description: A homogeneous material with a definite composition. package_name: fhir.r4.spirecore derivation: constraint name: SpireCoreSubstance type: Substance elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 0 instance: elements: identifier: elements: assigner: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization'] index: 1 ingredient: elements: substance: choices: [substanceCodeableConcept, substanceReference] index: 3 substanceCodeableConcept: {type: CodeableConcept, choiceOf: substance, index: 4} substanceReference: type: Reference choiceOf: substance refers: ['http://hl7.org/fhir/StructureDefinition/Substance', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Substance'] index: 5 package_version: 0.1.0-alpha class: profile kind: resource url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Substance base: http://hl7.org/fhir/StructureDefinition/Substance version: null