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: Immunization Activity

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.52 Version: 2.1.0-draft1
Active as of 2023-01-16 Computable Name: ImmunizationActivity
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.52:2015-08-01

An Immunization Activity describes immunization substance administrations that have actually occurred or are intended to occur. Immunization Activities in “INT” mood are reflections of immunizations a clinician intends a patient to receive. Immunization Activities in “EVN” mood reflect immunizations actually received.

An Immunization Activity is very similar to a Medication Activity with some key differentiators. The drug code system is constrained to CVX codes. Administration timing is less complex. Patient refusal reasons should be captured. All vaccines administered should be fully documented in the patient’s permanent medical record. Healthcare providers who administer vaccines covered by the National Childhood Vaccine Injury Act are required to ensure that the permanent medical record of the recipient indicates:

  1. Date of administration
  2. Vaccine manufacturer
  3. Vaccine lot number
  4. Name and title of the person who administered the vaccine and the address of the clinic or facility where the permanent record will reside
  5. Vaccine information statement (VIS)

a. Date printed on the VIS b. Date VIS given to patient or parent/guardian.

This information should be included in an Immunization Activity when available. (Reference: [https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/c/vis-instruct.pdf])

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.SubstanceAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1code
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... statusCode 1..1CS
.... code 1..1stringBinding: ActStatus (required)
... effectiveTime 1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... typeCode 1..1codeRequired Pattern: CSM
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder 0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense 0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs 0..1Element
..... typeCode 1..1codeRequired Pattern: CAUS
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal 0..1Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin 0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... sequenceNumber 0..1INT
..... act 1..1SubstanceAdministeredActBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... typeCode 1..1codeRequired Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
SubstanceAdministration.moodCoderequiredMoodCodeEvnInt
SubstanceAdministration.statusCode.coderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCoderequiredAdministrationUnitDoseForm
NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Binding: ActSubstanceAdministrationCode (extensible)
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringBinding: ActStatus (required)
... effectiveTime 1..1
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: CSM
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:indication C0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder C0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense C0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply C1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs C0..1Element
..... typeCode 1..1codeRequired Pattern: CAUS
..... contextConductionInd 1..1boolean
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal C0..1Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin C0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... act 1..1SubstanceAdministeredActBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredMoodCodeEvnInt
SubstanceAdministration.codeextensibleActSubstanceAdministrationCode
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.statusCode.coderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCoderequiredAdministrationUnitDoseForm
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.participant:drugVehicle.typeCoderequiredPattern: CSM
SubstanceAdministration.precondition:substanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
1098-9333errorSubstanceAdministration.entryRelationship:medDispense.supplyA supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instruction, SubstanceAdministration.entryRelationship:medSupplyOrder, SubstanceAdministration.entryRelationship:medDispense, SubstanceAdministration.entryRelationship:reactionObs, SubstanceAdministration.entryRelationship:immunizationRefusal, SubstanceAdministration.entryRelationship:substanceAdminOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Binding: ActSubstanceAdministrationCode (extensible)
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringBinding: ActStatus (required)
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
.... value 0..1decimal
.... low 0..1PQ
.... high 0..1PQ
.... width 0..1PQ
.... center 0..1PQ
... rateQuantity 0..1IVL_PQ
... maxDoseQuantity 0..1RTO_PQ_PQ
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: CSM
..... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
..... time 0..1IVL_TS
..... awarenessCode 0..1CE
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:indication C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply C1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: CAUS
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin C0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1SubstanceAdministeredActBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
1098-9333errorSubstanceAdministration.entryRelationship:medDispense.supplyA supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instruction, SubstanceAdministration.entryRelationship:medSupplyOrder, SubstanceAdministration.entryRelationship:medDispense, SubstanceAdministration.entryRelationship:reactionObs, SubstanceAdministration.entryRelationship:immunizationRefusal, SubstanceAdministration.entryRelationship:substanceAdminOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.SubstanceAdministration

Summary

Mandatory: 12 elements (20 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from CDAR2.SubstanceAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1code
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... statusCode 1..1CS
.... code 1..1stringBinding: ActStatus (required)
... effectiveTime 1..1SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... typeCode 1..1codeRequired Pattern: CSM
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder 0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense 0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs 0..1Element
..... typeCode 1..1codeRequired Pattern: CAUS
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal 0..1Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin 0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... sequenceNumber 0..1INT
..... act 1..1SubstanceAdministeredActBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... typeCode 1..1codeRequired Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
SubstanceAdministration.moodCoderequiredMoodCodeEvnInt
SubstanceAdministration.statusCode.coderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCoderequiredAdministrationUnitDoseForm

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Binding: ActSubstanceAdministrationCode (extensible)
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringBinding: ActStatus (required)
... effectiveTime 1..1
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: CSM
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:indication C0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder C0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense C0..1Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply C1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs C0..1Element
..... typeCode 1..1codeRequired Pattern: CAUS
..... contextConductionInd 1..1boolean
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal C0..1Element
..... typeCode 1..1codeRequired Pattern: RSON
..... contextConductionInd 1..1boolean
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin C0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... act 1..1SubstanceAdministeredActBase for all types and resources
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
SubstanceAdministration.classCoderequiredFixed Value: SBADM
SubstanceAdministration.moodCoderequiredMoodCodeEvnInt
SubstanceAdministration.codeextensibleActSubstanceAdministrationCode
SubstanceAdministration.statusCoderequiredActStatus
SubstanceAdministration.statusCode.coderequiredActStatus
SubstanceAdministration.routeCoderequiredSPL Drug Route of Administration Terminology
SubstanceAdministration.routeCode.translationrequiredMedication Route
SubstanceAdministration.approachSiteCoderequiredBody Site Value Set
SubstanceAdministration.doseQuantity.unitrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
SubstanceAdministration.administrationUnitCoderequiredAdministrationUnitDoseForm
SubstanceAdministration.consumable.typeCoderequiredFixed Value: CSM
SubstanceAdministration.participant:drugVehicle.typeCoderequiredPattern: CSM
SubstanceAdministration.precondition:substanceAdmin.typeCoderequiredPattern: PRCN

Constraints

IdGradePath(s)DetailsRequirements
1098-9333errorSubstanceAdministration.entryRelationship:medDispense.supplyA supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instruction, SubstanceAdministration.entryRelationship:medSupplyOrder, SubstanceAdministration.entryRelationship:medDispense, SubstanceAdministration.entryRelationship:reactionObs, SubstanceAdministration.entryRelationship:immunizationRefusal, SubstanceAdministration.entryRelationship:substanceAdminOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SubstanceAdministration 1..1CDAR2.SubstanceAdministrationBase for all types and resources
... classCode 1..1codeBinding: ActClass (required)
Fixed Value: SBADM
... moodCode 1..1codeBinding: MoodCodeEvnInt (required)
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.52
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 0..1CDSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Binding: ActSubstanceAdministrationCode (extensible)
... negationInd 1..1booleanUse negationInd="true" to indicate that the immunization was not given.
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringBinding: ActStatus (required)
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1
.... effectiveTimeSXCM_TS
.... effectiveTimeIVL_TS
.... effectiveTimeEIVL_TS
.... effectiveTimePIVL_TS
.... effectiveTimeSXPR_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INTIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
... routeCode 0..1CEBinding: SPL Drug Route of Administration Terminology (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CDBinding: Medication Route (required)
... approachSiteCode 0..1CDBinding: Body Site Value Set (required)
... doseQuantity 0..1IVL_PQ
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... unit 0..1codeBinding: UnitsOfMeasureCaseSensitive (required)
.... value 0..1decimal
.... low 0..1PQ
.... high 0..1PQ
.... width 0..1PQ
.... center 0..1PQ
... rateQuantity 0..1IVL_PQ
... maxDoseQuantity 0..1RTO_PQ_PQ
... administrationUnitCode 0..1CEBinding: AdministrationUnitDoseForm (required)
... consumable 1..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
.... manufacturedProduct 1..1ImmunizationMedicationInformationBase for all types and resources
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..1Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode, profile:participantRole
.... participant:drugVehicle 0..*Participant2
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: CSM
..... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
..... time 0..1IVL_TS
..... awarenessCode 0..1CE
..... participantRole 1..1DrugVehicleBase for all types and resources
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:observation, profile:supply
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:indication C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
.... entryRelationship:medSupplyOrder C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1MedicationSupplyOrderBase for all types and resources
.... entryRelationship:medDispense C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply C1..1MedicationDispenseBase for all types and resources
.... entryRelationship:reactionObs C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: CAUS
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:immunizationRefusal C0..1Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ImmunizationRefusalReasonBase for all types and resources
.... entryRelationship:substanceAdmin C0..*ElementThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1SubstanceAdministeredActBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... Slices for precondition 0..*PreconditionSlice: Unordered, Open by profile:criterion
.... precondition:substanceAdmin 0..*Precondition
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ActRelationshipType (required)
Required Pattern: PRCN
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... criterion 1..1PreconditionforSubstanceAdministrationBase for all types and resources

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
1098-9333errorSubstanceAdministration.entryRelationship:medDispense.supplyA supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
subst-er-1errorSubstanceAdministration.entryRelationship, SubstanceAdministration.entryRelationship:indication, SubstanceAdministration.entryRelationship:instruction, SubstanceAdministration.entryRelationship:medSupplyOrder, SubstanceAdministration.entryRelationship:medDispense, SubstanceAdministration.entryRelationship:reactionObs, SubstanceAdministration.entryRelationship:immunizationRefusal, SubstanceAdministration.entryRelationship:substanceAdminOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.SubstanceAdministration

Summary

Mandatory: 12 elements (20 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

​Other representations of profile: CSV, Excel, Schematron