Consolidated CDA (C-CDA)
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This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) 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 2025-06-20

Definitions for the MedicationActivity logical model.

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

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.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
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
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/PIVL-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.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
      116. SubstanceAdministration.effectiveTime:periodicFrequency.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
      118. SubstanceAdministration.effectiveTime:periodicFrequency.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
      120. SubstanceAdministration.effectiveTime:periodicFrequency.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
      122. 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/EIVL-TS
      Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      124. 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
      126. 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.
      128. 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
      130. SubstanceAdministration.effectiveTime:eventFrequency.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
      132. SubstanceAdministration.effectiveTime:eventFrequency.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
      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
      Shorticon Added:𝗨𝗦𝗖𝗗𝗜: Route Code - SPL
      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.

      Shorticon Added:𝗨𝗦𝗖𝗗𝗜: Route Code - SNOMED
      Comments

      icon Changed:

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

      Control0..*
      BindingThe codes SHALL be taken from Medication Route .
      (required 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).
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

      Shorticon Changed: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://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelUnit of Measure
      Default Value1
      170. SubstanceAdministration.doseQuantity.value
      Definition

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

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

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

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
      LabelTranslation
      174. SubstanceAdministration.doseQuantity.operator
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from 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://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelUnit of Measure
      Default Value1
      190. SubstanceAdministration.rateQuantity.value
      Definition

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

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

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

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
      LabelTranslation
      194. SubstanceAdministration.rateQuantity.operator
      Definition

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

      Control0..1
      BindingThe codes SHALL be taken from 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.

      Shorticon Changed: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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      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
      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Medication Information)
      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
      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)
      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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        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
        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)
        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
          Short𝗨𝗦𝗖𝗗𝗜: 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          362. SubstanceAdministration.entryRelationship:instruction.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          364. SubstanceAdministration.entryRelationship:instruction.observation
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          Short𝗨𝗦𝗖𝗗𝗜: 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          Short𝗨𝗦𝗖𝗗𝗜: 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          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
          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)
          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.

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

          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/PIVL-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/EIVL-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
              Short𝗨𝗦𝗖𝗗𝗜: Route Code - SPL
              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
              Short𝗨𝗦𝗖𝗗𝗜: Route Code - SNOMED
              Comments

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

              BindingThe codes SHALL be taken from Medication Route .
              (required 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

              Short𝗨𝗦𝗖𝗗𝗜: 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://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
              56. SubstanceAdministration.rateQuantity
              Comments

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

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

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

              Control1..?
              BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
              (required to http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
              60. SubstanceAdministration.maxDoseQuantity
              Comments

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

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

              MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1098-7519).

              BindingThe codes SHALL be taken from AdministrationUnitDoseForm .
              (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
              64. SubstanceAdministration.consumable
              Short𝗨𝗦𝗖𝗗𝗜: 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
                  Short𝗨𝗦𝗖𝗗𝗜: 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.observation
                  Control1..?
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
                  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
                  Short𝗨𝗦𝗖𝗗𝗜: 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
                  Short𝗨𝗦𝗖𝗗𝗜: 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 foundhere

                  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
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  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/PIVL-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.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
                      116. SubstanceAdministration.effectiveTime:periodicFrequency.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
                      118. SubstanceAdministration.effectiveTime:periodicFrequency.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
                      120. SubstanceAdministration.effectiveTime:periodicFrequency.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
                      122. 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/EIVL-TS
                      Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
                      XML FormatThe type of this property is determined using the xsi:typeattribute.
                      124. 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
                      126. 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.
                      128. 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
                      130. SubstanceAdministration.effectiveTime:eventFrequency.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
                      132. SubstanceAdministration.effectiveTime:eventFrequency.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
                      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
                      Shorticon Added:𝗨𝗦𝗖𝗗𝗜: Route Code - SPL
                      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.

                      Shorticon Added:𝗨𝗦𝗖𝗗𝗜: Route Code - SNOMED
                      Comments

                      icon Changed:

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

                      Control0..*
                      BindingThe codes SHALL be taken from Medication Route .
                      (required 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).
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

                      Shorticon Changed: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://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelUnit of Measure
                      Default Value1
                      170. SubstanceAdministration.doseQuantity.value
                      Definition

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

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

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

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
                      LabelTranslation
                      174. SubstanceAdministration.doseQuantity.operator
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from 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://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelUnit of Measure
                      Default Value1
                      190. SubstanceAdministration.rateQuantity.value
                      Definition

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

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

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

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
                      LabelTranslation
                      194. SubstanceAdministration.rateQuantity.operator
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from 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.

                      Shorticon Changed: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
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      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
                      Shorticon Removed:Base for all types and resources
                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Medication Information)
                      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
                      Shorticon Removed:Base 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)
                      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
                        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                        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
                        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)
                        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
                          Short𝗨𝗦𝗖𝗗𝗜: 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                          362. SubstanceAdministration.entryRelationship:instruction.encounter
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                          364. SubstanceAdministration.entryRelationship:instruction.observation
                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          Short𝗨𝗦𝗖𝗗𝗜: 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          Short𝗨𝗦𝗖𝗗𝗜: 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          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)
                          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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          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
                          Shorticon Removed:Base 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)
                          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.