Consolidated CDA
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This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: ImmunizationActivity - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the ImmunizationActivity logical model.

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

0. SubstanceAdministration
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. SubstanceAdministration.templateId
Control1..?
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 @ root
  • value @ extension
4. SubstanceAdministration.templateId:immunization-activity
Slice Nameimmunization-activity
Control1..1
6. SubstanceAdministration.templateId:immunization-activity.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.52
8. SubstanceAdministration.templateId:immunization-activity.extension
Control1..?
Pattern Value2015-08-01
10. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8826).

12. SubstanceAdministration.moodCode
Comments

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 (CONF:1198-8827).

BindingThe codes SHALL be taken from MoodCodeEvnInt
14. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1198-8829).

Control1..?
16. SubstanceAdministration.code
ShortSubstanceAdministration.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.
Comments

MAY contain zero or one [0..1] code (CONF:1198-8830).

18. SubstanceAdministration.negationInd
ShortUse negationInd="true" to indicate that the immunization was not given.
Comments

SHALL contain exactly one [1..1] @negationInd (CONF:1198-8985).

Control1..?
20. SubstanceAdministration.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
22. SubstanceAdministration.text.reference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
24. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1198-8833).

Control1..?
26. SubstanceAdministration.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1198-32359).

Control1..?
BindingThe codes SHALL be taken from ActStatus
28. SubstanceAdministration.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8834).

Control1..1
30. SubstanceAdministration.repeatNumber
ShortIn "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.
Invariantsvalue-only: Interval fields SHALL not be present ((low | high | width | center).empty())
32. SubstanceAdministration.repeatNumber.value
Shortvalue should be used instead of low/high
34. SubstanceAdministration.routeCode
Comments

MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Invariantsshould-translation: SHOULD contain translation (translation.exists())
36. SubstanceAdministration.routeCode.translation
Comments

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:1198-32960).

BindingThe codes SHALL be taken from Medication Route
38. SubstanceAdministration.approachSiteCode
Comments

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:1198-8840).

Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
40. SubstanceAdministration.doseQuantity
Comments

SHOULD contain zero or one [0..1] doseQuantity (CONF:1198-8841).

Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
42. SubstanceAdministration.doseQuantity.unit
ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
Comments

The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
44. SubstanceAdministration.administrationUnitCode
Comments

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:1198-8846).

BindingThe codes SHALL be taken from AdministrationUnitDoseForm
46. SubstanceAdministration.consumable
Comments

SHALL contain exactly one [1..1] consumable (CONF:1198-8847).

48. SubstanceAdministration.consumable.manufacturedProduct
Comments

This consumable SHALL contain exactly one [1..1] Immunization Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1198-15546).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
50. SubstanceAdministration.performer
Comments

SHOULD contain zero or one [0..1] performer (CONF:1198-8849).

Control0..1
52. SubstanceAdministration.author
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31151).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
54. 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 @ typeCode
56. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

MAY contain zero or more [0..*] participant (CONF:1198-8850) such that it

Control0..*
58. SubstanceAdministration.participant:drugVehicle.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8851).

Fixed ValueCSM
60. SubstanceAdministration.participant:drugVehicle.participantRole
Comments

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1198-15547).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
62. 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 @ act
  • profile @ observation
  • profile @ supply
64. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1198-8853) such that it

Control0..*
66. SubstanceAdministration.entryRelationship:indication.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8854).

Fixed ValueRSON
68. SubstanceAdministration.entryRelationship:indication.observation
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1198-15537).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
70. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8856) such that it

Control0..1
72. SubstanceAdministration.entryRelationship:instruction.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8857).

Fixed ValueSUBJ
74. SubstanceAdministration.entryRelationship:instruction.inversionInd
Comments

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-8858).

Control1..?
Fixed Valuetrue
76. SubstanceAdministration.entryRelationship:instruction.act
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-31392).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
78. SubstanceAdministration.entryRelationship:medSupplyOrder
Slice NamemedSupplyOrder
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8860) such that it

Control0..1
80. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8861).

Fixed ValueREFR
82. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1198-15539).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
84. SubstanceAdministration.entryRelationship:medDispense
Slice NamemedDispense
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8863) such that it

Control0..1
86. SubstanceAdministration.entryRelationship:medDispense.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8864).

Fixed ValueREFR
88. SubstanceAdministration.entryRelationship:medDispense.supply
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1198-15540).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
90. SubstanceAdministration.entryRelationship:reactionObs
Slice NamereactionObs
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8866) such that it

Control0..1
92. SubstanceAdministration.entryRelationship:reactionObs.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8867).

Fixed ValueCAUS
94. SubstanceAdministration.entryRelationship:reactionObs.observation
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-15541).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
96. SubstanceAdministration.entryRelationship:immunizationRefusal
Slice NameimmunizationRefusal
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8988) such that it

Control0..1
98. SubstanceAdministration.entryRelationship:immunizationRefusal.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8989).

Fixed ValueRSON
100. SubstanceAdministration.entryRelationship:immunizationRefusal.observation
Comments

SHALL contain exactly one [1..1] Immunization Refusal Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53) (CONF:1198-15542).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
102. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe 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.
Comments

SHOULD contain zero or more [0..*] entryRelationship (CONF:1198-31510) such that it

Control0..*
104. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31511).

Fixed ValueCOMP
106. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1198-31512).

Control1..?
Fixed Valuetrue
108. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
Comments

MAY contain zero or one [0..1] sequenceNumber (CONF:1198-31513).

110. SubstanceAdministration.entryRelationship:substanceAdmin.act
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
112. SubstanceAdministration.precondition
SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ criterion
114. SubstanceAdministration.precondition:substanceAdmin
Slice NamesubstanceAdmin
Comments

MAY contain zero or more [0..*] precondition (CONF:1198-8869) such that it

Control0..*
116. SubstanceAdministration.precondition:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRCN" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8870).

Control1..?
118. SubstanceAdministration.precondition:substanceAdmin.criterion
Comments

SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1198-15548).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)

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

0. SubstanceAdministration
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. 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

Control1..*
Typehttp://hl7.org/cda/stds/core/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 @ root
  • value @ extension
4. SubstanceAdministration.templateId:immunization-activity
Slice Nameimmunization-activity
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/cda/stds/core/StructureDefinition/II
6. SubstanceAdministration.templateId:immunization-activity.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.52
8. SubstanceAdministration.templateId:immunization-activity.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2015-08-01
10. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8826).

Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSBADM
12. SubstanceAdministration.moodCode
Comments

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 (CONF:1198-8827).

Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
14. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1198-8829).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. SubstanceAdministration.code
ShortSubstanceAdministration.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.
Comments

MAY contain zero or one [0..1] code (CONF:1198-8830).

Control0..1
BindingFor example codes, see ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
18. SubstanceAdministration.negationInd
ShortUse negationInd="true" to indicate that the immunization was not given.
Comments

SHALL contain exactly one [1..1] @negationInd (CONF:1198-8985).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
20. SubstanceAdministration.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
22. SubstanceAdministration.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
24. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1198-8833).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
26. 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.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1198-32359).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
28. SubstanceAdministration.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
30. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
32. SubstanceAdministration.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
34. 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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
36. SubstanceAdministration.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
38. SubstanceAdministration.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
40. SubstanceAdministration.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
42. SubstanceAdministration.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8834).

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
44. SubstanceAdministration.repeatNumber
ShortIn "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.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
Invariantsvalue-only: Interval fields SHALL not be present ((low | high | width | center).empty())
46. SubstanceAdministration.repeatNumber.value
Shortvalue should be used instead of low/high
Control0..1
Typeinteger(int: Integer Number)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
48. SubstanceAdministration.routeCode
Comments

MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
Invariantsshould-translation: SHOULD contain translation (translation.exists())
50. SubstanceAdministration.routeCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
52. SubstanceAdministration.routeCode.translation
Definition

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

Comments

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:1198-32960).

Control0..*
BindingThe codes SHALL be taken from Medication Route
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
54. SubstanceAdministration.approachSiteCode
Comments

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:1198-8840).

Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
56. SubstanceAdministration.doseQuantity
Comments

SHOULD contain zero or one [0..1] doseQuantity (CONF:1198-8841).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
58. SubstanceAdministration.doseQuantity.unit
Definition

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

ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
Comments

The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
Default Value1
60. SubstanceAdministration.administrationUnitCode
Comments

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:1198-8846).

Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
62. SubstanceAdministration.consumable
Definition

The consumable participation is used to bring in the LabeledDrug or Material entity that describes the administered substance. The LabeledDrug class, which is an Entity class playing the Role of Manufactured Product, identifies the drug that is consumed in the substance administration. The medication is identified by means of the LabeledDrug.code or the LabeledDrug.name. The Material entity is used to identify non-drug administered substances such as vaccines and blood products.

Comments

SHALL contain exactly one [1..1] consumable (CONF:1198-8847).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
64. SubstanceAdministration.consumable.manufacturedProduct
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

This consumable SHALL contain exactly one [1..1] Immunization Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1198-15546).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
Is Modifierfalse
Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization (manufacturerOrganization.exists())
66. SubstanceAdministration.performer
Comments

SHOULD contain zero or one [0..1] performer (CONF:1198-8849).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
68. SubstanceAdministration.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31151).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
70. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/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 @ typeCode
72. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

MAY contain zero or more [0..*] participant (CONF:1198-8850) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
74. SubstanceAdministration.participant:drugVehicle.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8851).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
76. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1198-15547).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
78. SubstanceAdministration.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/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 @ act
  • profile @ observation
  • profile @ supply
80. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1198-8853) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
82. SubstanceAdministration.entryRelationship:indication.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8854).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
84. SubstanceAdministration.entryRelationship:indication.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1198-15537).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
86. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8856) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
88. SubstanceAdministration.entryRelationship:instruction.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8857).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
90. SubstanceAdministration.entryRelationship:instruction.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-8858).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
92. SubstanceAdministration.entryRelationship:instruction.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-31392).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
94. SubstanceAdministration.entryRelationship:medSupplyOrder
Slice NamemedSupplyOrder
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8860) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
96. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8861).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
98. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1198-15539).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
should-quantity: SHOULD contain quantity (quantity.exists())
100. SubstanceAdministration.entryRelationship:medDispense
Slice NamemedDispense
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8863) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
102. SubstanceAdministration.entryRelationship:medDispense.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8864).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
104. SubstanceAdministration.entryRelationship:medDispense.supply
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1198-15540).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
should-quantity: SHOULD contain quantity (quantity.exists())
106. SubstanceAdministration.entryRelationship:reactionObs
Slice NamereactionObs
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8866) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
108. SubstanceAdministration.entryRelationship:reactionObs.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8867).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCAUS
110. SubstanceAdministration.entryRelationship:reactionObs.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-15541).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
112. SubstanceAdministration.entryRelationship:immunizationRefusal
Slice NameimmunizationRefusal
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8988) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
114. SubstanceAdministration.entryRelationship:immunizationRefusal.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8989).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
116. SubstanceAdministration.entryRelationship:immunizationRefusal.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Immunization Refusal Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53) (CONF:1198-15542).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
118. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe 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.
Comments

SHOULD contain zero or more [0..*] entryRelationship (CONF:1198-31510) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
120. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31511).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
122. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1198-31512).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
124. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
Comments

MAY contain zero or one [0..1] sequenceNumber (CONF:1198-31513).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
126. SubstanceAdministration.entryRelationship:substanceAdmin.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
128. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ criterion
130. SubstanceAdministration.precondition:substanceAdmin
Slice NamesubstanceAdmin
Comments

MAY contain zero or more [0..*] precondition (CONF:1198-8869) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
132. SubstanceAdministration.precondition:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRCN" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8870).

Control1..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRCN
134. SubstanceAdministration.precondition:substanceAdmin.criterion
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1198-15548).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
Is Modifierfalse

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

0. SubstanceAdministration
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. SubstanceAdministration.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. SubstanceAdministration.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/cda/stds/core/StructureDefinition/CS
6. SubstanceAdministration.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/cda/stds/core/StructureDefinition/II
8. SubstanceAdministration.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. SubstanceAdministration.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. SubstanceAdministration.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. SubstanceAdministration.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. SubstanceAdministration.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. 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

Control1..*
Typehttp://hl7.org/cda/stds/core/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 @ root
  • value @ extension
20. SubstanceAdministration.templateId:immunization-activity
Slice Nameimmunization-activity
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/cda/stds/core/StructureDefinition/II
22. SubstanceAdministration.templateId:immunization-activity.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
24. SubstanceAdministration.templateId:immunization-activity.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
26. SubstanceAdministration.templateId:immunization-activity.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
28. SubstanceAdministration.templateId:immunization-activity.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.52
30. SubstanceAdministration.templateId:immunization-activity.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2015-08-01
32. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8826).

Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSBADM
34. SubstanceAdministration.moodCode
Comments

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 (CONF:1198-8827).

Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
36. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1198-8829).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
38. SubstanceAdministration.code
ShortSubstanceAdministration.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.
Comments

MAY contain zero or one [0..1] code (CONF:1198-8830).

Control0..1
BindingFor example codes, see ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
40. SubstanceAdministration.negationInd
ShortUse negationInd="true" to indicate that the immunization was not given.
Comments

SHALL contain exactly one [1..1] @negationInd (CONF:1198-8985).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
42. SubstanceAdministration.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
44. SubstanceAdministration.text.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
46. SubstanceAdministration.text.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCompression
48. SubstanceAdministration.text.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary(bin: Binary Data)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check
50. SubstanceAdministration.text.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check Algorithm
52. SubstanceAdministration.text.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelLanguage
54. SubstanceAdministration.text.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
BindingFor example codes, see MediaType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMedia Type
56. SubstanceAdministration.text.representation
Control0..1
BindingThe codes SHALL be taken from Binary Data Encoding Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
58. SubstanceAdministration.text.xmlText
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments

This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as unadorned text.
60. SubstanceAdministration.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
62. SubstanceAdministration.text.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelThumbnail
64. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1198-8833).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
66. 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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
68. 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.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1198-32359).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
70. SubstanceAdministration.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
72. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
74. SubstanceAdministration.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
76. 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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
78. 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(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
80. 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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
82. SubstanceAdministration.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
84. SubstanceAdministration.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
86. SubstanceAdministration.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
88. SubstanceAdministration.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8834).

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
90. SubstanceAdministration.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
92. SubstanceAdministration.repeatNumber
ShortIn "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.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
Invariantsvalue-only: Interval fields SHALL not be present ((low | high | width | center).empty())
94. SubstanceAdministration.repeatNumber.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
96. SubstanceAdministration.repeatNumber.value
Shortvalue should be used instead of low/high
Control0..1
Typeinteger(int: Integer Number)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
98. SubstanceAdministration.repeatNumber.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
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
100. SubstanceAdministration.repeatNumber.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
LabelLow Boundary
102. SubstanceAdministration.repeatNumber.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/cda/stds/core/StructureDefinition/INT
LabelCentral Value
104. SubstanceAdministration.repeatNumber.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/cda/stds/core/StructureDefinition/INT
LabelWidth
106. SubstanceAdministration.repeatNumber.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
LabelHigh Boundary
108. SubstanceAdministration.routeCode
Comments

MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
Invariantsshould-translation: SHOULD contain translation (translation.exists())
110. 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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
112. 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
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
114. SubstanceAdministration.routeCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
116. SubstanceAdministration.routeCode.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
118. SubstanceAdministration.routeCode.codeSystemVersion
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
120. 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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
122. 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(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
124. 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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
126. SubstanceAdministration.routeCode.originalText
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
128. SubstanceAdministration.routeCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
130. SubstanceAdministration.routeCode.translation
Definition

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

Comments

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:1198-32960).

Control0..*
BindingThe codes SHALL be taken from Medication Route
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
132. SubstanceAdministration.approachSiteCode
Comments

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:1198-8840).

Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
134. SubstanceAdministration.doseQuantity
Comments

SHOULD contain zero or one [0..1] doseQuantity (CONF:1198-8841).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
136. 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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
138. SubstanceAdministration.doseQuantity.unit
Definition

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

ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
Comments

The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
Default Value1
140. SubstanceAdministration.doseQuantity.value
Definition

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

Control0..1
Typedecimal(real: Real Number)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMaginitude Value
142. SubstanceAdministration.doseQuantity.translation
Definition

An alternative representation of the same physical quantity expressed in a different unit, of a different unit code system and possibly with a different value.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
LabelTranslation
144. SubstanceAdministration.doseQuantity.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
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
146. SubstanceAdministration.doseQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelLow Boundary
148. 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/cda/stds/core/StructureDefinition/PQ
LabelCentral Value
150. 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/cda/stds/core/StructureDefinition/PQ
LabelWidth
152. SubstanceAdministration.doseQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelHigh Boundary
154. SubstanceAdministration.rateQuantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
156. SubstanceAdministration.maxDoseQuantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
158. SubstanceAdministration.administrationUnitCode
Comments

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:1198-8846).

Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
160. SubstanceAdministration.consumable
Definition

The consumable participation is used to bring in the LabeledDrug or Material entity that describes the administered substance. The LabeledDrug class, which is an Entity class playing the Role of Manufactured Product, identifies the drug that is consumed in the substance administration. The medication is identified by means of the LabeledDrug.code or the LabeledDrug.name. The Material entity is used to identify non-drug administered substances such as vaccines and blood products.

Comments

SHALL contain exactly one [1..1] consumable (CONF:1198-8847).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
162. SubstanceAdministration.consumable.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
164. SubstanceAdministration.consumable.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/cda/stds/core/StructureDefinition/CS
166. SubstanceAdministration.consumable.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/cda/stds/core/StructureDefinition/II
168. SubstanceAdministration.consumable.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
170. SubstanceAdministration.consumable.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
172. SubstanceAdministration.consumable.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
174. SubstanceAdministration.consumable.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
176. SubstanceAdministration.consumable.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
178. SubstanceAdministration.consumable.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/cda/stds/core/StructureDefinition/II
180. SubstanceAdministration.consumable.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
182. SubstanceAdministration.consumable.manufacturedProduct
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

This consumable SHALL contain exactly one [1..1] Immunization Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1198-15546).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
Is Modifierfalse
Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization (manufacturerOrganization.exists())
184. SubstanceAdministration.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
186. SubstanceAdministration.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
188. SubstanceAdministration.performer
Comments

SHOULD contain zero or one [0..1] performer (CONF:1198-8849).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
190. SubstanceAdministration.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31151).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
192. SubstanceAdministration.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
194. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/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 @ typeCode
196. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

MAY contain zero or more [0..*] participant (CONF:1198-8850) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
198. 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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
200. 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/cda/stds/core/StructureDefinition/CS
202. 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/cda/stds/core/StructureDefinition/II
204. SubstanceAdministration.participant:drugVehicle.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
206. SubstanceAdministration.participant:drugVehicle.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
208. SubstanceAdministration.participant:drugVehicle.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
210. SubstanceAdministration.participant:drugVehicle.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
212. SubstanceAdministration.participant:drugVehicle.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
214. 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/cda/stds/core/StructureDefinition/II
216. SubstanceAdministration.participant:drugVehicle.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8851).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
218. SubstanceAdministration.participant:drugVehicle.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
220. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
222. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
224. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
226. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1198-15547).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
228. SubstanceAdministration.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/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 @ act
  • profile @ observation
  • profile @ supply
230. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1198-8853) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
232. SubstanceAdministration.entryRelationship:indication.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
234. SubstanceAdministration.entryRelationship:indication.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/cda/stds/core/StructureDefinition/CS
236. SubstanceAdministration.entryRelationship:indication.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/cda/stds/core/StructureDefinition/II
238. SubstanceAdministration.entryRelationship:indication.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
240. SubstanceAdministration.entryRelationship:indication.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
242. SubstanceAdministration.entryRelationship:indication.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
244. SubstanceAdministration.entryRelationship:indication.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
246. SubstanceAdministration.entryRelationship:indication.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
248. SubstanceAdministration.entryRelationship:indication.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/cda/stds/core/StructureDefinition/II
250. SubstanceAdministration.entryRelationship:indication.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8854).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
252. SubstanceAdministration.entryRelationship:indication.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
254. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
256. SubstanceAdministration.entryRelationship:indication.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
258. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
260. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
262. SubstanceAdministration.entryRelationship:indication.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
264. SubstanceAdministration.entryRelationship:indication.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
266. SubstanceAdministration.entryRelationship:indication.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1198-15537).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
268. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
270. SubstanceAdministration.entryRelationship:indication.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
272. SubstanceAdministration.entryRelationship:indication.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
274. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
276. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
278. SubstanceAdministration.entryRelationship:indication.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
280. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8856) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
282. SubstanceAdministration.entryRelationship:instruction.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
284. SubstanceAdministration.entryRelationship:instruction.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/cda/stds/core/StructureDefinition/CS
286. SubstanceAdministration.entryRelationship:instruction.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/cda/stds/core/StructureDefinition/II
288. SubstanceAdministration.entryRelationship:instruction.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
290. SubstanceAdministration.entryRelationship:instruction.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
292. SubstanceAdministration.entryRelationship:instruction.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
294. SubstanceAdministration.entryRelationship:instruction.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
296. SubstanceAdministration.entryRelationship:instruction.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
298. SubstanceAdministration.entryRelationship:instruction.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/cda/stds/core/StructureDefinition/II
300. SubstanceAdministration.entryRelationship:instruction.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8857).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
302. SubstanceAdministration.entryRelationship:instruction.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-8858).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
304. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
306. SubstanceAdministration.entryRelationship:instruction.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
308. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
310. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
312. SubstanceAdministration.entryRelationship:instruction.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-31392).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
314. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
316. SubstanceAdministration.entryRelationship:instruction.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
318. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
320. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
322. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
324. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
326. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
328. SubstanceAdministration.entryRelationship:instruction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
330. SubstanceAdministration.entryRelationship:medSupplyOrder
Slice NamemedSupplyOrder
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8860) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
332. SubstanceAdministration.entryRelationship:medSupplyOrder.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
334. SubstanceAdministration.entryRelationship:medSupplyOrder.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/cda/stds/core/StructureDefinition/CS
336. SubstanceAdministration.entryRelationship:medSupplyOrder.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/cda/stds/core/StructureDefinition/II
338. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
340. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
342. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
344. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
346. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
348. SubstanceAdministration.entryRelationship:medSupplyOrder.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/cda/stds/core/StructureDefinition/II
350. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8861).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
352. SubstanceAdministration.entryRelationship:medSupplyOrder.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
354. SubstanceAdministration.entryRelationship:medSupplyOrder.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
356. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
358. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
360. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
362. SubstanceAdministration.entryRelationship:medSupplyOrder.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
364. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
366. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
368. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
370. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
372. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
374. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
376. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
378. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1198-15539).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
should-quantity: SHOULD contain quantity (quantity.exists())
380. SubstanceAdministration.entryRelationship:medDispense
Slice NamemedDispense
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8863) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
382. SubstanceAdministration.entryRelationship:medDispense.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
384. SubstanceAdministration.entryRelationship:medDispense.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/cda/stds/core/StructureDefinition/CS
386. SubstanceAdministration.entryRelationship:medDispense.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/cda/stds/core/StructureDefinition/II
388. SubstanceAdministration.entryRelationship:medDispense.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
390. SubstanceAdministration.entryRelationship:medDispense.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
392. SubstanceAdministration.entryRelationship:medDispense.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
394. SubstanceAdministration.entryRelationship:medDispense.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
396. SubstanceAdministration.entryRelationship:medDispense.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
398. SubstanceAdministration.entryRelationship:medDispense.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/cda/stds/core/StructureDefinition/II
400. SubstanceAdministration.entryRelationship:medDispense.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8864).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
402. SubstanceAdministration.entryRelationship:medDispense.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
404. SubstanceAdministration.entryRelationship:medDispense.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
406. SubstanceAdministration.entryRelationship:medDispense.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
408. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
410. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
412. SubstanceAdministration.entryRelationship:medDispense.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
414. SubstanceAdministration.entryRelationship:medDispense.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
416. SubstanceAdministration.entryRelationship:medDispense.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
418. SubstanceAdministration.entryRelationship:medDispense.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
420. SubstanceAdministration.entryRelationship:medDispense.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
422. SubstanceAdministration.entryRelationship:medDispense.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
424. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
426. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
428. SubstanceAdministration.entryRelationship:medDispense.supply
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1198-15540).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
should-quantity: SHOULD contain quantity (quantity.exists())
430. SubstanceAdministration.entryRelationship:reactionObs
Slice NamereactionObs
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8866) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
432. SubstanceAdministration.entryRelationship:reactionObs.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
434. SubstanceAdministration.entryRelationship:reactionObs.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/cda/stds/core/StructureDefinition/CS
436. SubstanceAdministration.entryRelationship:reactionObs.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/cda/stds/core/StructureDefinition/II
438. SubstanceAdministration.entryRelationship:reactionObs.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
440. SubstanceAdministration.entryRelationship:reactionObs.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
442. SubstanceAdministration.entryRelationship:reactionObs.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
444. SubstanceAdministration.entryRelationship:reactionObs.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
446. SubstanceAdministration.entryRelationship:reactionObs.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
448. SubstanceAdministration.entryRelationship:reactionObs.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/cda/stds/core/StructureDefinition/II
450. SubstanceAdministration.entryRelationship:reactionObs.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8867).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCAUS
452. SubstanceAdministration.entryRelationship:reactionObs.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
454. SubstanceAdministration.entryRelationship:reactionObs.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
456. SubstanceAdministration.entryRelationship:reactionObs.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
458. SubstanceAdministration.entryRelationship:reactionObs.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
460. SubstanceAdministration.entryRelationship:reactionObs.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
462. SubstanceAdministration.entryRelationship:reactionObs.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
464. SubstanceAdministration.entryRelationship:reactionObs.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
466. SubstanceAdministration.entryRelationship:reactionObs.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-15541).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
468. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
470. SubstanceAdministration.entryRelationship:reactionObs.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
472. SubstanceAdministration.entryRelationship:reactionObs.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
474. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
476. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
478. SubstanceAdministration.entryRelationship:reactionObs.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
480. SubstanceAdministration.entryRelationship:immunizationRefusal
Slice NameimmunizationRefusal
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1198-8988) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
482. SubstanceAdministration.entryRelationship:immunizationRefusal.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
484. SubstanceAdministration.entryRelationship:immunizationRefusal.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/cda/stds/core/StructureDefinition/CS
486. SubstanceAdministration.entryRelationship:immunizationRefusal.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/cda/stds/core/StructureDefinition/II
488. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
490. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
492. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
494. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
496. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
498. SubstanceAdministration.entryRelationship:immunizationRefusal.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/cda/stds/core/StructureDefinition/II
500. SubstanceAdministration.entryRelationship:immunizationRefusal.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8989).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
502. SubstanceAdministration.entryRelationship:immunizationRefusal.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
504. SubstanceAdministration.entryRelationship:immunizationRefusal.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
506. SubstanceAdministration.entryRelationship:immunizationRefusal.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
508. SubstanceAdministration.entryRelationship:immunizationRefusal.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
510. SubstanceAdministration.entryRelationship:immunizationRefusal.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
512. SubstanceAdministration.entryRelationship:immunizationRefusal.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
514. SubstanceAdministration.entryRelationship:immunizationRefusal.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
516. SubstanceAdministration.entryRelationship:immunizationRefusal.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Immunization Refusal Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53) (CONF:1198-15542).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
518. SubstanceAdministration.entryRelationship:immunizationRefusal.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
520. SubstanceAdministration.entryRelationship:immunizationRefusal.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
522. SubstanceAdministration.entryRelationship:immunizationRefusal.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
524. SubstanceAdministration.entryRelationship:immunizationRefusal.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
526. SubstanceAdministration.entryRelationship:immunizationRefusal.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
528. SubstanceAdministration.entryRelationship:immunizationRefusal.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
530. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe 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.
Comments

SHOULD contain zero or more [0..*] entryRelationship (CONF:1198-31510) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
532. SubstanceAdministration.entryRelationship:substanceAdmin.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
534. SubstanceAdministration.entryRelationship:substanceAdmin.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/cda/stds/core/StructureDefinition/CS
536. SubstanceAdministration.entryRelationship:substanceAdmin.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/cda/stds/core/StructureDefinition/II
538. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
540. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
542. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
544. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
546. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
548. SubstanceAdministration.entryRelationship:substanceAdmin.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/cda/stds/core/StructureDefinition/II
550. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31511).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
552. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1198-31512).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
554. SubstanceAdministration.entryRelationship:substanceAdmin.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
556. SubstanceAdministration.entryRelationship:substanceAdmin.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
558. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
Comments

MAY contain zero or one [0..1] sequenceNumber (CONF:1198-31513).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
560. SubstanceAdministration.entryRelationship:substanceAdmin.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
562. SubstanceAdministration.entryRelationship:substanceAdmin.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
564. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
566. SubstanceAdministration.entryRelationship:substanceAdmin.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
568. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
570. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
572. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
574. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
576. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
578. SubstanceAdministration.entryRelationship:substanceAdmin.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
580. SubstanceAdministration.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
582. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ criterion
584. SubstanceAdministration.precondition:substanceAdmin
Slice NamesubstanceAdmin
Comments

MAY contain zero or more [0..*] precondition (CONF:1198-8869) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
586. SubstanceAdministration.precondition:substanceAdmin.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
588. SubstanceAdministration.precondition:substanceAdmin.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/cda/stds/core/StructureDefinition/CS
590. SubstanceAdministration.precondition:substanceAdmin.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/cda/stds/core/StructureDefinition/II
592. SubstanceAdministration.precondition:substanceAdmin.typeId.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 CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
594. SubstanceAdministration.precondition:substanceAdmin.typeId.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(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
596. SubstanceAdministration.precondition:substanceAdmin.typeId.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(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
598. SubstanceAdministration.precondition:substanceAdmin.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
600. SubstanceAdministration.precondition:substanceAdmin.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
602. SubstanceAdministration.precondition:substanceAdmin.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/cda/stds/core/StructureDefinition/II
604. SubstanceAdministration.precondition:substanceAdmin.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRCN" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8870).

Control1..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRCN
606. SubstanceAdministration.precondition:substanceAdmin.criterion
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1198-15548).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
Is Modifierfalse
608. SubstanceAdministration.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.