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: MedicationActivity - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the MedicationActivity 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())
1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists())
should-routeCode: SHOULD contain routeCode (routeCode.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
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:medication-activity
Slice Namemedication-activity
Control1..1
6. SubstanceAdministration.templateId:medication-activity.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.16
8. SubstanceAdministration.templateId:medication-activity.extension
Control1..?
Pattern Value2014-06-09
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:1098-7496).

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 2011-04-03 (CONF:1098-7497).

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

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

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:1098-7506).

18. SubstanceAdministration.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
20. 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('#'))
22. SubstanceAdministration.statusCode
Comments

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

Control1..?
24. SubstanceAdministration.statusCode.code
ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

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

Control1..?
BindingThe codes SHALL be taken from Medication Status
26. SubstanceAdministration.effectiveTime
Control1..?
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
28. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there **SHALL** be an effectiveTime documentation of the duration (or single-administration timestamp), and that there **SHOULD** be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included. Note: This effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ((value.exists() or low.exists()) and ((value.exists() and low.exists()).not()))
should-value-att: SHOULD contain @value (value.exists())
should-low: SHOULD contain low (low.exists())
30. SubstanceAdministration.effectiveTime:duration.value
Shortindicates a single-administration timestamp
Comments

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

32. SubstanceAdministration.effectiveTime:duration.low
Shortindicates when medication started
Comments

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

34. SubstanceAdministration.effectiveTime:duration.high
Shortindicates when medication stopped
Comments

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

36. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
38. SubstanceAdministration.effectiveTime:periodicFrequency.operator
Comments

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

Control1..?
Pattern ValueA
40. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
42. SubstanceAdministration.effectiveTime:eventFrequency.operator
Comments

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

Control1..?
Pattern ValueA
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.
Comments

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

46. SubstanceAdministration.routeCode
Comments

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Invariantsshould-translation: SHOULD contain translation (translation.exists())
48. 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:1098-32950).

BindingThe codes SHALL be taken from Medication Route
50. 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:1098-7515).

Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
52. SubstanceAdministration.doseQuantity
Definition

If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878).

Short(USCDI) Dose Unit of Measure
Comments

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

Control1..?
Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
54. 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

This doseQuantity SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
56. SubstanceAdministration.rateQuantity
Comments

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

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

Control1..?
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
60. SubstanceAdministration.maxDoseQuantity
Comments

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

62. SubstanceAdministration.administrationUnitCode
ShortadministrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, 'metric drop (C48491)'' would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value.
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:1098-7519).

BindingThe codes SHALL be taken from AdministrationUnitDoseForm
64. SubstanceAdministration.consumable
Short(USCDI) Medications
Comments

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

66. SubstanceAdministration.consumable.manufacturedProduct
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Medication Information)
68. SubstanceAdministration.performer
Comments

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

Control0..1
70. 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:1098-31150).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
72. 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
74. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

Control0..*
76. 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:1098-7524).

Fixed ValueCSM
78. 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:1098-16086).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
80. SubstanceAdministration.entryRelationship
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ substanceAdministration
  • profile @ observation
  • profile @ act
  • profile @ supply
82. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Short(USCDI) Indication
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:1098-16087).

Control0..*
84. 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:1098-7537).

Fixed ValueRSON
86. SubstanceAdministration.entryRelationship:indication.observation
Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
88. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

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

Control0..1
90. 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:1098-7540).

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

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

Control1..?
Fixed Valuetrue
94. 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:1098-31387).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
96. SubstanceAdministration.entryRelationship:supplyOrder
Slice NamesupplyOrder
Comments

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

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

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

Fixed ValueREFR
100. SubstanceAdministration.entryRelationship:supplyOrder.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:1098-16089).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
102. SubstanceAdministration.entryRelationship:medicationDispense
Slice NamemedicationDispense
Comments

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

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

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

Fixed ValueREFR
106. SubstanceAdministration.entryRelationship:medicationDispense.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:1098-16090).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
108. SubstanceAdministration.entryRelationship:reaction
Slice Namereaction
Comments

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

Control0..*
110. SubstanceAdministration.entryRelationship:reaction.typeCode
Comments

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

Fixed ValueCAUS
112. SubstanceAdministration.entryRelationship:reaction.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:1098-16091).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
114. SubstanceAdministration.entryRelationship:drugMonitoring
Slice NamedrugMonitoring
Comments

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

Control0..1
116. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Comments

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

Fixed ValueCOMP
118. SubstanceAdministration.entryRelationship:drugMonitoring.act
Comments

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

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Drug Monitoring Act)
120. SubstanceAdministration.entryRelationship:substanceAdministered
Slice NamesubstanceAdministered
ShortThe following entryRelationship is used to indicate a given medication'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

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

Control0..*
122. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Comments

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

Fixed ValueCOMP
124. SubstanceAdministration.entryRelationship:substanceAdministered.inversionInd
Comments

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

Control1..?
Fixed Valuetrue
126. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Comments

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

128. SubstanceAdministration.entryRelationship:substanceAdministered.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:1098-31519).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
130. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
Short(USCDI) Medication Adherence
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
132. SubstanceAdministration.entryRelationship:adherence.typeCode
Comments

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

Fixed ValueCOMP
134. SubstanceAdministration.entryRelationship:adherence.observation
Comments

SHALL contain exactly one [1..1] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Medication Adherence)
136. SubstanceAdministration.entryRelationship:signature
Slice Namesignature
Short(USCDI) Medication Instructions
Comments

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

Control0..*
138. SubstanceAdministration.entryRelationship:signature.typeCode
Comments

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

Fixed ValueCOMP
140. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Comments

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

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
142. SubstanceAdministration.precondition
Comments

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

144. SubstanceAdministration.precondition.typeCode
Comments

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

Control1..?
146. SubstanceAdministration.precondition.criterion
Comments

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

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())
1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists())
should-routeCode: SHOULD contain routeCode (routeCode.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
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:medication-activity
Slice Namemedication-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:medication-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 Value2.16.840.1.113883.10.20.22.4.16
8. SubstanceAdministration.templateId:medication-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 Value2014-06-09
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:1098-7496).

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 2011-04-03 (CONF:1098-7497).

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:1098-7500).

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:1098-7506).

Control0..1
BindingFor example codes, see ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
18. SubstanceAdministration.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
20. 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('#'))
22. SubstanceAdministration.statusCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
24. 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.

ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

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

Control1..1
BindingThe codes SHALL be taken from Medication Status
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
26. 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
28. 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
30. 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
32. 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
34. 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
36. 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
38. 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
40. SubstanceAdministration.effectiveTime
Control1..*
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.
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
42. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there **SHALL** be an effectiveTime documentation of the duration (or single-administration timestamp), and that there **SHOULD** be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included. Note: This effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ((value.exists() or low.exists()) and ((value.exists() and low.exists()).not()))
should-value-att: SHOULD contain @value (value.exists())
should-low: SHOULD contain low (low.exists())
44. SubstanceAdministration.effectiveTime:duration.value
Definition

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

Shortindicates a single-administration timestamp
Comments

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

Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
46. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Shortindicates when medication started
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
48. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Shortindicates when medication stopped
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
50. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
52. SubstanceAdministration.effectiveTime:periodicFrequency.value
Definition

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

Control0..0
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
54. SubstanceAdministration.effectiveTime:periodicFrequency.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.

Comments

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

Control1..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
Pattern ValueA
56. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
58. SubstanceAdministration.effectiveTime:eventFrequency.value
Definition

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

Control0..0
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
60. SubstanceAdministration.effectiveTime:eventFrequency.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.

Comments

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

Control1..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
Pattern ValueA
62. 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.
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
64. SubstanceAdministration.routeCode
Comments

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

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())
66. 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
68. 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:1098-32950).

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
70. 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:1098-7515).

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

If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878).

Short(USCDI) Dose Unit of Measure
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
74. 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

This doseQuantity SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

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
76. SubstanceAdministration.rateQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
78. SubstanceAdministration.rateQuantity.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 rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).

Control1..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
80. SubstanceAdministration.maxDoseQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
82. SubstanceAdministration.administrationUnitCode
ShortadministrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, 'metric drop (C48491)'' would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value.
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:1098-7519).

Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
84. 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.

Short(USCDI) Medications
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
86. 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
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Medication Information)
Is Modifierfalse
Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
88. SubstanceAdministration.performer
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
90. 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:1098-31150).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
92. 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
94. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
96. 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:1098-7524).

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
98. 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:1098-16086).

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)
100. 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 @ substanceAdministration
  • profile @ observation
  • profile @ act
  • profile @ supply
102. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Short(USCDI) Indication
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:1098-16087).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
104. 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:1098-7537).

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
106. 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
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())
108. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
110. 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:1098-7540).

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
112. 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:1098-7542).

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
114. 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:1098-31387).

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())
116. SubstanceAdministration.entryRelationship:supplyOrder
Slice NamesupplyOrder
Comments

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

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

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

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
120. SubstanceAdministration.entryRelationship:supplyOrder.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:1098-16089).

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())
122. SubstanceAdministration.entryRelationship:medicationDispense
Slice NamemedicationDispense
Comments

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

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

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

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
126. SubstanceAdministration.entryRelationship:medicationDispense.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:1098-16090).

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())
128. SubstanceAdministration.entryRelationship:reaction
Slice Namereaction
Comments

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

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

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

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
132. SubstanceAdministration.entryRelationship:reaction.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:1098-16091).

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())
134. SubstanceAdministration.entryRelationship:drugMonitoring
Slice NamedrugMonitoring
Comments

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

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

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

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
138. SubstanceAdministration.entryRelationship:drugMonitoring.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] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Drug Monitoring Act)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
140. SubstanceAdministration.entryRelationship:substanceAdministered
Slice NamesubstanceAdministered
ShortThe following entryRelationship is used to indicate a given medication'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

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

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

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

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
144. SubstanceAdministration.entryRelationship:substanceAdministered.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:1098-31517).

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
146. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
148. SubstanceAdministration.entryRelationship:substanceAdministered.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:1098-31519).

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())
150. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
Short(USCDI) Medication Adherence
Comments

MAY contain zero or more [0..*] entryRelationship such that it

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

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

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
154. SubstanceAdministration.entryRelationship:adherence.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] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Medication Adherence)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-informant: SHOULD contain informant (informant.exists())
156. SubstanceAdministration.entryRelationship:signature
Slice Namesignature
Short(USCDI) Medication Instructions
Comments

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

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

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

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
160. SubstanceAdministration.entryRelationship:signature.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
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
sig-closed: This is a closed template and shall not contain any elements besides code, text, and consumable ((typeId | statusCode | effectiveTime | priorityCode | repeatNumber | routeCode | approachSiteCode | doseQuantity | rateQuantity | maxDoseQuantity | administrationUnitCode | subject | specimen | performer | informant | participant | entryRelationship | precondition).empty())
162. SubstanceAdministration.precondition
Comments

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

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

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

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
166. SubstanceAdministration.precondition.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

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

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())
1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists())
should-routeCode: SHOULD contain routeCode (routeCode.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
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:medication-activity
Slice Namemedication-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:medication-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:medication-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:medication-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:medication-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 Value2.16.840.1.113883.10.20.22.4.16
30. SubstanceAdministration.templateId:medication-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 Value2014-06-09
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:1098-7496).

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 2011-04-03 (CONF:1098-7497).

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:1098-7500).

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:1098-7506).

Control0..1
BindingFor example codes, see ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
40. SubstanceAdministration.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.
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:1098-7507).

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.

ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

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

Control1..1
BindingThe codes SHALL be taken from Medication Status
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
Control1..*
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.
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
90. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there **SHALL** be an effectiveTime documentation of the duration (or single-administration timestamp), and that there **SHOULD** be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included. Note: This effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ((value.exists() or low.exists()) and ((value.exists() and low.exists()).not()))
should-value-att: SHOULD contain @value (value.exists())
should-low: SHOULD contain low (low.exists())
92. SubstanceAdministration.effectiveTime:duration.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
94. SubstanceAdministration.effectiveTime:duration.value
Definition

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

Shortindicates a single-administration timestamp
Comments

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

Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
96. SubstanceAdministration.effectiveTime:duration.operator
Definition

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

Control0..1
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
98. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Shortindicates when medication started
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
100. SubstanceAdministration.effectiveTime:duration.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
102. SubstanceAdministration.effectiveTime:duration.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
104. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Shortindicates when medication stopped
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
106. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
108. SubstanceAdministration.effectiveTime:periodicFrequency.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
110. SubstanceAdministration.effectiveTime:periodicFrequency.value
Definition

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

Control0..0
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
112. SubstanceAdministration.effectiveTime:periodicFrequency.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.

Comments

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

Control1..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
Pattern ValueA
114. SubstanceAdministration.effectiveTime:periodicFrequency.event
Definition

A code for a common (periodical) activity of daily living based on which the event related periodic interval is specified.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
LabelEvent
116. SubstanceAdministration.effectiveTime:periodicFrequency.offset
Definition

An interval of elapsed time (duration, not absolute point in time) that marks the offsets for the beginning, width and end of the event-related periodic interval measured from the time each such event actually occurred.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
LabelOffset
118. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
120. SubstanceAdministration.effectiveTime:eventFrequency.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
122. SubstanceAdministration.effectiveTime:eventFrequency.value
Definition

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

Control0..0
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
124. SubstanceAdministration.effectiveTime:eventFrequency.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.

Comments

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

Control1..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
Pattern ValueA
126. SubstanceAdministration.effectiveTime:eventFrequency.phase
Definition

A prototype of the repeating interval, specifying the duration of each occurrence and anchors the periodic interval sequence at a certain point in time.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
LabelPhase
128. SubstanceAdministration.effectiveTime:eventFrequency.period
Definition

A time duration specifying as a reciprocal measure of the frequency at which the periodic interval repeats.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelPeriod
130. SubstanceAdministration.effectiveTime:eventFrequency.alignment
Definition

Specifies if and how the repetitions are aligned to the cycles of the underlying calendar (e.g., to distinguish every 30 days from "the 5th of every month".) A non-aligned periodic interval recurs independently from the calendar. An aligned periodic interval is synchronized with the calendar.

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.
LabelAlignment to the Calendar
132. SubstanceAdministration.effectiveTime:eventFrequency.institutionSpecified
Definition

Indicates whether the exact timing is up to the party executing the schedule (e.g., to distinguish "every 8 hours" from "3 times a day".)

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.
LabelInstitution Specified Timing
134. SubstanceAdministration.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
136. 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.
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
138. SubstanceAdministration.routeCode
Comments

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

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())
140. 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
142. 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
144. 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
146. 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
148. 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
150. 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
152. 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.
154. 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.
156. 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
158. 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
160. 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:1098-32950).

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
162. 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:1098-7515).

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

If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878).

Short(USCDI) Dose Unit of Measure
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
166. 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
168. 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

This doseQuantity SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

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
170. 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
172. 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
174. 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
176. 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
178. 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
180. 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
182. 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
184. SubstanceAdministration.rateQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
186. SubstanceAdministration.rateQuantity.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
188. SubstanceAdministration.rateQuantity.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 rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).

Control1..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
190. SubstanceAdministration.rateQuantity.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
192. SubstanceAdministration.rateQuantity.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
194. SubstanceAdministration.rateQuantity.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
196. SubstanceAdministration.rateQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelLow Boundary
198. SubstanceAdministration.rateQuantity.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelCentral Value
200. SubstanceAdministration.rateQuantity.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
202. SubstanceAdministration.rateQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelHigh Boundary
204. SubstanceAdministration.maxDoseQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
206. SubstanceAdministration.administrationUnitCode
ShortadministrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, 'metric drop (C48491)'' would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value.
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:1098-7519).

Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
208. 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.

Short(USCDI) Medications
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
210. 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
212. 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
214. 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
216. 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
218. 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
220. 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
222. 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
224. 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
226. 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
228. 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
230. 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
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Medication Information)
Is Modifierfalse
Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
232. SubstanceAdministration.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
234. SubstanceAdministration.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
236. SubstanceAdministration.performer
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
238. 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:1098-31150).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
240. SubstanceAdministration.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
242. 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
244. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
246. 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
248. 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
250. 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
252. 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
254. 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
256. 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
258. 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
260. 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
262. 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
264. 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:1098-7524).

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
266. 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
268. 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.
270. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
272. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
274. 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:1098-16086).

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)
276. 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 @ substanceAdministration
  • profile @ observation
  • profile @ act
  • profile @ supply
278. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Short(USCDI) Indication
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:1098-16087).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
280. 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
282. 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
284. 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
286. 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
288. 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
290. 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
292. 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
294. 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
296. 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
298. 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:1098-7537).

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
300. 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.
302. 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
304. 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.
306. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
308. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
310. SubstanceAdministration.entryRelationship:indication.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
312. SubstanceAdministration.entryRelationship:indication.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
314. 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
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())
316. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
318. SubstanceAdministration.entryRelationship:indication.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
320. SubstanceAdministration.entryRelationship:indication.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
322. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
324. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
326. SubstanceAdministration.entryRelationship:indication.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
328. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
330. 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
332. 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
334. 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
336. 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
338. 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
340. 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
342. 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
344. 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
346. 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
348. 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:1098-7540).

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
350. 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:1098-7542).

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
352. 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
354. 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.
356. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
358. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
360. 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:1098-31387).

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())
362. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
364. SubstanceAdministration.entryRelationship:instruction.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
366. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
368. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
370. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
372. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
374. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
376. SubstanceAdministration.entryRelationship:instruction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
378. SubstanceAdministration.entryRelationship:supplyOrder
Slice NamesupplyOrder
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
380. SubstanceAdministration.entryRelationship:supplyOrder.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
382. SubstanceAdministration.entryRelationship:supplyOrder.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
384. SubstanceAdministration.entryRelationship:supplyOrder.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
386. SubstanceAdministration.entryRelationship:supplyOrder.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
388. SubstanceAdministration.entryRelationship:supplyOrder.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
390. SubstanceAdministration.entryRelationship:supplyOrder.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
392. SubstanceAdministration.entryRelationship:supplyOrder.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
394. SubstanceAdministration.entryRelationship:supplyOrder.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
396. SubstanceAdministration.entryRelationship:supplyOrder.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
398. SubstanceAdministration.entryRelationship:supplyOrder.typeCode
Comments

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

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
400. SubstanceAdministration.entryRelationship:supplyOrder.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.
402. SubstanceAdministration.entryRelationship:supplyOrder.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
404. SubstanceAdministration.entryRelationship:supplyOrder.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.
406. SubstanceAdministration.entryRelationship:supplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
408. SubstanceAdministration.entryRelationship:supplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
410. SubstanceAdministration.entryRelationship:supplyOrder.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
412. SubstanceAdministration.entryRelationship:supplyOrder.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
414. SubstanceAdministration.entryRelationship:supplyOrder.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
416. SubstanceAdministration.entryRelationship:supplyOrder.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
418. SubstanceAdministration.entryRelationship:supplyOrder.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
420. SubstanceAdministration.entryRelationship:supplyOrder.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
422. SubstanceAdministration.entryRelationship:supplyOrder.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
424. SubstanceAdministration.entryRelationship:supplyOrder.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
426. SubstanceAdministration.entryRelationship:supplyOrder.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:1098-16089).

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())
428. SubstanceAdministration.entryRelationship:medicationDispense
Slice NamemedicationDispense
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
430. SubstanceAdministration.entryRelationship:medicationDispense.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
432. SubstanceAdministration.entryRelationship:medicationDispense.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
434. SubstanceAdministration.entryRelationship:medicationDispense.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
436. SubstanceAdministration.entryRelationship:medicationDispense.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
438. SubstanceAdministration.entryRelationship:medicationDispense.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
440. SubstanceAdministration.entryRelationship:medicationDispense.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
442. SubstanceAdministration.entryRelationship:medicationDispense.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
444. SubstanceAdministration.entryRelationship:medicationDispense.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
446. SubstanceAdministration.entryRelationship:medicationDispense.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
448. SubstanceAdministration.entryRelationship:medicationDispense.typeCode
Comments

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

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
450. SubstanceAdministration.entryRelationship:medicationDispense.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.
452. SubstanceAdministration.entryRelationship:medicationDispense.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
454. SubstanceAdministration.entryRelationship:medicationDispense.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.
456. SubstanceAdministration.entryRelationship:medicationDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
458. SubstanceAdministration.entryRelationship:medicationDispense.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
460. SubstanceAdministration.entryRelationship:medicationDispense.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
462. SubstanceAdministration.entryRelationship:medicationDispense.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
464. SubstanceAdministration.entryRelationship:medicationDispense.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
466. SubstanceAdministration.entryRelationship:medicationDispense.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
468. SubstanceAdministration.entryRelationship:medicationDispense.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
470. SubstanceAdministration.entryRelationship:medicationDispense.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
472. SubstanceAdministration.entryRelationship:medicationDispense.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
474. SubstanceAdministration.entryRelationship:medicationDispense.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
476. SubstanceAdministration.entryRelationship:medicationDispense.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:1098-16090).

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())
478. SubstanceAdministration.entryRelationship:reaction
Slice Namereaction
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
480. SubstanceAdministration.entryRelationship:reaction.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
482. SubstanceAdministration.entryRelationship:reaction.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
484. SubstanceAdministration.entryRelationship:reaction.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
486. SubstanceAdministration.entryRelationship:reaction.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
488. SubstanceAdministration.entryRelationship:reaction.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
490. SubstanceAdministration.entryRelationship:reaction.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
492. SubstanceAdministration.entryRelationship:reaction.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
494. SubstanceAdministration.entryRelationship:reaction.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
496. SubstanceAdministration.entryRelationship:reaction.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
498. SubstanceAdministration.entryRelationship:reaction.typeCode
Comments

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

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
500. SubstanceAdministration.entryRelationship:reaction.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.
502. SubstanceAdministration.entryRelationship:reaction.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
504. SubstanceAdministration.entryRelationship:reaction.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.
506. SubstanceAdministration.entryRelationship:reaction.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
508. SubstanceAdministration.entryRelationship:reaction.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
510. SubstanceAdministration.entryRelationship:reaction.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
512. SubstanceAdministration.entryRelationship:reaction.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
514. SubstanceAdministration.entryRelationship:reaction.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:1098-16091).

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())
516. SubstanceAdministration.entryRelationship:reaction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
518. SubstanceAdministration.entryRelationship:reaction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
520. SubstanceAdministration.entryRelationship:reaction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
522. SubstanceAdministration.entryRelationship:reaction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
524. SubstanceAdministration.entryRelationship:reaction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
526. SubstanceAdministration.entryRelationship:reaction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
528. SubstanceAdministration.entryRelationship:drugMonitoring
Slice NamedrugMonitoring
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
530. SubstanceAdministration.entryRelationship:drugMonitoring.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
532. SubstanceAdministration.entryRelationship:drugMonitoring.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
534. SubstanceAdministration.entryRelationship:drugMonitoring.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
536. SubstanceAdministration.entryRelationship:drugMonitoring.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
538. SubstanceAdministration.entryRelationship:drugMonitoring.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
540. SubstanceAdministration.entryRelationship:drugMonitoring.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
542. SubstanceAdministration.entryRelationship:drugMonitoring.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
544. SubstanceAdministration.entryRelationship:drugMonitoring.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
546. SubstanceAdministration.entryRelationship:drugMonitoring.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
548. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Comments

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

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
550. SubstanceAdministration.entryRelationship:drugMonitoring.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.
552. SubstanceAdministration.entryRelationship:drugMonitoring.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
554. SubstanceAdministration.entryRelationship:drugMonitoring.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.
556. SubstanceAdministration.entryRelationship:drugMonitoring.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
558. SubstanceAdministration.entryRelationship:drugMonitoring.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
560. SubstanceAdministration.entryRelationship:drugMonitoring.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] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Drug Monitoring Act)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
562. SubstanceAdministration.entryRelationship:drugMonitoring.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
564. SubstanceAdministration.entryRelationship:drugMonitoring.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
566. SubstanceAdministration.entryRelationship:drugMonitoring.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
568. SubstanceAdministration.entryRelationship:drugMonitoring.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
570. SubstanceAdministration.entryRelationship:drugMonitoring.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
572. SubstanceAdministration.entryRelationship:drugMonitoring.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
574. SubstanceAdministration.entryRelationship:drugMonitoring.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
576. SubstanceAdministration.entryRelationship:drugMonitoring.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
578. SubstanceAdministration.entryRelationship:substanceAdministered
Slice NamesubstanceAdministered
ShortThe following entryRelationship is used to indicate a given medication'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

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
580. SubstanceAdministration.entryRelationship:substanceAdministered.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
582. SubstanceAdministration.entryRelationship:substanceAdministered.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
584. SubstanceAdministration.entryRelationship:substanceAdministered.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
586. SubstanceAdministration.entryRelationship:substanceAdministered.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
588. SubstanceAdministration.entryRelationship:substanceAdministered.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
590. SubstanceAdministration.entryRelationship:substanceAdministered.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
592. SubstanceAdministration.entryRelationship:substanceAdministered.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
594. SubstanceAdministration.entryRelationship:substanceAdministered.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
596. SubstanceAdministration.entryRelationship:substanceAdministered.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
598. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Comments

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

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
600. SubstanceAdministration.entryRelationship:substanceAdministered.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:1098-31517).

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
602. SubstanceAdministration.entryRelationship:substanceAdministered.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
604. SubstanceAdministration.entryRelationship:substanceAdministered.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.
606. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
608. SubstanceAdministration.entryRelationship:substanceAdministered.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
610. SubstanceAdministration.entryRelationship:substanceAdministered.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:1098-31519).

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())
612. SubstanceAdministration.entryRelationship:substanceAdministered.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
614. SubstanceAdministration.entryRelationship:substanceAdministered.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
616. SubstanceAdministration.entryRelationship:substanceAdministered.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
618. SubstanceAdministration.entryRelationship:substanceAdministered.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
620. SubstanceAdministration.entryRelationship:substanceAdministered.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
622. SubstanceAdministration.entryRelationship:substanceAdministered.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
624. SubstanceAdministration.entryRelationship:substanceAdministered.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
626. SubstanceAdministration.entryRelationship:substanceAdministered.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
628. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
Short(USCDI) Medication Adherence
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
630. SubstanceAdministration.entryRelationship:adherence.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
632. SubstanceAdministration.entryRelationship:adherence.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
634. SubstanceAdministration.entryRelationship:adherence.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
636. SubstanceAdministration.entryRelationship:adherence.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
638. SubstanceAdministration.entryRelationship:adherence.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
640. SubstanceAdministration.entryRelationship:adherence.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
642. SubstanceAdministration.entryRelationship:adherence.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
644. SubstanceAdministration.entryRelationship:adherence.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
646. SubstanceAdministration.entryRelationship:adherence.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
648. SubstanceAdministration.entryRelationship:adherence.typeCode
Comments

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

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
650. SubstanceAdministration.entryRelationship:adherence.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.
652. SubstanceAdministration.entryRelationship:adherence.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
654. SubstanceAdministration.entryRelationship:adherence.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.
656. SubstanceAdministration.entryRelationship:adherence.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
658. SubstanceAdministration.entryRelationship:adherence.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
660. SubstanceAdministration.entryRelationship:adherence.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
662. SubstanceAdministration.entryRelationship:adherence.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
664. SubstanceAdministration.entryRelationship:adherence.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] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Medication Adherence)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-informant: SHOULD contain informant (informant.exists())
666. SubstanceAdministration.entryRelationship:adherence.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
668. SubstanceAdministration.entryRelationship:adherence.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
670. SubstanceAdministration.entryRelationship:adherence.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
672. SubstanceAdministration.entryRelationship:adherence.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
674. SubstanceAdministration.entryRelationship:adherence.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
676. SubstanceAdministration.entryRelationship:adherence.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
678. SubstanceAdministration.entryRelationship:signature
Slice Namesignature
Short(USCDI) Medication Instructions
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
680. SubstanceAdministration.entryRelationship:signature.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
682. SubstanceAdministration.entryRelationship:signature.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
684. SubstanceAdministration.entryRelationship:signature.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
686. SubstanceAdministration.entryRelationship:signature.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
688. SubstanceAdministration.entryRelationship:signature.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
690. SubstanceAdministration.entryRelationship:signature.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
692. SubstanceAdministration.entryRelationship:signature.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
694. SubstanceAdministration.entryRelationship:signature.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
696. SubstanceAdministration.entryRelationship:signature.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
698. SubstanceAdministration.entryRelationship:signature.typeCode
Comments

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

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
700. SubstanceAdministration.entryRelationship:signature.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.
702. SubstanceAdministration.entryRelationship:signature.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
704. SubstanceAdministration.entryRelationship:signature.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.
706. SubstanceAdministration.entryRelationship:signature.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
708. SubstanceAdministration.entryRelationship:signature.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
710. SubstanceAdministration.entryRelationship:signature.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
712. SubstanceAdministration.entryRelationship:signature.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
714. SubstanceAdministration.entryRelationship:signature.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
716. SubstanceAdministration.entryRelationship:signature.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
718. SubstanceAdministration.entryRelationship:signature.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
720. SubstanceAdministration.entryRelationship:signature.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
722. SubstanceAdministration.entryRelationship:signature.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
724. SubstanceAdministration.entryRelationship:signature.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
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
sig-closed: This is a closed template and shall not contain any elements besides code, text, and consumable ((typeId | statusCode | effectiveTime | priorityCode | repeatNumber | routeCode | approachSiteCode | doseQuantity | rateQuantity | maxDoseQuantity | administrationUnitCode | subject | specimen | performer | informant | participant | entryRelationship | precondition).empty())
726. SubstanceAdministration.entryRelationship:signature.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
728. SubstanceAdministration.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
730. SubstanceAdministration.precondition
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
732. SubstanceAdministration.precondition.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
734. SubstanceAdministration.precondition.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
736. SubstanceAdministration.precondition.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
738. SubstanceAdministration.precondition.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
740. SubstanceAdministration.precondition.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
742. SubstanceAdministration.precondition.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
744. SubstanceAdministration.precondition.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
746. SubstanceAdministration.precondition.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
748. SubstanceAdministration.precondition.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
750. SubstanceAdministration.precondition.typeCode
Comments

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

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
752. SubstanceAdministration.precondition.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

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
Is Modifierfalse
754. 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.