QI-Core Implementation Guide
7.0.0 - STU 7
QI-Core Implementation Guide
7.0.0 - STU 7
This page is part of the Quality Improvement Core Framework (v7.0.0: STU7 (v7.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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: 7.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | 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 |
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
Σ | 1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance 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 |
Σ | 0..1 | SimpleQuantity | (QI) 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 |
Σ | 0..1 | Ratio | (QI) Optional amount (concentration) |
 substance[x] |
Σ | 1..1 | Reference(QICore Substance) | (QI) A component of the substance |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Substance.status | required | FHIRSubstanceStatushttp://hl7.org/fhir/ValueSet/substance-status|4.0.1From the FHIR Standard | |
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
| 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() |
This structure is derived from Substance
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Substance |
Substance | |||
 code |
1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance Binding: SubstanceCode (preferred): Substance codes | |
| instance |
0..* | BackboneElement | If this describes a specific package/container of the substance | |
| quantity |
0..1 | SimpleQuantity | (QI) Amount of substance in the package | |
| ingredient |
0..* | BackboneElement | Composition information about the substance | |
| quantity |
0..1 | Ratio | (QI) Optional amount (concentration) | |
| substance[x] |
1..1 | Reference(QICore Substance) | (QI) A component of the substance | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| 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 |
Σ | 1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance 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 |
Σ | 0..1 | SimpleQuantity | (QI) 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 |
Σ | 0..1 | Ratio | (QI) Optional amount (concentration) | ||||
| substance[x] |
Σ | 1..1 | Reference(QICore Substance) | (QI) A component of the substance | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Substance.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Substance.status | required | FHIRSubstanceStatushttp://hl7.org/fhir/ValueSet/substance-status|4.0.1From the FHIR Standard | ||||
| Substance.category | extensible | SubstanceCategoryCodeshttp://hl7.org/fhir/ValueSet/substance-categoryFrom the FHIR Standard | ||||
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
| 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() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
Σ | 1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance 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 |
Σ | 0..1 | SimpleQuantity | (QI) 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 |
Σ | 0..1 | Ratio | (QI) Optional amount (concentration) |
| substance[x] |
Σ | 1..1 | Reference(QICore Substance) | (QI) A component of the substance |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Substance.status | required | FHIRSubstanceStatushttp://hl7.org/fhir/ValueSet/substance-status|4.0.1From the FHIR Standard | |
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
| 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() |
Differential View
This structure is derived from Substance
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Substance |
Substance | |||
| code |
1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance Binding: SubstanceCode (preferred): Substance codes | |
| instance |
0..* | BackboneElement | If this describes a specific package/container of the substance | |
| quantity |
0..1 | SimpleQuantity | (QI) Amount of substance in the package | |
| ingredient |
0..* | BackboneElement | Composition information about the substance | |
| quantity |
0..1 | Ratio | (QI) Optional amount (concentration) | |
| substance[x] |
1..1 | Reference(QICore Substance) | (QI) A component of the substance | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| 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 |
Σ | 1..1 | CodeableConcept | (QI) If this describes a specific package/container of the substance 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 |
Σ | 0..1 | SimpleQuantity | (QI) 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 |
Σ | 0..1 | Ratio | (QI) Optional amount (concentration) | ||||
| substance[x] |
Σ | 1..1 | Reference(QICore Substance) | (QI) A component of the substance | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Substance.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Substance.status | required | FHIRSubstanceStatushttp://hl7.org/fhir/ValueSet/substance-status|4.0.1From the FHIR Standard | ||||
| Substance.category | extensible | SubstanceCategoryCodeshttp://hl7.org/fhir/ValueSet/substance-categoryFrom the FHIR Standard | ||||
| Substance.code | preferred | SubstanceCodehttp://hl7.org/fhir/ValueSet/substance-codeFrom the FHIR Standard |
| 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() |
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#7.0.0 based on FHIR 4.0.1. Generated 2025-06-18
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