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: Excipient Drug Substance

Provides sufficient information to identify an inactive substance and raw materials and its source when stability data is required in the submission.

Usage:

• Use this Resource Profile: CMC eCTD 32P32 Document, CMC eCTD 32S23 Document and CMC eCTD SP4151 Document
• Refer to this Resource Profile: Drug Product Batch Formula Ingredient and Quality Specification

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..*	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
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	1..1	BackboneElement	Material or taxonomic/anatomical source
type		1..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.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-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..*	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
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	1..1	BackboneElement	Material or taxonomic/anatomical source
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..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.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-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..*	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	Σ	0..1	BackboneElement	Structural information
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
representation	Σ	0..*	BackboneElement	A depiction of the structure of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: SubstanceRepresentationType (example): A format of a substance representation.
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
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	1..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	Σ	1..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	example	SubstanceRepresentationType http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
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-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: 6 elements(9 nested mandatory elements)
Must-Support: 29 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)
• 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.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..*	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
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	1..1	BackboneElement	Material or taxonomic/anatomical source
type		1..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.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-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..*	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
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	1..1	BackboneElement	Material or taxonomic/anatomical source
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..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.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-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..*	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	Σ	0..1	BackboneElement	Structural information
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
representation	Σ	0..*	BackboneElement	A depiction of the structure of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	The kind of structural representation (e.g. full, partial) Binding: SubstanceRepresentationType (example): A format of a substance representation.
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
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	1..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	Σ	1..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	example	SubstanceRepresentationType http://hl7.org/fhir/ValueSet/substance-representation-type from the FHIR Standard
SubstanceDefinition.structure.representation.format	example	SubstanceRepresentationFormat http://hl7.org/fhir/ValueSet/substance-representation-format from the FHIR Standard
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-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: 6 elements(9 nested mandatory elements)
Must-Support: 29 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)
• 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.code
• The element 1 is sliced based on the value of SubstanceDefinition.name (Closed)