958006",
            "display": "Hormonal replacement therapy stopped"
          },
          {
            "code": "174236121000119109",
            "display": "Long-term current use of baricitinib"
          },
          {
            "code": "182834008",
            "display": "Drug course completed"
          },
          {
            "code": "182840001",
            "display": "Drug treatment stopped - medical advice"
          },
          {
            "code": "182841002",
            "display": "Doctor stopped drugs - ineffective"
          },
          {
            "code": "182842009",
            "display": "Doctor stopped drugs - side effect"
          },
          {
            "code": "182843004",
            "display": "Doctor stopped drugs - inconvenient"
          },
          {
            "code": "182844005",
            "display": "Doctor stopped drugs - patient dislikes"
          },
          {
            "code": "182845006",
            "display": "Doctor stopped drugs - avoid interaction"
          },
          {
            "code": "182846007",
            "display": "Doctor stopped drugs - medical aim achieved"
          },
          {
            "code": "182862001",
            "display": "Drug not taken - dislike taste"
          },
          {
            "code": "182863006",
            "display": "Drug not taken - dislike form"
          },
          {
            "code": "182864000",
            "display": "Drug not taken - side-effects"
          },
          {
            "code": "182865004",
            "display": "Drug not taken - inconvenient"
          },
          {
            "code": "182868002",
            "display": "Treatment stopped - alternative therapy undertaken"
          },
          {
            "code": "182869005",
            "display": "Drug not taken - patient lost tablets"
          },
          {
            "code": "182870006",
            "display": "Drug discontinued - reason unknown"
          },
          {
            "code": "182871005",
            "display": "Drug discontinued - patient fear/risk"
          },
          {
            "code": "182872003",
            "display": "Drug discontinued - too expensive"
          },
          {
            "code": "182873008",
            "display": "Drug treatment stopped - patient ran out of tablets"
          },
          {
            "code": "182874002",
            "display": "Treatment stopped - patient unable to concentrate"
          },
          {
            "code": "21651000175103",
            "display": "Antibiotic prophylaxis declined"
          },
          {
            "code": "21681000175107",
            "display": "Antihypertensive therapy declined"
          },
          {
            "code": "236894121000119100",
            "display": "Long term current use of canakinumab therapy"
          },
          {
            "code": "253099801000119101",
            "display": "Long term current use of mepolizumab"
          },
          {
            "code": "266710000",
            "display": "Drugs not taken/completed"
          },
          {
            "code": "266711001",
            "display": "Drug not taken - problem swallowing"
          },
          {
            "code": "274512008",
            "display": "Medication discontinued"
          },
          {
            "code": "275929009",
            "display": "Tablets too large to swallow"
          },
          {
            "code": "279505881000119107",
            "display": "Long-term current use of intranasal steroid"
          },
          {
            "code": "309632008",
            "display": "Thyroxine treatment started"
          },
          {
            "code": "309841001",
            "display": "Thyroxine treatment stopped"
          },
          {
            "code": "312451002",
            "display": "Aspirin prophylaxis contra-indicated"
          },
          {
            "code": "315020006",
            "display": "Beta blocker therapy declined"
          },
          {
            "code": "315022003",
            "display": "Nicotine replacement therapy declined"
          },
          {
            "code": "315023008",
            "display": "Aspirin prophylaxis declined"
          },
          {
            "code": "315062004",
            "display": "Beta blocker contraindicated"
          },
          {
            "code": "315364008",
            "display": "Angiotensin converting enzyme inhibitors contraindicated"
          },
          {
            "code": "315604002",
            "display": "Missed contraceptive pill"
          },
          {
            "code": "328941000119101",
            "display": "Long-term current use of bisphosphonates"
          },
          {
            "code": "329061000119105",
            "display": "Long-term current use of belimumab"
          },
          {
            "code": "329071000119104",
            "display": "Long-term current use of tocilizumab"
          },
          {
            "code": "347841000119106",
            "display": "Long-term current use of cannabis"
          },
          {
            "code": "379562701000119103",
            "display": "History of testosterone therapy"
          },
          {
            "code": "390914001",
            "display": "Thrombolytic therapy declined"
          },
          {
            "code": "391158008",
            "display": "Antibiotic prophylaxis recommended"
          },
          {
            "code": "391159000",
            "display": "Antibiotic prophylaxis not recommended"
          },
          {
            "code": "394888000",
            "display": "Hormone replacement therapy requested"
          },
          {
            "code": "394987009",
            "display": "Angiotensin II receptor antagonists contraindicated"
          },
          {
            "code": "395006008",
            "display": "Medication stopped - interaction"
          },
          {
            "code": "395007004",
            "display": "Medication stopped - ineffective"
          },
          {
            "code": "395008009",
            "display": "Medication stopped - contra-indication"
          },
          {
            "code": "395009001",
            "display": "Medication stopped - side effect"
          },
          {
            "code": "395176007",
            "display": "Bupropion declined"
          },
          {
            "code": "401084003",
            "display": "Angiotensin II receptor antagonist declined"
          },
          {
            "code": "401244004",
            "display": "H/O: prolonged corticosteroid therapy"
          },
          {
            "code": "405165221000119107",
            "display": "Long-term current use of belantamab mafodotin"
          },
          {
            "code": "407572003",
            "display": "Angiotensin II receptor antagonist not indicated"
          },
          {
            "code": "408339001",
            "display": "Thrombolysis therapy not indicated"
          },
          {
            "code": "408354007",
            "display": "Drug treatment still needed"
          },
          {
            "code": "408355008",
            "display": "Drug treatment no longer needed"
          },
          {
            "code": "408795007",
            "display": "Vitamin K prophylaxis declined"
          },
          {
            "code": "412782003",
            "display": "Inappropriate medication stopped"
          },
          {
            "code": "413555000",
            "display": "Antibiotic prophylaxis indicated"
          },
          {
            "code": "413558003",
            "display": "Anticoagulation contraindicated"
          },
          {
            "code": "413559006",
            "display": "Anticoagulation declined"
          },
          {
            "code": "413560001",
            "display": "Anticoagulation not indicated"
          },
          {
            "code": "416126007",
            "display": "Bisphosphonates declined"
          },
          {
            "code": "416404000",
            "display": "Angiotensin converting enzyme inhibitor target dose not achieved"
          },
          {
            "code": "416702871000119106",
            "display": "Long-term current use of sarilumab"
          },
          {
            "code": "417576009",
            "display": "Deferred antibiotic therapy"
          },
          {
            "code": "430279008",
            "display": "Drug treatment stopped at end of clinical trial"
          },
          {
            "code": "434611000124106",
            "display": "Maternal antenatal administration of corticosteroids for fetal lung maturation"
          },
          {
            "code": "438553004",
            "display": "History of drug therapy"
          },
          {
            "code": "439631004",
            "display": "History of statin therapy"
          },
          {
            "code": "440935004",
            "display": "History of beta adrenergic receptor blocking agent therapy"
          },
          {
            "code": "440991005",
            "display": "History of nitrate therapy"
          },
          {
            "code": "441195008",
            "display": "History of angiotensin converting enzyme inhibitor therapy"
          },
          {
            "code": "441196009",
            "display": "History of angiotensin II receptor antagonist therapy"
          },
          {
            "code": "441899004",
            "display": "History of therapy with ototoxic medication"
          },
          {
            "code": "473151000",
            "display": "History of tuberculosis drug therapy"
          },
          {
            "code": "483574341000119108",
            "display": "Long-term current use of upadacitinib"
          },
          {
            "code": "53081000119101",
            "display": "Long-term current use of testosterone replacement therapy"
          },
          {
            "code": "548197911000119104",
            "display": "Long-term current use of proton pump inhibitor therapy"
          },
          {
            "code": "564231491000119106",
            "display": "Long term current use of voclosporin"
          },
          {
            "code": "584833311000119102",
            "display": "Long-term current use of guselkumab"
          },
          {
            "code": "61251000119108",
            "display": "Long-term current use of tacrolimus"
          },
          {
            "code": "61261000119105",
            "display": "Long-term current use of sirolimus"
          },
          {
            "code": "672601000119103",
            "display": "Long-term current use of auranofin"
          },
          {
            "code": "672611000119100",
            "display": "Long-term current use of telaprevir"
          },
          {
            "code": "686976671000119100",
            "display": "History of human immunodeficiency virus pre-exposure prophylaxis"
          },
          {
            "code": "69521000119101",
            "display": "Long-term current use of thyroid hormone replacement therapy"
          },
          {
            "code": "698428006",
            "display": "Angiotensin II receptor antagonist indicated"
          },
          {
            "code": "698449007",
            "display": "Antibiotic therapy indicated"
          },
          {
            "code": "698459008",
            "display": "Antidepressant drug treatment stopped"
          },
          {
            "code": "698460003",
            "display": "Antiviral therapy declined"
          },
          {
            "code": "698468005",
            "display": "Bisoprolol contraindicated"
          },
          {
            "code": "698758004",
            "display": "Nebivolol therapy declined"
          },
          {
            "code": "699008007",
            "display": "History of fenfluramine therapy"
          },
          {
            "code": "699137009",
            "display": "Carvedilol therapy declined"
          },
          {
            "code": "700110004",
            "display": "Bisphosphonate prophylaxis suspended"
          },
          {
            "code": "700384008",
            "display": "Antibiotic prophylaxis not indicated"
          },
          {
            "code": "702542006",
            "display": "Incretin mimetic therapy started"
          },
          {
            "code": "703989007",
            "display": "Teriparatide therapy declined"
          },
          {
            "code": "703991004",
            "display": "Raloxifene therapy declined"
          },
          {
            "code": "703996009",
            "display": "Teriparatide not indicated"
          },
          {
            "code": "703997000",
            "display": "Teriparatide contraindicated"
          },
          {
            "code": "703999002",
            "display": "Raloxifene contraindicated"
          },
          {
            "code": "704000000",
            "display": "Raloxifene not indicated"
          },
          {
            "code": "704033005",
            "display": "Phosphodiesterase 5 inhibitor not indicated"
          },
          {
            "code": "704047009",
            "display": "Phosphodiesterase 5 inhibitor declined"
          },
          {
            "code": "707298000",
            "display": "Phosphodiesterase-5 inhibitor contraindicated"
          },
          {
            "code": "70732231000132107",
            "display": "Duplicate drug therapy stopped"
          },
          {
            "code": "708000007",
            "display": "Insulin treatment stopped"
          },
          {
            "code": "710159007",
            "display": "Long-term current use of immunosuppressive drug"
          },
          {
            "code": "710814002",
            "display": "Long-term current use of drug therapy"
          },
          {
            "code": "710815001",
            "display": "Long-term current use of insulin"
          },
          {
            "code": "710816000",
            "display": "Long-term current use of steroid"
          },
          {
            "code": "710817009",
            "display": "Long-term current use of inhaled steroid"
          },
          {
            "code": "711149003",
            "display": "Long-term current use of antibiotic"
          },
          {
            "code": "711150003",
            "display": "Long-term current use of anticoagulant"
          },
          {
            "code": "711370000",
            "display": "Oral steroids used since last encounter"
          },
          {
            "code": "711436000",
            "display": "Inhaled steroids used daily"
          },
          {
            "code": "720971004",
            "display": "Insulin declined"
          },
          {
            "code": "721872002",
            "display": "Antifungal therapy indicated"
          },
          {
            "code": "721912451000119106",
            "display": "Long-term current use of risankizumab"
          },
          {
            "code": "726806751000119107",
            "display": "Long-term current use of antimetabolite"
          },
          {
            "code": "736004008",
            "display": "Nebivolol contraindicated"
          },
          {
            "code": "736006005",
            "display": "Carvedilol contraindicated"
          },
          {
            "code": "736799004",
            "display": "Beta blocker target dose not achieved"
          },
          {
            "code": "7611000175100",
            "display": "Dipyridamole contraindicated"
          },
          {
            "code": "763323007",
            "display": "Hormone replacement therapy declined"
          },
          {
            "code": "763897009",
            "display": "Antineoplastic chemotherapy regimen declined"
          },
          {
            "code": "764639002",
            "display": "Antidepressant drug treatment started"
          },
          {
            "code": "768231311000119101",
            "display": "Long-term current use of calcineurin inhibitor"
          },
          {
            "code": "787928003",
            "display": "Coagulation factor Xa inhibitor prophylaxis indicated"
          },
          {
            "code": "787930001",
            "display": "Direct thrombin inhibitor prophylaxis indicated"
          },
          {
            "code": "821378911000119105",
            "display": "Long term current use of avacopan"
          },
          {
            "code": "824522871000119100",
            "display": "History of chimeric antigen receptor T-cell immunotherapy"
          },
          {
            "code": "836671891000119108",
            "display": "Long-term current use of belatacept"
          },
          {
            "code": "840596001",
            "display": "History of platelet aggregation inhibitor therapy"
          },
          {
            "code": "840597005",
            "display": "Long term dual platelet aggregation inhibitor therapy indicated"
          },
          {
            "code": "840598000",
            "display": "Platelet aggregation inhibitor therapy contraindicated"
          },
          {
            "code": "897019004",
            "display": "Antiviral prophylaxis recommended"
          },
          {
            "code": "897020005",
            "display": "Antifungal prophylaxis recommended"
          },
          {
            "code": "897021009",
            "display": "Antifungal prophylaxis not recommended"
          },
          {
            "code": "897022002",
            "display": "Antiviral prophylaxis not recommended"
          },
          {
            "code": "972426521000119100",
            "display": "Long term current use of anifrolumab"
          },
          {
            "code": "98001000119105",
            "display": "Long-term current use of anticonvulsant"
          }
        ]
      }
    ]
  }
}