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: MedicationActivity - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.16 resource profile.

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

1. SubstanceAdministration
InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: null)
2. SubstanceAdministration.classCode
Requirements

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

3. SubstanceAdministration.moodCode
BindingThe codes SHALL be taken from MoodCodeEvnIntFor codes, see (unbound)
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

4. SubstanceAdministration.templateId
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ extension
  • value @ extension,
5. SubstanceAdministration.templateId:primary
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) such that it

6. SubstanceAdministration.templateId:primary.root
Control1..1
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Pattern Value2.16.840.1.113883.10.20.22.4.16
7. SubstanceAdministration.templateId:primary.extension
Control1..1
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Pattern Value2014-06-09
8. SubstanceAdministration.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:1098-7500).

9. SubstanceAdministration.code
Requirements

MAY contain zero or one [0..1] code (CONF:1098-7506).

10. SubstanceAdministration.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

11. SubstanceAdministration.statusCode.code
Control1..1
BindingThe codes SHALL be taken from Medication Status
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

12. SubstanceAdministration.effectiveTime
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ operator
13. SubstanceAdministration.effectiveTime:duration
SliceNameduration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

InvariantsDefined on this element
1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). (: null)
14. SubstanceAdministration.effectiveTime:duration.value
Control0..1
Requirements

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

15. SubstanceAdministration.effectiveTime:duration.low
Control0..1
Requirements

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

16. SubstanceAdministration.effectiveTime:duration.high
Control0..1
Requirements

MAY contain zero or one [0..1] high (CONF:1098-32777).

17. SubstanceAdministration.effectiveTime:frequency
SliceNamefrequency
Control0..1
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it

InvariantsDefined on this element
1098-28499: **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (: null)
18. SubstanceAdministration.effectiveTime:frequency.operator
Control1..1
Requirements

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Pattern ValueA
19. SubstanceAdministration.repeatNumber
Requirements

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

20. SubstanceAdministration.routeCode
BindingThe 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

SHOULD 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:1098-7514).

21. SubstanceAdministration.routeCode.translation
Control0..*
BindingThe 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:1098-32950).

22. SubstanceAdministration.approachSiteCode
Control0..1*
BindingThe 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 one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

23. SubstanceAdministration.doseQuantity
Control10..1
Requirements

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

InvariantsDefined on this element
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). (: null)
1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is simply "metoprolol"), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). (: null)
24. SubstanceAdministration.doseQuantity.unit
Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Requirements

This doseQuantity 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:1098-7526).

25. SubstanceAdministration.rateQuantity
Requirements

MAY contain zero or one [0..1] rateQuantity (CONF:1098-7517).

26. SubstanceAdministration.rateQuantity.unit
Control1..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Requirements

The rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).

27. SubstanceAdministration.maxDoseQuantity
Requirements

MAY contain zero or one [0..1] maxDoseQuantity (CONF:1098-7518).

28. SubstanceAdministration.administrationUnitCode
BindingThe codes SHALL be taken from AdministrationUnitDoseFormThe codes SHALL be taken from AdministrableDrugForm; other codes may be used where these codes are not suitable
Requirements

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1098-7519).

29. SubstanceAdministration.consumable
Requirements

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

30. SubstanceAdministration.consumable.manufacturedProduct
Typehttp://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(MedicationInformation)
Requirements

This consumable SHALL contain exactly one [1..1] Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

31. SubstanceAdministration.performer
Control0..1*
Requirements

MAY contain zero or one [0..1] performer (CONF:1098-7522).

32. SubstanceAdministration.author
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

33. SubstanceAdministration.participant
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ participantRole
  • value @ participantRole,
34. SubstanceAdministration.participant:drugVehicle
SliceNamedrugVehicle
Control0..*
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

35. SubstanceAdministration.participant:drugVehicle.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

Pattern ValueCSM
36. SubstanceAdministration.participant:drugVehicle.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(DrugVehicle)
Requirements

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

37. SubstanceAdministration.entryRelationship
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ substanceAdministration
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
38. SubstanceAdministration.entryRelationship:indication
SliceNameindication
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

39. SubstanceAdministration.entryRelationship:indication.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

Pattern ValueRSON
40. SubstanceAdministration.entryRelationship:indication.observation
Control1..1
Typehttp://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:1098-16087).

41. SubstanceAdministration.entryRelationship:instruction
SliceNameinstruction
Control0..1
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

42. SubstanceAdministration.entryRelationship:instruction.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

Pattern ValueSUBJ
43. SubstanceAdministration.entryRelationship:instruction.inversionInd
Control1..1
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

Pattern Valuetrue
44. SubstanceAdministration.entryRelationship:instruction.act
Control1..1
Typehttp://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:1098-31387).

45. SubstanceAdministration.entryRelationship:supplyOrder
SliceNamesupplyOrder
Control0..1
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

46. SubstanceAdministration.entryRelationship:supplyOrder.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

Pattern ValueREFR
47. SubstanceAdministration.entryRelationship:supplyOrder.supply
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationSupplyOrder)
Requirements

SHALL contain exactly one [1..1] Medication Supply Order (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

48. SubstanceAdministration.entryRelationship:medicationDispense
SliceNamemedicationDispense
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

49. SubstanceAdministration.entryRelationship:medicationDispense.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

Pattern ValueREFR
50. SubstanceAdministration.entryRelationship:medicationDispense.supply
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationDispense)
Requirements

SHALL contain exactly one [1..1] Medication Dispense (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

51. SubstanceAdministration.entryRelationship:reaction
SliceNamereaction
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

52. SubstanceAdministration.entryRelationship:reaction.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

Pattern ValueCAUS
53. SubstanceAdministration.entryRelationship:reaction.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

54. SubstanceAdministration.entryRelationship:drugMonitoring
SliceNamedrugMonitoring
Control0..1
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

55. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

Pattern ValueCOMP
56. SubstanceAdministration.entryRelationship:drugMonitoring.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(DrugMonitoringAct)
Requirements

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

57. SubstanceAdministration.entryRelationship:substanceAdministered
SliceNamesubstanceAdministered
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

58. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

Pattern ValueCOMP
59. SubstanceAdministration.entryRelationship:substanceAdministered.inversionInd
Control1..1
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

Pattern Valuetrue
60. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Control0..1
Requirements

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

61. SubstanceAdministration.entryRelationship:substanceAdministered.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(SubstanceAdministeredAct)
Requirements

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

62. SubstanceAdministration.entryRelationship:signature
SliceNamesignature
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

63. SubstanceAdministration.entryRelationship:signature.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

Pattern ValueCOMP
64. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationFreeTextSig)
Requirements

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

65. SubstanceAdministration.precondition
Requirements

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

66. SubstanceAdministration.precondition.typeCode
Control1..1
Requirements

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

Pattern ValuePRCN
67. SubstanceAdministration.precondition.criterion
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements

The precondition, if present, 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:1098-31883).

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.

Control10..1*
InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. SubstanceAdministration.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

Default ValueSBADM
Fixed ValueSBADM
3. SubstanceAdministration.moodCode
Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ extension
  • value @ extension,
5. SubstanceAdministration.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Pattern Value2.16.840.1.113883.10.20.22.4.16
7. SubstanceAdministration.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Pattern Value2014-06-09
8. SubstanceAdministration.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-7500).

9. SubstanceAdministration.code
Control0..1
BindingThe codes SHALL be taken from ActSubstanceAdministrationCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

MAY contain zero or one [0..1] code (CONF:1098-7506).

10. SubstanceAdministration.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

11. 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.

Control1..1
BindingThe codes SHALL be taken from Medication Status
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

12. SubstanceAdministration.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
13. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
14. SubstanceAdministration.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
15. SubstanceAdministration.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
16. SubstanceAdministration.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
17. SubstanceAdministration.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
18. SubstanceAdministration.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
19. SubstanceAdministration.effectiveTime
Control0..*
TypeChoice 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 Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ operator
20. SubstanceAdministration.effectiveTime:duration
SliceNameduration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

InvariantsDefined on this element
1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). (: null)
21. SubstanceAdministration.effectiveTime:duration.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

22. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

23. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

MAY contain zero or one [0..1] high (CONF:1098-32777).

24. SubstanceAdministration.effectiveTime:frequency
SliceNamefrequency
Control0..1
TypeChoice 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 Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it

InvariantsDefined on this element
1098-28499: **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (: null)
25. SubstanceAdministration.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
Requirements

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

26. SubstanceAdministration.routeCode
Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHOULD 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:1098-7514).

27. SubstanceAdministration.routeCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
28. SubstanceAdministration.routeCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
BindingThe codes SHALL be taken from Medication Route
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe 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:1098-32950).

29. SubstanceAdministration.approachSiteCode
Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

30. SubstanceAdministration.doseQuantity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

InvariantsDefined on this element
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). (: null)
1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is simply "metoprolol"), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). (: null)
31. SubstanceAdministration.doseQuantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This doseQuantity 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:1098-7526).

32. SubstanceAdministration.rateQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements

MAY contain zero or one [0..1] rateQuantity (CONF:1098-7517).

33. SubstanceAdministration.rateQuantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Control1..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).

34. SubstanceAdministration.maxDoseQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
Requirements

MAY contain zero or one [0..1] maxDoseQuantity (CONF:1098-7518).

35. SubstanceAdministration.administrationUnitCode
Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1098-7519).

36. SubstanceAdministration.consumable
Control1..1
TypeElement
Requirements

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. SubstanceAdministration.consumable.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetDirect
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCSM
Fixed ValueCSM
38. SubstanceAdministration.consumable.manufacturedProduct
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(MedicationInformation)
Requirements

This consumable SHALL contain exactly one [1..1] Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. SubstanceAdministration.performer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

MAY contain zero or one [0..1] performer (CONF:1098-7522).

40. SubstanceAdministration.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ participantRole
  • value @ participantRole,
42. SubstanceAdministration.participant:drugVehicle
SliceNamedrugVehicle
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

43. SubstanceAdministration.participant:drugVehicle.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

Pattern ValueCSM
44. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(DrugVehicle)
Requirements

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. SubstanceAdministration.entryRelationship
Control0..*
TypeElement
InvariantsDefined 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)
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ substanceAdministration
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
46. SubstanceAdministration.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
47. SubstanceAdministration.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
48. SubstanceAdministration.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

InvariantsDefined 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)
49. SubstanceAdministration.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

Pattern ValueRSON
50. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
51. SubstanceAdministration.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-16087).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
53. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
54. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
55. SubstanceAdministration.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
56. SubstanceAdministration.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
57. SubstanceAdministration.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
58. SubstanceAdministration.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
59. SubstanceAdministration.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
60. SubstanceAdministration.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

InvariantsDefined 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)
61. SubstanceAdministration.entryRelationship:instruction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

Pattern ValueSUBJ
62. SubstanceAdministration.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

Pattern Valuetrue
63. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
64. SubstanceAdministration.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
65. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
66. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
67. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
68. SubstanceAdministration.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
69. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
70. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
71. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
72. SubstanceAdministration.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-31387).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
73. SubstanceAdministration.entryRelationship:supplyOrder
SliceNamesupplyOrder
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

InvariantsDefined 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)
74. SubstanceAdministration.entryRelationship:supplyOrder.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

Pattern ValueREFR
75. SubstanceAdministration.entryRelationship:supplyOrder.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
76. SubstanceAdministration.entryRelationship:supplyOrder.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
77. SubstanceAdministration.entryRelationship:supplyOrder.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
78. SubstanceAdministration.entryRelationship:supplyOrder.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
79. SubstanceAdministration.entryRelationship:supplyOrder.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
80. SubstanceAdministration.entryRelationship:supplyOrder.supply
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationSupplyOrder)
Requirements

SHALL contain exactly one [1..1] Medication Supply Order (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. SubstanceAdministration.entryRelationship:supplyOrder.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
82. SubstanceAdministration.entryRelationship:supplyOrder.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
83. SubstanceAdministration.entryRelationship:supplyOrder.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
84. SubstanceAdministration.entryRelationship:supplyOrder.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
85. SubstanceAdministration.entryRelationship:medicationDispense
SliceNamemedicationDispense
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

InvariantsDefined 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)
86. SubstanceAdministration.entryRelationship:medicationDispense.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

Pattern ValueREFR
87. SubstanceAdministration.entryRelationship:medicationDispense.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
88. SubstanceAdministration.entryRelationship:medicationDispense.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
89. SubstanceAdministration.entryRelationship:medicationDispense.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
90. SubstanceAdministration.entryRelationship:medicationDispense.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
91. SubstanceAdministration.entryRelationship:medicationDispense.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
92. SubstanceAdministration.entryRelationship:medicationDispense.supply
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationDispense)
Requirements

SHALL contain exactly one [1..1] Medication Dispense (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

InvariantsDefined on this element
1098-9333: A supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
93. SubstanceAdministration.entryRelationship:medicationDispense.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
94. SubstanceAdministration.entryRelationship:medicationDispense.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
95. SubstanceAdministration.entryRelationship:medicationDispense.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
96. SubstanceAdministration.entryRelationship:medicationDispense.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
97. SubstanceAdministration.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

InvariantsDefined 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:reaction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

Pattern ValueCAUS
99. SubstanceAdministration.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
100. SubstanceAdministration.entryRelationship:reaction.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
101. SubstanceAdministration.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
102. SubstanceAdministration.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
103. SubstanceAdministration.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
104. SubstanceAdministration.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
105. SubstanceAdministration.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
106. SubstanceAdministration.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
107. SubstanceAdministration.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
108. SubstanceAdministration.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
109. SubstanceAdministration.entryRelationship:drugMonitoring
SliceNamedrugMonitoring
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

InvariantsDefined 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)
110. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

Pattern ValueCOMP
111. SubstanceAdministration.entryRelationship:drugMonitoring.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
112. SubstanceAdministration.entryRelationship:drugMonitoring.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
113. SubstanceAdministration.entryRelationship:drugMonitoring.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
114. SubstanceAdministration.entryRelationship:drugMonitoring.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
115. SubstanceAdministration.entryRelationship:drugMonitoring.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
116. SubstanceAdministration.entryRelationship:drugMonitoring.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
117. SubstanceAdministration.entryRelationship:drugMonitoring.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
118. SubstanceAdministration.entryRelationship:drugMonitoring.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
119. SubstanceAdministration.entryRelationship:drugMonitoring.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
120. SubstanceAdministration.entryRelationship:drugMonitoring.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(DrugMonitoringAct)
Requirements

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
121. SubstanceAdministration.entryRelationship:substanceAdministered
SliceNamesubstanceAdministered
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

InvariantsDefined 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)
122. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

Pattern ValueCOMP
123. SubstanceAdministration.entryRelationship:substanceAdministered.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

Pattern Valuetrue
124. SubstanceAdministration.entryRelationship:substanceAdministered.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
125. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
Requirements

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

126. SubstanceAdministration.entryRelationship:substanceAdministered.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
127. SubstanceAdministration.entryRelationship:substanceAdministered.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
128. SubstanceAdministration.entryRelationship:substanceAdministered.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
129. SubstanceAdministration.entryRelationship:substanceAdministered.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
130. SubstanceAdministration.entryRelationship:substanceAdministered.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
131. SubstanceAdministration.entryRelationship:substanceAdministered.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
132. SubstanceAdministration.entryRelationship:substanceAdministered.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
133. SubstanceAdministration.entryRelationship:substanceAdministered.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
134. SubstanceAdministration.entryRelationship:substanceAdministered.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(SubstanceAdministeredAct)
Requirements

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
135. SubstanceAdministration.entryRelationship:signature
SliceNamesignature
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

InvariantsDefined 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)
136. SubstanceAdministration.entryRelationship:signature.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

Pattern ValueCOMP
137. SubstanceAdministration.entryRelationship:signature.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
138. SubstanceAdministration.entryRelationship:signature.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
139. SubstanceAdministration.entryRelationship:signature.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
140. SubstanceAdministration.entryRelationship:signature.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
141. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationFreeTextSig)
Requirements

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
142. SubstanceAdministration.entryRelationship:signature.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
143. SubstanceAdministration.entryRelationship:signature.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
144. SubstanceAdministration.entryRelationship:signature.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
145. SubstanceAdministration.entryRelationship:signature.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
146. SubstanceAdministration.entryRelationship:signature.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
147. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
Requirements

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

148. SubstanceAdministration.precondition.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

Pattern ValuePRCN
149. SubstanceAdministration.precondition.criterion
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements

The precondition, if present, 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:1098-31883).

InvariantsDefined 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.

Control1..1
2. SubstanceAdministration.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

Default ValueSBADM
Fixed ValueSBADM
3. SubstanceAdministration.moodCode
Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

4. SubstanceAdministration.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. SubstanceAdministration.typeId
Control0..1
Typehttp://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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ extension
  • value @ extension,
7. SubstanceAdministration.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) 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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn 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.

Control0..1
Typestring
XML RepresentationIn 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).

Control0..1
Typeboolean
XML RepresentationIn 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Pattern Value2.16.840.1.113883.10.20.22.4.16
12. SubstanceAdministration.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Pattern Value2014-06-09
13. SubstanceAdministration.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-7500).

14. SubstanceAdministration.code
Control0..1
BindingThe codes SHALL be taken from ActSubstanceAdministrationCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

MAY contain zero or one [0..1] code (CONF:1098-7506).

15. SubstanceAdministration.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
16. SubstanceAdministration.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
17. SubstanceAdministration.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn 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.

Control1..1
BindingThe codes SHALL be taken from Medication Status
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

20. SubstanceAdministration.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
21. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn 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.

Control0..0
Typestring
XML RepresentationIn 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.

Control0..0
Typestring
XML RepresentationIn 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.

Control0..1
Typestring
XML RepresentationIn 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.

Control0..1
Typestring
XML RepresentationIn 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.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
27. SubstanceAdministration.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://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.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
29. SubstanceAdministration.effectiveTime
Control0..*
TypeChoice 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 Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ operator
30. SubstanceAdministration.effectiveTime:duration
SliceNameduration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

InvariantsDefined on this element
1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). (: )
31. SubstanceAdministration.effectiveTime:duration.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
32. SubstanceAdministration.effectiveTime:duration.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

33. SubstanceAdministration.effectiveTime:duration.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
34. SubstanceAdministration.effectiveTime:duration.operator
Definition

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
35. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

36. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

MAY contain zero or one [0..1] high (CONF:1098-32777).

37. SubstanceAdministration.effectiveTime:duration.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
38. SubstanceAdministration.effectiveTime:duration.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
39. SubstanceAdministration.effectiveTime:frequency
SliceNamefrequency
Control0..1
TypeChoice 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 Typehttp://hl7.org/fhir/cda/StructureDefinition/SXCM-TS
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it

InvariantsDefined on this element
1098-28499: **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (: )
40. SubstanceAdministration.effectiveTime:frequency.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
41. SubstanceAdministration.effectiveTime:frequency.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
42. SubstanceAdministration.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
43. SubstanceAdministration.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
Requirements

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

44. SubstanceAdministration.routeCode
Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHOULD 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:1098-7514).

45. SubstanceAdministration.routeCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
46. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
47. SubstanceAdministration.routeCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
48. SubstanceAdministration.routeCode.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
49. SubstanceAdministration.routeCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
50. SubstanceAdministration.routeCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
51. 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.

Control0..1
Typestring
XML RepresentationIn 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.
52. 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.

Control0..1
Typestring
XML RepresentationIn 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.
53. SubstanceAdministration.routeCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
54. SubstanceAdministration.routeCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
55. SubstanceAdministration.routeCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
BindingThe codes SHALL be taken from Medication Route
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe 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:1098-32950).

56. SubstanceAdministration.approachSiteCode
Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

57. SubstanceAdministration.doseQuantity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

InvariantsDefined on this element
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). (: )
1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is simply "metoprolol"), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). (: )
58. SubstanceAdministration.doseQuantity.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
59. SubstanceAdministration.doseQuantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This doseQuantity 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:1098-7526).

60. SubstanceAdministration.doseQuantity.value
Definition

The magnitude of the quantity measured in terms of the unit.

Control0..1
Typedecimal
XML RepresentationIn the XML format, this property is represented as an attribute.
61. SubstanceAdministration.doseQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
62. SubstanceAdministration.doseQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
63. 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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
64. 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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
65. SubstanceAdministration.rateQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements

MAY contain zero or one [0..1] rateQuantity (CONF:1098-7517).

66. SubstanceAdministration.rateQuantity.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
67. SubstanceAdministration.rateQuantity.unit
Definition

The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].

Control1..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).

68. SubstanceAdministration.rateQuantity.value
Definition

The magnitude of the quantity measured in terms of the unit.

Control0..1
Typedecimal
XML RepresentationIn the XML format, this property is represented as an attribute.
69. SubstanceAdministration.rateQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
70. SubstanceAdministration.rateQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
71. SubstanceAdministration.rateQuantity.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
72. SubstanceAdministration.rateQuantity.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
73. SubstanceAdministration.maxDoseQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
Requirements

MAY contain zero or one [0..1] maxDoseQuantity (CONF:1098-7518).

74. SubstanceAdministration.administrationUnitCode
Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1098-7519).

75. SubstanceAdministration.consumable
Control1..1
TypeElement
Requirements

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
76. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
77. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
78. SubstanceAdministration.consumable.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetDirect
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCSM
Fixed ValueCSM
79. SubstanceAdministration.consumable.manufacturedProduct
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(MedicationInformation)
Requirements

This consumable SHALL contain exactly one [1..1] Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
80. SubstanceAdministration.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
82. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
83. SubstanceAdministration.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
84. SubstanceAdministration.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
85. SubstanceAdministration.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
86. SubstanceAdministration.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
87. SubstanceAdministration.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
88. SubstanceAdministration.performer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

MAY contain zero or one [0..1] performer (CONF:1098-7522).

89. SubstanceAdministration.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
90. SubstanceAdministration.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
91. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
92. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
93. SubstanceAdministration.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
94. SubstanceAdministration.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
95. SubstanceAdministration.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
96. SubstanceAdministration.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
97. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ participantRole
  • value @ participantRole,
98. SubstanceAdministration.participant:drugVehicle
SliceNamedrugVehicle
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

99. SubstanceAdministration.participant:drugVehicle.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
100. SubstanceAdministration.participant:drugVehicle.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

Pattern ValueCSM
101. SubstanceAdministration.participant:drugVehicle.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
102. SubstanceAdministration.participant:drugVehicle.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
103. SubstanceAdministration.participant:drugVehicle.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
104. SubstanceAdministration.participant:drugVehicle.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
105. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
106. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
107. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
108. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(DrugVehicle)
Requirements

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
109. SubstanceAdministration.entryRelationship
Control0..*
TypeElement
InvariantsDefined 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)
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ substanceAdministration
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
  • profile @ substanceAdministration,
110. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
111. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
112. SubstanceAdministration.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
113. SubstanceAdministration.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
114. SubstanceAdministration.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
115. SubstanceAdministration.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
116. SubstanceAdministration.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
117. SubstanceAdministration.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
118. SubstanceAdministration.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
119. SubstanceAdministration.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
120. SubstanceAdministration.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
121. SubstanceAdministration.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
122. SubstanceAdministration.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
123. SubstanceAdministration.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
124. SubstanceAdministration.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
125. SubstanceAdministration.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
126. SubstanceAdministration.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
127. SubstanceAdministration.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

InvariantsDefined 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)
128. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
129. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
130. SubstanceAdministration.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

Pattern ValueRSON
131. SubstanceAdministration.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
132. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
133. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
134. SubstanceAdministration.entryRelationship:indication.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
135. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
136. SubstanceAdministration.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-16087).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
137. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
138. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
139. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
140. SubstanceAdministration.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
141. SubstanceAdministration.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
142. SubstanceAdministration.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
143. SubstanceAdministration.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
144. SubstanceAdministration.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
145. SubstanceAdministration.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

InvariantsDefined 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)
146. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
147. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
148. SubstanceAdministration.entryRelationship:instruction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

Pattern ValueSUBJ
149. SubstanceAdministration.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

Pattern Valuetrue
150. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
151. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
152. SubstanceAdministration.entryRelationship:instruction.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
153. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
154. SubstanceAdministration.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
155. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
156. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
157. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
158. SubstanceAdministration.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
159. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
160. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
161. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
162. SubstanceAdministration.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-31387).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
163. SubstanceAdministration.entryRelationship:supplyOrder
SliceNamesupplyOrder
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

InvariantsDefined 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)
164. SubstanceAdministration.entryRelationship:supplyOrder.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
165. SubstanceAdministration.entryRelationship:supplyOrder.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
166. SubstanceAdministration.entryRelationship:supplyOrder.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

Pattern ValueREFR
167. SubstanceAdministration.entryRelationship:supplyOrder.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
168. SubstanceAdministration.entryRelationship:supplyOrder.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
169. SubstanceAdministration.entryRelationship:supplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
170. SubstanceAdministration.entryRelationship:supplyOrder.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
171. SubstanceAdministration.entryRelationship:supplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
172. SubstanceAdministration.entryRelationship:supplyOrder.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
173. SubstanceAdministration.entryRelationship:supplyOrder.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
174. SubstanceAdministration.entryRelationship:supplyOrder.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
175. SubstanceAdministration.entryRelationship:supplyOrder.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
176. SubstanceAdministration.entryRelationship:supplyOrder.supply
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationSupplyOrder)
Requirements

SHALL contain exactly one [1..1] Medication Supply Order (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
177. SubstanceAdministration.entryRelationship:supplyOrder.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
178. SubstanceAdministration.entryRelationship:supplyOrder.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
179. SubstanceAdministration.entryRelationship:supplyOrder.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
180. SubstanceAdministration.entryRelationship:supplyOrder.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
181. SubstanceAdministration.entryRelationship:medicationDispense
SliceNamemedicationDispense
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

InvariantsDefined 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)
182. SubstanceAdministration.entryRelationship:medicationDispense.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
183. SubstanceAdministration.entryRelationship:medicationDispense.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
184. SubstanceAdministration.entryRelationship:medicationDispense.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

Pattern ValueREFR
185. SubstanceAdministration.entryRelationship:medicationDispense.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
186. SubstanceAdministration.entryRelationship:medicationDispense.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
187. SubstanceAdministration.entryRelationship:medicationDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
188. SubstanceAdministration.entryRelationship:medicationDispense.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
189. SubstanceAdministration.entryRelationship:medicationDispense.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
190. SubstanceAdministration.entryRelationship:medicationDispense.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
191. SubstanceAdministration.entryRelationship:medicationDispense.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
192. SubstanceAdministration.entryRelationship:medicationDispense.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
193. SubstanceAdministration.entryRelationship:medicationDispense.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
194. SubstanceAdministration.entryRelationship:medicationDispense.supply
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationDispense)
Requirements

SHALL contain exactly one [1..1] Medication Dispense (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

InvariantsDefined on this element
1098-9333: A supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333). (: )
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
195. SubstanceAdministration.entryRelationship:medicationDispense.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
196. SubstanceAdministration.entryRelationship:medicationDispense.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
197. SubstanceAdministration.entryRelationship:medicationDispense.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
198. SubstanceAdministration.entryRelationship:medicationDispense.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
199. SubstanceAdministration.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

InvariantsDefined 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)
200. SubstanceAdministration.entryRelationship:reaction.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
201. SubstanceAdministration.entryRelationship:reaction.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
202. SubstanceAdministration.entryRelationship:reaction.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

Pattern ValueCAUS
203. SubstanceAdministration.entryRelationship:reaction.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
204. SubstanceAdministration.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
205. SubstanceAdministration.entryRelationship:reaction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
206. SubstanceAdministration.entryRelationship:reaction.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
207. SubstanceAdministration.entryRelationship:reaction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
208. SubstanceAdministration.entryRelationship:reaction.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
209. SubstanceAdministration.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
210. SubstanceAdministration.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
211. SubstanceAdministration.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
212. SubstanceAdministration.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
213. SubstanceAdministration.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
214. SubstanceAdministration.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
215. SubstanceAdministration.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
216. SubstanceAdministration.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
217. SubstanceAdministration.entryRelationship:drugMonitoring
SliceNamedrugMonitoring
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

InvariantsDefined 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)
218. SubstanceAdministration.entryRelationship:drugMonitoring.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
219. SubstanceAdministration.entryRelationship:drugMonitoring.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
220. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

Pattern ValueCOMP
221. SubstanceAdministration.entryRelationship:drugMonitoring.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
222. SubstanceAdministration.entryRelationship:drugMonitoring.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
223. SubstanceAdministration.entryRelationship:drugMonitoring.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
224. SubstanceAdministration.entryRelationship:drugMonitoring.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
225. SubstanceAdministration.entryRelationship:drugMonitoring.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
226. SubstanceAdministration.entryRelationship:drugMonitoring.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
227. SubstanceAdministration.entryRelationship:drugMonitoring.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
228. SubstanceAdministration.entryRelationship:drugMonitoring.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
229. SubstanceAdministration.entryRelationship:drugMonitoring.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
230. SubstanceAdministration.entryRelationship:drugMonitoring.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
231. SubstanceAdministration.entryRelationship:drugMonitoring.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
232. SubstanceAdministration.entryRelationship:drugMonitoring.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
233. SubstanceAdministration.entryRelationship:drugMonitoring.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
234. SubstanceAdministration.entryRelationship:drugMonitoring.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(DrugMonitoringAct)
Requirements

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
235. SubstanceAdministration.entryRelationship:substanceAdministered
SliceNamesubstanceAdministered
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

InvariantsDefined 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)
236. SubstanceAdministration.entryRelationship:substanceAdministered.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
237. SubstanceAdministration.entryRelationship:substanceAdministered.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
238. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

Pattern ValueCOMP
239. SubstanceAdministration.entryRelationship:substanceAdministered.inversionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

Pattern Valuetrue
240. SubstanceAdministration.entryRelationship:substanceAdministered.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
241. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
Requirements

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

242. SubstanceAdministration.entryRelationship:substanceAdministered.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
243. SubstanceAdministration.entryRelationship:substanceAdministered.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
244. SubstanceAdministration.entryRelationship:substanceAdministered.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
245. SubstanceAdministration.entryRelationship:substanceAdministered.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
246. SubstanceAdministration.entryRelationship:substanceAdministered.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
247. SubstanceAdministration.entryRelationship:substanceAdministered.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
248. SubstanceAdministration.entryRelationship:substanceAdministered.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
249. SubstanceAdministration.entryRelationship:substanceAdministered.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
250. SubstanceAdministration.entryRelationship:substanceAdministered.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
251. SubstanceAdministration.entryRelationship:substanceAdministered.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
252. SubstanceAdministration.entryRelationship:substanceAdministered.act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(SubstanceAdministeredAct)
Requirements

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
253. SubstanceAdministration.entryRelationship:signature
SliceNamesignature
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

InvariantsDefined 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)
254. SubstanceAdministration.entryRelationship:signature.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
255. SubstanceAdministration.entryRelationship:signature.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
256. SubstanceAdministration.entryRelationship:signature.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

Pattern ValueCOMP
257. SubstanceAdministration.entryRelationship:signature.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
258. SubstanceAdministration.entryRelationship:signature.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
259. SubstanceAdministration.entryRelationship:signature.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
260. SubstanceAdministration.entryRelationship:signature.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
261. SubstanceAdministration.entryRelationship:signature.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
262. SubstanceAdministration.entryRelationship:signature.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
263. SubstanceAdministration.entryRelationship:signature.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
264. SubstanceAdministration.entryRelationship:signature.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
265. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationFreeTextSig)
Requirements

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
266. SubstanceAdministration.entryRelationship:signature.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
267. SubstanceAdministration.entryRelationship:signature.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
268. SubstanceAdministration.entryRelationship:signature.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
269. SubstanceAdministration.entryRelationship:signature.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
270. SubstanceAdministration.entryRelationship:signature.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
271. SubstanceAdministration.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
272. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
273. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
274. SubstanceAdministration.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
275. SubstanceAdministration.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
276. SubstanceAdministration.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
277. SubstanceAdministration.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
278. SubstanceAdministration.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
279. SubstanceAdministration.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
280. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
Requirements

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

281. SubstanceAdministration.precondition.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
282. SubstanceAdministration.precondition.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

Pattern ValuePRCN
283. SubstanceAdministration.precondition.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
284. SubstanceAdministration.precondition.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
285. SubstanceAdministration.precondition.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
286. SubstanceAdministration.precondition.criterion
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements

The precondition, if present, 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:1098-31883).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))