CH Core (R4)
6.0.0-ballot - ballot
CH Core (R4)
6.0.0-ballot - ballot
This page is part of the CH Core (R4) (v6.0.0-ballot: STU 6 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution | Version: 6.0.0-ballot | |||
| Active as of 2025-05-22 | Computable Name: CHEMEDExtSubstitution | |||
Copyright/Legal: CC0-1.0 |
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This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)
Context of Use
This extension may be used on the following element(s):
MedicationStatement
Usage info
Usage:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
Extension | |||
  extension |
0..0 | |||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution" | |
  value[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Optional Extensions Element | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution" | |
| value[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension with the type CodeableConcept: This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
Extension | |||
| extension |
0..0 | |||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution" | |
| value[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Optional Extensions Element | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution" | |
| value[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension with the type CodeableConcept: This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.value[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |