Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="v3-substanceAdminSubstitution"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>Specializes</td><td/><td>Coding</td><td>The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.</td></tr><tr><td>Generalizes</td><td/><td>Coding</td><td>Inverse of Specializes. Only included as a derived relationship.</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>code</td><td>The internal identifier for the concept in the HL7 Access database repository.</td></tr><tr><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>boolean</td><td>Indicates that the code is abstract - only intended to be used as a selector for other concepts</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td></tr></table><p><b>Concepts</b></p><p>This code system <code>http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution</code> defines the following codes:</p><table class="codes"><tr><td><b>Lvl</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>internalId</b></td><td><b>Not Selectable</b></td><td><b>status</b></td></tr><tr><td>1</td><td style="white-space:nowrap">_ActSubstanceAdminSubstitutionCode<a name="v3-substanceAdminSubstitution-_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><td>21284</td><td>true</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> E<a name="v3-substanceAdminSubstitution-E"> </a></td><td>equivalent</td><td>**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.</td><td>23107</td><td/><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> EC<a name="v3-substanceAdminSubstitution-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><td>23108</td><td/><td>active</td></tr><tr><td>4</td><td style="white-space:nowrap"> BC<a name="v3-substanceAdminSubstitution-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><td>23109</td><td/><td>active</td></tr><tr><td>4</td><td style="white-space:nowrap"> G<a name="v3-substanceAdminSubstitution-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><td>16623</td><td/><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> TE<a name="v3-substanceAdminSubstitution-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><td>16624</td><td/><td>active</td></tr><tr><td>4</td><td style="white-space:nowrap"> TB<a name="v3-substanceAdminSubstitution-TB"> </a></td><td>therapeutic brand</td><td>**Description:** Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics
>
*Examples:*
* Zantac for Tagamet</td><td>23105</td><td/><td>active</td></tr><tr><td>4</td><td style="white-space:nowrap"> TG<a name="v3-substanceAdminSubstitution-TG"> </a></td><td>therapeutic generic</td><td>**Description:** Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands
>
*Examples:*
* Ranitidine for cimetidine</td><td>23106</td><td/><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> F<a name="v3-substanceAdminSubstitution-F"> </a></td><td>formulary</td><td>**Description:** This substitution was performed or is permitted based on formulary guidelines.</td><td>16625</td><td/><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> N<a name="v3-substanceAdminSubstitution-N"> </a></td><td>none</td><td>No substitution occurred or is permitted.</td><td>16622</td><td/><td>active</td></tr></table></div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.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-r5.r4b"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<url
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<version value="2.1.0"/>
<name value="SubstanceAdminSubstitution"/>
<title value="Substance Admin Substitution"/>
<status value="active"/>
<experimental value="false"/>
<date value="2019-03-19T19:00:00-05:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</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."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<property>
<code value="Specializes"/>
<description
value="The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric."/>
<type value="Coding"/>
</property>
<property>
<code value="Generalizes"/>
<description
value="Inverse of Specializes. Only included as a derived relationship."/>
<type value="Coding"/>
</property>
<property>
<code value="internalId"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id"/>
<description
value="The internal identifier for the concept in the HL7 Access database repository."/>
<type value="code"/>
</property>
<property>
<code value="notSelectable"/>
<uri value="http://hl7.org/fhir/concept-properties#notSelectable"/>
<description
value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"/>
<type value="boolean"/>
</property>
<property>
<code value="status"/>
<uri value="http://hl7.org/fhir/concept-properties#status"/>
<description
value="Designation of a concept's state. Normally is not populated unless the state is retired."/>
<type value="code"/>
</property>
<concept>
<code value="_ActSubstanceAdminSubstitutionCode"/>
<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."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="21284"/>
</property>
<concept>
<code value="E"/>
<display value="equivalent"/>
<definition
value="**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="23107"/>
</property>
<concept>
<code value="EC"/>
<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"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="23108"/>
</property>
<concept>
<code value="BC"/>
<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"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="23109"/>
</property>
</concept>
<concept>
<code value="G"/>
<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)"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="16623"/>
</property>
</concept>
</concept>
<concept>
<code value="TE"/>
<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"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="16624"/>
</property>
<concept>
<code value="TB"/>
<display value="therapeutic brand"/>
<definition
value="**Description:** Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics
>
*Examples:*
* Zantac for Tagamet"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="23105"/>
</property>
</concept>
<concept>
<code value="TG"/>
<display value="therapeutic generic"/>
<definition
value="**Description:** Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands
>
*Examples:*
* Ranitidine for cimetidine"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="23106"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="F"/>
<display value="formulary"/>
<definition
value="**Description:** This substitution was performed or is permitted based on formulary guidelines."/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="16625"/>
</property>
</concept>
<concept>
<code value="N"/>
<display value="none"/>
<definition value="No substitution occurred or is permitted."/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="16622"/>
</property>
</concept>
</concept>
</CodeSystem>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change