FHIR Cross-Version Extensions package for FHIR R4B from FHIR R4 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R4-v3-substanceAdminSubstitution-for-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4-v3-substanceAdminSubstitution-for-R4B</b></p><a name="R4-v3-substanceAdminSubstitution-for-R4B"> </a><a name="hcR4-v3-substanceAdminSubstitution-for-R4B"> </a><p>This value set expansion contains 9 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-BC"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-BC">BC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>brand composition</td><td><div><p>Substitution occurred or is permitted between equivalent Brands but not Generics</p>
<p><em>Examples:</em></p>
<ul>
<li>Zestril for Prinivil</li>
<li>Coumadin for Jantoven</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-G"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-G">G</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>generic composition</td><td><div><p>Substitution occurred or is permitted between equivalent Generics but not Brands</p>
<p><em>Examples:</em></p>
<ul>
<li>Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-EC"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-EC">EC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>equivalent composition</td><td><div><p>Substitution occurred or is permitted with another product that is a:</p>
<ul>
<li>pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester</li>
<li>pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration</li>
</ul>
<p><em>Examples:</em></p>
<ul>
<li><em>Pharmaceutical alternative:</em> Erythromycin Ethylsuccinate for Erythromycin Stearate</li>
<li><em>Pharmaceutical equivalent:</em> Lisonpril for Zestril</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TB"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TB">TB</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>therapeutic brand</td><td><div><p>Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics</p>
<blockquote>
</blockquote>
<p><em>Examples:</em></p>
<ul>
<li>Zantac for Tagamet</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TG"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TG">TG</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>therapeutic generic</td><td><div><p>Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands</p>
<blockquote>
</blockquote>
<p><em>Examples:</em></p>
<ul>
<li>Ranitidine for cimetidine</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TE"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TE">TE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>therapeutic alternative</td><td><div><p>Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.</p>
<p><em>Examples:</em></p>
<ul>
<li>ranitidine for Tagamet</li>
</ul>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-E"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-E">E</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>equivalent</td><td><div><p>Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-F"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-F">F</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>formulary</td><td><div><p>This substitution was performed or is permitted based on formulary guidelines.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-N"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-N">N</a></td><td>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</td><td>none</td><td><div><p>No substitution occurred or is permitted.</p>
</div></td></tr></table></div>
</text>
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<extension
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<valueCode value="vocab"/>
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<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4.r4b"/>
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<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
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<url
value="http://hl7.org/fhir/4.0/ValueSet/R4-v3-substanceAdminSubstitution-for-R4B"/>
<version value="0.0.1-snapshot-2"/>
<name value="R4_v3_substanceAdminSubstitution_for_R4B"/>
<title
value="Cross-version VS for R4.v3.substanceAdminSubstitution for use in FHIR R4B"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:36:21.982925+10:00"/>
<publisher value="HL7 International / Terminology Infrastructure"/>
<contact>
<name value="HL7 International / Terminology Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/Vocab"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution|2018-08-12 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R4B."/>
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<code value="001"/>
<display value="World"/>
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<compose>
<include>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<concept>
<code value="BC"/>
<display value="brand composition"/>
</concept>
<concept>
<code value="G"/>
<display value="generic composition"/>
</concept>
<concept>
<code value="EC"/>
<display value="equivalent composition"/>
</concept>
<concept>
<code value="TB"/>
<display value="therapeutic brand"/>
</concept>
<concept>
<code value="TG"/>
<display value="therapeutic generic"/>
</concept>
<concept>
<code value="TE"/>
<display value="therapeutic alternative"/>
</concept>
<concept>
<code value="E"/>
<display value="equivalent"/>
</concept>
<concept>
<code value="F"/>
<display value="formulary"/>
</concept>
<concept>
<code value="N"/>
<display value="none"/>
</concept>
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<expansion>
<timestamp value="2025-09-01T22:36:21.982928+10:00"/>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="BC"/>
<display value="brand composition"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="G"/>
<display value="generic composition"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="EC"/>
<display value="equivalent composition"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="TB"/>
<display value="therapeutic brand"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="TG"/>
<display value="therapeutic generic"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="TE"/>
<display value="therapeutic alternative"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="E"/>
<display value="equivalent"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="F"/>
<display value="formulary"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2018-08-12"/>
<code value="N"/>
<display value="none"/>
</contains>
</expansion>
</ValueSet>