v3-substanceAdminSubstitution
type: CodeSystem
node role: treeRoot
id:
  v: v3-substanceAdminSubstitution
language:
  v: en
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem v3-substanceAdminSubstitution Language: en Properties This code system defines the following properties for its concepts Name Code URI Type Description Specializes Specializes Coding 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. Generalizes Generalizes Coding Inverse of Specializes. Only included as a derived relationship. internalId internalId http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id code The internal identifier for the concept in the HL7 Access database repository. Not Selectable notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean Indicates that the code is abstract - only intended to be used as a selector for other concepts Status status http://hl7.org/fhir/concept-properties#status code Designation of a concept's state. Normally is not populated unless the state is retired. Concepts This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution defines the following codes in a Is-A hierarchy: Lvl Code Display Definition internalId Not Selectable Status 1 _ActSubstanceAdminSubstitutionCode ActSubstanceAdminSubstitutionCode Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects. 21284 true active 2 E equivalent Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product. 23107 active 3 EC equivalent composition 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 Examp…
url:
  v: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.5.1070
version:
  v: 3.0.0
name:
  v: SubstanceAdminSubstitution
title:
  v: Substance Admin Substitution
status:
  v: active
experimental:
  v: false
date:
  v: 2019-03-20
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.
copyright:
  v: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
case sensitive:
  v: true
hierarchy meaning:
  v: is-a
content:
  v: complete
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    value: code
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    value: code
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    value: code
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    value: boolean
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    value: code
      v: Specializes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    value: string
      v: Generalizes
  code:
    v: Specializes
  description:
    v: 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:
    v: Coding
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    value: code
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    value: code
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    value: code
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    value: boolean
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    value: code
      v: Generalizes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    value: string
      v: Specializes
  code:
    v: Generalizes
  description:
    v: Inverse of Specializes. Only included as a derived relationship.
  type:
    v: Coding
property:
  code:
    v: internalId
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id
  description:
    v: The internal identifier for the concept in the HL7 Access database repository.
  type:
    v: code
property:
  code:
    v: notSelectable
  uri:
    v: http://hl7.org/fhir/concept-properties#notSelectable
  description:
    v: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  type:
    v: boolean
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
  description:
    v: Designation of a concept's state. Normally is not populated unless the state is retired.
  type:
    v: code
concept:
  code:
    v: _ActSubstanceAdminSubstitutionCode
  display:
    v: ActSubstanceAdminSubstitutionCode
  definition:
    v: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  property:
    code:
      v: status
    value: code
      v: active
  property:
    code:
      v: internalId
    value: code
      v: 21284
  concept:
    code:
      v: E
    display:
      v: equivalent
    definition:
      v: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.
    property:
      code:
        v: status
      value: code
        v: active
    property:
      code:
        v: internalId
      value: code
        v: 23107
    concept:
      code:
        v: EC
      display:
        v: equivalent composition
      definition:
        v: 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:
        value: code
      property:
        value: code
    concept:
      code:
        v: TE

v: status

code
v: active

v: internalId

code
v: 23108

v: BC

v: brand composition

v: Substitution occurred or is permitted between equivalent Brands but not Generics *Examples:* * Zestril for Prinivil * Coumadin for Jantoven

code:
  v: status
value: code
  v: active

code:
  v: internalId
value: code
  v: 23109

v: G

v: generic composition

v: Substitution occurred or is permitted between equivalent Generics but not Brands *Examples:* * Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)

code:
  v: status
value: code
  v: active

code:
  v: internalId
value: code
  v: 16623

v: therapeutic alternative

v: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. *Examples:* * ranitidine for Tagamet

code:
  v: status
value: code
  v: active

code:
  v: internalId
value: code
  v: 16624

code:
  v: TB
display:
  v: therapeutic brand
definition:
  v: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > *Examples:* * Zantac for Tagamet
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: internalId
  value: code
    v: 23105

code:
  v: TG
display:
  v: therapeutic generic
definition:
  v: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > *Examples:* * Ranitidine for cimetidine
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: internalId
  value: code
    v: 23106

code:
  v: F
display:
  v: formulary
definition:
  v: This substitution was performed or is permitted based on formulary guidelines.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: internalId
  value: code
    v: 16625

code:
  v: N
display:
  v: none
definition:
  v: No substitution occurred or is permitted.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: internalId
  value: code
    v: 16622