http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution|3.0.0

name
SubstanceAdminSubstitution
package
hl7.terminology.r5@6.3.0
content
complete
status
active
date
2019-03-20 00:00:00.0

Substance Admin Substitution

Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.

{
  "description" : "Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.",
  "compose" : null,
  "package" : "hl7.terminology.r5@6.3.0",
  "date" : "2019-03-20T00:00:00Z",
  "publisher" : "Health Level Seven International",
  "content" : "complete",
  "property" : [ {
    "code" : "Specializes",
    "type" : "Coding",
    "extension" : [ {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
      "valueCode" : "antisymmetric"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
      "valueCode" : "transitive"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
      "valueCode" : "irreflexive"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
      "valueBoolean" : true
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
      "valueCode" : "Specializes"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
      "valueString" : "Generalizes"
    } ],
    "description" : "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."
  }, {
    "code" : "Generalizes",
    "type" : "Coding",
    "extension" : [ {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
      "valueCode" : "antisymmetric"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
      "valueCode" : "transitive"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
      "valueCode" : "irreflexive"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
      "valueBoolean" : true
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
      "valueCode" : "Generalizes"
    }, {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
      "valueString" : "Specializes"
    } ],
    "description" : "Inverse of Specializes.  Only included as a derived relationship."
  }, {
    "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "type" : "code",
    "description" : "The internal identifier for the concept in the HL7 Access database repository."
  }, {
    "uri" : "http://hl7.org/fhir/concept-properties#notSelectable",
    "code" : "notSelectable",
    "type" : "boolean",
    "description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts"
  }, {
    "uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "type" : "code",
    "description" : "Designation of a concept's state. Normally is not populated unless the state is retired."
  } ],
  "name" : "SubstanceAdminSubstitution",
  "copyright" : "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",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Substance Admin Substitution",
  "supliment" : null,
  "status" : "active",
  "language" : "en",
  "hierarchyMeaning" : "is-a",
  "id" : "4b53ad0c-9eb4-59e5-bfa0-ab2824570ae7",
  "url" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.5.1070",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "_ActSubstanceAdminSubstitutionCode",
    "concept" : [ {
      "code" : "E",
      "concept" : [ {
        "code" : "EC",
        "concept" : [ {
          "code" : "BC",
          "display" : "brand composition",
          "property" : [ {
            "code" : "status",
            "valueCode" : "active"
          }, {
            "code" : "internalId",
            "valueCode" : "23109"
          } ],
          "definition" : "Substitution occurred or is permitted between equivalent Brands but not Generics\r\n\r\n*Examples:* \r\n\r\n *  Zestril for Prinivil\r\n *  Coumadin for Jantoven"
        }, {
          "code" : "G",
          "display" : "generic composition",
          "property" : [ {
            "code" : "status",
            "valueCode" : "active"
          }, {
            "code" : "internalId",
            "valueCode" : "16623"
          } ],
          "definition" : "Substitution occurred or is permitted between equivalent Generics but not Brands\r\n\r\n*Examples:* \r\n\r\n *  Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)"
        } ],
        "display" : "equivalent composition",
        "property" : [ {
          "code" : "status",
          "valueCode" : "active"
        }, {
          "code" : "internalId",
          "valueCode" : "23108"
        } ],
        "definition" : "Substitution occurred or is permitted with another product that is a:\r\n\r\n *  pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester\r\n *  pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration\r\n\r\n*Examples:* \r\n\r\n *  *Pharmaceutical alternative:* Erythromycin Ethylsuccinate for Erythromycin Stearate\r\n *  *Pharmaceutical equivalent:* Lisonpril for Zestril"
      }, {
        "code" : "TE",
        "concept" : [ {
          "code" : "TB",
          "display" : "therapeutic brand",
          "property" : [ {
            "code" : "status",
            "valueCode" : "active"
          }, {
            "code" : "internalId",
            "valueCode" : "23105"
          } ],
          "definition" : "Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics\r\n\r\n>\r\n\r\n*Examples:* \r\n\r\n *  Zantac for Tagamet"
        }, {
          "code" : "TG",
          "display" : "therapeutic generic",
          "property" : [ {
            "code" : "status",
            "valueCode" : "active"
          }, {
            "code" : "internalId",
            "valueCode" : "23106"
          } ],
          "definition" : "Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands\r\n\r\n>\r\n\r\n*Examples:* \r\n\r\n *  Ranitidine for cimetidine"
        } ],
        "display" : "therapeutic alternative",
        "property" : [ {
          "code" : "status",
          "valueCode" : "active"
        }, {
          "code" : "internalId",
          "valueCode" : "16624"
        } ],
        "definition" : "Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.\r\n\r\n*Examples:* \r\n\r\n *  ranitidine for Tagamet"
      } ],
      "display" : "equivalent",
      "property" : [ {
        "code" : "status",
        "valueCode" : "active"
      }, {
        "code" : "internalId",
        "valueCode" : "23107"
      } ],
      "definition" : "Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."
    }, {
      "code" : "F",
      "display" : "formulary",
      "property" : [ {
        "code" : "status",
        "valueCode" : "active"
      }, {
        "code" : "internalId",
        "valueCode" : "16625"
      } ],
      "definition" : "This substitution was performed or is permitted based on formulary guidelines."
    }, {
      "code" : "N",
      "display" : "none",
      "property" : [ {
        "code" : "status",
        "valueCode" : "active"
      }, {
        "code" : "internalId",
        "valueCode" : "16622"
      } ],
      "definition" : "No substitution occurred or is permitted."
    } ],
    "display" : "ActSubstanceAdminSubstitutionCode",
    "property" : [ {
      "code" : "notSelectable",
      "valueBoolean" : true
    }, {
      "code" : "status",
      "valueCode" : "active"
    }, {
      "code" : "internalId",
      "valueCode" : "21284"
    } ],
    "definition" : "Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects."
  } ],
  "caseSensitive" : true,
  "version" : "3.0.0",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}