HL7.CDA.US.CCDA\Planned Immunization Activity - Definitions

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: PlannedImmunizationActivity - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.120 resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here.

1. SubstanceAdministration
2. SubstanceAdministration.classCode
Requirements	SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:1098-32091).
Pattern Value	SBADM
3. SubstanceAdministration.moodCode
Binding	The codes SHALL be taken from Planned moodCode (SubstanceAdministration/Supply)For codes, see (unbound)
Requirements	SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2014-09-01 (CONF:1098-32097).
4. SubstanceAdministration.templateId
Slicing	This element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root
5. SubstanceAdministration.templateId:primary
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-32098) such that it
6. SubstanceAdministration.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.120" (CONF:1098-32099).
Pattern Value	2.16.840.1.113883.10.20.22.4.120
7. SubstanceAdministration.id
Control	10..*
Requirements	SHALL contain at least one [1..*] id (CONF:1098-32100).
8. SubstanceAdministration.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-32101).
9. SubstanceAdministration.statusCode.code
Control	1..1
Requirements	This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32102).
Pattern Value	active
10. SubstanceAdministration.effectiveTime
Control	10..1*
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32103).
11. SubstanceAdministration.repeatNumber
Requirements	MAY contain zero or one [0..1] repeatNumber (CONF:1098-32126).
12. SubstanceAdministration.routeCode
Binding	The codes SHALL be taken from SPL Drug Route of Administration TerminologyThe codes SHALL be taken from RouteOfAdministration; other codes may be used where these codes are not suitable
Requirements	MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-32127).
13. SubstanceAdministration.routeCode.translation
Control	0..*
Binding	The codes SHALL be taken from Medication Route
Requirements	The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32951).
14. SubstanceAdministration.approachSiteCode
Binding	The codes SHALL be taken from Body Site Value SetThe codes SHALL be taken from http://terminology.hl7.org/ValueSet/v3-ActSite; other codes may be used where these codes are not suitable
Requirements	MAY contain zero or more [0..*] approachSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32128).
15. SubstanceAdministration.doseQuantity
Requirements	MAY contain zero or one [0..1] doseQuantity (CONF:1098-32129).
16. SubstanceAdministration.doseQuantity.unit
Control	0..1
Binding	The codes SHALL be taken from UnitsOfMeasureCaseSensitive
Requirements	The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32130).
17. SubstanceAdministration.consumable
Requirements	SHALL contain exactly one [1..1] consumable (CONF:1098-32131).
18. SubstanceAdministration.consumable.manufacturedProduct
Type	http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(ImmunizationMedicationInformation)
Requirements	This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1098-32132).
19. SubstanceAdministration.performer
Requirements	MAY contain zero or more [0..*] performer (CONF:1098-32104).
20. SubstanceAdministration.author
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	MAY contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32105).
21. SubstanceAdministration.entryRelationship
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ observation,
22. SubstanceAdministration.entryRelationship:priorityPreference
SliceName	priorityPreference
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32108) such that it
23. SubstanceAdministration.entryRelationship:priorityPreference.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32109).
Pattern Value	REFR
24. SubstanceAdministration.entryRelationship:priorityPreference.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-32110).
25. SubstanceAdministration.entryRelationship:indication
SliceName	indication
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32114) such that it
26. SubstanceAdministration.entryRelationship:indication.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32115).
Pattern Value	RSON
27. SubstanceAdministration.entryRelationship:indication.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32116).
28. SubstanceAdministration.entryRelationship:instruction
SliceName	instruction
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32117) such that it
29. SubstanceAdministration.entryRelationship:instruction.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32118).
Pattern Value	SUBJ
30. SubstanceAdministration.entryRelationship:instruction.act
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32119).
31. SubstanceAdministration.precondition
Slicing	This element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ criterion
32. SubstanceAdministration.precondition:pronditionForSubstanceAdmin
SliceName	pronditionForSubstanceAdmin
Control	0..*
Requirements	MAY contain zero or more [0..*] precondition (CONF:1098-32123) such that it
33. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="PRCN" Precondition (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32124).
Pattern Value	PRCN
34. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.criterion
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements	SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-32125).

Guidance on how to interpret the contents of this table can be found here.

1. SubstanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	10..1*
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. SubstanceAdministration.classCode
Control	1..1
Binding	The codes SHALL be taken from ActClass
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:1098-32091).
Default Value	SBADM
Fixed Value	SBADM
Pattern Value	SBADM
3. SubstanceAdministration.moodCode
Control	1..1
Binding	The codes SHALL be taken from Planned moodCode (SubstanceAdministration/Supply)
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2014-09-01 (CONF:1098-32097).
4. SubstanceAdministration.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root
5. SubstanceAdministration.templateId:primary
SliceName	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-32098) such that it
6. SubstanceAdministration.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.120" (CONF:1098-32099).
Pattern Value	2.16.840.1.113883.10.20.22.4.120
7. SubstanceAdministration.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-32100).
8. SubstanceAdministration.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-32101).
9. SubstanceAdministration.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32102).
Pattern Value	active
10. SubstanceAdministration.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
11. SubstanceAdministration.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
12. SubstanceAdministration.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
13. SubstanceAdministration.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
14. SubstanceAdministration.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
15. SubstanceAdministration.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
16. SubstanceAdministration.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
17. SubstanceAdministration.effectiveTime
Control	1..1
Type	Choice of: http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32103).
18. SubstanceAdministration.repeatNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-INT
Requirements	MAY contain zero or one [0..1] repeatNumber (CONF:1098-32126).
19. SubstanceAdministration.routeCode
Control	0..1
Binding	The codes SHALL be taken from SPL Drug Route of Administration Terminology
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-32127).
20. SubstanceAdministration.routeCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
21. SubstanceAdministration.routeCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Binding	The codes SHALL be taken from Medication Route
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32951).
22. SubstanceAdministration.approachSiteCode
Control	0..*
Binding	The codes SHALL be taken from Body Site Value Set
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	MAY contain zero or more [0..*] approachSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32128).
23. SubstanceAdministration.doseQuantity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements	MAY contain zero or one [0..1] doseQuantity (CONF:1098-32129).
24. SubstanceAdministration.doseQuantity.unit
Definition	The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].
Control	0..1
Binding	The codes SHALL be taken from UnitsOfMeasureCaseSensitive
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32130).
25. SubstanceAdministration.consumable
Control	1..1
Type	Element
Requirements	SHALL contain exactly one [1..1] consumable (CONF:1098-32131).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. SubstanceAdministration.consumable.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetDirect
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	CSM
Fixed Value	CSM
27. SubstanceAdministration.consumable.manufacturedProduct
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(ImmunizationMedicationInformation)
Requirements	This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1098-32132).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. SubstanceAdministration.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements	MAY contain zero or more [0..*] performer (CONF:1098-32104).
29. SubstanceAdministration.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	MAY contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32105).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. SubstanceAdministration.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ observation,
31. SubstanceAdministration.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
32. SubstanceAdministration.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
33. SubstanceAdministration.entryRelationship:priorityPreference
SliceName	priorityPreference
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32108) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
34. SubstanceAdministration.entryRelationship:priorityPreference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32109).
Pattern Value	REFR
35. SubstanceAdministration.entryRelationship:priorityPreference.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
36. SubstanceAdministration.entryRelationship:priorityPreference.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-32110).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. SubstanceAdministration.entryRelationship:priorityPreference.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
38. SubstanceAdministration.entryRelationship:priorityPreference.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
39. SubstanceAdministration.entryRelationship:priorityPreference.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
40. SubstanceAdministration.entryRelationship:priorityPreference.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
41. SubstanceAdministration.entryRelationship:priorityPreference.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
42. SubstanceAdministration.entryRelationship:priorityPreference.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
43. SubstanceAdministration.entryRelationship:priorityPreference.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
44. SubstanceAdministration.entryRelationship:priorityPreference.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
45. SubstanceAdministration.entryRelationship:indication
SliceName	indication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32114) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
46. SubstanceAdministration.entryRelationship:indication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32115).
Pattern Value	RSON
47. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
48. SubstanceAdministration.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32116).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
50. SubstanceAdministration.entryRelationship:indication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
51. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
52. SubstanceAdministration.entryRelationship:indication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
53. SubstanceAdministration.entryRelationship:indication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
54. SubstanceAdministration.entryRelationship:indication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
55. SubstanceAdministration.entryRelationship:indication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
56. SubstanceAdministration.entryRelationship:indication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
57. SubstanceAdministration.entryRelationship:instruction
SliceName	instruction
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32117) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
58. SubstanceAdministration.entryRelationship:instruction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32118).
Pattern Value	SUBJ
59. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
60. SubstanceAdministration.entryRelationship:instruction.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
61. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
62. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
63. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
64. SubstanceAdministration.entryRelationship:instruction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
65. SubstanceAdministration.entryRelationship:instruction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
66. SubstanceAdministration.entryRelationship:instruction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
67. SubstanceAdministration.entryRelationship:instruction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
68. SubstanceAdministration.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32119).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. SubstanceAdministration.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition
Slicing	This element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ criterion
70. SubstanceAdministration.precondition:pronditionForSubstanceAdmin
SliceName	pronditionForSubstanceAdmin
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition
Requirements	MAY contain zero or more [0..*] precondition (CONF:1098-32123) such that it
71. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode
Control	1..1
Binding	The codes SHALL be taken from ActRelationshipType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="PRCN" Precondition (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32124).
Pattern Value	PRCN
72. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.criterion
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements	SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-32125).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. SubstanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
2. SubstanceAdministration.classCode
Control	1..1
Binding	The codes SHALL be taken from ActClass
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:1098-32091).
Default Value	SBADM
Fixed Value	SBADM
Pattern Value	SBADM
3. SubstanceAdministration.moodCode
Control	1..1
Binding	The codes SHALL be taken from Planned moodCode (SubstanceAdministration/Supply)
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2014-09-01 (CONF:1098-32097).
4. SubstanceAdministration.realmCode
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
5. SubstanceAdministration.typeId
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
6. SubstanceAdministration.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root
7. SubstanceAdministration.templateId:primary
SliceName	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-32098) such that it
8. SubstanceAdministration.templateId:primary.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
9. SubstanceAdministration.templateId:primary.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
10. SubstanceAdministration.templateId:primary.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
11. SubstanceAdministration.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.120" (CONF:1098-32099).
Pattern Value	2.16.840.1.113883.10.20.22.4.120
12. SubstanceAdministration.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
13. SubstanceAdministration.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-32100).
14. SubstanceAdministration.code
Control	0..1
Binding	The codes SHALL be taken from ActSubstanceAdministrationCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
15. SubstanceAdministration.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
16. SubstanceAdministration.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
17. SubstanceAdministration.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-32101).
18. SubstanceAdministration.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
19. SubstanceAdministration.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32102).
Pattern Value	active
20. SubstanceAdministration.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
21. SubstanceAdministration.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
22. SubstanceAdministration.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
23. SubstanceAdministration.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
24. SubstanceAdministration.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSet`.
25. SubstanceAdministration.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSetVersion`.
26. SubstanceAdministration.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
27. SubstanceAdministration.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
28. SubstanceAdministration.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
29. SubstanceAdministration.effectiveTime
Control	1..1
Type	Choice of: http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32103).
30. SubstanceAdministration.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
31. SubstanceAdministration.repeatNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-INT
Requirements	MAY contain zero or one [0..1] repeatNumber (CONF:1098-32126).
32. SubstanceAdministration.routeCode
Control	0..1
Binding	The codes SHALL be taken from SPL Drug Route of Administration Terminology
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-32127).
33. SubstanceAdministration.routeCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
34. SubstanceAdministration.routeCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
35. SubstanceAdministration.routeCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
36. SubstanceAdministration.routeCode.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
37. SubstanceAdministration.routeCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
38. SubstanceAdministration.routeCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
39. SubstanceAdministration.routeCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSet`.
40. SubstanceAdministration.routeCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `valueSetVersion`.
41. SubstanceAdministration.routeCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
42. SubstanceAdministration.routeCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
43. SubstanceAdministration.routeCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Binding	The codes SHALL be taken from Medication Route
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32951).
44. SubstanceAdministration.approachSiteCode
Control	0..*
Binding	The codes SHALL be taken from Body Site Value Set
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	MAY contain zero or more [0..*] approachSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32128).
45. SubstanceAdministration.doseQuantity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements	MAY contain zero or one [0..1] doseQuantity (CONF:1098-32129).
46. SubstanceAdministration.doseQuantity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
47. SubstanceAdministration.doseQuantity.unit
Definition	The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].
Control	0..1
Binding	The codes SHALL be taken from UnitsOfMeasureCaseSensitive
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32130).
48. SubstanceAdministration.doseQuantity.value
Definition	The magnitude of the quantity measured in terms of the unit.
Control	0..1
Type	decimal
XML Representation	In the XML format, this property is represented as an attribute.
49. SubstanceAdministration.doseQuantity.low
Definition	This is the low limit of the interval.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
50. SubstanceAdministration.doseQuantity.high
Definition	This is the high limit of the interval.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
51. SubstanceAdministration.doseQuantity.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
52. SubstanceAdministration.doseQuantity.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
53. SubstanceAdministration.rateQuantity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
54. SubstanceAdministration.maxDoseQuantity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
55. SubstanceAdministration.administrationUnitCode
Control	0..1
Binding	The codes SHALL be taken from AdministrableDrugForm; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
56. SubstanceAdministration.consumable
Control	1..1
Type	Element
Requirements	SHALL contain exactly one [1..1] consumable (CONF:1098-32131).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
57. SubstanceAdministration.consumable.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
58. SubstanceAdministration.consumable.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.consumable.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
59. SubstanceAdministration.consumable.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetDirect
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	CSM
Fixed Value	CSM
60. SubstanceAdministration.consumable.manufacturedProduct
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(ImmunizationMedicationInformation)
Requirements	This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1098-32132).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. SubstanceAdministration.subject
Control	0..1
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
62. SubstanceAdministration.subject.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
63. SubstanceAdministration.subject.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
64. SubstanceAdministration.subject.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetSubject
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	SBJ
Fixed Value	SBJ
65. SubstanceAdministration.subject.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
66. SubstanceAdministration.subject.awarenessCode
Control	0..1
Binding	The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
67. SubstanceAdministration.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
68. SubstanceAdministration.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
69. SubstanceAdministration.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements	MAY contain zero or more [0..*] performer (CONF:1098-32104).
70. SubstanceAdministration.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	MAY contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32105).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
71. SubstanceAdministration.informant
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
72. SubstanceAdministration.informant.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
73. SubstanceAdministration.informant.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
74. SubstanceAdministration.informant.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationInformationGenerator
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INF
Fixed Value	INF
75. SubstanceAdministration.informant.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
76. SubstanceAdministration.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
77. SubstanceAdministration.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
78. SubstanceAdministration.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
79. SubstanceAdministration.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ observation,
80. SubstanceAdministration.entryRelationship.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
81. SubstanceAdministration.entryRelationship.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
82. SubstanceAdministration.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
83. SubstanceAdministration.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
84. SubstanceAdministration.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
85. SubstanceAdministration.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
86. SubstanceAdministration.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
87. SubstanceAdministration.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
88. SubstanceAdministration.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
89. SubstanceAdministration.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
90. SubstanceAdministration.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
91. SubstanceAdministration.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
92. SubstanceAdministration.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
93. SubstanceAdministration.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
94. SubstanceAdministration.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
95. SubstanceAdministration.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
96. SubstanceAdministration.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
97. SubstanceAdministration.entryRelationship:priorityPreference
SliceName	priorityPreference
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32108) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
98. SubstanceAdministration.entryRelationship:priorityPreference.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
99. SubstanceAdministration.entryRelationship:priorityPreference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
100. SubstanceAdministration.entryRelationship:priorityPreference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32109).
Pattern Value	REFR
101. SubstanceAdministration.entryRelationship:priorityPreference.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
102. SubstanceAdministration.entryRelationship:priorityPreference.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
103. SubstanceAdministration.entryRelationship:priorityPreference.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
104. SubstanceAdministration.entryRelationship:priorityPreference.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
105. SubstanceAdministration.entryRelationship:priorityPreference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
106. SubstanceAdministration.entryRelationship:priorityPreference.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-32110).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
107. SubstanceAdministration.entryRelationship:priorityPreference.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
108. SubstanceAdministration.entryRelationship:priorityPreference.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
109. SubstanceAdministration.entryRelationship:priorityPreference.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
110. SubstanceAdministration.entryRelationship:priorityPreference.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
111. SubstanceAdministration.entryRelationship:priorityPreference.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
112. SubstanceAdministration.entryRelationship:priorityPreference.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
113. SubstanceAdministration.entryRelationship:priorityPreference.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
114. SubstanceAdministration.entryRelationship:priorityPreference.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
115. SubstanceAdministration.entryRelationship:indication
SliceName	indication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32114) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
116. SubstanceAdministration.entryRelationship:indication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
117. SubstanceAdministration.entryRelationship:indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
118. SubstanceAdministration.entryRelationship:indication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32115).
Pattern Value	RSON
119. SubstanceAdministration.entryRelationship:indication.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
120. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
121. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
122. SubstanceAdministration.entryRelationship:indication.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
123. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
124. SubstanceAdministration.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32116).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
125. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
126. SubstanceAdministration.entryRelationship:indication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
127. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
128. SubstanceAdministration.entryRelationship:indication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
129. SubstanceAdministration.entryRelationship:indication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
130. SubstanceAdministration.entryRelationship:indication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
131. SubstanceAdministration.entryRelationship:indication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
132. SubstanceAdministration.entryRelationship:indication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
133. SubstanceAdministration.entryRelationship:instruction
SliceName	instruction
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32117) such that it
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1)
134. SubstanceAdministration.entryRelationship:instruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
135. SubstanceAdministration.entryRelationship:instruction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
136. SubstanceAdministration.entryRelationship:instruction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32118).
Pattern Value	SUBJ
137. SubstanceAdministration.entryRelationship:instruction.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
138. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
139. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
140. SubstanceAdministration.entryRelationship:instruction.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
141. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
142. SubstanceAdministration.entryRelationship:instruction.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
143. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
144. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
145. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
146. SubstanceAdministration.entryRelationship:instruction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
147. SubstanceAdministration.entryRelationship:instruction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
148. SubstanceAdministration.entryRelationship:instruction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
149. SubstanceAdministration.entryRelationship:instruction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
150. SubstanceAdministration.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32119).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
151. SubstanceAdministration.reference
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
152. SubstanceAdministration.reference.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
153. SubstanceAdministration.reference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on SubstanceAdministration.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
154. SubstanceAdministration.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
155. SubstanceAdministration.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
156. SubstanceAdministration.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
157. SubstanceAdministration.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
158. SubstanceAdministration.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
159. SubstanceAdministration.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
160. SubstanceAdministration.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition
Slicing	This element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ criterion
161. SubstanceAdministration.precondition:pronditionForSubstanceAdmin
SliceName	pronditionForSubstanceAdmin
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition
Requirements	MAY contain zero or more [0..*] precondition (CONF:1098-32123) such that it
162. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
163. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode
Control	1..1
Binding	The codes SHALL be taken from ActRelationshipType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="PRCN" Precondition (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32124).
Pattern Value	PRCN
164. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
165. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
166. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
167. SubstanceAdministration.precondition:pronditionForSubstanceAdmin.criterion
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements	SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-32125).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))