IHE Pharmacy Medication Overview
1.0.0-preview - Preview International flag

This page is part of the IHE Pharmacy Medication Overview (v1.0.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Extension: MedicationStatement - Substitution

Official URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution Version: 1.0.0-preview
Active as of 2026-06-26 Computable Name: Substitution

Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

Whether and which type of substitution is allowed for this medication treatment line

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MedicationStatement - Substitution
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:allowed 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "allowed"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:reason 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
... url 1..1 uri "https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MedicationStatement - Substitution
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:allowed 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "allowed"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:reason 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
... url 1..1 uri "https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Whether and which type of substitution is allowed for this medication treatment line

  • allowed: CodeableConcept: An Extension
  • reason: CodeableConcept: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MedicationStatement - Substitution
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:allowed 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "allowed"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:reason 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
... url 1..1 uri "https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MedicationStatement - Substitution
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:allowed 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "allowed"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:reason 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
... url 1..1 uri "https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Whether and which type of substitution is allowed for this medication treatment line

  • allowed: CodeableConcept: An Extension
  • reason: CodeableConcept: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Constraints

Id Grade Path(s) Description Expression
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()