@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "v3-substanceAdminSubstitution"]; # fhir:Resource.language [ fhir:value "en"]; # fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Properties

This code system defines the following properties for its concepts

CodeURITypeDescription
SpecializesCodingThe 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.
GeneralizesCodingInverse of Specializes. Only included as a derived relationship.
internalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idcodeThe internal identifier for the concept in the HL7 Access database repository.
notSelectablehttp://hl7.org/fhir/concept-properties#notSelectablebooleanIndicates that the code is abstract - only intended to be used as a selector for other concepts
statushttp://hl7.org/fhir/concept-properties#statuscodeDesignation of a concept's state. Normally is not populated unless the state is retired.

Concepts

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:** \r\n\r\nSubstitution 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 Zestril23108active
4      BC brand composition**Description:** \r\n\r\nSubstitution 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 Jantoven23109active
4      G generic composition**Description:** 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)16623active
3    TE therapeutic alternative**Description:** 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 Tagamet16624active
4      TB therapeutic brand**Description:** 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 Tagamet23105active
4      TG therapeutic generic**Description:** 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 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
" ]; # fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"]; # fhir:CodeSystem.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ]; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.1070" ] ]; # fhir:CodeSystem.version [ fhir:value "2.1.0"]; # fhir:CodeSystem.name [ fhir:value "SubstanceAdminSubstitution"]; # fhir:CodeSystem.title [ fhir:value "Substance Admin Substitution"]; # fhir:CodeSystem.status [ fhir:value "active"]; # fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean]; # fhir:CodeSystem.date [ fhir:value "2019-03-20"^^xsd:date]; # fhir:CodeSystem.publisher [ fhir:value "Health Level 7"]; # fhir:CodeSystem.contact [ fhir:index 0; fhir:ContactDetail.name [ fhir:value "Health Level Seven" ] ]; # fhir:CodeSystem.description [ fhir: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."]; # fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; # fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"]; # fhir:CodeSystem.content [ fhir:value "complete"]; # fhir:CodeSystem.property [ fhir:index 0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ]; fhir:Extension.valueCode [ fhir:value "antisymmetric" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ]; fhir:Extension.valueCode [ fhir:value "transitive" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ]; fhir:Extension.valueCode [ fhir:value "irreflexive" ] ], [ fhir:index 3; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ]; fhir:Extension.valueCode [ fhir:value "Specializes" ] ], [ fhir:index 5; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ]; fhir:Extension.valueString [ fhir:value "Generalizes" ] ]; fhir:CodeSystem.property.code [ fhir:value "Specializes" ]; fhir:CodeSystem.property.description [ fhir: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." ]; fhir:CodeSystem.property.type [ fhir:value "Coding" ] ], [ fhir:index 1; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ]; fhir:Extension.valueCode [ fhir:value "antisymmetric" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ]; fhir:Extension.valueCode [ fhir:value "transitive" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ]; fhir:Extension.valueCode [ fhir:value "irreflexive" ] ], [ fhir:index 3; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ]; fhir:Extension.valueCode [ fhir:value "Generalizes" ] ], [ fhir:index 5; fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ]; fhir:Extension.valueString [ fhir:value "Specializes" ] ]; fhir:CodeSystem.property.code [ fhir:value "Generalizes" ]; fhir:CodeSystem.property.description [ fhir:value "Inverse of Specializes. Only included as a derived relationship." ]; fhir:CodeSystem.property.type [ fhir:value "Coding" ] ], [ fhir:index 2; fhir:CodeSystem.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.property.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ]; fhir:CodeSystem.property.description [ fhir:value "The internal identifier for the concept in the HL7 Access database repository." ]; fhir:CodeSystem.property.type [ fhir:value "code" ] ], [ fhir:index 3; fhir:CodeSystem.property.code [ fhir:value "notSelectable" ]; fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#notSelectable" ]; fhir:CodeSystem.property.description [ fhir:value "Indicates that the code is abstract - only intended to be used as a selector for other concepts" ]; fhir:CodeSystem.property.type [ fhir:value "boolean" ] ], [ fhir:index 4; fhir:CodeSystem.property.code [ fhir:value "status" ]; fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ]; fhir:CodeSystem.property.description [ fhir:value "Designation of a concept's state. Normally is not populated unless the state is retired." ]; fhir:CodeSystem.property.type [ fhir:value "code" ] ]; # fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "_ActSubstanceAdminSubstitutionCode" ]; fhir:CodeSystem.concept.display [ fhir:value "ActSubstanceAdminSubstitutionCode" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects." ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ]; fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 2; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "21284" ] ]; fhir:CodeSystem.concept.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "E" ]; fhir:CodeSystem.concept.display [ fhir:value "equivalent" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product." ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "23107" ] ]; fhir:CodeSystem.concept.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "EC" ]; fhir:CodeSystem.concept.display [ fhir:value "equivalent composition" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** \r\n\r\nSubstitution 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" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "23108" ] ]; fhir:CodeSystem.concept.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "BC" ]; fhir:CodeSystem.concept.display [ fhir:value "brand composition" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** \r\n\r\nSubstitution 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" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "23109" ] ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "G" ]; fhir:CodeSystem.concept.display [ fhir:value "generic composition" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** 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)" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "16623" ] ] ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "TE" ]; fhir:CodeSystem.concept.display [ fhir:value "therapeutic alternative" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** 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" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "16624" ] ]; fhir:CodeSystem.concept.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "TB" ]; fhir:CodeSystem.concept.display [ fhir:value "therapeutic brand" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** 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" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "23105" ] ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "TG" ]; fhir:CodeSystem.concept.display [ fhir:value "therapeutic generic" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** 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" ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "23106" ] ] ] ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "F" ]; fhir:CodeSystem.concept.display [ fhir:value "formulary" ]; fhir:CodeSystem.concept.definition [ fhir:value "**Description:** This substitution was performed or is permitted based on formulary guidelines." ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "16625" ] ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "N" ]; fhir:CodeSystem.concept.display [ fhir:value "none" ]; fhir:CodeSystem.concept.definition [ fhir:value "No substitution occurred or is permitted." ]; fhir:CodeSystem.concept.property [ fhir:index 0; fhir:CodeSystem.concept.property.code [ fhir:value "status" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [ fhir:index 1; fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ]; fhir:CodeSystem.concept.property.valueCode [ fhir:value "16622" ] ] ] ] . # # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------