CH LAB-Report (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-lab-report/ and changes regularly. See the Directory of published versions

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Resource Profile: Substance: Specimen Additive Substance

This profile defines how to represent Specimen Additive Substances in HL7 FHIR for the purpose of this guide.

Usage:

• Refer to this Resource Profile: CH LAB Specimen
• Examples for this Resource Profile: Substance/EDTA

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			Substance
code		1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab

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	Σ	1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab

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	Σ	1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
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	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	Optional amount (concentration)
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category from the FHIR Standard
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

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()

This structure is derived from Substance

Summary

Differential View

This structure is derived from Substance

Name	Flags	Card.	Type	Description & Constraints
Substance			Substance
code		1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab

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	Σ	1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab

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	Σ	1..1	CodeableConcept	What substance this is Binding: Specimen Additive (preferred)
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	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	Optional amount (concentration)
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category from the FHIR Standard
Substance.code	preferred	LabSpecimenAdditiveEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenAdditive-eu-lab
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

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()

This structure is derived from Substance

Summary

Other representations of profile: CSV, Excel, Schematron