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

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

Logical Model: MedicationActivity - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the MedicationActivity logical model.

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

0. SubstanceAdministration
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariants1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). ()
2. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

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

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) such that it

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.16
12. SubstanceAdministration.templateId:primary.extension
Comments

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Control1..?
Pattern Value2014-06-09
14. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1098-7500).

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

MAY contain zero or one [0..1] code (CONF:1098-7506).

18. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

Control1..?
20. SubstanceAdministration.statusCode.code
ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

Control1..?
BindingThe codes SHALL be taken from Medication Status
22. SubstanceAdministration.effectiveTime
Control1..?
Invariants1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). ()
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ operator
24. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThis effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ()
26. SubstanceAdministration.effectiveTime:duration.value
Shortindicates a single-administration timestamp
Comments

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

28. SubstanceAdministration.effectiveTime:duration.low
Shortindicates when medication started
Comments

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

30. SubstanceAdministration.effectiveTime:duration.high
Shortindicates when medication stopped
Comments

MAY contain zero or one [0..1] high (CONF:1098-32777).

32. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
34. SubstanceAdministration.effectiveTime:periodicFrequency.operator
Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..?
Pattern ValueA
36. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
38. SubstanceAdministration.effectiveTime:eventFrequency.operator
Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..?
Pattern ValueA
40. SubstanceAdministration.repeatNumber
ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
Comments

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

42. SubstanceAdministration.routeCode
Comments

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

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

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

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

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

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

Control1..?
Invariants1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). ()
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). ()
50. SubstanceAdministration.doseQuantity.unit
Comments

This doseQuantity 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:1098-7526).

BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
52. SubstanceAdministration.rateQuantity
Comments

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

54. SubstanceAdministration.rateQuantity.unit
Comments

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

Control1..?
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
56. SubstanceAdministration.maxDoseQuantity
Comments

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

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

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

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

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

62. SubstanceAdministration.consumable.manufacturedProduct
Comments

This consumable SHALL contain exactly one [1..1] Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

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

MAY contain zero or one [0..1] performer (CONF:1098-7522).

Control0..1
66. SubstanceAdministration.author
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

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

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

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

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

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

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

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

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

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

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-16087).

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

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

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

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

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

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

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

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31387).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
92. SubstanceAdministration.entryRelationship:supplyOrder
Slice NamesupplyOrder
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

Control0..1
94. SubstanceAdministration.entryRelationship:supplyOrder.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

Fixed ValueREFR
96. SubstanceAdministration.entryRelationship:supplyOrder.supply
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
98. SubstanceAdministration.entryRelationship:medicationDispense
Slice NamemedicationDispense
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

Control0..*
100. SubstanceAdministration.entryRelationship:medicationDispense.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

Fixed ValueREFR
102. SubstanceAdministration.entryRelationship:medicationDispense.supply
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
104. SubstanceAdministration.entryRelationship:reaction
Slice Namereaction
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

Control0..*
106. SubstanceAdministration.entryRelationship:reaction.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

Fixed ValueCAUS
108. SubstanceAdministration.entryRelationship:reaction.observation
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
110. SubstanceAdministration.entryRelationship:drugMonitoring
Slice NamedrugMonitoring
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

Control0..1
112. SubstanceAdministration.entryRelationship:drugMonitoring.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

Fixed ValueCOMP
114. SubstanceAdministration.entryRelationship:drugMonitoring.act
Comments

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Drug Monitoring Act)
116. SubstanceAdministration.entryRelationship:substanceAdministered
Slice NamesubstanceAdministered
ShortThe following entryRelationship is used to indicate a given medication's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

Control0..*
118. SubstanceAdministration.entryRelationship:substanceAdministered.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

Fixed ValueCOMP
120. SubstanceAdministration.entryRelationship:substanceAdministered.inversionInd
Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

Control1..?
Fixed Valuetrue
122. SubstanceAdministration.entryRelationship:substanceAdministered.sequenceNumber
Comments

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

124. SubstanceAdministration.entryRelationship:substanceAdministered.act
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
126. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
ShortThe following entryRelationship is used to indicate the patient's adherence to the medication order.
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
128. SubstanceAdministration.entryRelationship:adherence.typeCode
Comments

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

Fixed ValueCOMP
130. SubstanceAdministration.entryRelationship:adherence.observation
Comments

SHALL contain exactly one [1..1] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Medication Adherence)
132. SubstanceAdministration.entryRelationship:signature
Slice Namesignature
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

Control0..*
134. SubstanceAdministration.entryRelationship:signature.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

Fixed ValueCOMP
136. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Comments

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
138. SubstanceAdministration.precondition
Comments

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

140. SubstanceAdministration.precondition.typeCode
Comments

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

Control1..?
Fixed ValuePRCN
142. SubstanceAdministration.precondition.criterion
Comments

The precondition, if present, SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-31883).

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

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

0. SubstanceAdministration
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). ()
2. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueSBADM
Fixed ValueSBADM
4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

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

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

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

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) such that it

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

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

Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.16
12. SubstanceAdministration.templateId:primary.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2014-06-09
14. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1098-7500).

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

MAY contain zero or one [0..1] code (CONF:1098-7506).

Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
18. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

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

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

ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

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

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
24. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
26. SubstanceAdministration.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
28. SubstanceAdministration.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
30. SubstanceAdministration.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
32. SubstanceAdministration.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
34. SubstanceAdministration.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
36. SubstanceAdministration.effectiveTime
Control1..*
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). ()
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ operator
38. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThis effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ()
40. SubstanceAdministration.effectiveTime:duration.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Shortindicates a single-administration timestamp
Comments

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

Control0..1
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
42. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Shortindicates when medication started
Comments

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
44. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Shortindicates when medication stopped
Comments

MAY contain zero or one [0..1] high (CONF:1098-32777).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
46. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
48. SubstanceAdministration.effectiveTime:periodicFrequency.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..0
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
50. SubstanceAdministration.effectiveTime:periodicFrequency.operator
Definition

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

Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
Pattern ValueA
52. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
54. SubstanceAdministration.effectiveTime:eventFrequency.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..0
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
56. SubstanceAdministration.effectiveTime:eventFrequency.operator
Definition

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

Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
Pattern ValueA
58. SubstanceAdministration.repeatNumber
ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
Comments

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

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

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

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

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
64. SubstanceAdministration.routeCode.translation
Definition

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

Comments

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

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

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

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariants1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). ()
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). ()
70. SubstanceAdministration.doseQuantity.unit
Definition

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

Comments

This doseQuantity 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:1098-7526).

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

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

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

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

Comments

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

Control1..1
BindingThe codes SHALL be taken from UnitsOfMeasureCaseSensitive
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelUnit of Measure
76. SubstanceAdministration.maxDoseQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
78. SubstanceAdministration.administrationUnitCode
ShortadministrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, 'metric drop (C48491)'' would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value.
Comments

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

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

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

Comments

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

This consumable SHALL contain exactly one [1..1] Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

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

MAY contain zero or one [0..1] performer (CONF:1098-7522).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

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

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

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

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

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

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-16087).

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

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

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

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

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

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

Comments

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31387).

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

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

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

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

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

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

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

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

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

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

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

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

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

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

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

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

Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

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

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
146. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
ShortThe following entryRelationship is used to indicate the patient's adherence to the medication order.
Comments

MAY contain zero or more [0..*] entryRelationship such that it

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

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

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. SubstanceAdministration.precondition
Comments

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

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

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

The precondition, if present, SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-31883).

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

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

0. SubstanceAdministration
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). ()
2. SubstanceAdministration.classCode
Comments

SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).

Control1..1
BindingThe codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueSBADM
Fixed ValueSBADM
4. SubstanceAdministration.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).

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

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

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

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:1098-7499) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
16. SubstanceAdministration.templateId:primary.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
18. SubstanceAdministration.templateId:primary.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
20. SubstanceAdministration.templateId:primary.root
Definition

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

Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.16
22. SubstanceAdministration.templateId:primary.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2014-06-09
24. SubstanceAdministration.id
Comments

SHALL contain at least one [1..*] id (CONF:1098-7500).

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

MAY contain zero or one [0..1] code (CONF:1098-7506).

Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActSubstanceAdministrationCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
28. SubstanceAdministration.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
30. SubstanceAdministration.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
32. SubstanceAdministration.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
36. SubstanceAdministration.statusCode.code
Definition

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

ShortThe substance administration effectiveTime field can repeat, in order to represent varying levels of complex dosing. effectiveTime can be used to represent the duration of administration (e.g., "10 days"), the frequency of administration (e.g., "every 8 hours"), and more. Here, we require that there SHALL be an effectiveTime documentation of the duration (or single-administration timestamp), and that there SHOULD be an effectiveTime documentation of the frequency. Other timing nuances, supported by the base CDA R2 standard, may also be included.
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Status urn:oid:2.16.840.1.113762.1.4.1099.11 DYNAMIC (CONF:1098-32360).

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

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
40. SubstanceAdministration.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
42. SubstanceAdministration.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
44. SubstanceAdministration.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
46. SubstanceAdministration.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
48. SubstanceAdministration.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
50. SubstanceAdministration.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
52. SubstanceAdministration.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
54. SubstanceAdministration.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
56. SubstanceAdministration.effectiveTime
Control1..*
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). ()
SlicingThis element introduces a set of slices on SubstanceAdministration.effectiveTime. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ operator
58. SubstanceAdministration.effectiveTime:duration
Slice Nameduration
ShortThis effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp.
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants1098-32890: This effectiveTime **SHALL** contain either a low or a @value but not both (CONF:1098-32890). ()
60. SubstanceAdministration.effectiveTime:duration.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
62. SubstanceAdministration.effectiveTime:duration.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Shortindicates a single-administration timestamp
Comments

SHOULD contain zero or one [0..1] @value (CONF:1098-32775).

Control0..1
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
64. SubstanceAdministration.effectiveTime:duration.operator
Definition

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

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
66. SubstanceAdministration.effectiveTime:duration.low
Definition

This is the low limit of the interval.

Shortindicates when medication started
Comments

SHOULD contain zero or one [0..1] low (CONF:1098-32776).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
68. SubstanceAdministration.effectiveTime:duration.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
70. SubstanceAdministration.effectiveTime:duration.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
72. SubstanceAdministration.effectiveTime:duration.high
Definition

This is the high limit of the interval.

Shortindicates when medication stopped
Comments

MAY contain zero or one [0..1] high (CONF:1098-32777).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
74. SubstanceAdministration.effectiveTime:periodicFrequency
Slice NameperiodicFrequency
ShortThis effectiveTime represents a periodic medication frequency (e.g., administration times per day).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
76. SubstanceAdministration.effectiveTime:periodicFrequency.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
78. SubstanceAdministration.effectiveTime:periodicFrequency.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..0
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
80. SubstanceAdministration.effectiveTime:periodicFrequency.operator
Definition

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

Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
Pattern ValueA
82. SubstanceAdministration.effectiveTime:periodicFrequency.event
Definition

A code for a common (periodical) activity of daily living based on which the event related periodic interval is specified.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
LabelEvent
84. SubstanceAdministration.effectiveTime:periodicFrequency.offset
Definition

An interval of elapsed time (duration, not absolute point in time) that marks the offsets for the beginning, width and end of the event-related periodic interval measured from the time each such event actually occurred.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
LabelOffset
86. SubstanceAdministration.effectiveTime:eventFrequency
Slice NameeventFrequency
ShortThis effectiveTime represents an event-based medication frequency (e.g., administration at bedtime).
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS
Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
XML FormatThe type of this property is determined using the xsi:typeattribute.
88. SubstanceAdministration.effectiveTime:eventFrequency.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
90. SubstanceAdministration.effectiveTime:eventFrequency.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..0
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
92. SubstanceAdministration.effectiveTime:eventFrequency.operator
Definition

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

Comments

SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106).

Control1..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
Pattern ValueA
94. SubstanceAdministration.effectiveTime:eventFrequency.phase
Definition

A prototype of the repeating interval, specifying the duration of each occurrence and anchors the periodic interval sequence at a certain point in time.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
LabelPhase
96. SubstanceAdministration.effectiveTime:eventFrequency.period
Definition

A time duration specifying as a reciprocal measure of the frequency at which the periodic interval repeats.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelPeriod
98. SubstanceAdministration.effectiveTime:eventFrequency.alignment
Definition

Specifies if and how the repetitions are aligned to the cycles of the underlying calendar (e.g., to distinguish every 30 days from "the 5th of every month".) A non-aligned periodic interval recurs independently from the calendar. An aligned periodic interval is synchronized with the calendar.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAlignment to the Calendar
100. SubstanceAdministration.effectiveTime:eventFrequency.institutionSpecified
Definition

Indicates whether the exact timing is up to the party executing the schedule (e.g., to distinguish "every 8 hours" from "3 times a day".)

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelInstitution Specified Timing
102. SubstanceAdministration.priorityCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
104. SubstanceAdministration.repeatNumber
ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
Comments

MAY contain zero or one [0..1] repeatNumber (CONF:1098-7555).

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

SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
110. SubstanceAdministration.routeCode.code
Definition

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

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
112. SubstanceAdministration.routeCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
114. SubstanceAdministration.routeCode.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
116. SubstanceAdministration.routeCode.codeSystemVersion
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
118. SubstanceAdministration.routeCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
120. SubstanceAdministration.routeCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
122. SubstanceAdministration.routeCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
124. SubstanceAdministration.routeCode.originalText
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
126. SubstanceAdministration.routeCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
128. SubstanceAdministration.routeCode.translation
Definition

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

Comments

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

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

MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7515).

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

SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
Invariants1098-16879: Not pre-coordinated consumable: If the consumable code is not pre-coordinated (e.g., is "simply metoprolol Oral Product" (RxCUI 1163523), then doseQuantity must represent a physical quantity with @unit, e.g., "25" and "mg", specifying the amount of product given per administration (CONF:1098-16879). ()
1098-16878: Pre-coordinated consumable: If the consumable code is a pre-coordinated unit dose (e.g., "metoprolol 25mg tablet") then doseQuantity is a unitless number that indicates the number of products given per administration (e.g., "2", meaning 2 x "metoprolol 25mg tablet" per administration) (CONF:1098-16878). ()
134. SubstanceAdministration.doseQuantity.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
136. SubstanceAdministration.doseQuantity.unit
Definition

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

Comments

This doseQuantity 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:1098-7526).

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

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

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

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

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
142. SubstanceAdministration.doseQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelLow Boundary
144. SubstanceAdministration.doseQuantity.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelCentral Value
146. SubstanceAdministration.doseQuantity.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
148. SubstanceAdministration.doseQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelHigh Boundary
150. SubstanceAdministration.rateQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
152. SubstanceAdministration.rateQuantity.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
154. SubstanceAdministration.rateQuantity.unit
Definition

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

Comments

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

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

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

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

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

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
160. SubstanceAdministration.rateQuantity.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelLow Boundary
162. SubstanceAdministration.rateQuantity.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelCentral Value
164. SubstanceAdministration.rateQuantity.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
166. SubstanceAdministration.rateQuantity.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
LabelHigh Boundary
168. SubstanceAdministration.maxDoseQuantity
Comments

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
170. SubstanceAdministration.administrationUnitCode
ShortadministrationUnitCode@code describes the units of medication administration for an item using a code that is pre-coordinated to include a physical unit form (ointment, powder, solution, etc.) which differs from the units used in administering the consumable (capful, spray, drop, etc.). For example when recording medication administrations, 'metric drop (C48491)'' would be appropriate to accompany the RxNorm code of 198283 (Timolol 0.25% Ophthalmic Solution) where the number of drops would be specified in doseQuantity@value.
Comments

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

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

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

Comments

SHALL contain exactly one [1..1] consumable (CONF:1098-7520).

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
176. SubstanceAdministration.consumable.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
178. SubstanceAdministration.consumable.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
180. SubstanceAdministration.consumable.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
182. SubstanceAdministration.consumable.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationTargetDirect
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
184. SubstanceAdministration.consumable.manufacturedProduct
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

This consumable SHALL contain exactly one [1..1] Medication Information (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).

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

MAY contain zero or one [0..1] performer (CONF:1098-7522).

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).

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

MAY contain zero or more [0..*] participant (CONF:1098-7523) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
200. SubstanceAdministration.participant:drugVehicle.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
202. SubstanceAdministration.participant:drugVehicle.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7524).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCSM
204. SubstanceAdministration.participant:drugVehicle.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
206. SubstanceAdministration.participant:drugVehicle.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
208. SubstanceAdministration.participant:drugVehicle.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
210. SubstanceAdministration.participant:drugVehicle.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
212. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
214. SubstanceAdministration.participant:drugVehicle.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
216. SubstanceAdministration.participant:drugVehicle.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
218. SubstanceAdministration.participant:drugVehicle.participantRole
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1098-16086).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7536) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
226. SubstanceAdministration.entryRelationship:indication.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7537).

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-16087).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
250. SubstanceAdministration.entryRelationship:indication.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
252. SubstanceAdministration.entryRelationship:indication.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
254. SubstanceAdministration.entryRelationship:indication.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
256. SubstanceAdministration.entryRelationship:indication.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
258. SubstanceAdministration.entryRelationship:indication.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
260. SubstanceAdministration.entryRelationship:indication.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
262. SubstanceAdministration.entryRelationship:instruction
Slice Nameinstruction
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7539) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
266. SubstanceAdministration.entryRelationship:instruction.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7540).

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

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

Comments

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7542).

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
278. SubstanceAdministration.entryRelationship:instruction.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
280. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
282. SubstanceAdministration.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
284. SubstanceAdministration.entryRelationship:instruction.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31387).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
286. SubstanceAdministration.entryRelationship:instruction.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
288. SubstanceAdministration.entryRelationship:instruction.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
290. SubstanceAdministration.entryRelationship:instruction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
292. SubstanceAdministration.entryRelationship:instruction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
294. SubstanceAdministration.entryRelationship:instruction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
296. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
298. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
300. SubstanceAdministration.entryRelationship:instruction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
302. SubstanceAdministration.entryRelationship:supplyOrder
Slice NamesupplyOrder
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1098-7543) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
306. SubstanceAdministration.entryRelationship:supplyOrder.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7547).

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
318. SubstanceAdministration.entryRelationship:supplyOrder.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
320. SubstanceAdministration.entryRelationship:supplyOrder.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
322. SubstanceAdministration.entryRelationship:supplyOrder.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
324. SubstanceAdministration.entryRelationship:supplyOrder.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
326. SubstanceAdministration.entryRelationship:supplyOrder.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
328. SubstanceAdministration.entryRelationship:supplyOrder.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
330. SubstanceAdministration.entryRelationship:supplyOrder.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
332. SubstanceAdministration.entryRelationship:supplyOrder.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
334. SubstanceAdministration.entryRelationship:supplyOrder.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
336. SubstanceAdministration.entryRelationship:supplyOrder.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
338. SubstanceAdministration.entryRelationship:supplyOrder.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
340. SubstanceAdministration.entryRelationship:supplyOrder.supply
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1098-16089).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7549) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
346. SubstanceAdministration.entryRelationship:medicationDispense.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7553).

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
358. SubstanceAdministration.entryRelationship:medicationDispense.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
360. SubstanceAdministration.entryRelationship:medicationDispense.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
362. SubstanceAdministration.entryRelationship:medicationDispense.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
364. SubstanceAdministration.entryRelationship:medicationDispense.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
366. SubstanceAdministration.entryRelationship:medicationDispense.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
368. SubstanceAdministration.entryRelationship:medicationDispense.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
370. SubstanceAdministration.entryRelationship:medicationDispense.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
372. SubstanceAdministration.entryRelationship:medicationDispense.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
374. SubstanceAdministration.entryRelationship:medicationDispense.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
376. SubstanceAdministration.entryRelationship:medicationDispense.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
378. SubstanceAdministration.entryRelationship:medicationDispense.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
380. SubstanceAdministration.entryRelationship:medicationDispense.supply
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1098-16090).

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

MAY contain zero or more [0..*] entryRelationship (CONF:1098-7552) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
386. SubstanceAdministration.entryRelationship:reaction.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7544).

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16091).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
410. SubstanceAdministration.entryRelationship:reaction.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
412. SubstanceAdministration.entryRelationship:reaction.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
414. SubstanceAdministration.entryRelationship:reaction.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
416. SubstanceAdministration.entryRelationship:reaction.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
418. SubstanceAdministration.entryRelationship:reaction.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
420. SubstanceAdministration.entryRelationship:reaction.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
422. SubstanceAdministration.entryRelationship:drugMonitoring
Slice NamedrugMonitoring
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:1098-30820) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
426. SubstanceAdministration.entryRelationship:drugMonitoring.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-30821).

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
438. SubstanceAdministration.entryRelationship:drugMonitoring.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
440. SubstanceAdministration.entryRelationship:drugMonitoring.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
442. SubstanceAdministration.entryRelationship:drugMonitoring.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
444. SubstanceAdministration.entryRelationship:drugMonitoring.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Drug Monitoring Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.123) (CONF:1098-30822).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Drug Monitoring Act)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
446. SubstanceAdministration.entryRelationship:drugMonitoring.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
448. SubstanceAdministration.entryRelationship:drugMonitoring.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
450. SubstanceAdministration.entryRelationship:drugMonitoring.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
452. SubstanceAdministration.entryRelationship:drugMonitoring.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
454. SubstanceAdministration.entryRelationship:drugMonitoring.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
456. SubstanceAdministration.entryRelationship:drugMonitoring.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
458. SubstanceAdministration.entryRelationship:drugMonitoring.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
460. SubstanceAdministration.entryRelationship:drugMonitoring.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
462. SubstanceAdministration.entryRelationship:substanceAdministered
Slice NamesubstanceAdministered
ShortThe following entryRelationship is used to indicate a given medication's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31515) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
466. SubstanceAdministration.entryRelationship:substanceAdministered.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31516).

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

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

Comments

SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31517).

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

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

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

MAY contain zero or one [0..1] sequenceNumber (CONF:1098-31518).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
482. SubstanceAdministration.entryRelationship:substanceAdministered.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
484. SubstanceAdministration.entryRelationship:substanceAdministered.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31519).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
486. SubstanceAdministration.entryRelationship:substanceAdministered.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
488. SubstanceAdministration.entryRelationship:substanceAdministered.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
490. SubstanceAdministration.entryRelationship:substanceAdministered.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
492. SubstanceAdministration.entryRelationship:substanceAdministered.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
494. SubstanceAdministration.entryRelationship:substanceAdministered.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
496. SubstanceAdministration.entryRelationship:substanceAdministered.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
498. SubstanceAdministration.entryRelationship:substanceAdministered.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
500. SubstanceAdministration.entryRelationship:substanceAdministered.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
502. SubstanceAdministration.entryRelationship:adherence
Slice Nameadherence
ShortThe following entryRelationship is used to indicate the patient's adherence to the medication order.
Comments

MAY contain zero or more [0..*] entryRelationship such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
506. SubstanceAdministration.entryRelationship:adherence.realmCode
Definition

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

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

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

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

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

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

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

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Adherence (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.508).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Medication Adherence)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
530. SubstanceAdministration.entryRelationship:adherence.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
532. SubstanceAdministration.entryRelationship:adherence.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
534. SubstanceAdministration.entryRelationship:adherence.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
536. SubstanceAdministration.entryRelationship:adherence.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
538. SubstanceAdministration.entryRelationship:adherence.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
540. SubstanceAdministration.entryRelationship:adherence.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
542. SubstanceAdministration.entryRelationship:signature
Slice Namesignature
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
546. SubstanceAdministration.entryRelationship:signature.realmCode
Definition

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

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

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

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

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

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

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908).

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

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

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

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
558. SubstanceAdministration.entryRelationship:signature.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
560. SubstanceAdministration.entryRelationship:signature.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
562. SubstanceAdministration.entryRelationship:signature.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
564. SubstanceAdministration.entryRelationship:signature.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
566. SubstanceAdministration.entryRelationship:signature.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
568. SubstanceAdministration.entryRelationship:signature.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
570. SubstanceAdministration.entryRelationship:signature.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
572. SubstanceAdministration.entryRelationship:signature.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
574. SubstanceAdministration.entryRelationship:signature.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
576. SubstanceAdministration.entryRelationship:signature.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
578. SubstanceAdministration.entryRelationship:signature.substanceAdministration
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Free Text Sig)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
580. SubstanceAdministration.entryRelationship:signature.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
582. SubstanceAdministration.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
584. SubstanceAdministration.precondition
Comments

MAY contain zero or more [0..*] precondition (CONF:1098-31520).

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

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
588. SubstanceAdministration.precondition.typeCode
Comments

The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).

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

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

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

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

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

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

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

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

The precondition, if present, SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-31883).

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