This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2
Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.
<ValueSet xmlns="http://hl7.org/fhir"> <id value="v3-substanceAdminSubstitution"/> <meta> <lastUpdated value="2014-12-11T00:00:00.000+11:00"/> <profile value="http://hl7.org/fhir/Profile/valueset-shareable-definition"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div> </text> <url value="http://hl7.org/fhir/v3/vs/substanceAdminSubstitution"/> <version value="2014-12-11"/> <name value="v3 Code System substanceAdminSubstitution"/> <publisher value="HL7, Inc"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org"/> </telecom> </contact> <description value=" Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided."/> <status value="active"/> <experimental value="false"/> <date value="2014-12-11"/> <define> <extension url="http://hl7.org/fhir/ExtensionDefinition/valueset-oid"> <valueUri value="urn:oid:2.16.840.1.113883.5.1070"/> </extension> <system value="http://hl7.org/fhir/v3/substanceAdminSubstitution"/> <caseSensitive value="true"/> <concept> <code value="_ActSubstanceAdminSubstitutionCode"/> <abstract value="true"/> <display value="ActSubstanceAdminSubstitutionCode"/> <definition value="Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects."/> <concept> <code value="E"/> <abstract value="false"/> <display value="equivalent"/> <definition value="Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."/> <concept> <code value="EC"/> <abstract value="false"/> <display value="equivalent composition"/> <definition value="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"/> <concept> <code value="BC"/> <abstract value="false"/> <display value="brand composition"/> <definition value="Description: Substitution occurred or is permitted between equivalent Brands but not Generics Examples: Zestril for Prinivil Coumadin for Jantoven"/> </concept> <concept> <code value="G"/> <abstract value="false"/> <display value="generic composition"/> <definition value="Description: Substitution occurred or is permitted between equivalent Generics but not Brands Examples: Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)"/> </concept> </concept> <concept> <code value="TE"/> <abstract value="false"/> <display value="therapeutic alternative"/> <definition value="Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. Examples: ranitidine for Tagamet"/> <concept> <code value="TB"/> <abstract value="false"/> <display value="therapeutic brand"/> <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > Examples: Zantac for Tagamet"/> </concept> <concept> <code value="TG"/> <abstract value="false"/> <display value="therapeutic generic"/> <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > Examples: Ranitidine for cimetidine"/> </concept> </concept> </concept> <concept> <code value="F"/> <abstract value="false"/> <display value="formulary"/> <definition value="Description: This substitution was performed or is permitted based on formulary guidelines."/> </concept> <concept> <code value="N"/> <abstract value="false"/> <display value="none"/> <definition value="No substitution occurred or is permitted."/> </concept> </concept> </define> </ValueSet>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.