FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeCodeSystem
IdCodeSystem-v3-substanceAdminSubstitution.json
FHIR VersionR4B

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem v3-substanceAdminSubstitution

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
Not SelectablenotSelectablehttp://hl7.org/fhir/concept-properties#notSelectablebooleanIndicates that the code is abstract - only intended to be used as a selector for other concepts

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution defines the following codes in a Is-A hierarchy:

LvlCodeDisplayDefinitionNot Selectable
1_ActSubstanceAdminSubstitutionCode ActSubstanceAdminSubstitutionCode

Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.

true
2  E equivalent

Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.

3    EC equivalent composition

Description:

                    Substitution occurred or is permitted with another product that is a:

                    
                       pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester
                       pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration
                    
                    
                       Examples: 
                    

                    
                       
                          Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate
                       
                          Pharmaceutical equivalent: Lisonpril for Zestril
4      BC brand composition

Description:

                    Substitution occurred or is permitted between equivalent Brands but not Generics

                    
                       Examples: 
                    

                    
                       Zestril  for Prinivil
                       Coumadin for Jantoven
4      G generic composition

Description: Substitution occurred or is permitted between equivalent Generics but not Brands

                       Examples: 
                    

                    
                       Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)
3    TE therapeutic alternative

Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.

                       Examples: 
                    

                    
                       ranitidine for Tagamet
4      TB therapeutic brand

Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics

                       Examples: 
                    

                    
                       Zantac for Tagamet
4      TG therapeutic generic

Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands

                       Examples: 
                    

                    
                       Ranitidine  for cimetidine
2  F formulary

Description: This substitution was performed or is permitted based on formulary guidelines.

2  N none

No substitution occurred or is permitted.


Source1

{
  "resourceType": "CodeSystem",
  "id": "v3-substanceAdminSubstitution",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "external"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
  "version": "2018-08-12",
  "name": "v3.substanceAdminSubstitution",
  "title": "v3 Code System substanceAdminSubstitution",
  "status": "active",
  "experimental": false,
  "date": "2018-08-12T00:00:00+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution",
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "code": "notSelectable",
      "uri": "http://hl7.org/fhir/concept-properties#notSelectable",
      "description": "Indicates that the code is abstract - only intended to be used as a selector for other concepts",
      "type": "boolean"
    }
  ],
  "concept": [
    {
      "code": "_ActSubstanceAdminSubstitutionCode",
      "display": "ActSubstanceAdminSubstitutionCode",
      "definition": "Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.",
      "property": [
        {
          "code": "notSelectable",
          "valueBoolean": true
        }
      ],
      "concept": [
        {
          "code": "E",
          "display": "equivalent",
          "definition": "Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.",
          "concept": [
            {
              "code": "EC",
              "display": "equivalent composition",
              "definition": "Description: \n                        \r\n\n                        Substitution occurred or is permitted with another product that is a:\r\n\n                        \n                           pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester\n                           pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration\n                        \n                        \n                           Examples: \n                        \r\n\n                        \n                           \n                              Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate\n                           \n                              Pharmaceutical equivalent: Lisonpril for Zestril",
              "concept": [
                {
                  "code": "BC",
                  "display": "brand composition",
                  "definition": "Description: \n                        \r\n\n                        Substitution occurred or is permitted between equivalent Brands but not Generics\r\n\n                        \n                           Examples: \n                        \r\n\n                        \n                           Zestril  for Prinivil\n                           Coumadin for Jantoven"
                },
                {
                  "code": "G",
                  "display": "generic composition",
                  "definition": "Description: Substitution occurred or is permitted between equivalent Generics but not Brands\r\n\n                        \n                           Examples: \n                        \r\n\n                        \n                           Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)"
                }
              ]
            },
            {
              "code": "TE",
              "display": "therapeutic alternative",
              "definition": "Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.\r\n\n                        \n                           Examples: \n                        \r\n\n                        \n                           ranitidine for Tagamet",
              "concept": [
                {
                  "code": "TB",
                  "display": "therapeutic brand",
                  "definition": "Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics\r\n>\n                           Examples: \n                        \r\n\n                        \n                           Zantac for Tagamet"
                },
                {
                  "code": "TG",
                  "display": "therapeutic generic",
                  "definition": "Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands\r\n>\n                           Examples: \n                        \r\n\n                        \n                           Ranitidine  for cimetidine"
                }
              ]
            }
          ]
        },
        {
          "code": "F",
          "display": "formulary",
          "definition": "Description: This substitution was performed or is permitted based on formulary guidelines."
        },
        {
          "code": "N",
          "display": "none",
          "definition": "No substitution occurred or is permitted."
        }
      ]
    }
  ]
}