HL7 Terminology (THO)
4.0.0 - Publication International flag

This page is part of the HL7 Terminology (v4.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

ValueSet: SubstanceAdminSubstitutionReason

Official URL: http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason Version: 2.0.0
Active as of 2014-03-26 Computable Name: SubstanceAdminSubstitutionReason
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.19377


Logical Definition (CLD)

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:



This value set contains 4 concepts

Expansion based on ActReason v2.1.0 (CodeSystem)

  CThttp://terminology.hl7.org/CodeSystem/v3-ActReasoncontinuing therapy

Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.

  FPhttp://terminology.hl7.org/CodeSystem/v3-ActReasonformulary policy

Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.

  OShttp://terminology.hl7.org/CodeSystem/v3-ActReasonout of stock

In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.

  RRhttp://terminology.hl7.org/CodeSystem/v3-ActReasonregulatory requirement

Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26