{
  "resourceType" : "ValueSet",
  "id" : "R2-v3-substanceAdminSubstitution-for-R5",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R2-v3-substanceAdminSubstitution-for-R5</b></p><a name=\"R2-v3-substanceAdminSubstitution-for-R5\"> </a><a name=\"hcR2-v3-substanceAdminSubstitution-for-R5\"> </a><p>This value set expansion contains 10 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-BC\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-BC\">BC</a></td><td>brand composition</td><td>Description:                                                    Substitution occurred or is permitted between equivalent Brands but not Generics                                                      Examples:                                                                                Zestril  for Prinivil                            Coumadin for Jantoven</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-E\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-E\">E</a></td><td>equivalent</td><td>Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-EC\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-EC\">EC</a></td><td>equivalent composition</td><td>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</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-F\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-F\">F</a></td><td>formulary</td><td>Description: This substitution was performed or is permitted based on formulary guidelines.</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-G\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-G\">G</a></td><td>generic composition</td><td>Description: Substitution occurred or is permitted between equivalent Generics but not Brands                                                      Examples:                                                                                Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-N\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-N\">N</a></td><td>none</td><td>No substitution occurred or is permitted.</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-TB\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TB\">TB</a></td><td>therapeutic brand</td><td>Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics &gt;                            Examples:                                                                                Zantac for Tagamet</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-TE\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TE\">TE</a></td><td>therapeutic alternative</td><td>Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.                                                      Examples:                                                                                ranitidine for Tagamet</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-TG\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TG\">TG</a></td><td>therapeutic generic</td><td>Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands &gt;                            Examples:                                                                                Ranitidine  for cimetidine</td></tr><tr><td><a name=\"R2-v3-substanceAdminSubstitution-for-R5-http://hl7.org/fhir/v3/substanceAdminSubstitution-_ActSubstanceAdminSubstitutionCode\"> </a><code>http://hl7.org/fhir/v3/substanceAdminSubstitution</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-_ActSubstanceAdminSubstitutionCode\">_ActSubstanceAdminSubstitutionCode</a></td><td>ActSubstanceAdminSubstitutionCode</td><td>Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r2.r5"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R2-v3-substanceAdminSubstitution-for-R5",
  "version" : "0.1.0",
  "name" : "R2V3SubstanceAdminSubstitutionForR5",
  "title" : "Cross-version ValueSet DSTU2.v3 Code System substanceAdminSubstitution for use in FHIR R5",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution|2015-07-31` for use in FHIR R5.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution|2015-07-31` as defined in FHIR DSTU2\r\nin FHIR R5.\r\n\r\nThe source value set is bound to the following FHIR DSTU2 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution|2015-07-31`, defined in FHIR DSTU2 does not have any mapping to FHIR R5",
  "compose" : {
    "include" : [{
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "concept" : [{
        "code" : "BC",
        "display" : "brand composition"
      },
      {
        "code" : "E",
        "display" : "equivalent"
      },
      {
        "code" : "EC",
        "display" : "equivalent composition"
      },
      {
        "code" : "F",
        "display" : "formulary"
      },
      {
        "code" : "G",
        "display" : "generic composition"
      },
      {
        "code" : "N",
        "display" : "none"
      },
      {
        "code" : "TB",
        "display" : "therapeutic brand"
      },
      {
        "code" : "TE",
        "display" : "therapeutic alternative"
      },
      {
        "code" : "TG",
        "display" : "therapeutic generic"
      },
      {
        "code" : "_ActSubstanceAdminSubstitutionCode",
        "display" : "ActSubstanceAdminSubstitutionCode"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "BC",
      "display" : "brand composition"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "E",
      "display" : "equivalent"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "EC",
      "display" : "equivalent composition"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "F",
      "display" : "formulary"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "G",
      "display" : "generic composition"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "N",
      "display" : "none"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "TB",
      "display" : "therapeutic brand"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "TE",
      "display" : "therapeutic alternative"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "TG",
      "display" : "therapeutic generic"
    },
    {
      "system" : "http://hl7.org/fhir/v3/substanceAdminSubstitution",
      "version" : "1.0.2",
      "code" : "_ActSubstanceAdminSubstitutionCode",
      "display" : "ActSubstanceAdminSubstitutionCode"
    }]
  }
}