Consolidated CDA (C-CDA)
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This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: MedicationActivity - Detailed Descriptions

Draft as of 2024-05-18

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)
ValidationInstance 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 areUnordered 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 .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
    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 .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.11)
    26. SubstanceAdministration.effectiveTime
    Control1..?
    SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices areUnordered 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 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 .
      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
      Invariantsshould-translation: SHOULD contain translation (translation.exists())
      48. SubstanceAdministration.routeCode.translation
      Comments

      The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32950).

      BindingThe codes SHOULD be taken from Medication Route .
      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
      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 .
      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
      52. SubstanceAdministration.doseQuantity
      ShortIf 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).
      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
      Definition

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

      Short(USCDI) Dose Unit of Measure. NOTE: 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 SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

      BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive .
      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
      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 .
      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
      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 .
      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
      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 areUnordered 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 areUnordered 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)
          ValidationInstance 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 areUnordered 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 CDAActClass
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
            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 .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
            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 CDAActSubstanceAdministrationCode
            (example to http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode)
            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
            (required to http://terminology.hl7.org/ValueSet/v3-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 .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.11)
            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 areUnordered 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 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 CDASetOperator
              (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
              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 CDASetOperator
              (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
              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 .
              (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
              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 SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32950).

              Control0..*
              BindingThe codes SHOULD be taken from Medication Route .
              (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
              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 .
              (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              72. SubstanceAdministration.doseQuantity
              ShortIf 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).
              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

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

              Short(USCDI) Dose Unit of Measure. NOTE: 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 SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

              Control0..1
              BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive .
              (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
              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 .
              (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
              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 .
              (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
              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 areUnordered 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 CDAParticipationType
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                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 areUnordered 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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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())
                  indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  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())
                  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 CDAActRelationshipType
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                  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)
                  ValidationInstance 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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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 areUnordered 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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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 CDAActClass
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
                    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 .
                    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
                    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 CDAActSubstanceAdministrationCode
                    (example to http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode)
                    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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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 CDACompressionAlgorithm
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                    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)
                    (required to http://terminology.hl7.org/ValueSet/v3-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
                    (example to http://terminology.hl7.org/ValueSet/v3-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 CDABinaryDataEncoding
                    (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                    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
                    (required to http://terminology.hl7.org/ValueSet/v3-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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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 .
                    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.11)
                    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 areUnordered 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 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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      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
                      (example to http://terminology.hl7.org/ValueSet/v3-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 .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32950).

                      Control0..*
                      BindingThe codes SHOULD be taken from Medication Route .
                      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
                      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 .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      164. SubstanceAdministration.doseQuantity
                      ShortIf 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).&#10;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).
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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

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

                      Short(USCDI) Dose Unit of Measure. NOTE: 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 SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).

                      Control0..1
                      BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive .
                      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
                      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 CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839)
                      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 CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      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 .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
                      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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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
                      (required to http://hl7.org/cda/stds/core/ValueSet/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 CDAParticipationType
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                      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 areUnordered 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
                        (required to http://hl7.org/cda/stds/core/ValueSet/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
                        (required to http://hl7.org/cda/stds/core/ValueSet/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 CDAParticipationType
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                        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 CDAContextControl
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                        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 areUnordered 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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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())
                          indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          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())
                          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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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
                          (required to http://hl7.org/cda/stds/core/ValueSet/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 CDAActRelationshipType
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                          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.