Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build United States of America flag

Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

Logical Model: ImmunizationActivity - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the ImmunizationActivity logical model.

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

0. SubstanceAdministration
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. SubstanceAdministration.classCode
Comments

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

4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

BindingThe codes SHALL be taken from MoodCodeEvnInt
6. SubstanceAdministration.templateId
Control1..?
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
8. SubstanceAdministration.templateId:primary
Slice Nameprimary
Comments

SHALL contain exactly one [1..1] templateId (CONF:1198-8828) such that it

Control1..1
10. SubstanceAdministration.templateId:primary.root
Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.52" (CONF:1198-10498).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.52
12. SubstanceAdministration.templateId:primary.extension
Comments

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32528).

Control1..?
Pattern Value2015-08-01
14. SubstanceAdministration.id
Comments

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

Control1..?
16. SubstanceAdministration.code
ShortSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Comments

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

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

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

Control1..?
20. SubstanceAdministration.statusCode
Comments

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

Control1..?
22. SubstanceAdministration.statusCode.code
Comments

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

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

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

Control1..1
26. 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:1198-8838).

28. SubstanceAdministration.routeCode
Comments

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

BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
30. SubstanceAdministration.routeCode.translation
Comments

The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

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

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

36. SubstanceAdministration.doseQuantity.unit
Comments

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

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

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

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

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

42. SubstanceAdministration.consumable.manufacturedProduct
Comments

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

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

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

Control0..1
46. SubstanceAdministration.author
Comments

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

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
48. SubstanceAdministration.participant
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ typeCode
  • profile @ participantRole
50. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

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

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

Control1..?
Fixed ValueCSM
54. SubstanceAdministration.participant:drugVehicle.participantRole
Comments

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

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
56. SubstanceAdministration.entryRelationship
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • profile @ supply
58. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
96. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
Comments

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

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

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

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

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

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

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

104. SubstanceAdministration.entryRelationship:substanceAdmin.act
Comments

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

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

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

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

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

Control1..?
Fixed ValuePRCN
112. SubstanceAdministration.precondition:substanceAdmin.criterion
Comments

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

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

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

0. SubstanceAdministration
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. SubstanceAdministration.classCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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 ValueSBADM
Fixed ValueSBADM
4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

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

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
8. SubstanceAdministration.templateId:primary
Slice Nameprimary
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

Comments

SHALL contain exactly one [1..1] templateId (CONF:1198-8828) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. SubstanceAdministration.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.52" (CONF:1198-10498).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.52
12. SubstanceAdministration.templateId:primary.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32528).

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

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. SubstanceAdministration.code
ShortSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Comments

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

Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
18. SubstanceAdministration.negationInd
ShortUse negationInd="true" to indicate that the immunization was not given.
Comments

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

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

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

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
22. SubstanceAdministration.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

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

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
24. 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
26. 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
28. 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
30. 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
32. 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
34. 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
36. 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
38. SubstanceAdministration.effectiveTime
Comments

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

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
40. 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:1198-8838).

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

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

Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
44. 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
46. SubstanceAdministration.routeCode.translation
Definition

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

Comments

The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
52. SubstanceAdministration.doseQuantity.unit
Definition

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

Comments

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

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

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

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

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

Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. SubstanceAdministration.consumable.manufacturedProduct
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. SubstanceAdministration.performer
Comments

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ typeCode
  • profile @ participantRole
66. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. SubstanceAdministration.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • profile @ supply
74. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

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

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

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

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

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

Comments

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. SubstanceAdministration.entryRelationship:medSupplyOrder
Slice NamemedSupplyOrder
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. SubstanceAdministration.entryRelationship:medDispense
Slice NamemedDispense
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4537-9333: A supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:4537-9333). ()
100. SubstanceAdministration.entryRelationship:reactionObs
Slice NamereactionObs
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. SubstanceAdministration.entryRelationship:immunizationRefusal
Slice NameimmunizationRefusal
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
Comments

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

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

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

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

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

Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • profile @ criterion
124. SubstanceAdministration.precondition:substanceAdmin
Slice NamesubstanceAdmin
Comments

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. SubstanceAdministration
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. SubstanceAdministration.classCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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 ValueSBADM
Fixed ValueSBADM
4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
6. SubstanceAdministration.realmCode
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
8. SubstanceAdministration.typeId
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. SubstanceAdministration.templateId
Definition

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
12. SubstanceAdministration.templateId:primary
Slice Nameprimary
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

Comments

SHALL contain exactly one [1..1] templateId (CONF:1198-8828) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
14. SubstanceAdministration.templateId:primary.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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
16. SubstanceAdministration.templateId:primary.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
18. SubstanceAdministration.templateId:primary.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
20. SubstanceAdministration.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.52" (CONF:1198-10498).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.52
22. SubstanceAdministration.templateId:primary.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32528).

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

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
26. SubstanceAdministration.code
ShortSubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set.
Comments

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

Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
28. SubstanceAdministration.negationInd
ShortUse negationInd="true" to indicate that the immunization was not given.
Comments

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

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
30. SubstanceAdministration.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
32. SubstanceAdministration.statusCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
34. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
36. SubstanceAdministration.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

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

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
38. 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
40. 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
42. 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
44. 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
46. 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.
48. 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.
50. 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
52. 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
54. 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
56. SubstanceAdministration.effectiveTime
Comments

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

Control1..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
58. SubstanceAdministration.priorityCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
60. 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:1198-8838).

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

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

Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
64. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
66. 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
68. 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
70. 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
72. 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
74. 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
76. 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.
78. 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.
80. 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
82. 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
84. SubstanceAdministration.routeCode.translation
Definition

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

Comments

The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
90. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
92. SubstanceAdministration.doseQuantity.unit
Definition

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

Comments

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

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
94. 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
96. SubstanceAdministration.doseQuantity.operator
Definition

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

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
98. 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
100. 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
102. 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
104. 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
106. SubstanceAdministration.rateQuantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
108. SubstanceAdministration.maxDoseQuantity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
110. SubstanceAdministration.administrationUnitCode
Comments

MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

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

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

Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
116. 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
118. 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
120. 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
122. SubstanceAdministration.consumable.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationTargetDirect
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
124. SubstanceAdministration.consumable.manufacturedProduct
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. SubstanceAdministration.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
128. SubstanceAdministration.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
130. SubstanceAdministration.performer
Comments

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. SubstanceAdministration.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
136. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ typeCode
  • profile @ participantRole
138. SubstanceAdministration.participant:drugVehicle
Slice NamedrugVehicle
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
140. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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.participant:drugVehicle.typeCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
144. SubstanceAdministration.participant:drugVehicle.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
146. 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
148. 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
150. 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
152. 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.
154. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
156. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
158. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. SubstanceAdministration.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • profile @ supply
162. SubstanceAdministration.entryRelationship:indication
Slice Nameindication
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
164. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
166. 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
168. 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
170. 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
172. SubstanceAdministration.entryRelationship:indication.typeCode
Comments

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

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
174. 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.
176. 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
178. 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.
180. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
182. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
184. SubstanceAdministration.entryRelationship:indication.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
186. SubstanceAdministration.entryRelationship:indication.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
188. SubstanceAdministration.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
190. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
192. SubstanceAdministration.entryRelationship:indication.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
194. SubstanceAdministration.entryRelationship:indication.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
196. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
198. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
200. SubstanceAdministration.entryRelationship:indication.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
202. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
204. 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 NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
206. SubstanceAdministration.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
208. 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
210. 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
212. SubstanceAdministration.entryRelationship:instruction.typeCode
Comments

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

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

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

Comments

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

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
216. 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
218. 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.
220. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
222. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
224. SubstanceAdministration.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
226. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
228. SubstanceAdministration.entryRelationship:instruction.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
230. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
232. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
234. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
236. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
238. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
240. SubstanceAdministration.entryRelationship:instruction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
242. SubstanceAdministration.entryRelationship:medSupplyOrder
Slice NamemedSupplyOrder
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
244. SubstanceAdministration.entryRelationship:medSupplyOrder.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
246. SubstanceAdministration.entryRelationship:medSupplyOrder.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
248. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
250. SubstanceAdministration.entryRelationship:medSupplyOrder.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
252. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
Comments

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

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
258. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
260. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
262. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
264. SubstanceAdministration.entryRelationship:medSupplyOrder.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
266. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
268. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
270. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
272. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
274. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
276. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
278. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
280. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
282. SubstanceAdministration.entryRelationship:medDispense
Slice NamemedDispense
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
284. SubstanceAdministration.entryRelationship:medDispense.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
286. SubstanceAdministration.entryRelationship:medDispense.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
288. SubstanceAdministration.entryRelationship:medDispense.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
290. SubstanceAdministration.entryRelationship:medDispense.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
292. SubstanceAdministration.entryRelationship:medDispense.typeCode
Comments

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

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
298. SubstanceAdministration.entryRelationship:medDispense.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
300. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
302. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
304. SubstanceAdministration.entryRelationship:medDispense.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
306. SubstanceAdministration.entryRelationship:medDispense.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
308. SubstanceAdministration.entryRelationship:medDispense.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
310. SubstanceAdministration.entryRelationship:medDispense.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
312. SubstanceAdministration.entryRelationship:medDispense.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
314. SubstanceAdministration.entryRelationship:medDispense.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
316. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
318. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
320. SubstanceAdministration.entryRelationship:medDispense.supply
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4537-9333: A supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:4537-9333). ()
322. SubstanceAdministration.entryRelationship:reactionObs
Slice NamereactionObs
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
324. SubstanceAdministration.entryRelationship:reactionObs.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
326. SubstanceAdministration.entryRelationship:reactionObs.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
328. SubstanceAdministration.entryRelationship:reactionObs.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
330. SubstanceAdministration.entryRelationship:reactionObs.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
332. SubstanceAdministration.entryRelationship:reactionObs.typeCode
Comments

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

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
350. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
352. SubstanceAdministration.entryRelationship:reactionObs.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
354. SubstanceAdministration.entryRelationship:reactionObs.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
356. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
358. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
360. SubstanceAdministration.entryRelationship:reactionObs.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
362. SubstanceAdministration.entryRelationship:immunizationRefusal
Slice NameimmunizationRefusal
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
364. SubstanceAdministration.entryRelationship:immunizationRefusal.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
366. SubstanceAdministration.entryRelationship:immunizationRefusal.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
368. SubstanceAdministration.entryRelationship:immunizationRefusal.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
370. SubstanceAdministration.entryRelationship:immunizationRefusal.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
372. SubstanceAdministration.entryRelationship:immunizationRefusal.typeCode
Comments

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

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Refusal Reason)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
390. SubstanceAdministration.entryRelationship:immunizationRefusal.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
392. SubstanceAdministration.entryRelationship:immunizationRefusal.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
394. SubstanceAdministration.entryRelationship:immunizationRefusal.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
396. SubstanceAdministration.entryRelationship:immunizationRefusal.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
398. SubstanceAdministration.entryRelationship:immunizationRefusal.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
400. SubstanceAdministration.entryRelationship:immunizationRefusal.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
402. SubstanceAdministration.entryRelationship:substanceAdmin
Slice NamesubstanceAdmin
ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
Comments

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
404. SubstanceAdministration.entryRelationship:substanceAdmin.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
406. SubstanceAdministration.entryRelationship:substanceAdmin.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
408. SubstanceAdministration.entryRelationship:substanceAdmin.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
410. SubstanceAdministration.entryRelationship:substanceAdmin.templateId
Definition

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

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

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

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

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

Comments

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

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
426. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
428. SubstanceAdministration.entryRelationship:substanceAdmin.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
430. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
432. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
434. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
436. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
438. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
440. SubstanceAdministration.entryRelationship:substanceAdmin.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
442. SubstanceAdministration.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
444. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • profile @ criterion
446. SubstanceAdministration.precondition:substanceAdmin
Slice NamesubstanceAdmin
Comments

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

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis 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
450. SubstanceAdministration.precondition:substanceAdmin.typeCode
Comments

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

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

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

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
456. SubstanceAdministration.precondition:substanceAdmin.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
458. SubstanceAdministration.precondition:substanceAdmin.criterion
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))