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

Active as of 2026-11-01

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="structured-sig-review-flag"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://haau3.com/fhir/CodeSystem/structured-sig-review-flag"/>
  <version value="1.0.0"/>
  <name value="StructuredSigReviewFlagCS"/>
  <title value="Structured Sig Review Flag"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-11-01T22:20:01+00:00"/>
  <publisher value="haau3"/>
  <contact>
    <name value="haau3"/>
    <telecom>
      <system value="url"/>
      <value value="https://haau3.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hello@haau3.com"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="15"/>
  <concept>
    <code value="unplaced-text"/>
    <display value="Words not placed"/>
    <definition
                value="Some words of the directions were not placed in any element. The structure does not hold the whole instruction: review it against the text."/>
  </concept>
  <concept>
    <code value="as-directed"/>
    <display value="As directed"/>
    <definition
                value="The directions defer to instructions given elsewhere. The structure holds only what is written here."/>
  </concept>
  <concept>
    <code value="taper-not-structured"/>
    <display value="Taper not structured"/>
    <definition
                value="The directions change the dose or the timing over time, as a taper or as steps one after another. Only the text is given."/>
  </concept>
  <concept>
    <code value="concurrent-not-structured"/>
    <display value="Several instructions not structured"/>
    <definition
                value="The directions give more than one dose or schedule at the same time. Only the text is given."/>
  </concept>
  <concept>
    <code value="ambiguous-frequency"/>
    <display value="Frequency unclear"/>
    <definition
                value="The directions state frequencies for one dose that disagree, so no timing is given."/>
  </concept>
  <concept>
    <code value="discouraged-abbreviation"/>
    <display value="Do Not Use abbreviation"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="dose-unit-missing"/>
    <display value="Dose has no unit"/>
    <definition
                value="A dose amount was written without a unit, and none could be added from the medication."/>
  </concept>
  <concept>
    <code value="unit-from-product"/>
    <display value="Unit added from the product"/>
    <definition
                value="The dose's unit was not written. It was added from the medication's dose form."/>
  </concept>
  <concept>
    <code value="unit-form-mismatch"/>
    <display value="Unit and dose form differ"/>
    <definition
                value="The dose's unit does not match the medication's dose form."/>
  </concept>
  <concept>
    <code value="route-from-product"/>
    <display value="Route added from the product"/>
    <definition
                value="The route was not written. It was added from the medication's dose form, which is given only that way."/>
  </concept>
  <concept>
    <code value="route-form-mismatch"/>
    <display value="Route and dose form differ"/>
    <definition
                value="The route written is not the way the medication's dose form is given. Confirm that this is what the prescriber meant."/>
  </concept>
  <concept>
    <code value="medication-not-held"/>
    <display value="Medication not in RxNorm"/>
    <definition
                value="The medication's RxNorm code is not in the RxNorm release, so nothing about the product was used."/>
  </concept>
  <concept>
    <code value="ndc-not-resolved"/>
    <display value="NDC not used"/>
    <definition
                value="The medication was named only by an NDC, which is not yet resolved to a product, so nothing about the product was used."/>
  </concept>
  <concept>
    <code value="medication-not-read"/>
    <display value="Medication not read"/>
    <definition
                value="The medication was named only in code systems Structured Sig does not read, so nothing about the product was used."/>
  </concept>
  <concept>
    <code value="dose-form-unknown"/>
    <display value="No single dose form"/>
    <definition
                value="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."/>
  </concept>
</CodeSystem>