Release 4 4B

This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R4B R4 R3 R2

Orders and Observations Work Group Maturity Level : 2   Trial Use Security Category : Business Compartments : Not linked to any defined compartments

Detailed Descriptions for the elements in the Substance resource.

Substance
Element Id Substance
Definition

A homogeneous material with a definite composition.

Cardinality 0..*
Type DomainResource
Summary false
Substance.identifier
Element Id Substance.identifier
Definition

Unique identifier for the substance.

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Summary true
Comments

This identifier is associated with the kind of substance in contrast to the Substance.instance.identifier which is associated with the package/container.

Substance.status
Element Id Substance.status
Definition

A code to indicate if the substance is actively used.

Cardinality 0..1
Terminology Binding FHIRSubstanceStatus ( Required )
Type code
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary true
Substance.category
Element Id Substance.category
Definition

A code that classifies the general type of substance. This is used for searching, sorting and display purposes.

Cardinality 0..*
Terminology Binding Substance Category Codes ( Extensible )
Type CodeableConcept
Summary true
Comments

The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code.

Substance.code
Element Id Substance.code
Definition

A code (or set of codes) that identify this substance.

Cardinality 1..1
Terminology Binding Substance Code ( Example )
Type CodeableConcept
Summary true
Comments

This could be a reference to an externally defined code. It could also be a locally assigned code (e.g. a formulary), optionally with translations to the standard drug codes.

Substance.description
Element Id Substance.description
Definition

A description of the substance - its appearance, handling requirements, and other usage notes.

Cardinality 0..1
Type string
Summary true
Substance.instance
Element Id Substance.instance
Definition

Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.

Cardinality 0..*
Meaning if Missing If this element is not present, then the substance resource describes a kind of substance
Summary true
Substance.instance.identifier
Element Id Substance.instance.identifier
Definition

Identifier associated with the package/container (usually a label affixed directly).

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..1
Type Identifier
Summary true
Substance.instance.expiry
Element Id Substance.instance.expiry
Definition

When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry.

Cardinality 0..1
Type dateTime
Summary true
Substance.instance.quantity
Element Id Substance.instance.quantity
Definition

The amount of the substance.

Cardinality 0..1
Type SimpleQuantity
Summary true
Substance.ingredient
Element Id Substance.ingredient
Definition

A substance can be composed of other substances.

Cardinality 0..*
Summary true
Substance.ingredient.quantity
Element Id Substance.ingredient.quantity
Definition

The amount of the ingredient in the substance - a concentration ratio.

Cardinality 0..1
Type Ratio
Summary true
Substance.ingredient.substance[x]
Element Id Substance.ingredient.substance[x]
Definition

Another substance that is a component of this substance.

Cardinality 1..1
Terminology Binding Substance Code ( Example )
Type CodeableConcept | Reference ( Substance )
[x] Note See Choice of Data Types for further information about how to use [x]
Summary true