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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML

Logical Model: Medication Information

A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).

The dose (doseQuantity) represents how many of the consumables are to be administered at each administration event. As a result, the dose is always relative to the consumable. Thus, a patient consuming a single “metoprolol 25mg tablet” per administration will have a doseQuantity of “1”, whereas a patient consuming “metoprolol” will have a dose of “25 mg”.

Usage:

• Use this Logical Model: Medication Activity, Medication Dispense, Medication Supply Order, Planned Medication Activity and Planned Supply

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CDAR2.ManufacturedProduct

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct			CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
classCode		1..1	cs
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Binding: Clinical Substance (example)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct		1..1	CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Binding: Clinical Substance (example)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ManufacturedProduct.classCode	required	Fixed Value: MANU
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct		1..1	CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
manufacturedLabeledDrug		0..1	LabeledDrug
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
@classCode		0..1	cs	Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT
@determinerCode		0..1	cs	Binding: EntityDeterminerDetermined (required) Fixed Value: KIND
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
templateId		0..*	II
code		1..1	CE	Binding: Medication Clinical Drug (required)
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD	Binding: Clinical Substance (example)
name		0..1	EN
lotNumberText		0..1	ST
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ManufacturedProduct.classCode	required	Fixed Value: MANU
ManufacturedProduct.templateId:primary.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.classCode	required	Fixed Value: MMAT
ManufacturedProduct.manufacturedMaterial.determinerCode	required	Fixed Value: KIND
ManufacturedProduct.manufacturedMaterial.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

• The element ManufacturedProduct.templateId is sliced based on the values of value:root, value:extension

Differential View

This structure is derived from CDAR2.ManufacturedProduct

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct			CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
classCode		1..1	cs
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Binding: Clinical Substance (example)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct		1..1	CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Binding: Clinical Substance (example)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ManufacturedProduct.classCode	required	Fixed Value: MANU
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct		1..1	CDAR2.ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, templateId, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:primary		1..1	II
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
manufacturedLabeledDrug		0..1	LabeledDrug
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
@classCode		0..1	cs	Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT
@determinerCode		0..1	cs	Binding: EntityDeterminerDetermined (required) Fixed Value: KIND
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
templateId		0..*	II
code		1..1	CE	Binding: Medication Clinical Drug (required)
@nullFlavor		0..1	cs	Binding: NullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD	Binding: Clinical Substance (example)
name		0..1	EN
lotNumberText		0..1	ST
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ManufacturedProduct.classCode	required	Fixed Value: MANU
ManufacturedProduct.templateId:primary.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.classCode	required	Fixed Value: MMAT
ManufacturedProduct.manufacturedMaterial.determinerCode	required	Fixed Value: KIND
ManufacturedProduct.manufacturedMaterial.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.code	required	Medication Clinical Drug
ManufacturedProduct.manufacturedMaterial.code.nullFlavor	required	NullFlavor
ManufacturedProduct.manufacturedMaterial.code.translation	example	Clinical Substance

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

• The element ManufacturedProduct.templateId is sliced based on the values of value:root, value:extension

Other representations of profile: CSV, Excel