Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

8.17 Resource Substance - Content

Orders and Observations Work GroupMaturity Level: 2 Trial UseSecurity Category: Business Compartments: Not linked to any defined compartments

A homogeneous material with a definite composition.

8.17.1 Scope and Usage

This resource allows for a material to be represented. The resource can be used to represent either a kind of a substance - e.g. a formulation commonly used for treating patients, or it can be used to describe a particular package of a known substance (e.g. bottle, jar, packet).

The composition of the material can be specified in terms of a mix of other materials, including with precise amounts if required.

8.17.2 Boundaries and Relationships

A medication is a substance that is packaged and used as an administered medication. The medication resource uses the substance resource to represent the actual ingredients of a medication.

8.17.3 References

This resource is referenced by ActivityDefinition, AdverseEvent, BiologicallyDerivedProduct, CarePlan, ChargeItem, ChargeItemDefinition, ClinicalUseDefinition, Contract, DiagnosticReport, Group, Medication, MedicationKnowledge, NutritionProduct, Observation, Procedure, Specimen, SpecimenDefinition, itself, SupplyDelivery and SupplyRequest.

This resource does not implement any patterns.

8.17.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Substance TUDomainResourceA homogeneous material with a definite composition
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierUnique identifier
... status ?!Σ0..1codeactive | inactive | entered-in-error
FHIRSubstanceStatus (Required)
... category Σ0..*CodeableConceptWhat class/type of substance this is
Substance Category Codes (Extensible)
... description Σ0..1stringTextual description of the substance, comments
... instance Σ0..*BackboneElementIf this describes a specific package/container of the substance
.... identifier Σ0..1IdentifierIdentifier of the package/container
.... expiry Σ0..1dateTimeWhen no longer valid to use
.... quantity Σ0..1SimpleQuantityAmount of substance in the package
... ingredient Σ0..*BackboneElementComposition information about the substance
.... quantity Σ0..1RatioOptional amount (concentration)
.... substance[x] Σ1..1A component of the substance
Substance Code (Example)
..... substanceCodeableConceptCodeableConcept
..... substanceReferenceReference(Substance)

doco Documentation for this format

UML Diagram (Legend)

Substance (DomainResource)Unique identifier for the substanceidentifier : Identifier [0..*]A code to indicate if the substance is actively used (this element modifies the meaning of other elements)status : code [0..1] « null (Strength=Required)FHIRSubstanceStatus! »A code that classifies the general type of substance. This is used for searching, sorting and display purposescategory : CodeableConcept [0..*] « null (Strength=Extensible)SubstanceCategoryCodes+ »A code (or set of codes) that identify this substancecode : CodeableConcept [1..1] « null (Strength=Example)SubstanceCode?? »A description of the substance - its appearance, handling requirements, and other usage notesdescription : string [0..1]InstanceIdentifier associated with the package/container (usually a label affixed directly)identifier : Identifier [0..1]When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiryexpiry : dateTime [0..1]The amount of the substancequantity : Quantity(SimpleQuantity) [0..1]IngredientThe amount of the ingredient in the substance - a concentration ratioquantity : Ratio [0..1]Another substance that is a component of this substancesubstance[x] : Element [1..1] « CodeableConcept|Reference(Substance); null (Strength=Example) SubstanceCode?? »Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instanceinstance[0..*]A substance can be composed of other substancesingredient[0..*]

XML Template

<Substance xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Unique identifier --></identifier>
 <status value="[code]"/><!-- 0..1 active | inactive | entered-in-error -->
 <category><!-- 0..* CodeableConcept What class/type of substance this is --></category>
 <code><!-- 1..1 CodeableConcept What substance this is --></code>
 <description value="[string]"/><!-- 0..1 Textual description of the substance, comments -->
 <instance>  <!-- 0..* If this describes a specific package/container of the substance -->
  <identifier><!-- 0..1 Identifier Identifier of the package/container --></identifier>
  <expiry value="[dateTime]"/><!-- 0..1 When no longer valid to use -->
  <quantity><!-- 0..1 Quantity(SimpleQuantity) Amount of substance in the package --></quantity>
 </instance>
 <ingredient>  <!-- 0..* Composition information about the substance -->
  <quantity><!-- 0..1 Ratio Optional amount (concentration) --></quantity>
  <substance[x]><!-- 1..1 CodeableConcept|Reference(Substance) A component of the substance --></substance[x]>
 </ingredient>
</Substance>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Substance;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Substance.identifier [ Identifier ], ... ; # 0..* Unique identifier
  fhir:Substance.status [ code ]; # 0..1 active | inactive | entered-in-error
  fhir:Substance.category [ CodeableConcept ], ... ; # 0..* What class/type of substance this is
  fhir:Substance.code [ CodeableConcept ]; # 1..1 What substance this is
  fhir:Substance.description [ string ]; # 0..1 Textual description of the substance, comments
  fhir:Substance.instance [ # 0..* If this describes a specific package/container of the substance
    fhir:Substance.instance.identifier [ Identifier ]; # 0..1 Identifier of the package/container
    fhir:Substance.instance.expiry [ dateTime ]; # 0..1 When no longer valid to use
    fhir:Substance.instance.quantity [ Quantity(SimpleQuantity) ]; # 0..1 Amount of substance in the package
  ], ...;
  fhir:Substance.ingredient [ # 0..* Composition information about the substance
    fhir:Substance.ingredient.quantity [ Ratio ]; # 0..1 Optional amount (concentration)
    # Substance.ingredient.substance[x] : 1..1 A component of the substance. One of these 2
      fhir:Substance.ingredient.substanceCodeableConcept [ CodeableConcept ]
      fhir:Substance.ingredient.substanceReference [ Reference(Substance) ]
  ], ...;
]

Changes since R3

Substance
Substance.status
  • Change value set from http://hl7.org/fhir/ValueSet/substance-status|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|4.3.0-snapshot1

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 6 tests that all execute ok. All tests pass round-trip testing and 1 r3 resources are invalid (0 errors).)

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Substance TUDomainResourceA homogeneous material with a definite composition
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierUnique identifier
... status ?!Σ0..1codeactive | inactive | entered-in-error
FHIRSubstanceStatus (Required)
... category Σ0..*CodeableConceptWhat class/type of substance this is
Substance Category Codes (Extensible)
... description Σ0..1stringTextual description of the substance, comments
... instance Σ0..*BackboneElementIf this describes a specific package/container of the substance
.... identifier Σ0..1IdentifierIdentifier of the package/container
.... expiry Σ0..1dateTimeWhen no longer valid to use
.... quantity Σ0..1SimpleQuantityAmount of substance in the package
... ingredient Σ0..*BackboneElementComposition information about the substance
.... quantity Σ0..1RatioOptional amount (concentration)
.... substance[x] Σ1..1A component of the substance
Substance Code (Example)
..... substanceCodeableConceptCodeableConcept
..... substanceReferenceReference(Substance)

doco Documentation for this format

UML Diagram (Legend)

Substance (DomainResource)Unique identifier for the substanceidentifier : Identifier [0..*]A code to indicate if the substance is actively used (this element modifies the meaning of other elements)status : code [0..1] « null (Strength=Required)FHIRSubstanceStatus! »A code that classifies the general type of substance. This is used for searching, sorting and display purposescategory : CodeableConcept [0..*] « null (Strength=Extensible)SubstanceCategoryCodes+ »A code (or set of codes) that identify this substancecode : CodeableConcept [1..1] « null (Strength=Example)SubstanceCode?? »A description of the substance - its appearance, handling requirements, and other usage notesdescription : string [0..1]InstanceIdentifier associated with the package/container (usually a label affixed directly)identifier : Identifier [0..1]When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiryexpiry : dateTime [0..1]The amount of the substancequantity : Quantity(SimpleQuantity) [0..1]IngredientThe amount of the ingredient in the substance - a concentration ratioquantity : Ratio [0..1]Another substance that is a component of this substancesubstance[x] : Element [1..1] « CodeableConcept|Reference(Substance); null (Strength=Example) SubstanceCode?? »Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instanceinstance[0..*]A substance can be composed of other substancesingredient[0..*]

XML Template

<Substance xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Unique identifier --></identifier>
 <status value="[code]"/><!-- 0..1 active | inactive | entered-in-error -->
 <category><!-- 0..* CodeableConcept What class/type of substance this is --></category>
 <code><!-- 1..1 CodeableConcept What substance this is --></code>
 <description value="[string]"/><!-- 0..1 Textual description of the substance, comments -->
 <instance>  <!-- 0..* If this describes a specific package/container of the substance -->
  <identifier><!-- 0..1 Identifier Identifier of the package/container --></identifier>
  <expiry value="[dateTime]"/><!-- 0..1 When no longer valid to use -->
  <quantity><!-- 0..1 Quantity(SimpleQuantity) Amount of substance in the package --></quantity>
 </instance>
 <ingredient>  <!-- 0..* Composition information about the substance -->
  <quantity><!-- 0..1 Ratio Optional amount (concentration) --></quantity>
  <substance[x]><!-- 1..1 CodeableConcept|Reference(Substance) A component of the substance --></substance[x]>
 </ingredient>
</Substance>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Substance;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Substance.identifier [ Identifier ], ... ; # 0..* Unique identifier
  fhir:Substance.status [ code ]; # 0..1 active | inactive | entered-in-error
  fhir:Substance.category [ CodeableConcept ], ... ; # 0..* What class/type of substance this is
  fhir:Substance.code [ CodeableConcept ]; # 1..1 What substance this is
  fhir:Substance.description [ string ]; # 0..1 Textual description of the substance, comments
  fhir:Substance.instance [ # 0..* If this describes a specific package/container of the substance
    fhir:Substance.instance.identifier [ Identifier ]; # 0..1 Identifier of the package/container
    fhir:Substance.instance.expiry [ dateTime ]; # 0..1 When no longer valid to use
    fhir:Substance.instance.quantity [ Quantity(SimpleQuantity) ]; # 0..1 Amount of substance in the package
  ], ...;
  fhir:Substance.ingredient [ # 0..* Composition information about the substance
    fhir:Substance.ingredient.quantity [ Ratio ]; # 0..1 Optional amount (concentration)
    # Substance.ingredient.substance[x] : 1..1 A component of the substance. One of these 2
      fhir:Substance.ingredient.substanceCodeableConcept [ CodeableConcept ]
      fhir:Substance.ingredient.substanceReference [ Reference(Substance) ]
  ], ...;
]

Changes since Release 3

Substance
Substance.status
  • Change value set from http://hl7.org/fhir/ValueSet/substance-status|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|4.3.0-snapshot1

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 6 tests that all execute ok. All tests pass round-trip testing and 1 r3 resources are invalid (0 errors).)

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

8.17.4.1 Terminology Bindings

PathDefinitionTypeReference
Substance.status RequiredFHIRSubstanceStatus
Substance.category ExtensibleSubstanceCategoryCodes
Substance.code ExampleSubstanceCode
Substance.ingredient.substance[x] ExampleSubstanceCode

8.17.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
categorytokenThe category of the substanceSubstance.category
code DtokenThe code of the substance or ingredientSubstance.code | (Substance.ingredient.substance as CodeableConcept)
container-identifiertokenIdentifier of the package/containerSubstance.instance.identifier
expiry NdateExpiry date of package or container of substanceSubstance.instance.expiry
identifiertokenUnique identifier for the substanceSubstance.identifier
quantityquantityAmount of substance in the packageSubstance.instance.quantity
status Ntokenactive | inactive | entered-in-errorSubstance.status
substance-referencereferenceA component of the substance(Substance.ingredient.substance as Reference)
(Substance)