Consolidated CDA (C-CDA)
3.0.0 - STU
Consolidated CDA (C-CDA)
3.0.0 - STU
Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/PlannedImmunizationActivity | Version: 3.0.0 | |||
| Draft as of 2024-05-07 | Computable Name: PlannedImmunizationActivity | |||
| Other Identifiers: OID:2.16.840.1.113883.10.20.22.4.120 | ||||
This template represents planned immunizations. Planned Immunization Activity is very similar to Planned Medication Activity with some key differences, for example, the drug code system is constrained to CVX codes. The priority of the immunization activity to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the immunization activity is intended to take place and authorTime indicates when the documentation of the plan occurred.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from SubstanceAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
  Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
   templateId:planned-immunization-activity |
1..1 | II | ||
  @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
  @extension |
0..0 | |||
 @classCode |
1..1 | cs | ||
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply)  (required) | |
| id |
1..* | II | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
 reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: active | |
| effectiveTime |
1..1 | SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | |
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| consumable |
1..1 | InfrastructureRoot | ||
 manufacturedProduct |
1..1 | ImmunizationMedicationInformation | Base for all types and resources | |
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
 entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
 @typeCode |
1..1 | cs | Fixed Value: REFR | |
| observation |
1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @typeCode |
1..1 | cs | Fixed Value: RSON | |
| observation |
1..1 | Indication | Base for all types and resources | |
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Fixed Value: SUBJ | |
| act |
1..1 | Instruction | Base for all types and resources | |
 Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @typeCode |
1..1 | cs | ||
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 |
| Id | Grade | Path(s) | Details | Requirements |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:planned-immunization-activity |
1..1 | II | ||
 @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply) (required) | |
| id |
1..* | II | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @code |
1..1 | cs | Fixed Value: active | |
 effectiveTime |
1..1 | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | ||
 effectiveTime |
SXCM_TS | |||
| effectiveTime |
IVL_TS | |||
| effectiveTime |
EIVL_TS | |||
| effectiveTime |
PIVL_TS | |||
| effectiveTime |
SXPR_TS | |||
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| consumable |
1..1 | InfrastructureRoot | ||
| manufacturedProduct |
C | 1..1 | ImmunizationMedicationInformation | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization |
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
| entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation |
C | 1..1 | PriorityPreference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author |
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| observation |
C | 1..1 | Indication | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| act |
C | 1..1 | Instruction | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
| Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @typeCode |
1..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: PRCN | |
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| SubstanceAdministration.classCode | required | Fixed Value: SBADMhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode | required | Fixed Value: PRCNhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| indication-value | error | SubstanceAdministration.entryRelationship:indication.observation | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())) | |
| product-choice | error | SubstanceAdministration.consumable.manufacturedProduct | manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1 | |
| should-author | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-manufacturerOrganization | warning | SubstanceAdministration.consumable.manufacturedProduct | SHOULD contain manufacturerOrganization : manufacturerOrganization.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation, SubstanceAdministration.entryRelationship:instruction.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:planned-immunization-activity |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply) (required) | |
| id |
1..* | II | ||
| code |
0..1 | CD | Binding: CDAActSubstanceAdministrationCode (example) | |
| @negationInd |
0..1 | bl | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: active | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | ||
| effectiveTime |
SXCM_TS | |||
| effectiveTime |
IVL_TS | |||
| effectiveTime |
EIVL_TS | |||
| effectiveTime |
PIVL_TS | |||
| effectiveTime |
SXPR_TS | |||
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| @value |
0..1 | real | ||
| translation |
0..* | PQR | ||
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_PQ | ||
| center |
0..1 | PQ | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_PQ | ||
| rateQuantity |
0..1 | IVL_PQ | ||
| maxDoseQuantity |
0..1 | RTO_PQ_PQ | ||
| administrationUnitCode |
0..1 | CE | Binding: AdministrableDrugForm (example) | |
| consumable |
1..1 | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
| manufacturedProduct |
C | 1..1 | ImmunizationMedicationInformation | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
| entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
 typeId |
0..1 | II | ||
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
C | 1..1 | PriorityPreference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
C | 1..1 | Indication | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
C | 1..1 | Instruction | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: PRCN | |
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| SubstanceAdministration.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:planned-immunization-activity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADMhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCodehttp://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| SubstanceAdministration.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 | |
| SubstanceAdministration.doseQuantity.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| SubstanceAdministration.administrationUnitCode | example | AdministrableDrugFormhttp://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSMhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.entryRelationship:priorityPreference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode | required | Fixed Value: PRCNhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| indication-value | error | SubstanceAdministration.entryRelationship:indication.observation | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())) | |
| product-choice | error | SubstanceAdministration.consumable.manufacturedProduct | manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1 | |
| should-author | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-manufacturerOrganization | warning | SubstanceAdministration.consumable.manufacturedProduct | SHOULD contain manufacturerOrganization : manufacturerOrganization.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation, SubstanceAdministration.entryRelationship:instruction.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from SubstanceAdministration
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Fixed: 4 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from SubstanceAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:planned-immunization-activity |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
| @extension |
0..0 | |||
| @classCode |
1..1 | cs | ||
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply) (required) | |
| id |
1..* | II | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: active | |
| effectiveTime |
1..1 | SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | |
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| consumable |
1..1 | InfrastructureRoot | ||
| manufacturedProduct |
1..1 | ImmunizationMedicationInformation | Base for all types and resources | |
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
| entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
| @typeCode |
1..1 | cs | Fixed Value: REFR | |
| observation |
1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @typeCode |
1..1 | cs | Fixed Value: RSON | |
| observation |
1..1 | Indication | Base for all types and resources | |
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Fixed Value: SUBJ | |
| act |
1..1 | Instruction | Base for all types and resources | |
| Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @typeCode |
1..1 | cs | ||
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 |
| Id | Grade | Path(s) | Details | Requirements |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:planned-immunization-activity |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply) (required) | |
| id |
1..* | II | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @code |
1..1 | cs | Fixed Value: active | |
| effectiveTime |
1..1 | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | ||
| effectiveTime |
SXCM_TS | |||
| effectiveTime |
IVL_TS | |||
| effectiveTime |
EIVL_TS | |||
| effectiveTime |
PIVL_TS | |||
| effectiveTime |
SXPR_TS | |||
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| consumable |
1..1 | InfrastructureRoot | ||
| manufacturedProduct |
C | 1..1 | ImmunizationMedicationInformation | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization |
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
| entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation |
C | 1..1 | PriorityPreference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author |
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| observation |
C | 1..1 | Indication | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| act |
C | 1..1 | Instruction | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
| Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @typeCode |
1..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: PRCN | |
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| SubstanceAdministration.classCode | required | Fixed Value: SBADMhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode | required | Fixed Value: PRCNhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| indication-value | error | SubstanceAdministration.entryRelationship:indication.observation | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())) | |
| product-choice | error | SubstanceAdministration.consumable.manufacturedProduct | manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1 | |
| should-author | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-manufacturerOrganization | warning | SubstanceAdministration.consumable.manufacturedProduct | SHOULD contain manufacturerOrganization : manufacturerOrganization.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation, SubstanceAdministration.entryRelationship:instruction.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| SubstanceAdministration |
C | 1..1 | SubstanceAdministration | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, repeatNumber, routeCode, approachSiteCode, doseQuantity, rateQuantity, maxDoseQuantity, administrationUnitCode, consumable, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcInFulfillmentOf1 Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
1..* | II | Slice: Unordered, Open by value:root | |
| templateId:planned-immunization-activity |
1..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.120 | |
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: SBADM | |
| @moodCode |
1..1 | cs | Binding: Planned moodCode (SubstanceAdministration/Supply) (required) | |
| id |
1..* | II | ||
| code |
0..1 | CD | Binding: CDAActSubstanceAdministrationCode (example) | |
| @negationInd |
0..1 | bl | ||
| text |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
| thumbnail |
0..1 | ED | ||
| statusCode |
1..1 | CS | Binding: ActStatus (required) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
1..1 | cs | Fixed Value: active | |
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
1..1 | The effectiveTime in a planned immunization activity represents the time that the immunization activity should occur. | ||
| effectiveTime |
SXCM_TS | |||
| effectiveTime |
IVL_TS | |||
| effectiveTime |
EIVL_TS | |||
| effectiveTime |
PIVL_TS | |||
| effectiveTime |
SXPR_TS | |||
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | In a Planned Immunization Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. | |
| routeCode |
C | 0..1 | CE | Binding: SPL Drug Route of Administration Terminology (required) should-translation: SHOULD contain translation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
0..1 | ED | ||
| translation |
0..* | CD | Binding: Medication Route (preferred) | |
| approachSiteCode |
0..* | CD | Binding: Body Site Value Set (required) | |
| doseQuantity |
C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @unit |
0..1 | cs | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: UnitsOfMeasureCaseSensitive (preferred) | |
| @value |
0..1 | real | ||
| translation |
0..* | PQR | ||
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
0..1 | IVXB_PQ | ||
| center |
0..1 | PQ | ||
| width |
0..1 | PQ | ||
| high |
0..1 | IVXB_PQ | ||
| rateQuantity |
0..1 | IVL_PQ | ||
| maxDoseQuantity |
0..1 | RTO_PQ_PQ | ||
| administrationUnitCode |
0..1 | CE | Binding: AdministrableDrugForm (example) | |
| consumable |
1..1 | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CSM | |
| manufacturedProduct |
C | 1..1 | ImmunizationMedicationInformation | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | The clinician who is expected to perform the planned immunization activity could be identified using substanceAdministration/performer. | |
| author |
0..* | AuthorParticipation | The author in a planned immunization activity represents the clinician who is requesting or planning the immunization activity. | |
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| Slices for entryRelationship |
0..* | EntryRelationship | The following entryRelationship captures any instructions associated with the planned immunization activity. Slice: Unordered, Open by profile:observation, profile:act | |
| entryRelationship:priorityPreference |
0..* | EntryRelationship | The following entryRelationship represents the priority that a patient or a provider places on the immunization activity. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
C | 1..1 | PriorityPreference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:indication |
0..* | EntryRelationship | The following entryRelationship represents the indication for the immunization activity. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
C | 1..1 | Indication | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. |
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:instruction |
0..* | EntryRelationship | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
| @inversionInd |
0..1 | bl | ||
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
C | 1..1 | Instruction | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| Slices for precondition |
0..* | Precondition | Slice: Unordered, Open by profile:criterion | |
| precondition:pronditionForSubstanceAdmin |
0..* | Precondition | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
0..1 | II | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: PRCN | |
| criterion |
1..1 | PreconditionforSubstanceAdministration | Base for all types and resources | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| SubstanceAdministration.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.templateId:planned-immunization-activity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.classCode | required | Fixed Value: SBADMhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
| SubstanceAdministration.moodCode | required | PlannedMoodCodeSubstanceAdministrationSupply http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.24 | |
| SubstanceAdministration.code | example | CDAActSubstanceAdministrationCodehttp://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode | |
| SubstanceAdministration.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
| SubstanceAdministration.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
| SubstanceAdministration.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
| SubstanceAdministration.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
| SubstanceAdministration.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| SubstanceAdministration.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
| SubstanceAdministration.routeCode | required | SPLDrugRouteOfAdministrationTerminology http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7 | |
| SubstanceAdministration.routeCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.routeCode.translation | preferred | MedicationRoute http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12 | |
| SubstanceAdministration.approachSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
| SubstanceAdministration.doseQuantity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.doseQuantity.unit | preferred | UnitsOfMeasureCaseSensitive (a valid code from UCUM)http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12839 | |
| SubstanceAdministration.doseQuantity.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
| SubstanceAdministration.administrationUnitCode | example | AdministrableDrugFormhttp://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm | |
| SubstanceAdministration.consumable.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.consumable.typeCode | required | Fixed Value: CSMhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
| SubstanceAdministration.entryRelationship:priorityPreference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:priorityPreference.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| SubstanceAdministration.precondition:pronditionForSubstanceAdmin.typeCode | required | Fixed Value: PRCNhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| indication-value | error | SubstanceAdministration.entryRelationship:indication.observation | If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())) | |
| product-choice | error | SubstanceAdministration.consumable.manufacturedProduct | manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1 | |
| should-author | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation | SHOULD contain author : author.exists() | |
| should-effectiveTime | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
| should-manufacturerOrganization | warning | SubstanceAdministration.consumable.manufacturedProduct | SHOULD contain manufacturerOrganization : manufacturerOrganization.exists() | |
| should-text-ref-value | warning | SubstanceAdministration | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-text-ref-value | warning | SubstanceAdministration.entryRelationship:priorityPreference.observation, SubstanceAdministration.entryRelationship:indication.observation, SubstanceAdministration.entryRelationship:instruction.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
| should-translation | warning | SubstanceAdministration.routeCode | SHOULD contain translation : translation.exists() | |
| should-unit | warning | SubstanceAdministration.doseQuantity | SHOULD contain @unit : nullFlavor.exists() or unit.exists() | |
| value-starts-octothorpe | error | SubstanceAdministration.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from SubstanceAdministration
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Fixed: 4 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-05-07
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