haau3 FHIR Implementation Guide (HFIG)
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: Structured Sig Review Flag - JSON Representation

Active as of 2026-11-01

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{
  "resourceType" : "CodeSystem",
  "id" : "structured-sig-review-flag",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem structured-sig-review-flag</b></p><a name=\"structured-sig-review-flag\"> </a><a name=\"hcstructured-sig-review-flag\"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/structured-sig-review-flag</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">unplaced-text<a name=\"structured-sig-review-flag-unplaced-text\"> </a></td><td>Words not placed</td><td>Some words of the directions were not placed in any element. The structure does not hold the whole instruction: review it against the text.</td></tr><tr><td style=\"white-space:nowrap\">as-directed<a name=\"structured-sig-review-flag-as-directed\"> </a></td><td>As directed</td><td>The directions defer to instructions given elsewhere. The structure holds only what is written here.</td></tr><tr><td style=\"white-space:nowrap\">taper-not-structured<a name=\"structured-sig-review-flag-taper-not-structured\"> </a></td><td>Taper not structured</td><td>The directions change the dose or the timing over time, as a taper or as steps one after another. Only the text is given.</td></tr><tr><td style=\"white-space:nowrap\">concurrent-not-structured<a name=\"structured-sig-review-flag-concurrent-not-structured\"> </a></td><td>Several instructions not structured</td><td>The directions give more than one dose or schedule at the same time. Only the text is given.</td></tr><tr><td style=\"white-space:nowrap\">ambiguous-frequency<a name=\"structured-sig-review-flag-ambiguous-frequency\"> </a></td><td>Frequency unclear</td><td>The directions state frequencies for one dose that disagree, so no timing is given.</td></tr><tr><td style=\"white-space:nowrap\">discouraged-abbreviation<a name=\"structured-sig-review-flag-discouraged-abbreviation\"> </a></td><td>Do Not Use abbreviation</td><td>The directions use an abbreviation or a way of writing a dose that is on The Joint Commission's &quot;Do Not Use&quot; list. It was read with its usual meaning: confirm that this is what the prescriber meant.</td></tr><tr><td style=\"white-space:nowrap\">dose-unit-missing<a name=\"structured-sig-review-flag-dose-unit-missing\"> </a></td><td>Dose has no unit</td><td>A dose amount was written without a unit, and none could be added from the medication.</td></tr><tr><td style=\"white-space:nowrap\">unit-from-product<a name=\"structured-sig-review-flag-unit-from-product\"> </a></td><td>Unit added from the product</td><td>The dose's unit was not written. It was added from the medication's dose form.</td></tr><tr><td style=\"white-space:nowrap\">unit-form-mismatch<a name=\"structured-sig-review-flag-unit-form-mismatch\"> </a></td><td>Unit and dose form differ</td><td>The dose's unit does not match the medication's dose form.</td></tr><tr><td style=\"white-space:nowrap\">route-from-product<a name=\"structured-sig-review-flag-route-from-product\"> </a></td><td>Route added from the product</td><td>The route was not written. It was added from the medication's dose form, which is given only that way.</td></tr><tr><td style=\"white-space:nowrap\">route-form-mismatch<a name=\"structured-sig-review-flag-route-form-mismatch\"> </a></td><td>Route and dose form differ</td><td>The route written is not the way the medication's dose form is given. Confirm that this is what the prescriber meant.</td></tr><tr><td style=\"white-space:nowrap\">medication-not-held<a name=\"structured-sig-review-flag-medication-not-held\"> </a></td><td>Medication not in RxNorm</td><td>The medication's RxNorm code is not in the RxNorm release, so nothing about the product was used.</td></tr><tr><td style=\"white-space:nowrap\">ndc-not-resolved<a name=\"structured-sig-review-flag-ndc-not-resolved\"> </a></td><td>NDC not used</td><td>The medication was named only by an NDC, which is not yet resolved to a product, so nothing about the product was used.</td></tr><tr><td style=\"white-space:nowrap\">medication-not-read<a name=\"structured-sig-review-flag-medication-not-read\"> </a></td><td>Medication not read</td><td>The medication was named only in code systems Structured Sig does not read, so nothing about the product was used.</td></tr><tr><td style=\"white-space:nowrap\">dose-form-unknown<a name=\"structured-sig-review-flag-dose-form-unknown\"> </a></td><td>No single dose form</td><td>The medication's RxNorm code names no single dose form (an ingredient, a brand name or a pack, for example), so the dose could not be checked against the product.</td></tr></table></div>"
  },
  "url" : "https://haau3.com/fhir/CodeSystem/structured-sig-review-flag",
  "version" : "1.0.0",
  "name" : "StructuredSigReviewFlagCS",
  "title" : "Structured Sig Review Flag",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-11-01T22:20:01+00:00",
  "publisher" : "haau3",
  "contact" : [
    {
      "name" : "haau3",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://haau3.com"
        },
        {
          "system" : "email",
          "value" : "hello@haau3.com"
        }
      ]
    }
  ],
  "description" : "Findings Structured Sig records on a Dosage it wrote from free-text directions, each telling a person what to check. Each code names what was found in the directions or the medication, and what it means for the Dosage. A Dosage carries every code that applies.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 15,
  "concept" : [
    {
      "code" : "unplaced-text",
      "display" : "Words not placed",
      "definition" : "Some words of the directions were not placed in any element. The structure does not hold the whole instruction: review it against the text."
    },
    {
      "code" : "as-directed",
      "display" : "As directed",
      "definition" : "The directions defer to instructions given elsewhere. The structure holds only what is written here."
    },
    {
      "code" : "taper-not-structured",
      "display" : "Taper not structured",
      "definition" : "The directions change the dose or the timing over time, as a taper or as steps one after another. Only the text is given."
    },
    {
      "code" : "concurrent-not-structured",
      "display" : "Several instructions not structured",
      "definition" : "The directions give more than one dose or schedule at the same time. Only the text is given."
    },
    {
      "code" : "ambiguous-frequency",
      "display" : "Frequency unclear",
      "definition" : "The directions state frequencies for one dose that disagree, so no timing is given."
    },
    {
      "code" : "discouraged-abbreviation",
      "display" : "Do Not Use abbreviation",
      "definition" : "The directions use an abbreviation or a way of writing a dose that is on The Joint Commission's \"Do Not Use\" list. It was read with its usual meaning: confirm that this is what the prescriber meant."
    },
    {
      "code" : "dose-unit-missing",
      "display" : "Dose has no unit",
      "definition" : "A dose amount was written without a unit, and none could be added from the medication."
    },
    {
      "code" : "unit-from-product",
      "display" : "Unit added from the product",
      "definition" : "The dose's unit was not written. It was added from the medication's dose form."
    },
    {
      "code" : "unit-form-mismatch",
      "display" : "Unit and dose form differ",
      "definition" : "The dose's unit does not match the medication's dose form."
    },
    {
      "code" : "route-from-product",
      "display" : "Route added from the product",
      "definition" : "The route was not written. It was added from the medication's dose form, which is given only that way."
    },
    {
      "code" : "route-form-mismatch",
      "display" : "Route and dose form differ",
      "definition" : "The route written is not the way the medication's dose form is given. Confirm that this is what the prescriber meant."
    },
    {
      "code" : "medication-not-held",
      "display" : "Medication not in RxNorm",
      "definition" : "The medication's RxNorm code is not in the RxNorm release, so nothing about the product was used."
    },
    {
      "code" : "ndc-not-resolved",
      "display" : "NDC not used",
      "definition" : "The medication was named only by an NDC, which is not yet resolved to a product, so nothing about the product was used."
    },
    {
      "code" : "medication-not-read",
      "display" : "Medication not read",
      "definition" : "The medication was named only in code systems Structured Sig does not read, so nothing about the product was used."
    },
    {
      "code" : "dose-form-unknown",
      "display" : "No single dose form",
      "definition" : "The medication's RxNorm code names no single dose form (an ingredient, a brand name or a pack, for example), so the dose could not be checked against the product."
    }
  ]
}