This page is part of the CCDA: Consolidated CDA Release (v4.0.0-ballot: CCDA 4.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/MedicationFreeTextSig | Version: 4.0.0-ballot | |||
| Draft as of 2024-12-20 | Computable Name: MedicationFreeTextSig | |||
| Other Identifiers: OID:2.16.840.1.113883.10.20.22.4.147 | ||||
The template is available to explicitly identify the free text Sig within each medication.
An example free text sig: Thyroxin 150 ug, take one tab by mouth every morning.
NOTE: This is a Closed template so only the elements needed for the template are allowed. All other elements are not allowed.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from SubstanceAdministration
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    typeId | 0..0 | |||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|      @extension | 0..0 | |||
|    @classCode | 1..1 | cs | ||
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    code | 1..1 | CD | Instructions Medication Narrative | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @value | 0..1 | url | ||
|    statusCode | 0..0 | |||
|    effectiveTime | 0..0 | |||
|    priorityCode | 0..0 | |||
|    repeatNumber | 0..0 | |||
|    routeCode | 0..0 | |||
|    approachSiteCode | 0..0 | |||
|    doseQuantity | 0..0 | |||
|    rateQuantity | 0..0 | |||
|    maxDoseQuantity | 0..0 | |||
|    administrationUnitCode | 0..0 | |||
|    consumable | 1..1 | InfrastructureRoot | ||
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Fixed Value: NA | |
|    subject | 0..0 | |||
|    specimen | 0..0 | |||
|    performer | 0..0 | |||
|    informant | 0..0 | |||
|    participant | 0..0 | |||
|    entryRelationship | 0..0 | |||
|    precondition | 0..0 | |||
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | 
| Id | Grade | Path(s) | Details | Requirements | 
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|    @classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    id | 0..* | II | ||
|    code | 1..1 | CD | Instructions Medication Narrative Binding: CDAActSubstanceAdministrationCode (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    @negationInd | 0..1 | bl | ||
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @value | 0..1 | url | ||
|      useablePeriod | 0..* | |||
|       useablePeriod | IVL_TS | |||
|       useablePeriod | EIVL_TS | |||
|       useablePeriod | PIVL_TS | |||
|       useablePeriod | SXPR_TS | |||
|      @use | 0..* | cs | Binding: TelecommunicationAddressUse (2.0.0) (required) | |
|     thumbnail | 0..1 | ED | ||
|    consumable | 1..1 | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      realmCode | 0..* | CS | ||
|      typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|       @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|       @assigningAuthorityName | 0..1 | st | ||
|       @displayable | 0..1 | bl | ||
|       @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|       @extension | 1..1 | st | ||
|      templateId | 0..* | II | ||
|      @classCode | 0..1 | cs | Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU | |
|      id | 0..* | II | ||
|      sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Binding: CDANullFlavor (required) Fixed Value: NA | |
|       realmCode | 0..* | CS | ||
|       typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|        @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|        @assigningAuthorityName | 0..1 | st | ||
|        @displayable | 0..1 | bl | ||
|        @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|        @extension | 1..1 | st | ||
|       templateId | 0..* | II | ||
|       @classCode | 0..1 | cs | Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT | |
|       @determinerCode | 0..1 | cs | Binding: EntityDeterminerDetermined (required) Fixed Value: KIND | |
|       code | 0..1 | CE | ||
|       name | 0..1 | EN | ||
|      manufacturedMaterial | 0..1 | Material | ||
|      manufacturerOrganization | 0..1 | Organization | ||
|    author | 0..* | Author | ||
|    reference | 0..* | Reference | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| SubstanceAdministration.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:med-freeTextSig.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADM http://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCode http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.text.reference.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.reference.use | required | TelecommunicationAddressUse http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0 | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSM http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.consumable.manufacturedProduct.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.classCode | required | Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor | required | Fixed Value: NA http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode | required | Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode | required | Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | SubstanceAdministration.consumable.typeId, SubstanceAdministration.consumable.manufacturedProduct.typeId, SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|    @classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    id | 0..* | II | ||
|    code | 1..1 | CD | Instructions Medication Narrative Binding: CDAActSubstanceAdministrationCode (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    @negationInd | 0..1 | bl | ||
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @value | 0..1 | url | ||
|      useablePeriod | 0..* | |||
|       useablePeriod | IVL_TS | |||
|       useablePeriod | EIVL_TS | |||
|       useablePeriod | PIVL_TS | |||
|       useablePeriod | SXPR_TS | |||
|      @use | 0..* | cs | Binding: TelecommunicationAddressUse (2.0.0) (required) | |
|     thumbnail | 0..1 | ED | ||
|    consumable | 1..1 | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      realmCode | 0..* | CS | ||
|      typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|       @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|       @assigningAuthorityName | 0..1 | st | ||
|       @displayable | 0..1 | bl | ||
|       @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|       @extension | 1..1 | st | ||
|      templateId | 0..* | II | ||
|      @classCode | 0..1 | cs | Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU | |
|      id | 0..* | II | ||
|      sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Binding: CDANullFlavor (required) Fixed Value: NA | |
|       realmCode | 0..* | CS | ||
|       typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|        @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|        @assigningAuthorityName | 0..1 | st | ||
|        @displayable | 0..1 | bl | ||
|        @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|        @extension | 1..1 | st | ||
|       templateId | 0..* | II | ||
|       @classCode | 0..1 | cs | Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT | |
|       @determinerCode | 0..1 | cs | Binding: EntityDeterminerDetermined (required) Fixed Value: KIND | |
|       code | 0..1 | CE | ||
|       name | 0..1 | EN | ||
|      manufacturedMaterial | 0..1 | Material | ||
|      manufacturerOrganization | 0..1 | Organization | ||
|    author | 0..* | Author | ||
|    reference | 0..* | Reference | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| SubstanceAdministration.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:med-freeTextSig.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADM http://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCode http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.text.reference.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.reference.use | required | TelecommunicationAddressUse http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0 | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSM http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.consumable.manufacturedProduct.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.classCode | required | Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor | required | Fixed Value: NA http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode | required | Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode | required | Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | SubstanceAdministration.consumable.typeId, SubstanceAdministration.consumable.manufacturedProduct.typeId, SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
This structure is derived from SubstanceAdministration
Summary
Mandatory: 10 elements
 Fixed: 1 element
 Prohibited: 19 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from SubstanceAdministration
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    typeId | 0..0 | |||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|      @extension | 0..0 | |||
|    @classCode | 1..1 | cs | ||
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    code | 1..1 | CD | Instructions Medication Narrative | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @value | 0..1 | url | ||
|    statusCode | 0..0 | |||
|    effectiveTime | 0..0 | |||
|    priorityCode | 0..0 | |||
|    repeatNumber | 0..0 | |||
|    routeCode | 0..0 | |||
|    approachSiteCode | 0..0 | |||
|    doseQuantity | 0..0 | |||
|    rateQuantity | 0..0 | |||
|    maxDoseQuantity | 0..0 | |||
|    administrationUnitCode | 0..0 | |||
|    consumable | 1..1 | InfrastructureRoot | ||
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Fixed Value: NA | |
|    subject | 0..0 | |||
|    specimen | 0..0 | |||
|    performer | 0..0 | |||
|    informant | 0..0 | |||
|    participant | 0..0 | |||
|    entryRelationship | 0..0 | |||
|    precondition | 0..0 | |||
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | 
| Id | Grade | Path(s) | Details | Requirements | 
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|    @classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    id | 0..* | II | ||
|    code | 1..1 | CD | Instructions Medication Narrative Binding: CDAActSubstanceAdministrationCode (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    @negationInd | 0..1 | bl | ||
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @value | 0..1 | url | ||
|      useablePeriod | 0..* | |||
|       useablePeriod | IVL_TS | |||
|       useablePeriod | EIVL_TS | |||
|       useablePeriod | PIVL_TS | |||
|       useablePeriod | SXPR_TS | |||
|      @use | 0..* | cs | Binding: TelecommunicationAddressUse (2.0.0) (required) | |
|     thumbnail | 0..1 | ED | ||
|    consumable | 1..1 | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      realmCode | 0..* | CS | ||
|      typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|       @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|       @assigningAuthorityName | 0..1 | st | ||
|       @displayable | 0..1 | bl | ||
|       @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|       @extension | 1..1 | st | ||
|      templateId | 0..* | II | ||
|      @classCode | 0..1 | cs | Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU | |
|      id | 0..* | II | ||
|      sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Binding: CDANullFlavor (required) Fixed Value: NA | |
|       realmCode | 0..* | CS | ||
|       typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|        @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|        @assigningAuthorityName | 0..1 | st | ||
|        @displayable | 0..1 | bl | ||
|        @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|        @extension | 1..1 | st | ||
|       templateId | 0..* | II | ||
|       @classCode | 0..1 | cs | Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT | |
|       @determinerCode | 0..1 | cs | Binding: EntityDeterminerDetermined (required) Fixed Value: KIND | |
|       code | 0..1 | CE | ||
|       name | 0..1 | EN | ||
|      manufacturedMaterial | 0..1 | Material | ||
|      manufacturerOrganization | 0..1 | Organization | ||
|    author | 0..* | Author | ||
|    reference | 0..* | Reference | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| SubstanceAdministration.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:med-freeTextSig.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADM http://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCode http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.text.reference.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.reference.use | required | TelecommunicationAddressUse http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0 | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSM http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.consumable.manufacturedProduct.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.classCode | required | Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor | required | Fixed Value: NA http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode | required | Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode | required | Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | SubstanceAdministration.consumable.typeId, SubstanceAdministration.consumable.manufacturedProduct.typeId, SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   SubstanceAdministration | C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | 
|    @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|    realmCode | 0..* | CS | ||
|    Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
|     templateId:med-freeTextSig | 1..1 | II | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.147 | |
|    @classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
|    @moodCode | 1..1 | cs | moodCode must match the parent substanceAdministration EVN or INT Binding: MoodCodeEvnInt  (required) | |
|    id | 0..* | II | ||
|    code | 1..1 | CD | Instructions Medication Narrative Binding: CDAActSubstanceAdministrationCode (example) | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @code | 1..1 | cs | Required Pattern: 76662-6 | |
|     @codeSystem | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
|     @codeSystemName | 0..1 | st | ||
|     @codeSystemVersion | 0..1 | st | ||
|     @displayName | 0..1 | st | ||
|     @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
|     @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
|     originalText | 0..1 | ED | ||
|     qualifier | 0..* | CR | ||
|     translation | 0..* | CD | ||
|    @negationInd | 0..1 | bl | ||
|    text | 1..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     @compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
|     @integrityCheck | 0..1 | bin | ||
|     @integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
|     @language | 0..1 | cs | ||
|     @mediaType | 0..1 | cs | Binding: MediaType (example) | |
|     @representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
|     xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
|     reference | C | 1..1 | TEL | Reference into the section/text to a tag that only contains free text sig. value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @value | 0..1 | url | ||
|      useablePeriod | 0..* | |||
|       useablePeriod | IVL_TS | |||
|       useablePeriod | EIVL_TS | |||
|       useablePeriod | PIVL_TS | |||
|       useablePeriod | SXPR_TS | |||
|      @use | 0..* | cs | Binding: TelecommunicationAddressUse (2.0.0) (required) | |
|     thumbnail | 0..1 | ED | ||
|    consumable | 1..1 | InfrastructureRoot | ||
|     @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|     realmCode | 0..* | CS | ||
|     typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      @assigningAuthorityName | 0..1 | st | ||
|      @displayable | 0..1 | bl | ||
|      @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|      @extension | 1..1 | st | ||
|     templateId | 0..* | II | ||
|     @typeCode | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
|     manufacturedProduct | 1..1 | ManufacturedProduct | ||
|      @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|      realmCode | 0..* | CS | ||
|      typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|       @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|       @assigningAuthorityName | 0..1 | st | ||
|       @displayable | 0..1 | bl | ||
|       @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|       @extension | 1..1 | st | ||
|      templateId | 0..* | II | ||
|      @classCode | 0..1 | cs | Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU | |
|      id | 0..* | II | ||
|      sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
|      manufacturedLabeledDrug | 1..1 | LabeledDrug | ||
|       @nullFlavor | 1..1 | cs | Binding: CDANullFlavor (required) Fixed Value: NA | |
|       realmCode | 0..* | CS | ||
|       typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. | 
|        @nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
|        @assigningAuthorityName | 0..1 | st | ||
|        @displayable | 0..1 | bl | ||
|        @root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
|        @extension | 1..1 | st | ||
|       templateId | 0..* | II | ||
|       @classCode | 0..1 | cs | Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT | |
|       @determinerCode | 0..1 | cs | Binding: EntityDeterminerDetermined (required) Fixed Value: KIND | |
|       code | 0..1 | CE | ||
|       name | 0..1 | EN | ||
|      manufacturedMaterial | 0..1 | Material | ||
|      manufacturerOrganization | 0..1 | Organization | ||
|    author | 0..* | Author | ||
|    reference | 0..* | Reference | ||
|    sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| SubstanceAdministration.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:med-freeTextSig.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADM http://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | MoodCodeEvnInt  http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCode http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.code.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaType http://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.text.reference.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.reference.use | required | TelecommunicationAddressUse http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0 | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSM http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.consumable.manufacturedProduct.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.classCode | required | Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor | required | Fixed Value: NA http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId.nullFlavor | required | CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode | required | Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial | |
| SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode | required | Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined | 
| Id | Grade | Path(s) | Details | Requirements | 
| II-1 | error | SubstanceAdministration.consumable.typeId, SubstanceAdministration.consumable.manufacturedProduct.typeId, SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') | 
This structure is derived from SubstanceAdministration
Summary
Mandatory: 10 elements
 Fixed: 1 element
 Prohibited: 19 elements
Slices
This structure defines the following Slices: