{
  "resourceType" : "CodeSystem",
  "id" : "v2-0167",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem v2-0167</b></p><a name=\"v2-0167\"> </a><a name=\"hcv2-0167\"> </a><p>This  code system <code>http://terminology.hl7.org/CodeSystem/v2-0167</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">0<a name=\"v2-0167-0\"> </a></td><td>No product selection indicated</td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"v2-0167-1\"> </a></td><td>Substitution not allowed by prescriber</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"v2-0167-2\"> </a></td><td>Substitution allowed - patient requested product dispensed</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"v2-0167-3\"> </a></td><td>Substitution allowed - pharmacist selected product dispensed</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"v2-0167-4\"> </a></td><td>Substitution allowed - generic drug not in stock</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"v2-0167-5\"> </a></td><td>Substitution allowed - brand drug dispensed as a generic</td></tr><tr><td style=\"white-space:nowrap\">7<a name=\"v2-0167-7\"> </a></td><td>Substitution not allowed - brand drug mandated by law</td></tr><tr><td style=\"white-space:nowrap\">8<a name=\"v2-0167-8\"> </a></td><td>Substitution allowed - generic drug not available in marketplace</td></tr><tr><td style=\"white-space:nowrap\">G<a name=\"v2-0167-G\"> </a></td><td>A generic substitution was dispensed.</td></tr><tr><td style=\"white-space:nowrap\">N<a name=\"v2-0167-N\"> </a></td><td>No substitute was dispensed.  This is equivalent to the default (null) value.</td></tr><tr><td style=\"white-space:nowrap\">T<a name=\"v2-0167-T\"> </a></td><td>A therapeutic substitution was dispensed.</td></tr></table><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>Nederlands (Dutch, nl)</b></td></tr><tr><td>0</td><td/><td>Geen productselectie aangegeven</td></tr><tr><td>1</td><td/><td>Substitutie niet toegestaan door voorschrijver</td></tr><tr><td>2</td><td/><td>Substitutie toegestaan - patiënt vroeg om verstrekte product</td></tr><tr><td>3</td><td/><td>Substitutie toegestaan - apotheek selecteerde verstrekte product</td></tr><tr><td>4</td><td/><td>Substitutie toegestaan - generieke medicatie niet op voorraad</td></tr><tr><td>5</td><td/><td>Substitutie toegestaan - merkmedicatie verstrekt als generiek</td></tr><tr><td>7</td><td/><td>Substitutie toegestaan - merkmedicatie wettelijk verplicht</td></tr><tr><td>8</td><td/><td>Substitutie toegestaan - generieke medicatie niet beschikbaar op de markt</td></tr><tr><td>G</td><td>Substitution durch Generika</td><td>Er is een generiek substituut verstrekt</td></tr><tr><td>N</td><td>keine Substitution</td><td>Er is geen substituut verstrekt. Dit is de standaardwaarde.</td></tr><tr><td>T</td><td>therapieorientierte Substitution</td><td>Er is een therapeutisch substituut verstrekt</td></tr></table></div>"
  },
  "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/v2-0167",
  "version" : "2.9",
  "name" : "v2.0167",
  "title" : "v2 SUBSTITUTION STATUS",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-13T16:11:23-04:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "FHIR Value set/code system definition for HL7 v2 table 0167 ( SUBSTITUTION STATUS)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "content" : "complete",
  "concept" : [{
    "code" : "0",
    "display" : "No product selection indicated",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Geen productselectie aangegeven"
    }]
  },
  {
    "code" : "1",
    "display" : "Substitution not allowed by prescriber",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie niet toegestaan door voorschrijver"
    }]
  },
  {
    "code" : "2",
    "display" : "Substitution allowed - patient requested product dispensed",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - patiënt vroeg om verstrekte product"
    }]
  },
  {
    "code" : "3",
    "display" : "Substitution allowed - pharmacist selected product dispensed",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - apotheek selecteerde verstrekte product"
    }]
  },
  {
    "code" : "4",
    "display" : "Substitution allowed - generic drug not in stock",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - generieke medicatie niet op voorraad"
    }]
  },
  {
    "code" : "5",
    "display" : "Substitution allowed - brand drug dispensed as a generic",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - merkmedicatie verstrekt als generiek"
    }]
  },
  {
    "code" : "7",
    "display" : "Substitution not allowed - brand drug mandated by law",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - merkmedicatie wettelijk verplicht"
    }]
  },
  {
    "code" : "8",
    "display" : "Substitution allowed - generic drug not available in marketplace",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitutie toegestaan - generieke medicatie niet beschikbaar op de markt"
    }]
  },
  {
    "code" : "G",
    "display" : "A generic substitution was dispensed.",
    "designation" : [{
      "language" : "de",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Substitution durch Generika"
    },
    {
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Er is een generiek substituut verstrekt"
    }]
  },
  {
    "code" : "N",
    "display" : "No substitute was dispensed.  This is equivalent to the default (null) value.",
    "designation" : [{
      "language" : "de",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "keine Substitution"
    },
    {
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Er is geen substituut verstrekt. Dit is de standaardwaarde."
    }]
  },
  {
    "code" : "T",
    "display" : "A therapeutic substitution was dispensed.",
    "designation" : [{
      "language" : "de",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "therapieorientierte Substitution"
    },
    {
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Er is een therapeutisch substituut verstrekt"
    }]
  }]
}