Properties

CodeURLDescriptionType
SpecializesThe 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.Coding
GeneralizesInverse of Specializes. Only included as a derived relationship.Coding
internalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idThe internal identifier for the concept in the HL7 Access database repository.code
notSelectablehttp://hl7.org/fhir/concept-properties#notSelectableIndicates that the code is abstract - only intended to be used as a selector for other conceptsboolean
statushttp://hl7.org/fhir/concept-properties#statusDesignation of a concept's state. Normally is not populated unless the state is retired.code

This code system http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution defines the following codes:

LvlCodeDisplayDefinitioninternalIdNot Selectablestatus
1_ActSubstanceAdminSubstitutionCode ActSubstanceAdminSubstitutionCode**Description:** Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects.21284trueactive
2  E equivalent**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product.23107active
3    EC equivalent composition**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 Zestril23108active
4      BC brand composition**Description:** Substitution occurred or is permitted between equivalent Brands but not Generics *Examples:* * Zestril for Prinivil * Coumadin for Jantoven23109active
4      G generic composition**Description:** Substitution occurred or is permitted between equivalent Generics but not Brands *Examples:* * Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)16623active
3    TE therapeutic alternative**Description:** Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. *Examples:* * ranitidine for Tagamet16624active
4      TB therapeutic brand**Description:** Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > *Examples:* * Zantac for Tagamet23105active
4      TG therapeutic generic**Description:** Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > *Examples:* * Ranitidine for cimetidine23106active
2  F formulary**Description:** This substitution was performed or is permitted based on formulary guidelines.16625active
2  N noneNo substitution occurred or is permitted.16622active
 <status value="active"/> <date value="2019-03-20"/> <publisher value="Health Level 7"/> <contact> <name value="Health Level Seven"/> </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."/> <hierarchyMeaning value="is-a"/> <content value="complete"/> <property> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry"> <valueCode value="antisymmetric"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity"> <valueCode value="transitive"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity"> <valueCode value="irreflexive"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable"> <valueBoolean value="true"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind"> <valueCode value="Specializes"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName"> <valueString value="Generalizes"/> </extension> <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> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry"> <valueCode value="antisymmetric"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity"> <valueCode value="transitive"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity"> <valueCode value="irreflexive"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable"> <valueBoolean value="true"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind"> <valueCode value="Generalizes"/> </extension> <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName"> <valueString value="Specializes"/> </extension> <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>