Extensions for Using Data Elements from FHIR R4 in FHIR R4B
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Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions

: R4V3SubstanceAdminSubstitutionForR4B - XML Representation

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<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 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="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-BC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-BC">BC</a></td><td>brand composition</td><td><div><p>Description:</p>
<pre><code>                    Substitution occurred or is permitted between equivalent Brands but not Generics

                    
                       Examples: 
                    

                    
                       Zestril  for Prinivil
                       Coumadin for Jantoven
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-E"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-E">E</a></td><td>equivalent</td><td><div><p>Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.</p>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-EC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-EC">EC</a></td><td>equivalent composition</td><td><div><p>Description:</p>
<pre><code>                    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
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-F"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-F">F</a></td><td>formulary</td><td><div><p>Description: This substitution was performed or is permitted based on formulary guidelines.</p>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-G"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-G">G</a></td><td>generic composition</td><td><div><p>Description: Substitution occurred or is permitted between equivalent Generics but not Brands</p>
<pre><code>                       Examples: 
                    

                    
                       Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-N"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-N">N</a></td><td>none</td><td><div><p>No substitution occurred or is permitted.</p>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TB"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TB">TB</a></td><td>therapeutic brand</td><td><div><p>Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics</p>
<blockquote>
</blockquote>
<pre><code>                       Examples: 
                    

                    
                       Zantac for Tagamet
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TE">TE</a></td><td>therapeutic alternative</td><td><div><p>Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.</p>
<pre><code>                       Examples: 
                    

                    
                       ranitidine for Tagamet
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-TG"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-TG">TG</a></td><td>therapeutic generic</td><td><div><p>Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands</p>
<blockquote>
</blockquote>
<pre><code>                       Examples: 
                    

                    
                       Ranitidine  for cimetidine
</code></pre>
</div></td></tr><tr><td><a name="R4-v3-substanceAdminSubstitution-for-R4B-http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution-_ActSubstanceAdminSubstitutionCode"> </a><code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code></td><td>2018-08-12</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-substanceAdminSubstitution.html#v3-substanceAdminSubstitution-_ActSubstanceAdminSubstitutionCode">_ActSubstanceAdminSubstitutionCode</a></td><td>ActSubstanceAdminSubstitutionCode</td><td><div><p>Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.</p>
</div></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="vocab"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4.r4b"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R4-v3-substanceAdminSubstitution-for-R4B"/>
  <version value="0.1.0"/>
  <name value="R4V3SubstanceAdminSubstitutionForR4B"/>
  <title
         value="Cross-version ValueSet R4.v3.substanceAdminSubstitution for use in FHIR R4B"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <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 content from `http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution|2018-08-12` for use in FHIR R4B."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution|2018-08-12` as defined in FHIR R4
in FHIR R4B.

The source value set is bound to the following FHIR R4 elements:
* 

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:

FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution|2018-08-12`, defined in FHIR R4 does not have any mapping to FHIR R4B"/>
  <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="E"/>
        <display value="equivalent"/>
      </concept>
      <concept>
        <code value="EC"/>
        <display value="equivalent composition"/>
      </concept>
      <concept>
        <code value="F"/>
        <display value="formulary"/>
      </concept>
      <concept>
        <code value="G"/>
        <display value="generic composition"/>
      </concept>
      <concept>
        <code value="N"/>
        <display value="none"/>
      </concept>
      <concept>
        <code value="TB"/>
        <display value="therapeutic brand"/>
      </concept>
      <concept>
        <code value="TE"/>
        <display value="therapeutic alternative"/>
      </concept>
      <concept>
        <code value="TG"/>
        <display value="therapeutic generic"/>
      </concept>
      <concept>
        <code value="_ActSubstanceAdminSubstitutionCode"/>
        <display value="ActSubstanceAdminSubstitutionCode"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <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="E"/>
      <display value="equivalent"/>
    </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="F"/>
      <display value="formulary"/>
    </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="N"/>
      <display value="none"/>
    </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="TE"/>
      <display value="therapeutic alternative"/>
    </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="_ActSubstanceAdminSubstitutionCode"/>
      <display value="ActSubstanceAdminSubstitutionCode"/>
    </contains>
  </expansion>
</ValueSet>