Substitution Reason Code FINAL
FHIR Mapping: MedicationDispense.substitution.reason
FHIR Definition: Indicates the reason for the substitution, or why substitution must or must not be performed.
CPHA Map: Product Selection D.62.03
CPHA Definition: Code to indicate reason for "no substitution" or other reason for the selection of the product dispensed
| CPHA Code | Description | Notes |
|---|---|---|
| 1 | =prescriber's choice: the prescriber has indicated "no substitution" in compliance with any plan or regulatory requirements | |
| 2 | =patient's choice: the patient has specified "no substitution" or has selected a specific interchangeable product in writing or by initialling a written or printed statement. | |
| 3 | =pharmacist's choice: the pharmacist has chosen not to substitute on a prescription or has selected a specific interchangeable product when the prescription is written without the "no substitution" instruction. | |
| 4 | =existing therapy: the pharmacist has chosen to continue the use of a brand name or generic product where variance of product source may adversely affect treatment. |
**All codes from the code system - http://pharmacyeclaims.ca/FHIR/CodeSystem/substitution-reason-codes