DUR Codes
###Usage: These codes convey clinical issues that are managed by the Pharmacy and conveyed in the claim request. It is also used in the Claim response when adjudicators perform DUR and detect clinical issues with the drug that is being dispensed.
CPHA Map: Request: Intervention and Exception Codes D.65.03 CPHA Map: Response: Message Data Line 1,2,3 E.20.03
The FHIR messages splits fiscal messaging from the clinical portion of the message.
http://pharmacyeclaims.ca/FHIR/ValueSet/DUR-codes
http://pharmacyeclaims.ca/FHIR/CodeSystem/DUR-codes
**Following codes to be reviewed by TWG - potential candidates follow:
##Request DUR:
| CODE | VALUE | Notes |
|---|---|---|
| UA | Consulted Prescriber and Filled Rx as Written | |
| UB | Consulted Prescriber and Changed Dose | |
| UC | Consulted Prescriber and Changed Instruction for Use | |
| UD | Consulted Prescriber and Changed Drug | |
| UE | Consulted Prescriber and Changed Quantity | |
| UF | Patient Gave Adequate Explanation. Rx Filled as Written | |
| UG | Cautioned Patient. Rx Filled as Written | |
| UH | Counselled Patient. Rx Not Filled | Review |
| UI | Consulted Other Source. Rx Filled as Written | |
| UJ | Consulted Other Sources Altered Rx and Filled | |
| UK | Consulted Other Sources. Rx Not Filled | Review |
| UL | Rx Not Filled – Pharmacist Decision | Review |
| UM | Consulted Prescriber, Rx Not Filled | Review |
| UN | Assessed Patient, Therapy is Appropriate |
##Response DUR:
**TWG needs to review, determine codes and include here. Today they are conveyed as messages. Implementation work to be completed