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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeCodeSystem
IdCodeSystem-v3-substanceAdminSubstitution.json
FHIR VersionR4B

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Narrative

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

Properties

This code system defines the following properties for its concepts

CodeURITypeDescription
SpecializesCodingThe child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.
GeneralizesCodingInverse of Specializes. Only included as a derived relationship.
internalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idcodeThe internal identifier for the concept in the HL7 Access database repository.
notSelectablehttp://hl7.org/fhir/concept-properties#notSelectablebooleanIndicates that the code is abstract - only intended to be used as a selector for other concepts
statushttp://hl7.org/fhir/concept-properties#statuscodeDesignation of a concept's state. Normally is not populated unless the state is retired.

Concepts

This code system http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution defines the following codes:

LvlCodeDisplayDefinitioninternalIdNot Selectablestatus
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.21284trueactive
2  E equivalent**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.23107active
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 Zestril23108active
4      BC brand composition**Description:** Substitution occurred or is permitted between equivalent Brands but not Generics *Examples:* * Zestril for Prinivil * Coumadin for Jantoven23109active
4      G generic composition**Description:** Substitution occurred or is permitted between equivalent Generics but not Brands *Examples:* * Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)16623active
3    TE therapeutic alternative**Description:** Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. *Examples:* * ranitidine for Tagamet16624active
4      TB therapeutic brand**Description:** Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > *Examples:* * Zantac for Tagamet23105active
4      TG therapeutic generic**Description:** Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > *Examples:* * Ranitidine for cimetidine23106active
2  F formulary**Description:** This substitution was performed or is permitted based on formulary guidelines.16625active
2  N noneNo substitution occurred or is permitted.16622active

Source1

{
  "resourceType": "CodeSystem",
  "id": "v3-substanceAdminSubstitution",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.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": "2.1.0",
  "name": "SubstanceAdminSubstitution",
  "title": "Substance Admin Substitution",
  "status": "active",
  "experimental": false,
  "date": "2019-03-20T10:00:00+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,
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "code": "Specializes",
      "description": "The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric.",
      "type": "Coding"
    },
    {
      "code": "Generalizes",
      "description": "Inverse of Specializes.  Only included as a derived relationship.",
      "type": "Coding"
    },
    {
      "code": "internalId",
      "uri": "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
      "description": "The internal identifier for the concept in the HL7 Access database repository.",
      "type": "code"
    },
    {
      "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"
    },
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "Designation of a concept's state. Normally is not populated unless the state is retired.",
      "type": "code"
    }
  ],
  "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
        },
        {
          "code": "status",
          "valueCode": "active"
        },
        {
          "code": "internalId",
          "valueCode": "21284"
        }
      ],
      "concept": [
        {
          "code": "E",
          "display": "equivalent",
          "definition": "**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.",
          "property": [
            {
              "code": "status",
              "valueCode": "active"
            },
            {
              "code": "internalId",
              "valueCode": "23107"
            }
          ],
          "concept": [
            {
              "code": "EC",
              "display": "equivalent composition",
              "definition": "**Description:** \r\n\r\nSubstitution occurred or is permitted with another product that is a:\r\n\r\n *  pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester\r\n *  pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration\r\n\r\n*Examples:* \r\n\r\n *  *Pharmaceutical alternative:* Erythromycin Ethylsuccinate for Erythromycin Stearate\r\n *  *Pharmaceutical equivalent:* Lisonpril for Zestril",
              "property": [
                {
                  "code": "status",
                  "valueCode": "active"
                },
                {
                  "code": "internalId",
                  "valueCode": "23108"
                }
              ],
              "concept": [
                {
                  "code": "BC",
                  "display": "brand composition",
                  "definition": "**Description:** \r\n\r\nSubstitution occurred or is permitted between equivalent Brands but not Generics\r\n\r\n*Examples:* \r\n\r\n *  Zestril for Prinivil\r\n *  Coumadin for Jantoven",
                  "property": [
                    {
                      "code": "status",
                      "valueCode": "active"
                    },
                    {
                      "code": "internalId",
                      "valueCode": "23109"
                    }
                  ]
                },
                {
                  "code": "G",
                  "display": "generic composition",
                  "definition": "**Description:** Substitution occurred or is permitted between equivalent Generics but not Brands\r\n\r\n*Examples:* \r\n\r\n *  Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)",
                  "property": [
                    {
                      "code": "status",
                      "valueCode": "active"
                    },
                    {
                      "code": "internalId",
                      "valueCode": "16623"
                    }
                  ]
                }
              ]
            },
            {
              "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\r\n*Examples:* \r\n\r\n *  ranitidine for Tagamet",
              "property": [
                {
                  "code": "status",
                  "valueCode": "active"
                },
                {
                  "code": "internalId",
                  "valueCode": "16624"
                }
              ],
              "concept": [
                {
                  "code": "TB",
                  "display": "therapeutic brand",
                  "definition": "**Description:** Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics\r\n\r\n>\r\n\r\n*Examples:* \r\n\r\n *  Zantac for Tagamet",
                  "property": [
                    {
                      "code": "status",
                      "valueCode": "active"
                    },
                    {
                      "code": "internalId",
                      "valueCode": "23105"
                    }
                  ]
                },
                {
                  "code": "TG",
                  "display": "therapeutic generic",
                  "definition": "**Description:** Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands\r\n\r\n>\r\n\r\n*Examples:* \r\n\r\n *  Ranitidine for cimetidine",
                  "property": [
                    {
                      "code": "status",
                      "valueCode": "active"
                    },
                    {
                      "code": "internalId",
                      "valueCode": "23106"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "code": "F",
          "display": "formulary",
          "definition": "**Description:** This substitution was performed or is permitted based on formulary guidelines.",
          "property": [
            {
              "code": "status",
              "valueCode": "active"
            },
            {
              "code": "internalId",
              "valueCode": "16625"
            }
          ]
        },
        {
          "code": "N",
          "display": "none",
          "definition": "No substitution occurred or is permitted.",
          "property": [
            {
              "code": "status",
              "valueCode": "active"
            },
            {
              "code": "internalId",
              "valueCode": "16622"
            }
          ]
        }
      ]
    }
  ]
}