Diagnostic Data Services

DDS-Report-Substance-1-0

A medication is a substance that is packaged and used as an administered medication. The medication resource uses the substance resource to represent the actual ingredients of a medication. For substances in Diagnostic Data Services, it would be used for medication that the patient is / has been prescribed or for substances used for/during processing of a specimen.

Follow this link to view examples for DDS-Report-Substance-1-0: Examples
NameCard.TypeDescription & Constraints
..SubstanceSubstanceA homogeneous material with a definite composition

...identifier0..1IdentifierUnique identifier

....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required
Example Value: official

....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept
Example Value: Identifier allocated by manufacturing pharmaceutical company.

....system1..1UriThe namespace for the identifier
Example Value: http://www.pharm.com/Id/substance-id

....value1..1StringThe value that is unique
Example Value: AEB22D1D-0DBF-426C-B86C-3F47DCA4A4E8

....period0..1PeriodTime period when id is/was valid for use

.....start1..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1OrganizationOrganization that issued id (may be just text)

.....reference1..1StringRelative URL reference
Example Value: Organization/0A6F71A7-161D-4A84-8573-AB55DBB19340

.....display0..1StringText alternative for the resource
Example Value: Pharm Pharmaceuticals Limited

...category0..*CodeableConceptWhat class/type of substance this is
Binding: Category or classification of substance (http://hl7.org/fhir/ValueSet/substance-category)
Binding Strength: Extensible

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://hl7.org.fhir/substance-category

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: drug

.....display1..1StringRepresentation defined by the system
Example Value: Drug or Medicament

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...code1..1CodeableConceptWhat substance this is
Binding: Substance codes (http://snomed.info/sct)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value: 392259005

.....display1..1StringRepresentation defined by the system
Example Value: co-amoxiclav 875mg/125mg tablet

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...description0..1StringTextual description of the substance, comments
Example Value: Augmentin 875

...instance0..1BackboneElementIf this describes a specific package/container of the substance

....identifier0..1IdentifierIdentifier of the package/container

.....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known. (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required
Example Value: official

.....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

......coding0..1CodingCode defined by a terminology system

.......system1..1UriIdentity of the terminology system

.......version0..1StringVersion of the system - if relevant

.......code1..1CodeSymbol in syntax defined by the system

.......display1..1StringRepresentation defined by the system

.......userSelected0..1BooleanIf this coding was chosen directly by the user

......text0..1StringPlain text representation of the concept
Example Value: Identifier for the package containing the tablets allocated by manufacturing pharmaceutical company.

.....system1..1UriThe namespace for the identifier
Example Value: http://www.pharm.com/Id/package-id

.....value1..1StringThe value that is unique
Example Value: D8BF142A-525E-4107-BB4D-67516DF492DA

.....period0..1PeriodTime period when id is/was valid for use

......start1..1DateTimeStarting time with inclusive boundary

......end0..1DateTimeEnd time with inclusive boundary, if not ongoing

.....assigner0..1OrganizationOrganization that issued id (may be just text)

......reference1..1StringRelative, internal or absolute URL reference
Example Value: Organization/0A6F71A7-161D-4A84-8573-AB55DBB19340

......display0..1StringText alternative for the resource
Example Value: Pharm Pharmaceuticals Limited

....expiry0..1DateTimeWhen no longer valid to use

....quantity0..1StructureDefinition/SimpleQuantityAmount of substance in the package

.....value1..1DecimalNumerical value (with implicit precision)

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation

.....system1..1UriSystem that defines coded unit form

.....code0..1CodeCoded form of the unit

...ingredient0..*BackboneElementComposition information about the substance

....quantity1..1RatioOptional amount (concentration)

.....numerator1..1QuantityNumerator value

......value1..1DecimalNumerical value (with implicit precision)
Example Value: 875

......comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

......unit1..1StringUnit representation
Example Value: milligram

......system1..1UriSystem that defines coded unit form
Example Value: http://unitsofmeasure.org

......code1..1CodeCoded form of the unit
Example Value: mg

.....denominator1..1QuantityDenominator value

......value1..1DecimalNumerical value (with implicit precision)
Example Value: 1000

......comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

......unit1..1StringUnit representation
Example Value: milligram

......system1..1UriSystem that defines coded unit form
Example Value: http://unitsofmeasure.org

......code1..1CodeCoded form of the unit
Example Value: mg

....substance1..1SubstanceA component of the substance

.....reference1..1StringInternal URL reference
Example Value: #ingr1

.....display0..1StringText alternative for the resource
Example Value: Amoxicillin