QI-Core Implementation Guide
5.0.0 - STU5
QI-Core Implementation Guide
5.0.0 - STU5
This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance | Version: 5.0.0 | |||
| Active as of 2018-08-22 | Computable Name: QICoreSubstance | |||
Profile of Substance for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| Honey Bee venom (apitoxin) Example |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | ||||
| 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 | ||||
| Path | Conformance | ValueSet |
| Substance.status | required | FHIRSubstanceStatus |
| Substance.code | preferred | SubstanceCode |
| 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.
| |||||
| 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| Substance.language | preferred | CommonLanguages
| ||||
| Substance.status | required | FHIRSubstanceStatus | ||||
| Substance.category | extensible | SubstanceCategoryCodes | ||||
| Substance.code | preferred | SubstanceCode |
| 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
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 | ||||
| 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 | ||||
| Path | Conformance | ValueSet |
| Substance.status | required | FHIRSubstanceStatus |
| Substance.code | preferred | SubstanceCode |
| 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.
| |||||
| 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| Substance.language | preferred | CommonLanguages
| ||||
| Substance.status | required | FHIRSubstanceStatus | ||||
| Substance.category | extensible | SubstanceCategoryCodes | ||||
| Substance.code | preferred | SubstanceCode |
| 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
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ http://www.hl7.org/Special/committees/cqi/index.cfm. Package hl7.fhir.us.qicore#5.0.0 based on FHIR 4.0.1. Generated 2023-04-04
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QA Report
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