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FHIR IG Statistics: CodeSystem/v3-substanceAdminSubstitution

Packagehl7.terminology.r4b
TypeCodeSystem
Idv3-substanceAdminSubstitution
FHIR VersionR4B
Sourcehttp://terminology.hl7.org/http://terminology.hl7.org/6.0.2/CodeSystem-v3-substanceAdminSubstitution.html
URLhttp://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
Version3.0.0
Statusactive
Date2019-03-20
NameSubstanceAdminSubstitution
TitleSubstance Admin Substitution
Realmuv
Authorityhl7
DescriptionIdentifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.
CopyrightThis material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
Contentcomplete

Resources that use this resource

ValueSet
ActSubstanceAdminSubstitutionCodeActSubstanceAdminSubstitutionCode
v3-ActSubstanceAdminSubstitutionCodeActSubstanceAdminSubstitutionCode
v3-SubstanceAdminGenericSubstitutionSubstanceAdminGenericSubstitution
ch-emed-epr-substance-admin-substitution-codeSubstance Administration Substitution Codes
cyehr-vs-ehdsisubstitutioncodeCyprus EHR Value Set: eHDSI Substitution Code
v3-ActSubstanceAdminSubstitutionCodeActSubstanceAdminSubstitutionCode
v3-SubstanceAdminGenericSubstitutionSubstanceAdminGenericSubstitution
jdv-hl7-v3-ActSubstanceAdminSubstitutionCode-cisisActSubstanceAdminSubstitutionCode

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem v3-substanceAdminSubstitution

Language: en

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
SpecializesSpecializesCodingThe 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.
GeneralizesGeneralizesCodingInverse of Specializes. Only included as a derived relationship.
internalIdinternalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idcodeThe internal identifier for the concept in the HL7 Access database repository.
Not SelectablenotSelectablehttp://hl7.org/fhir/concept-properties#notSelectablebooleanIndicates that the code is abstract - only intended to be used as a selector for other concepts
Statusstatushttp://hl7.org/fhir/concept-properties#statuscodeDesignation of a concept's state. Normally is not populated unless the state is retired.

Concepts

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

LvlCodeDisplayDefinitioninternalIdNot SelectableStatus
1_ActSubstanceAdminSubstitutionCode ActSubstanceAdminSubstitutionCode

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

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

23107active
3    EC equivalent composition

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
23108active
4      BC brand composition

Substitution occurred or is permitted between equivalent Brands but not Generics

Examples:

  • Zestril for Prinivil
  • Coumadin for Jantoven
23109active
4      G generic composition

Substitution occurred or is permitted between equivalent Generics but not Brands

Examples:

  • Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)
16623active
3    TE therapeutic alternative

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

Examples:

  • ranitidine for Tagamet
16624active
4      TB therapeutic brand

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

Examples:

  • Zantac for Tagamet
23105active
4      TG therapeutic generic

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

Examples:

  • Ranitidine for cimetidine
23106active
2  F formulary

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

16625active
2  N none

No substitution occurred or is permitted.

16622active

Source

{
  "resourceType": "CodeSystem",
  "id": "v3-substanceAdminSubstitution",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.5.1070"
    }
  ],
  "version": "3.0.0",
  "name": "SubstanceAdminSubstitution",
  "title": "Substance Admin Substitution",
  "status": "active",
  "experimental": false,
  "date": "2019-03-20",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "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.",
  "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive": true,
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "extension": [
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
          "valueCode": "antisymmetric"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
          "valueCode": "transitive"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
          "valueCode": "irreflexive"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
          "valueBoolean": true
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
          "valueCode": "Specializes"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
          "valueString": "Generalizes"
        }
      ],
      "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"
    },
    {
      "extension": [
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
          "valueCode": "antisymmetric"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
          "valueCode": "transitive"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
          "valueCode": "irreflexive"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
          "valueBoolean": true
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
          "valueCode": "Generalizes"
        },
        {
          "url": "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
          "valueString": "Specializes"
        }
      ],
      "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": "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": "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": "Substitution 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": "Substitution 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": "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": "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": "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": "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": "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"
            }
          ]
        }
      ]
    }
  ]
}