This page is part of the Quality Improvement Core Framework (v6.0.0-ballot: STU6 (v6.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: QICore Substance

Profile of Substance for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage:

• Refer to this Resource Profile: QICore AdverseEvent, QICore Medication and QICore Substance
• Examples for this Resource Profile: Substance/example

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Substance

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
code	S	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
instance		0..*	BackboneElement	If this describes a specific package/container of the substance
quantity	S	0..1	SimpleQuantity	Amount of substance in the package
ingredient		0..*	BackboneElement	Composition information about the substance
quantity	S	0..1	Ratio	Optional amount (concentration)
substance[x]	S	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Substance.code	preferred	SubstanceCode

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	SΣ	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	Σ	0..*	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	Ratio	Optional amount (concentration)
substance[x]	SΣ	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Substance.status	required	FHIRSubstanceStatus
Substance.code	preferred	SubstanceCode

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Substance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	A resource should have narrative for robust management : text.`div`.exists()
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()

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	SΣ	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	SΣ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	Σ	0..*	BackboneElement	Composition information about the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	Ratio	Optional amount (concentration)
substance[x]	SΣ	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Substance.status	required	FHIRSubstanceStatus
Substance.category	extensible	SubstanceCategoryCodes
Substance.code	preferred	SubstanceCode

Constraints

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()

This structure is derived from Substance

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

• QICore Substance (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance)

Differential View

This structure is derived from Substance

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
code	S	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
instance		0..*	BackboneElement	If this describes a specific package/container of the substance
quantity	S	0..1	SimpleQuantity	Amount of substance in the package
ingredient		0..*	BackboneElement	Composition information about the substance
quantity	S	0..1	Ratio	Optional amount (concentration)
substance[x]	S	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Substance.code	preferred	SubstanceCode

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	SΣ	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	Σ	0..*	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	Ratio	Optional amount (concentration)
substance[x]	SΣ	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Substance.status	required	FHIRSubstanceStatus
Substance.code	preferred	SubstanceCode

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Substance	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	A resource should have narrative for robust management : text.`div`.exists()
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	SΣ	1..1	CodeableConcept	What substance this is Binding: SubstanceCode (preferred): Substance codes
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	SΣ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	Σ	0..*	BackboneElement	Composition information about the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SΣ	0..1	Ratio	Optional amount (concentration)
substance[x]	SΣ	1..1	Reference(QICore Substance)	A component of the substance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Substance.status	required	FHIRSubstanceStatus
Substance.category	extensible	SubstanceCategoryCodes
Substance.code	preferred	SubstanceCode

Constraints

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()

This structure is derived from Substance

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

• QICore Substance (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance)

Other representations of profile: CSV, Excel, Schematron