Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: ImmunizationActivity - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.22.4.52 resource profile.

1. SubstanceAdministration
Control1..1
2. SubstanceAdministration.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode
Requirements

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

Default ValueSBADM
Fixed ValueSBADM
3. SubstanceAdministration.moodCode
Control1..1
BindingThe codes SHALL be taken from MoodCodeEvnInt
Typecode
Requirements

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).

4. SubstanceAdministration.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. SubstanceAdministration.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • ,
  • value @ extension
7. SubstanceAdministration.templateId:primary
SliceNameprimary
Definition

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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

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

8. 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
9. 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
10. 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
11. 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.

Control1..1
Typestring
Requirements

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

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.

Control1..1
Typestring
Requirements

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

Pattern Value2015-08-01
13. SubstanceAdministration.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

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

14. SubstanceAdministration.code
Control0..1
BindingThe codes SHALL be taken from http://terminology.hl7.org/ValueSet/v3-SubstanceAdministrationActCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

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

15. SubstanceAdministration.negationInd
Control1..1
Typeboolean
Requirements

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

16. SubstanceAdministration.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
17. SubstanceAdministration.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

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

18. 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
19. 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.

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typestring
Requirements

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).

20. SubstanceAdministration.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
21. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
22. SubstanceAdministration.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
23. 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
24. 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
25. 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
26. SubstanceAdministration.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
27. SubstanceAdministration.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
28. SubstanceAdministration.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
29. SubstanceAdministration.effectiveTime
Control1..1
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Requirements

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

30. SubstanceAdministration.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
31. SubstanceAdministration.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
Requirements

MAY contain zero or one [0..1] repeatNumber (CONF:1198-8838).

32. SubstanceAdministration.routeCode
Control0..1
BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

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).

33. 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
34. 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
Typestring
35. SubstanceAdministration.routeCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
36. SubstanceAdministration.routeCode.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
37. SubstanceAdministration.routeCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
38. 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
39. 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
40. 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
41. SubstanceAdministration.routeCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
42. SubstanceAdministration.routeCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
43. SubstanceAdministration.routeCode.translation
Definition

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

Control0..*
BindingThe codes SHALL be taken from Medication Route
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

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).

44. SubstanceAdministration.approachSiteCode
Control0..1
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

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).

45. SubstanceAdministration.doseQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
Requirements

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

46. 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
47. SubstanceAdministration.doseQuantity.unit
Definition

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

Control0..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode
Requirements

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).

48. SubstanceAdministration.doseQuantity.value
Definition

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

Control0..1
Typedecimal
49. SubstanceAdministration.doseQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
50. SubstanceAdministration.doseQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
51. 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/fhir/cda/StructureDefinition/PQ
52. 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/fhir/cda/StructureDefinition/PQ
53. SubstanceAdministration.rateQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-PQ
54. SubstanceAdministration.maxDoseQuantity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
55. SubstanceAdministration.administrationUnitCode
Control0..1
BindingThe codes SHALL be taken from AdministrationUnitDoseForm
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

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).

56. SubstanceAdministration.consumable
Control1..1
TypeElement
Requirements

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

57. SubstanceAdministration.consumable.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetDirect
Typecode
Default ValueCSM
Fixed ValueCSM
58. SubstanceAdministration.consumable.manufacturedProduct
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct(ImmunizationMedicationInformation)
Requirements

This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1198-15546).

59. SubstanceAdministration.subject
Control0..1
TypeElement
60. SubstanceAdministration.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
61. SubstanceAdministration.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
62. SubstanceAdministration.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
63. SubstanceAdministration.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
64. SubstanceAdministration.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
65. SubstanceAdministration.performer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

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

66. SubstanceAdministration.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

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

67. SubstanceAdministration.informant
Control0..*
TypeElement
68. SubstanceAdministration.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
69. SubstanceAdministration.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
70. SubstanceAdministration.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
71. SubstanceAdministration.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
72. SubstanceAdministration.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
  • ,
  • profile @ participantRole
73. SubstanceAdministration.participant:drugVehicle
SliceNamedrugVehicle
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

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

74. 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
75. SubstanceAdministration.participant:drugVehicle.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

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

Pattern ValueCSM
76. SubstanceAdministration.participant:drugVehicle.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
77. 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/fhir/cda/StructureDefinition/CS
78. 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/fhir/cda/StructureDefinition/II
79. 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/fhir/cda/StructureDefinition/II
80. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
81. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
82. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
83. SubstanceAdministration.participant:drugVehicle.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(DrugVehicle)
Requirements

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

84. SubstanceAdministration.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ act
  • ,
  • profile @ observation
  • ,
  • profile @ supply
85. SubstanceAdministration.entryRelationship.typeCode
Control1..1
Typecode
86. SubstanceAdministration.entryRelationship.inversionInd
Control0..1
Typeboolean
87. SubstanceAdministration.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
88. SubstanceAdministration.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
89. SubstanceAdministration.entryRelationship.negationInd
Control0..1
Typeboolean
90. SubstanceAdministration.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
91. SubstanceAdministration.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
92. SubstanceAdministration.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
93. SubstanceAdministration.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
94. SubstanceAdministration.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
95. SubstanceAdministration.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
96. SubstanceAdministration.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
97. SubstanceAdministration.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
98. SubstanceAdministration.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
99. SubstanceAdministration.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
100. SubstanceAdministration.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
101. SubstanceAdministration.entryRelationship:indication.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueRSON
102. SubstanceAdministration.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
103. SubstanceAdministration.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
104. SubstanceAdministration.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
105. SubstanceAdministration.entryRelationship:indication.negationInd
Control0..1
Typeboolean
106. SubstanceAdministration.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
107. SubstanceAdministration.entryRelationship:indication.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1198-15537).

108. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
109. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
110. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
111. SubstanceAdministration.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
112. SubstanceAdministration.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
113. SubstanceAdministration.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
114. SubstanceAdministration.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
115. SubstanceAdministration.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
116. SubstanceAdministration.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
117. SubstanceAdministration.entryRelationship:instruction.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueSUBJ
118. SubstanceAdministration.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
Requirements

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

Pattern Valuetrue
119. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
120. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
121. SubstanceAdministration.entryRelationship:instruction.negationInd
Control0..1
Typeboolean
122. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
123. SubstanceAdministration.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
124. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
125. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
126. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
127. SubstanceAdministration.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
128. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
129. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
130. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
131. SubstanceAdministration.entryRelationship:instruction.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1198-31392).

132. SubstanceAdministration.entryRelationship:medSupplyOrder
SliceNamemedSupplyOrder
Control0..1
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
133. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueREFR
134. SubstanceAdministration.entryRelationship:medSupplyOrder.inversionInd
Control0..1
Typeboolean
135. SubstanceAdministration.entryRelationship:medSupplyOrder.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
136. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
137. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
Control0..1
Typeboolean
138. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
139. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
140. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
141. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
142. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
143. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationSupplyOrder)
Requirements

SHALL contain exactly one [1..1] Medication Supply Order (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1198-15539).

144. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
145. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
146. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
147. SubstanceAdministration.entryRelationship:medSupplyOrder.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
148. SubstanceAdministration.entryRelationship:medDispense
SliceNamemedDispense
Control0..1
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
149. SubstanceAdministration.entryRelationship:medDispense.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueREFR
150. SubstanceAdministration.entryRelationship:medDispense.inversionInd
Control0..1
Typeboolean
151. SubstanceAdministration.entryRelationship:medDispense.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
152. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
153. SubstanceAdministration.entryRelationship:medDispense.negationInd
Control0..1
Typeboolean
154. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
155. SubstanceAdministration.entryRelationship:medDispense.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
156. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
157. SubstanceAdministration.entryRelationship:medDispense.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
158. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
159. SubstanceAdministration.entryRelationship:medDispense.supply
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply(MedicationDispense)
Requirements

SHALL contain exactly one [1..1] Medication Dispense (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1198-15540).

InvariantsDefined on this element
1098-9333: A supply act **SHALL** contain one product/Medication Information *OR* one product/Immunization Medication Information template (CONF:1098-9333). (: )
160. SubstanceAdministration.entryRelationship:medDispense.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
161. SubstanceAdministration.entryRelationship:medDispense.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
162. SubstanceAdministration.entryRelationship:medDispense.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
163. SubstanceAdministration.entryRelationship:medDispense.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
164. SubstanceAdministration.entryRelationship:reactionObs
SliceNamereactionObs
Control0..1
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
165. SubstanceAdministration.entryRelationship:reactionObs.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueCAUS
166. SubstanceAdministration.entryRelationship:reactionObs.inversionInd
Control0..1
Typeboolean
167. SubstanceAdministration.entryRelationship:reactionObs.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
168. SubstanceAdministration.entryRelationship:reactionObs.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
169. SubstanceAdministration.entryRelationship:reactionObs.negationInd
Control0..1
Typeboolean
170. SubstanceAdministration.entryRelationship:reactionObs.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
171. SubstanceAdministration.entryRelationship:reactionObs.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-15541).

172. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
173. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
174. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
175. SubstanceAdministration.entryRelationship:reactionObs.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
176. SubstanceAdministration.entryRelationship:reactionObs.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
177. SubstanceAdministration.entryRelationship:reactionObs.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
178. SubstanceAdministration.entryRelationship:reactionObs.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
179. SubstanceAdministration.entryRelationship:reactionObs.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
180. SubstanceAdministration.entryRelationship:immunizationRefusal
SliceNameimmunizationRefusal
Control0..1
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
181. SubstanceAdministration.entryRelationship:immunizationRefusal.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueRSON
182. SubstanceAdministration.entryRelationship:immunizationRefusal.inversionInd
Control0..1
Typeboolean
183. SubstanceAdministration.entryRelationship:immunizationRefusal.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
184. SubstanceAdministration.entryRelationship:immunizationRefusal.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
185. SubstanceAdministration.entryRelationship:immunizationRefusal.negationInd
Control0..1
Typeboolean
186. SubstanceAdministration.entryRelationship:immunizationRefusal.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
187. SubstanceAdministration.entryRelationship:immunizationRefusal.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ImmunizationRefusalReason)
Requirements

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).

188. SubstanceAdministration.entryRelationship:immunizationRefusal.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
189. SubstanceAdministration.entryRelationship:immunizationRefusal.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
190. SubstanceAdministration.entryRelationship:immunizationRefusal.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
191. SubstanceAdministration.entryRelationship:immunizationRefusal.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
192. SubstanceAdministration.entryRelationship:immunizationRefusal.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
193. SubstanceAdministration.entryRelationship:immunizationRefusal.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
194. SubstanceAdministration.entryRelationship:immunizationRefusal.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
195. SubstanceAdministration.entryRelationship:immunizationRefusal.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
196. SubstanceAdministration.entryRelationship:substanceAdmin
SliceNamesubstanceAdmin
Control0..*
TypeElement
Requirements

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

InvariantsDefined on this element
subst-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
197. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
Control1..1
Typecode
Requirements

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

Pattern ValueCOMP
198. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
Control1..1
Typeboolean
Requirements

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

Pattern Valuetrue
199. SubstanceAdministration.entryRelationship:substanceAdmin.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
200. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
Requirements

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

201. SubstanceAdministration.entryRelationship:substanceAdmin.negationInd
Control0..1
Typeboolean
202. SubstanceAdministration.entryRelationship:substanceAdmin.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
203. SubstanceAdministration.entryRelationship:substanceAdmin.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
204. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
205. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
206. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
207. SubstanceAdministration.entryRelationship:substanceAdmin.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
208. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
209. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
210. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
211. SubstanceAdministration.entryRelationship:substanceAdmin.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(SubstanceAdministeredAct)
Requirements

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).

212. SubstanceAdministration.reference
Control0..*
TypeElement
213. SubstanceAdministration.reference.typeCode
Control1..1
Typecode
214. SubstanceAdministration.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
215. SubstanceAdministration.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
216. SubstanceAdministration.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
217. SubstanceAdministration.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
218. SubstanceAdministration.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
219. SubstanceAdministration.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/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:
  • profile @ criterion
220. SubstanceAdministration.precondition:substanceAdmin
SliceNamesubstanceAdmin
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
Requirements

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

221. 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
222. SubstanceAdministration.precondition:substanceAdmin.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipType
Typecode
Requirements

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

Pattern ValuePRCN
223. 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/fhir/cda/StructureDefinition/CS
224. 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/fhir/cda/StructureDefinition/II
225. 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/fhir/cda/StructureDefinition/II
226. SubstanceAdministration.precondition:substanceAdmin.criterion
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Criterion(PreconditionforSubstanceAdministration)
Requirements

SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1198-15548).