Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

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: Planned Immunization Activity

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.120 Version: 2.1.0-draft1
Active as of 2023-01-16 Computable Name: PlannedImmunizationActivity
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.4.120

This template represents planned immunizations. Planned Immunization Activity is very similar to Planned Medication Activity with some key differences, for example, the drug code system is constrained to CVX codes. The priority of the immunization activity to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the immunization activity is intended to take place and authorTime indicates when the documentation of the plan occurred.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CDAR2.SubstanceAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeRequired Pattern: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TSThe effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... consumable 1..1Element
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... Slices for entryRelationship 0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:priorityPreference 0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... act 1..1InstructionBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... typeCode 1..1codeRequired Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... consumable 1..1Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... Slices for entryRelationship C0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:priorityPreference C0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication C0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:priorityPreference, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instructionOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
..... extension 0..1string
... id 1..*II
... code 0..1CDBinding: ActSubstanceAdministrationCode (extensible)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
.... value 0..1decimal
.... low 0..1PQ
.... high 0..1PQ
.... width 0..1PQ
.... center 0..1PQ
... rateQuantity 0..1IVL_PQ
... maxDoseQuantity 0..1RTO_PQ_PQ
... administrationUnitCode 0..1CEBinding: AdministrableDrugForm (extensible)
... consumable 1..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:priorityPreference C0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication C0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.templateId:primary.nullFlavorrequiredNullFlavor
SubstanceAdministration.codeextensibleActSubstanceAdministrationCode
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.statusCode.nullFlavorrequiredNullFlavor
SubstanceAdministration.priorityCodeextensibleActPriority
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.nullFlavorrequiredNullFlavor
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.nullFlavorrequiredNullFlavor
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCodeextensibleAdministrableDrugForm
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.subject.typeCoderequiredFixed Value: SBJ
SubstanceAdministration.subject.contextControlCoderequiredFixed Value: OP
SubstanceAdministration.subject.awarenessCodeextensibleTargetAwareness
SubstanceAdministration.informant.typeCoderequiredFixed Value: INF
SubstanceAdministration.informant.contextControlCoderequiredFixed Value: OP
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.nullFlavorrequiredNullFlavor
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:priorityPreference, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instructionOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.SubstanceAdministration

Summary

Mandatory: 10 elements (8 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element SubstanceAdministration.templateId is sliced based on the value of value:root
  • The element SubstanceAdministration.entryRelationship is sliced based on the values of profile:observation, profile:act
  • The element SubstanceAdministration.precondition is sliced based on the value of profile:criterion

Differential View

This structure is derived from CDAR2.SubstanceAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeRequired Pattern: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TSThe effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... consumable 1..1Element
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... Slices for entryRelationship 0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:priorityPreference 0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... act 1..1InstructionBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... typeCode 1..1codeRequired Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... consumable 1..1Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... Slices for entryRelationship C0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:priorityPreference C0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication C0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..*Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:priorityPreference, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instructionOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: Planned moodCode (SubstanceAdministration/Supply) (required)
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.120
..... extension 0..1string
... id 1..*II
... code 0..1CDBinding: ActSubstanceAdministrationCode (extensible)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur.
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INTIn a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..*CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
.... value 0..1decimal
.... low 0..1PQ
.... high 0..1PQ
.... width 0..1PQ
.... center 0..1PQ
... rateQuantity 0..1IVL_PQ
... maxDoseQuantity 0..1RTO_PQ_PQ
... administrationUnitCode 0..1CEBinding: AdministrableDrugForm (extensible)
... consumable 1..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer.
... author 0..*AuthorParticipationThe author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity.
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementThe following entryRelationship captures any instructions associated with the planned immunization activity.
Slice: Unordered, Open by profile:observation, profile:act
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:priorityPreference C0..*ElementThe following entryRelationship represents the priority that a patient or a provider places on the immunization activity.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication C0..*ElementThe following entryRelationship represents the indication for the immunization activity.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:pronditionForSubstanceAdmin 0..*Precondition
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredPlanned moodCode (SubstanceAdministration/Supply)
SubstanceAdministration.templateId:primary.nullFlavorrequiredNullFlavor
SubstanceAdministration.codeextensibleActSubstanceAdministrationCode
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.statusCode.nullFlavorrequiredNullFlavor
SubstanceAdministration.priorityCodeextensibleActPriority
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.nullFlavorrequiredNullFlavor
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.nullFlavorrequiredNullFlavor
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCodeextensibleAdministrableDrugForm
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.subject.typeCoderequiredFixed Value: SBJ
SubstanceAdministration.subject.contextControlCoderequiredFixed Value: OP
SubstanceAdministration.subject.awarenessCodeextensibleTargetAwareness
SubstanceAdministration.informant.typeCoderequiredFixed Value: INF
SubstanceAdministration.informant.contextControlCoderequiredFixed Value: OP
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.nullFlavorrequiredNullFlavor
SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:priorityPreference, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instructionOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.SubstanceAdministration

Summary

Mandatory: 10 elements (8 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element SubstanceAdministration.templateId is sliced based on the value of value:root
  • The element SubstanceAdministration.entryRelationship is sliced based on the values of profile:observation, profile:act
  • The element SubstanceAdministration.precondition is sliced based on the value of profile:criterion

 

​Other representations of profile: CSV, Excel, Schematron