Pharmaceutical Quality - Chemistry, Manufacturing and Controls (PQ-CMC) Submissions to FDA, published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/FHIR-us-pq-cmc-fda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Resource Profile: Component Substance

Any raw material intended for use in the manufacture of a drug substance, or any ingredient intended for use in the manufacture of a drug product including those that may not appear in such drug product.

Usage:

• Use this Resource Profile: CMC eCTD 32P10 Document
• Refer to this Resource Profile: Drug Product Component

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 SubstanceDefinition

Name	Flags	Card.	Type	Description & Constraints
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
identifier		0..1	Identifier	optional user designated identifier
classification	S	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
grade		1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
manufacturer	S	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	S	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
structure	C	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
Slices for representation	S	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
type	S	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation:graphic		0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
type		0..1	CodeableConcept	Graphic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
document		1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile		0..*	BackboneElement	machine-readable representation -- attached file
type		0..1	CodeableConcept	Structure File Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
document	S	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString		0..*	BackboneElement	machine-readable representation -- plain text
type		0..1	CodeableConcept	Structure Textual Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
representation	S	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	S	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
Slices for code	S	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:unii		0..1	BackboneElement	UNII
code	S	1..1	CodeableConcept	The specific code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
code:uniProt		0..1	BackboneElement	UniProt ID
code	S	1..1	CodeableConcept	The specific code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
Slices for name	SC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
preferred	S	0..1	boolean	True when the name type is Substance Name
name:sub	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	Generic Name
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
preferred	S	0..1	boolean	If this is the preferred name for this substance
name:gsrs	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	GSRS Preferred Term
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
preferred	S	0..1	boolean	If this is the preferred name for this substance
name:isbt	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	ISBT-128 DIN
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
preferred	S	0..1	boolean	If this is the preferred name for this substance
sourceMaterial	S	0..1	BackboneElement	Material or taxonomic/anatomical source
type	S	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus
species	S	0..1	CodeableConceptTextOnly	Source Organism Species
part	S	0..1	CodeableConceptTextOnly	Source Organism Part
countryOfOrigin	S	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())

Name	Flags	Card.	Type	Description & Constraints
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	optional user designated identifier
classification	SΣ	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
grade	Σ	1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
manufacturer	SΣ	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	SΣ	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
structure	ΣC	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for representation	SΣ	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation:graphic	Σ	0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Graphic Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
document	Σ	1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile	Σ	0..*	BackboneElement	machine-readable representation -- attached file
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Structure File Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
document	SΣ	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString	Σ	0..*	BackboneElement	machine-readable representation -- plain text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Structure Textual Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
representation	SΣ	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	SΣ	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
Slices for code	SΣ	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code:unii	Σ	0..1	BackboneElement	UNII
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	The specific code
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
code:uniProt	Σ	0..1	BackboneElement	UniProt ID
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	The specific code
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
Slices for name	SΣC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	The actual name
type	Σ	0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
preferred	SΣ	0..1	boolean	True when the name type is Substance Name
name:sub	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Generic Name
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
name:gsrs	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	GSRS Preferred Term
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
name:isbt	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	ISBT-128 DIN
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
sourceMaterial	SΣ	0..1	BackboneElement	Material or taxonomic/anatomical source
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus Binding: SourceMaterialGenus (example): The genus of an organism, typically referring to the Latin epithet of the genus element of the plant/animal scientific name.
species	S	0..1	CodeableConceptTextOnly	Source Organism Species Binding: SourceMaterialSpecies (example): A species of origin a substance raw material.
part	S	0..1	CodeableConceptTextOnly	Source Organism Part Binding: SourceMaterialPart (example): An anatomical origin of the source material within an organism.
countryOfOrigin	SΣ	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation:graphic.type	example	Pattern: C54273 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.type	example	Pattern: C103240 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.type	example	Pattern: C45253 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.name:sub.type	example	Pattern: C97054("Generic Name") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:gsrs.type	example	Pattern: C203355("GSRS Preferred Term") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:isbt.type	example	Pattern: C95517("ISBT-128 DIN") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.genus	example	SourceMaterialGenus http://hl7.org/fhir/ValueSet/substance-source-material-genus from the FHIR Standard
SubstanceDefinition.sourceMaterial.species	example	SourceMaterialSpecies http://hl7.org/fhir/ValueSet/substance-source-material-species from the FHIR Standard
SubstanceDefinition.sourceMaterial.part	example	SourceMaterialPart http://hl7.org/fhir/ValueSet/substance-source-material-part from the FHIR Standard
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())
dom-2	error	SubstanceDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	SubstanceDefinition	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	SubstanceDefinition	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	SubstanceDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	SubstanceDefinition	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
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	optional user designated identifier
version	Σ	0..1	string	A business level version identifier of the substance
status	Σ	0..1	CodeableConcept	Status of substance within the catalogue e.g. active, retired Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
classification	SΣ	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
domain	Σ	0..1	CodeableConcept	If the substance applies to human or veterinary use Binding: MedicinalProductDomain (example): Applicable domain for this product (e.g. human, veterinary).
grade	Σ	1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
description	Σ	0..1	markdown	Textual description of the substance
informationSource	Σ	0..*	Reference(Citation)	Supporting literature
note	Σ	0..*	Annotation	Textual comment about the substance's catalogue or registry record
manufacturer	SΣ	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	SΣ	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
moiety	Σ	0..*	BackboneElement	Moiety, for structural modifications
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
role	Σ	0..1	CodeableConcept	Role that the moiety is playing
identifier	Σ	0..1	Identifier	Identifier by which this moiety substance is known
name	Σ	0..1	string	Textual name for this moiety substance
stereochemistry	Σ	0..1	CodeableConcept	Stereochemistry type Binding: Stereochemistry (example): The optical rotation type of a substance.
opticalActivity	Σ	0..1	CodeableConcept	Optical activity type Binding: OpticalActivity (example): The optical rotation type of a substance.
molecularFormula	Σ	0..1	string	Molecular formula for this moiety (e.g. with the Hill system)
amount[x]	Σ	0..1		Quantitative value for this moiety
amountQuantity			Quantity
amountString			string
measurementType	Σ	0..1	CodeableConcept	The measurement type of the quantitative value Binding: SubstanceAmountType (example): The relationship between two substance types.
characterization	Σ	0..*	BackboneElement	General specifications for this 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
technique	Σ	0..1	CodeableConcept	The method used to find the characterization e.g. HPLC Binding: StructureTechnique (example): The method used to elucidate the characterization of the drug substance.
form	Σ	0..1	CodeableConcept	Describes the nature of the chemical entity and explains, for instance, whether this is a base or a salt form Binding: SubstanceForm (example)
description	Σ	0..1	markdown	The description or justification in support of the interpretation of the data file
file	Σ	0..*	Attachment	The data produced by the analytical instrument or a pictorial representation of that data. Examples: a JCAMP, JDX, or ADX file, or a chromatogram or spectrum analysis
property	Σ	0..*	BackboneElement	General specifications for this 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
type	Σ	1..1	CodeableConcept	A code expressing the type of property Binding: ProductCharacteristic (example): This value set includes all observable entity codes from SNOMED CT - provided as an exemplar value set.
value[x]	Σ	0..1		A value for the property
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueDate			date
valueBoolean			boolean
valueAttachment			Attachment
referenceInformation	Σ	0..1	Reference(SubstanceReferenceInformation)	General information detailing this substance
molecularWeight	Σ	0..*	BackboneElement	The average mass of a molecule of a compound
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
method	Σ	0..1	CodeableConcept	The method by which the weight was determined Binding: WeightMethod (example): The method by which the substance weight was measured.
type	Σ	0..1	CodeableConcept	Type of molecular weight e.g. exact, average, weight average Binding: WeightType (example): The type of substance weight measurement.
amount	Σ	1..1	Quantity	Used to capture quantitative values for a variety of elements
structure	ΣC	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
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
stereochemistry	Σ	0..1	CodeableConcept	Stereochemistry type Binding: Stereochemistry (example): The optical rotation type of a substance.
opticalActivity	Σ	0..1	CodeableConcept	Optical activity type Binding: OpticalActivity (example): The optical rotation type of a substance.
molecularFormula	Σ	0..1	string	An expression which states the number and type of atoms present in a molecule of a substance
molecularFormulaByMoiety	Σ	0..1	string	Specified per moiety according to the Hill system
molecularWeight	Σ	0..1	See molecularWeight (SubstanceDefinition)	The molecular weight or weight range
technique	Σ	0..*	CodeableConcept	The method used to find the structure e.g. X-ray, NMR Binding: StructureTechnique (example): The method used to elucidate the structure of the drug substance.
sourceDocument	Σ	0..*	Reference(DocumentReference)	Source of information for the structure
Slices for representation	SΣ	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
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
type	SΣ	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	Σ	0..1	Reference(DocumentReference)	An attachment with the structural representation e.g. a structure graphic or AnIML file
representation:graphic	Σ	0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
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
type	Σ	0..1	CodeableConcept	Graphic Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	Σ	1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile	Σ	0..*	BackboneElement	machine-readable representation -- attached file
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
type	Σ	0..1	CodeableConcept	Structure File Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	SΣ	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString	Σ	0..*	BackboneElement	machine-readable representation -- plain text
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
type	Σ	0..1	CodeableConcept	Structure Textual Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	SΣ	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	SΣ	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
document	Σ	0..1	Reference(DocumentReference)	An attachment with the structural representation e.g. a structure graphic or AnIML file
Slices for code	SΣ	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:All Slices				Content/Rules for all slices
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
code	Σ	0..1	CodeableConcept	The specific code
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
code:unii	Σ	0..1	BackboneElement	UNII
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
code	SΣ	1..1	CodeableConcept	The specific code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
code:uniProt	Σ	0..1	BackboneElement	UniProt ID
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
code	SΣ	1..1	CodeableConcept	The specific code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
Slices for name	SΣC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
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
name	Σ	1..1	string	The actual name
type	Σ	0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	True when the name type is Substance Name
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:sub	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	Generic Name
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:gsrs	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	GSRS Preferred Term
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:isbt	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	ISBT-128 DIN
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
relationship	Σ	0..*	BackboneElement	A link between this substance and another
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
substanceDefinition[x]	Σ	0..1		A pointer to another substance, as a resource or a representational code
substanceDefinitionReference			Reference(SubstanceDefinition)
substanceDefinitionCodeableConcept			CodeableConcept
type	Σ	1..1	CodeableConcept	For example "salt to parent", "active moiety" Binding: SubstanceRelationshipType (example): The relationship between two substance types.
isDefining	Σ	0..1	boolean	For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible relationships
amount[x]	Σ	0..1		A numeric factor for the relationship, e.g. that a substance salt has some percentage of active substance in relation to some other
amountQuantity			Quantity
amountRatio			Ratio
amountString			string
ratioHighLimitAmount	Σ	0..1	Ratio	For use when the numeric has an uncertain range
comparator	Σ	0..1	CodeableConcept	An operator for the amount, for example "average", "approximately", "less than" Binding: SubstanceAmountType (example): The relationship between two substance types.
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
nucleicAcid	Σ	0..1	Reference(SubstanceNucleicAcid)	Data items specific to nucleic acids
polymer	Σ	0..1	Reference(SubstancePolymer)	Data items specific to polymers
protein	Σ	0..1	Reference(SubstanceProtein)	Data items specific to proteins
sourceMaterial	SΣ	0..1	BackboneElement	Material or taxonomic/anatomical source
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
type	SΣ	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus Binding: SourceMaterialGenus (example): The genus of an organism, typically referring to the Latin epithet of the genus element of the plant/animal scientific name.
species	S	0..1	CodeableConceptTextOnly	Source Organism Species Binding: SourceMaterialSpecies (example): A species of origin a substance raw material.
part	S	0..1	CodeableConceptTextOnly	Source Organism Part Binding: SourceMaterialPart (example): An anatomical origin of the source material within an organism.
countryOfOrigin	SΣ	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
SubstanceDefinition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.domain	example	MedicinalProductDomain http://hl7.org/fhir/ValueSet/medicinal-product-domain from the FHIR Standard
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.moiety.stereochemistry	example	Stereochemistry http://hl7.org/fhir/ValueSet/substance-stereochemistry from the FHIR Standard
SubstanceDefinition.moiety.opticalActivity	example	OpticalActivity http://hl7.org/fhir/ValueSet/substance-optical-activity from the FHIR Standard
SubstanceDefinition.moiety.measurementType	example	SubstanceAmountType http://hl7.org/fhir/ValueSet/substance-amount-type from the FHIR Standard
SubstanceDefinition.characterization.technique	example	StructureTechnique http://hl7.org/fhir/ValueSet/substance-structure-technique from the FHIR Standard
SubstanceDefinition.characterization.form	example	SubstanceForm http://hl7.org/fhir/ValueSet/substance-form from the FHIR Standard
SubstanceDefinition.property.type	example	ProductCharacteristic http://hl7.org/fhir/ValueSet/product-characteristic-codes from the FHIR Standard
SubstanceDefinition.molecularWeight.method	example	WeightMethod http://hl7.org/fhir/ValueSet/substance-weight-method from the FHIR Standard
SubstanceDefinition.molecularWeight.type	example	WeightType http://hl7.org/fhir/ValueSet/substance-weight-type from the FHIR Standard
SubstanceDefinition.structure.stereochemistry	example	Stereochemistry http://hl7.org/fhir/ValueSet/substance-stereochemistry from the FHIR Standard
SubstanceDefinition.structure.opticalActivity	example	OpticalActivity http://hl7.org/fhir/ValueSet/substance-optical-activity from the FHIR Standard
SubstanceDefinition.structure.technique	example	StructureTechnique http://hl7.org/fhir/ValueSet/substance-structure-technique from the FHIR Standard
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:graphic.type	example	Pattern: C54273 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:graphic.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.type	example	Pattern: C103240 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.type	example	Pattern: C45253 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.code.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.code:unii.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.code:uniProt.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.name.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:sub.type	example	Pattern: C97054("Generic Name") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:sub.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:sub.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:sub.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:sub.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:sub.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:sub.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:gsrs.type	example	Pattern: C203355("GSRS Preferred Term") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:gsrs.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:gsrs.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:gsrs.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:gsrs.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:gsrs.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:gsrs.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:isbt.type	example	Pattern: C95517("ISBT-128 DIN") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:isbt.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:isbt.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:isbt.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:isbt.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:isbt.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:isbt.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.relationship.type	example	SubstanceRelationshipType http://hl7.org/fhir/ValueSet/substance-relationship-type from the FHIR Standard
SubstanceDefinition.relationship.comparator	example	SubstanceAmountType http://hl7.org/fhir/ValueSet/substance-amount-type from the FHIR Standard
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.genus	example	SourceMaterialGenus http://hl7.org/fhir/ValueSet/substance-source-material-genus from the FHIR Standard
SubstanceDefinition.sourceMaterial.species	example	SourceMaterialSpecies http://hl7.org/fhir/ValueSet/substance-source-material-species from the FHIR Standard
SubstanceDefinition.sourceMaterial.part	example	SourceMaterialPart http://hl7.org/fhir/ValueSet/substance-source-material-part from the FHIR Standard
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())
dom-2	error	SubstanceDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	SubstanceDefinition	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	SubstanceDefinition	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	SubstanceDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	SubstanceDefinition	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 SubstanceDefinition

Summary

Mandatory: 4 elements(14 nested mandatory elements)
Must-Support: 35 elements

Structures

This structure refers to these other structures:

• Literal Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/literal-reference)
• Basic Organization (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/cmc-organization)
• Graphic Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pqcmc-graphic-reference)
• Structure Data Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pqcmc-structure-reference)
• Text Only Codeable Concept (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/codeable-concept-text-only)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of SubstanceDefinition.structure.representation (Closed)
• The element 1 is sliced based on the value of SubstanceDefinition.code
• The element 1 is sliced based on the value of SubstanceDefinition.name (Closed)

Differential View

This structure is derived from SubstanceDefinition

Name	Flags	Card.	Type	Description & Constraints
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
identifier		0..1	Identifier	optional user designated identifier
classification	S	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
grade		1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
manufacturer	S	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	S	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
structure	C	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
Slices for representation	S	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
type	S	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation:graphic		0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
type		0..1	CodeableConcept	Graphic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
document		1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile		0..*	BackboneElement	machine-readable representation -- attached file
type		0..1	CodeableConcept	Structure File Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
document	S	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString		0..*	BackboneElement	machine-readable representation -- plain text
type		0..1	CodeableConcept	Structure Textual Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
representation	S	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	S	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
Slices for code	S	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:unii		0..1	BackboneElement	UNII
code	S	1..1	CodeableConcept	The specific code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
code:uniProt		0..1	BackboneElement	UniProt ID
code	S	1..1	CodeableConcept	The specific code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
Slices for name	SC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
preferred	S	0..1	boolean	True when the name type is Substance Name
name:sub	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	Generic Name
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
preferred	S	0..1	boolean	If this is the preferred name for this substance
name:gsrs	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	GSRS Preferred Term
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
preferred	S	0..1	boolean	If this is the preferred name for this substance
name:isbt	S	0..1	BackboneElement	Names applicable to this substance
name	S	1..1	string	ISBT-128 DIN
type	S	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
preferred	S	0..1	boolean	If this is the preferred name for this substance
sourceMaterial	S	0..1	BackboneElement	Material or taxonomic/anatomical source
type	S	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus
species	S	0..1	CodeableConceptTextOnly	Source Organism Species
part	S	0..1	CodeableConceptTextOnly	Source Organism Part
countryOfOrigin	S	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	optional user designated identifier
classification	SΣ	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
grade	Σ	1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
manufacturer	SΣ	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	SΣ	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
structure	ΣC	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for representation	SΣ	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation:graphic	Σ	0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Graphic Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
document	Σ	1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile	Σ	0..*	BackboneElement	machine-readable representation -- attached file
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Structure File Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
document	SΣ	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString	Σ	0..*	BackboneElement	machine-readable representation -- plain text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Structure Textual Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
representation	SΣ	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	SΣ	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
Slices for code	SΣ	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code:unii	Σ	0..1	BackboneElement	UNII
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	The specific code
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
code:uniProt	Σ	0..1	BackboneElement	UniProt ID
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	The specific code
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
Slices for name	SΣC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	The actual name
type	Σ	0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
preferred	SΣ	0..1	boolean	True when the name type is Substance Name
name:sub	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Generic Name
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
name:gsrs	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	GSRS Preferred Term
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
name:isbt	SΣ	0..1	BackboneElement	Names applicable to this substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	ISBT-128 DIN
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
sourceMaterial	SΣ	0..1	BackboneElement	Material or taxonomic/anatomical source
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus Binding: SourceMaterialGenus (example): The genus of an organism, typically referring to the Latin epithet of the genus element of the plant/animal scientific name.
species	S	0..1	CodeableConceptTextOnly	Source Organism Species Binding: SourceMaterialSpecies (example): A species of origin a substance raw material.
part	S	0..1	CodeableConceptTextOnly	Source Organism Part Binding: SourceMaterialPart (example): An anatomical origin of the source material within an organism.
countryOfOrigin	SΣ	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation:graphic.type	example	Pattern: C54273 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.type	example	Pattern: C103240 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.type	example	Pattern: C45253 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.name:sub.type	example	Pattern: C97054("Generic Name") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:gsrs.type	example	Pattern: C203355("GSRS Preferred Term") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:isbt.type	example	Pattern: C95517("ISBT-128 DIN") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.genus	example	SourceMaterialGenus http://hl7.org/fhir/ValueSet/substance-source-material-genus from the FHIR Standard
SubstanceDefinition.sourceMaterial.species	example	SourceMaterialSpecies http://hl7.org/fhir/ValueSet/substance-source-material-species from the FHIR Standard
SubstanceDefinition.sourceMaterial.part	example	SourceMaterialPart http://hl7.org/fhir/ValueSet/substance-source-material-part from the FHIR Standard
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())
dom-2	error	SubstanceDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	SubstanceDefinition	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	SubstanceDefinition	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	SubstanceDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	SubstanceDefinition	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
SubstanceDefinition	C	0..*	SubstanceDefinition	The detailed description of a substance, typically at a level beyond what is used for prescribing cmc-when-unii-required: A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' cmc-name-isbt: Name.type ISBT 128 required for blood products. cmc-source-material: IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable.
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	optional user designated identifier
version	Σ	0..1	string	A business level version identifier of the substance
status	Σ	0..1	CodeableConcept	Status of substance within the catalogue e.g. active, retired Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
classification	SΣ	1..1	CodeableConcept	Substance Type Binding: Substance Classification (required)
domain	Σ	0..1	CodeableConcept	If the substance applies to human or veterinary use Binding: MedicinalProductDomain (example): Applicable domain for this product (e.g. human, veterinary).
grade	Σ	1..*	CodeableConcept	Quality Standard Binding: Quality Benchmark Terminology (required)
description	Σ	0..1	markdown	Textual description of the substance
informationSource	Σ	0..*	Reference(Citation)	Supporting literature
note	Σ	0..*	Annotation	Textual comment about the substance's catalogue or registry record
manufacturer	SΣ	0..1	LiteralReference(Basic Organization) {b}	The entity that creates, makes, produces or fabricates the substance
supplier	SΣ	0..1	LiteralReference(Basic Organization) {b}	An entity that is the source for the substance. It may be different from the manufacturer
moiety	Σ	0..*	BackboneElement	Moiety, for structural modifications
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
role	Σ	0..1	CodeableConcept	Role that the moiety is playing
identifier	Σ	0..1	Identifier	Identifier by which this moiety substance is known
name	Σ	0..1	string	Textual name for this moiety substance
stereochemistry	Σ	0..1	CodeableConcept	Stereochemistry type Binding: Stereochemistry (example): The optical rotation type of a substance.
opticalActivity	Σ	0..1	CodeableConcept	Optical activity type Binding: OpticalActivity (example): The optical rotation type of a substance.
molecularFormula	Σ	0..1	string	Molecular formula for this moiety (e.g. with the Hill system)
amount[x]	Σ	0..1		Quantitative value for this moiety
amountQuantity			Quantity
amountString			string
measurementType	Σ	0..1	CodeableConcept	The measurement type of the quantitative value Binding: SubstanceAmountType (example): The relationship between two substance types.
characterization	Σ	0..*	BackboneElement	General specifications for this 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
technique	Σ	0..1	CodeableConcept	The method used to find the characterization e.g. HPLC Binding: StructureTechnique (example): The method used to elucidate the characterization of the drug substance.
form	Σ	0..1	CodeableConcept	Describes the nature of the chemical entity and explains, for instance, whether this is a base or a salt form Binding: SubstanceForm (example)
description	Σ	0..1	markdown	The description or justification in support of the interpretation of the data file
file	Σ	0..*	Attachment	The data produced by the analytical instrument or a pictorial representation of that data. Examples: a JCAMP, JDX, or ADX file, or a chromatogram or spectrum analysis
property	Σ	0..*	BackboneElement	General specifications for this 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
type	Σ	1..1	CodeableConcept	A code expressing the type of property Binding: ProductCharacteristic (example): This value set includes all observable entity codes from SNOMED CT - provided as an exemplar value set.
value[x]	Σ	0..1		A value for the property
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueDate			date
valueBoolean			boolean
valueAttachment			Attachment
referenceInformation	Σ	0..1	Reference(SubstanceReferenceInformation)	General information detailing this substance
molecularWeight	Σ	0..*	BackboneElement	The average mass of a molecule of a compound
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
method	Σ	0..1	CodeableConcept	The method by which the weight was determined Binding: WeightMethod (example): The method by which the substance weight was measured.
type	Σ	0..1	CodeableConcept	Type of molecular weight e.g. exact, average, weight average Binding: WeightType (example): The type of substance weight measurement.
amount	Σ	1..1	Quantity	Used to capture quantitative values for a variety of elements
structure	ΣC	0..1	BackboneElement	Structural information cmc-structure-representation-required: Either a file or string structure representation is required
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
stereochemistry	Σ	0..1	CodeableConcept	Stereochemistry type Binding: Stereochemistry (example): The optical rotation type of a substance.
opticalActivity	Σ	0..1	CodeableConcept	Optical activity type Binding: OpticalActivity (example): The optical rotation type of a substance.
molecularFormula	Σ	0..1	string	An expression which states the number and type of atoms present in a molecule of a substance
molecularFormulaByMoiety	Σ	0..1	string	Specified per moiety according to the Hill system
molecularWeight	Σ	0..1	See molecularWeight (SubstanceDefinition)	The molecular weight or weight range
technique	Σ	0..*	CodeableConcept	The method used to find the structure e.g. X-ray, NMR Binding: StructureTechnique (example): The method used to elucidate the structure of the drug substance.
sourceDocument	Σ	0..*	Reference(DocumentReference)	Source of information for the structure
Slices for representation	SΣ	0..*	BackboneElement	Impurity Structure Graphic | Impurity Structure Data File Slice: Unordered, Closed by value:type
representation:All Slices				Content/Rules for all slices
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
type	SΣ	1..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: Representation Types (required)
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	Σ	0..1	Reference(DocumentReference)	An attachment with the structural representation e.g. a structure graphic or AnIML file
representation:graphic	Σ	0..1	BackboneElement	A graphical, displayable depiction of the structure (e.g. an SVG, PNG)
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
type	Σ	0..1	CodeableConcept	Graphic Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C54273
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	Σ	1..1	LiteralReference(Graphic Reference) {b}	Impurity Structure Graphic
representation:structureFile	Σ	0..*	BackboneElement	machine-readable representation -- attached file
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
type	Σ	0..1	CodeableConcept	Structure File Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C103240
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	Σ	0..1	string	The structural representation as a text string in a standard format
format	Σ	0..1	CodeableConcept	The format of the representation e.g. InChI, SMILES, MOLFILE (note: not the physical file format) Binding: SubstanceRepresentationFormat (example): A format of a substance representation.
document	SΣ	1..1	LiteralReference(Structure Data Reference) {b}	Impurity Chemical Structure Data (files, e.g. .SDF, .CIF)
representation:structureString	Σ	0..*	BackboneElement	machine-readable representation -- plain text
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
type	Σ	0..1	CodeableConcept	Structure Textual Binding: SubstanceRepresentationType (example): A format of a substance representation. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C45253
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
representation	SΣ	1..1	string	Impurity Chemical Structure Data (short, plain text representations, e.g. SMILES)
format	SΣ	1..1	CodeableConcept	Drug Substance Impurity Method Type Binding: Chemical Structure Data File Type Terminology (required)
document	Σ	0..1	Reference(DocumentReference)	An attachment with the structural representation e.g. a structure graphic or AnIML file
Slices for code	SΣ	1..*	BackboneElement	Codes associated with the substance Slice: Unordered, Open by value:code.coding.system
code:All Slices				Content/Rules for all slices
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
code	Σ	0..1	CodeableConcept	The specific code
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
code:unii	Σ	0..1	BackboneElement	UNII
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
code	SΣ	1..1	CodeableConcept	The specific code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://fdasis.nlm.nih.gov
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
code:uniProt	Σ	0..1	BackboneElement	UniProt ID
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
code	SΣ	1..1	CodeableConcept	The specific code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://www.uniprot.org
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	Status of the code assignment, for example 'provisional', 'approved' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
statusDate	Σ	0..1	dateTime	The date at which the code status was changed
note	Σ	0..*	Annotation	Any comment can be provided in this field
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
Slices for name	SΣC	1..*	BackboneElement	Substance Name Slice: Unordered, Closed by value:type cmc-name-preferred: Name.preferred: at most one = true
name:All Slices				Content/Rules for all slices
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
name	Σ	1..1	string	The actual name
type	Σ	0..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: Substance Name Type (required)
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	True when the name type is Substance Name
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:sub	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	Generic Name
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C97054
display		1..1	string	Representation defined by the system Fixed Value: Generic Name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:gsrs	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	GSRS Preferred Term
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C203355
display		1..1	string	Representation defined by the system Fixed Value: GSRS Preferred Term
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
name:isbt	SΣ	0..1	BackboneElement	Names applicable to this 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
name	SΣ	1..1	string	ISBT-128 DIN
type	SΣ	1..1	CodeableConcept	Name type e.g. 'systematic', 'scientific, 'brand' Binding: SubstanceNameType (example): The type of a name given to a substance. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C95517
display		1..1	string	Representation defined by the system Fixed Value: ISBT-128 DIN
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
status	Σ	0..1	CodeableConcept	The status of the name e.g. 'current', 'proposed' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
preferred	SΣ	0..1	boolean	If this is the preferred name for this substance
language	Σ	0..*	CodeableConcept	Human language that the name is written in Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
domain	Σ	0..*	CodeableConcept	The use context of this name e.g. as an active ingredient or as a food colour additive Binding: SubstanceNameDomain (example): The use context of a substance name for example if there is a different name when used as a drug active ingredient as opposed to a food colour additive.
jurisdiction	Σ	0..*	CodeableConcept	The jurisdiction where this name applies Binding: JurisdictionValueSet (example): Jurisdiction codes
synonym	Σ	0..*	See name (SubstanceDefinition)	A synonym of this particular name, by which the substance is also known
translation	Σ	0..*	See name (SubstanceDefinition)	A translation for this name into another human language
official	Σ	0..*	BackboneElement	Details of the official nature of this name
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
authority	Σ	0..1	CodeableConcept	Which authority uses this official name Binding: SubstanceNameAuthority (preferred): An authority that officates substance names.
status	Σ	0..1	CodeableConcept	The status of the official name, for example 'draft', 'active' Binding: PublicationStatus (preferred): The lifecycle status of an artifact.
date	Σ	0..1	dateTime	Date of official name change
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
relationship	Σ	0..*	BackboneElement	A link between this substance and another
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
substanceDefinition[x]	Σ	0..1		A pointer to another substance, as a resource or a representational code
substanceDefinitionReference			Reference(SubstanceDefinition)
substanceDefinitionCodeableConcept			CodeableConcept
type	Σ	1..1	CodeableConcept	For example "salt to parent", "active moiety" Binding: SubstanceRelationshipType (example): The relationship between two substance types.
isDefining	Σ	0..1	boolean	For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible relationships
amount[x]	Σ	0..1		A numeric factor for the relationship, e.g. that a substance salt has some percentage of active substance in relation to some other
amountQuantity			Quantity
amountRatio			Ratio
amountString			string
ratioHighLimitAmount	Σ	0..1	Ratio	For use when the numeric has an uncertain range
comparator	Σ	0..1	CodeableConcept	An operator for the amount, for example "average", "approximately", "less than" Binding: SubstanceAmountType (example): The relationship between two substance types.
source	Σ	0..*	Reference(DocumentReference)	Supporting literature
nucleicAcid	Σ	0..1	Reference(SubstanceNucleicAcid)	Data items specific to nucleic acids
polymer	Σ	0..1	Reference(SubstancePolymer)	Data items specific to polymers
protein	Σ	0..1	Reference(SubstanceProtein)	Data items specific to proteins
sourceMaterial	SΣ	0..1	BackboneElement	Material or taxonomic/anatomical source
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
type	SΣ	0..1	CodeableConcept	Source Type Binding: Source Type Terminology (required)
genus	S	0..1	CodeableConceptTextOnly	Source Organism Genus Binding: SourceMaterialGenus (example): The genus of an organism, typically referring to the Latin epithet of the genus element of the plant/animal scientific name.
species	S	0..1	CodeableConceptTextOnly	Source Organism Species Binding: SourceMaterialSpecies (example): A species of origin a substance raw material.
part	S	0..1	CodeableConceptTextOnly	Source Organism Part Binding: SourceMaterialPart (example): An anatomical origin of the source material within an organism.
countryOfOrigin	SΣ	0..1	CodeableConcept	Source Organism Country of Origin Binding: GENC and ISO 3166 Intersection (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
SubstanceDefinition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.classification	required	SubstanceClassification http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/substance-classification from this IG
SubstanceDefinition.domain	example	MedicinalProductDomain http://hl7.org/fhir/ValueSet/medicinal-product-domain from the FHIR Standard
SubstanceDefinition.grade	required	PqcmcQualityBenchmarkTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-quality-benchmark-terminology from this IG
SubstanceDefinition.moiety.stereochemistry	example	Stereochemistry http://hl7.org/fhir/ValueSet/substance-stereochemistry from the FHIR Standard
SubstanceDefinition.moiety.opticalActivity	example	OpticalActivity http://hl7.org/fhir/ValueSet/substance-optical-activity from the FHIR Standard
SubstanceDefinition.moiety.measurementType	example	SubstanceAmountType http://hl7.org/fhir/ValueSet/substance-amount-type from the FHIR Standard
SubstanceDefinition.characterization.technique	example	StructureTechnique http://hl7.org/fhir/ValueSet/substance-structure-technique from the FHIR Standard
SubstanceDefinition.characterization.form	example	SubstanceForm http://hl7.org/fhir/ValueSet/substance-form from the FHIR Standard
SubstanceDefinition.property.type	example	ProductCharacteristic http://hl7.org/fhir/ValueSet/product-characteristic-codes from the FHIR Standard
SubstanceDefinition.molecularWeight.method	example	WeightMethod http://hl7.org/fhir/ValueSet/substance-weight-method from the FHIR Standard
SubstanceDefinition.molecularWeight.type	example	WeightType http://hl7.org/fhir/ValueSet/substance-weight-type from the FHIR Standard
SubstanceDefinition.structure.stereochemistry	example	Stereochemistry http://hl7.org/fhir/ValueSet/substance-stereochemistry from the FHIR Standard
SubstanceDefinition.structure.opticalActivity	example	OpticalActivity http://hl7.org/fhir/ValueSet/substance-optical-activity from the FHIR Standard
SubstanceDefinition.structure.technique	example	StructureTechnique http://hl7.org/fhir/ValueSet/substance-structure-technique from the FHIR Standard
SubstanceDefinition.structure.representation.type	required	PqcmcRepresentationTypes http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-representation-types from this IG
SubstanceDefinition.structure.representation.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:graphic.type	example	Pattern: C54273 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:graphic.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.type	example	Pattern: C103240 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureFile.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.type	example	Pattern: C45253 http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation:structureString.format	required	PqcmcChemicalStructureDataFileTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-chemical-structure-datafile-type-terminology from this IG
SubstanceDefinition.code.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.code:unii.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.code:uniProt.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name.type	required	PqcmcSubstanceNameType http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-substance-name-type from this IG
SubstanceDefinition.name.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:sub.type	example	Pattern: C97054("Generic Name") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:sub.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:sub.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:sub.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:sub.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:sub.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:sub.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:gsrs.type	example	Pattern: C203355("GSRS Preferred Term") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:gsrs.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:gsrs.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:gsrs.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:gsrs.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:gsrs.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:gsrs.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:isbt.type	example	Pattern: C95517("ISBT-128 DIN") http://hl7.org/fhir/ValueSet/substance-name-type from the FHIR Standard
SubstanceDefinition.name:isbt.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.name:isbt.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
SubstanceDefinition.name:isbt.domain	example	SubstanceNameDomain http://hl7.org/fhir/ValueSet/substance-name-domain from the FHIR Standard
SubstanceDefinition.name:isbt.jurisdiction	example	JurisdictionValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
SubstanceDefinition.name:isbt.official.authority	preferred	SubstanceNameAuthority http://hl7.org/fhir/ValueSet/substance-name-authority from the FHIR Standard
SubstanceDefinition.name:isbt.official.status	preferred	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status from the FHIR Standard
SubstanceDefinition.relationship.type	example	SubstanceRelationshipType http://hl7.org/fhir/ValueSet/substance-relationship-type from the FHIR Standard
SubstanceDefinition.relationship.comparator	example	SubstanceAmountType http://hl7.org/fhir/ValueSet/substance-amount-type from the FHIR Standard
SubstanceDefinition.sourceMaterial.type	required	PqcmcSourceTypeTerminology http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-source-type-terminology from this IG
SubstanceDefinition.sourceMaterial.genus	example	SourceMaterialGenus http://hl7.org/fhir/ValueSet/substance-source-material-genus from the FHIR Standard
SubstanceDefinition.sourceMaterial.species	example	SourceMaterialSpecies http://hl7.org/fhir/ValueSet/substance-source-material-species from the FHIR Standard
SubstanceDefinition.sourceMaterial.part	example	SourceMaterialPart http://hl7.org/fhir/ValueSet/substance-source-material-part from the FHIR Standard
SubstanceDefinition.sourceMaterial.countryOfOrigin	required	PqcmcGENCAndISOIntersect http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-genc-and-iso-intersect from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
cmc-name-isbt	error	SubstanceDefinition	Name.type ISBT 128 required for blood products. : classification.where(coding.where(code = '8' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl').exists()).exists() implies name.type.coding.exists(code = '226' and system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl')
cmc-name-preferred	error	SubstanceDefinition.name	Name.preferred: at most one = true : select(preferred = true).count() < 2
cmc-source-material	error	SubstanceDefinition	IF raw material source type equals Microbial, Animal, Plant, Insect or Human THEN the 4 source related attributes are required and the manufacturer and supplier information is highly desirable. : sourceMaterial.type.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code in ('C14182' | 'C14225' | 'C14227' | 'C14329' | 'C14258')).exists() implies (sourceMaterial.genus.exists() and sourceMaterial.species.exists() and sourceMaterial.part.exists() and sourceMaterial.countryOfOrigin.exists())
cmc-structure-representation-required	error	SubstanceDefinition.structure	Either a file or string structure representation is required : representation.type.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C45253' | 'C103240')) ).exists()
cmc-when-unii-required	error	SubstanceDefinition	A UNII is required in code for any of these categories: 'Chemical', 'Mixture', 'Nucleic Acids','Polymer'. A UniProt code is required for any of these categories: 'Protein' : (classification.coding.where(system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and (code in ('C48807' | 'C45305' | 'C706' | 'C48803'))).exists() implies code.where( code.coding.exists(system = 'http://fdasis.nlm.nih.gov') ).exists()) and (classification.coding.where( system = 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' and code = 'C17021' ).exists() implies code.where( code.coding.exists(system = 'https://www.uniprot.org') ).exists())
dom-2	error	SubstanceDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	SubstanceDefinition	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	SubstanceDefinition	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	SubstanceDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	SubstanceDefinition	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 SubstanceDefinition

Summary

Mandatory: 4 elements(14 nested mandatory elements)
Must-Support: 35 elements

Structures

This structure refers to these other structures:

• Literal Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/literal-reference)
• Basic Organization (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/cmc-organization)
• Graphic Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pqcmc-graphic-reference)
• Structure Data Reference (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pqcmc-structure-reference)
• Text Only Codeable Concept (http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/codeable-concept-text-only)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of SubstanceDefinition.structure.representation (Closed)
• The element 1 is sliced based on the value of SubstanceDefinition.code
• The element 1 is sliced based on the value of SubstanceDefinition.name (Closed)