CH Core (R4)
6.0.0-ci-build - ci-build
CH Core (R4)
6.0.0-ci-build - ci-build
CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution | Version: 6.0.0-ci-build | |||
| Active as of 2025-09-10 | 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
Usages:
You can also check for usages in the FHIR IG Statistics
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 Filter:   |
|---|---|---|---|---|
  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 Filter: |
|---|---|---|---|---|
| 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 Filter: |
|---|---|---|---|---|
| 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 Filter: |
|---|---|---|---|---|
| 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() |