HL7 Czech Base and Core Implementation Guide
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HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

Resource Profile: Substance: Specimen Additive Substance (CZ)

Official URL: https://hl7.cz/fhir/core/StructureDefinition/Substance-additive-cz Version: 0.3.0-ballot
Draft as of 2025-08-15 Computable Name: CZ_SpecimenAdditiveSubstance

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Substance.statusrequiredFHIRSubstanceStatus
http://hl7.org/fhir/ValueSet/substance-status|4.0.1
From the FHIR Standard
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSubstanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSubstanceIf 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-4errorSubstanceIf 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-5errorSubstanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSubstanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Substance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance A homogeneous material with a definite composition
... code 1..1 CodeableConcept What substance this is
Binding: Specimen Additive (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Substance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Substance.statusrequiredFHIRSubstanceStatus
http://hl7.org/fhir/ValueSet/substance-status|4.0.1
From the FHIR Standard
Substance.categoryextensibleSubstanceCategoryCodes
http://hl7.org/fhir/ValueSet/substance-category
From the FHIR Standard
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG
Substance.ingredient.substance[x]exampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSubstanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSubstanceIf 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-4errorSubstanceIf 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-5errorSubstanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSubstanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Substance

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Substance.statusrequiredFHIRSubstanceStatus
http://hl7.org/fhir/ValueSet/substance-status|4.0.1
From the FHIR Standard
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSubstanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSubstanceIf 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-4errorSubstanceIf 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-5errorSubstanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSubstanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Substance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance A homogeneous material with a definite composition
... code 1..1 CodeableConcept What substance this is
Binding: Specimen Additive (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Substance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Substance.statusrequiredFHIRSubstanceStatus
http://hl7.org/fhir/ValueSet/substance-status|4.0.1
From the FHIR Standard
Substance.categoryextensibleSubstanceCategoryCodes
http://hl7.org/fhir/ValueSet/substance-category
From the FHIR Standard
Substance.codepreferredCZ_SpecimenAdditiveVs
https://hl7.cz/fhir/core/ValueSet/cz-specimenAdditive-vs
From this IG
Substance.ingredient.substance[x]exampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSubstanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSubstanceIf 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-4errorSubstanceIf 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-5errorSubstanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSubstanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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