Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core Substance

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-substance Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInSubstance
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.111

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 0..1 code active | inactive | entered-in-error
Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
... instance SΣ 0..* BackboneElement If this describes a specific package/container of the substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
... ingredient SΣ 0..* BackboneElement Composition information about the substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] SΣ 1..1 A component of the substance
Slice: Unordered, Open by type:$this
Binding: SubstanceCode (example): Substance Ingredient codes.
..... substanceCodeableConcept CodeableConcept
..... substanceReference Reference(Substance)
..... substance[x]:substanceReference SΣ 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Substance.status Base required FHIRSubstanceStatus 📍4.0.1 FHIR Std.
Substance.code Base example Substance Code 📍4.0.1 FHIR Std.
Substance.ingredient.​substance[x] Base example Substance Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Substance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Substance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Substance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Substance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Substance A resource should have narrative for robust management text.`div`.exists()
ele-1 error Substance.implicitRules, Substance.modifierExtension, Substance.status, Substance.code, Substance.instance, Substance.instance.modifierExtension, Substance.instance.quantity, Substance.ingredient, Substance.ingredient.modifierExtension, Substance.ingredient.quantity, Substance.ingredient.substance[x], Substance.ingredient.substance[x]:substanceReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Substance.modifierExtension, Substance.instance.modifierExtension, Substance.ingredient.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... status S 0..1 code active | inactive | entered-in-error
... code S 1..1 CodeableConcept What substance this is
... instance S 0..* BackboneElement If this describes a specific package/container of the substance
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
.... quantity S 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] S 1..1 CodeableConcept, Reference(Substance) A component of the substance
Slice: Unordered, Open by type:$this
..... substance[x]:substanceReference S 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Unique identifier
... status ?!SΣ 0..1 code active | inactive | entered-in-error
Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
... category Σ 0..* CodeableConcept What class/type of substance this is
Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
... code SΣ 1..1 CodeableConcept What substance this is
Binding: SubstanceCode (example): Substance codes.
... description Σ 0..1 string Textual description of the substance, comments
... instance SΣ 0..* BackboneElement If this describes a specific package/container of the substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... identifier Σ 0..1 Identifier Identifier of the package/container
.... expiry Σ 0..1 dateTime When no longer valid to use
.... quantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
... ingredient SΣ 0..* BackboneElement Composition information about the substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] SΣ 1..1 A component of the substance
Slice: Unordered, Open by type:$this
Binding: SubstanceCode (example): Substance Ingredient codes.
..... substanceCodeableConcept CodeableConcept
..... substanceReference Reference(Substance)
..... substance[x]:substanceReference SΣ 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Substance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Substance.status Base required FHIRSubstanceStatus 📍4.0.1 FHIR Std.
Substance.category Base extensible Substance Category Codes 📍4.0.1 FHIR Std.
Substance.code Base example Substance Code 📍4.0.1 FHIR Std.
Substance.ingredient.​substance[x] Base example Substance Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Substance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Substance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Substance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Substance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Substance A resource should have narrative for robust management text.`div`.exists()
ele-1 error Substance.meta, Substance.implicitRules, Substance.language, Substance.text, Substance.extension, Substance.modifierExtension, Substance.identifier, Substance.status, Substance.category, Substance.code, Substance.description, Substance.instance, Substance.instance.extension, Substance.instance.modifierExtension, Substance.instance.identifier, Substance.instance.expiry, Substance.instance.quantity, Substance.ingredient, Substance.ingredient.extension, Substance.ingredient.modifierExtension, Substance.ingredient.quantity, Substance.ingredient.substance[x], Substance.ingredient.substance[x]:substanceReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Substance.extension, Substance.modifierExtension, Substance.instance.extension, Substance.instance.modifierExtension, Substance.ingredient.extension, Substance.ingredient.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Must-Support: 8 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Substance.ingredient.substance[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 0..1 code active | inactive | entered-in-error
Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
... instance SΣ 0..* BackboneElement If this describes a specific package/container of the substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
... ingredient SΣ 0..* BackboneElement Composition information about the substance
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] SΣ 1..1 A component of the substance
Slice: Unordered, Open by type:$this
Binding: SubstanceCode (example): Substance Ingredient codes.
..... substanceCodeableConcept CodeableConcept
..... substanceReference Reference(Substance)
..... substance[x]:substanceReference SΣ 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Substance.status Base required FHIRSubstanceStatus 📍4.0.1 FHIR Std.
Substance.code Base example Substance Code 📍4.0.1 FHIR Std.
Substance.ingredient.​substance[x] Base example Substance Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Substance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Substance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Substance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Substance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Substance A resource should have narrative for robust management text.`div`.exists()
ele-1 error Substance.implicitRules, Substance.modifierExtension, Substance.status, Substance.code, Substance.instance, Substance.instance.modifierExtension, Substance.instance.quantity, Substance.ingredient, Substance.ingredient.modifierExtension, Substance.ingredient.quantity, Substance.ingredient.substance[x], Substance.ingredient.substance[x]:substanceReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Substance.modifierExtension, Substance.instance.modifierExtension, Substance.ingredient.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... status S 0..1 code active | inactive | entered-in-error
... code S 1..1 CodeableConcept What substance this is
... instance S 0..* BackboneElement If this describes a specific package/container of the substance
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
.... quantity S 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] S 1..1 CodeableConcept, Reference(Substance) A component of the substance
Slice: Unordered, Open by type:$this
..... substance[x]:substanceReference S 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Substance 0..* Substance(4.0.1) A homogeneous material with a definite composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Unique identifier
... status ?!SΣ 0..1 code active | inactive | entered-in-error
Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
... category Σ 0..* CodeableConcept What class/type of substance this is
Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
... code SΣ 1..1 CodeableConcept What substance this is
Binding: SubstanceCode (example): Substance codes.
... description Σ 0..1 string Textual description of the substance, comments
... instance SΣ 0..* BackboneElement If this describes a specific package/container of the substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... identifier Σ 0..1 Identifier Identifier of the package/container
.... expiry Σ 0..1 dateTime When no longer valid to use
.... quantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of substance in the package
... ingredient SΣ 0..* BackboneElement Composition information about the substance
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... quantity SΣ 0..1 Ratio Optional amount (concentration)
.... Slices for substance[x] SΣ 1..1 A component of the substance
Slice: Unordered, Open by type:$this
Binding: SubstanceCode (example): Substance Ingredient codes.
..... substanceCodeableConcept CodeableConcept
..... substanceReference Reference(Substance)
..... substance[x]:substanceReference SΣ 0..1 Reference(Atrius India Core Substance(0.1.0)) A component of the substance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Substance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Substance.status Base required FHIRSubstanceStatus 📍4.0.1 FHIR Std.
Substance.category Base extensible Substance Category Codes 📍4.0.1 FHIR Std.
Substance.code Base example Substance Code 📍4.0.1 FHIR Std.
Substance.ingredient.​substance[x] Base example Substance Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Substance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Substance If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Substance If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Substance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Substance A resource should have narrative for robust management text.`div`.exists()
ele-1 error Substance.meta, Substance.implicitRules, Substance.language, Substance.text, Substance.extension, Substance.modifierExtension, Substance.identifier, Substance.status, Substance.category, Substance.code, Substance.description, Substance.instance, Substance.instance.extension, Substance.instance.modifierExtension, Substance.instance.identifier, Substance.instance.expiry, Substance.instance.quantity, Substance.ingredient, Substance.ingredient.extension, Substance.ingredient.modifierExtension, Substance.ingredient.quantity, Substance.ingredient.substance[x], Substance.ingredient.substance[x]:substanceReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Substance.extension, Substance.modifierExtension, Substance.instance.extension, Substance.instance.modifierExtension, Substance.ingredient.extension, Substance.ingredient.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Must-Support: 8 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Substance.ingredient.substance[x]

 

Other representations of profile: CSV, Excel, Schematron