DUR Managed Codes

FHIR: MedicationDispense.detectedIssue

Status = DRAFT

Codes mus tbe reviewed by Implementers.

These codes convey clinical issues that are managed by the Pharmacy and conveyed in the claim request. In CPHA3, the codes are conveyed as Intervention and Exception Codes D.65.03. The FHIR messages splits fiscal messaging from the clinical portion of the message.

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