<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.10.20.22.4.147"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration">SubstanceAdministration</a><a name="SubstanceAdministration"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-SubstanceAdministration.html">CDAR2.SubstanceAdministration</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.classCode">classCode</a><a name="SubstanceAdministration.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.moodCode">moodCode</a><a name="SubstanceAdministration.moodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">moodCode must match the parent substanceAdministration EVN or INT<br/><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.18/expansion">MoodCodeEvnInt</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.templateId">Slices for templateId</a><a name="SubstanceAdministration.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Closed by value:root</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.templateId:primary" title="Slice primary">templateId:primary</a><a name="SubstanceAdministration.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.templateId:primary.root">root</a><a name="SubstanceAdministration.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.22.4.147</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.code">code</a><a name="SubstanceAdministration.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.code.code">code</a><a name="SubstanceAdministration.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">76662-6</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.code.codeSystem">codeSystem</a><a name="SubstanceAdministration.code.codeSystem"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.6.1</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.text">text</a><a name="SubstanceAdministration.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ED.html">ED</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.text.reference">reference</a><a name="SubstanceAdministration.text.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TEL.html">TEL</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reference into the section/text to a tag that only contains free text sig.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.text.reference.value">value</a><a name="SubstanceAdministration.text.reference.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element has or is affected by some invariants (81-32774)">I</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">81-32774: </span>This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-32774).</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.consumable">consumable</a><a name="SubstanceAdministration.consumable"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.consumable.manufacturedProduct">manufacturedProduct</a><a name="SubstanceAdministration.consumable.manufacturedProduct"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-ManufacturedProduct.html">ManufacturedProduct</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug">manufacturedLabeledDrug</a><a name="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-LabeledDrug.html">LabeledDrug</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.147-definitions.html#SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor">nullFlavor</a><a name="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">NA</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.147"/>
  <identifier>
    <value value="urn:oid:2.16.840.1.113883.10.20.22.4.147"/>
  </identifier>
  <version value="2.2"/>
  <name value="MedicationFreeTextSig"/>
  <title value="Medication Free Text Sig"/>
  <status value="active"/>
  <date value="2022-05-13T15:50:12+00:00"/>
  <publisher value="Health Level Seven"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description value="The template is available to explicitly identify the free text Sig within each medication. &#xA;&#xA;An example free text sig: Thyroxin 150 ug, take one tab by mouth every morning."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="SubstanceAdministration"/>
  <baseDefinition value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="SubstanceAdministration.classCode">
      <path value="SubstanceAdministration.classCode"/>
      <representation value="xmlAttr"/>
      <requirements value="SHALL contain exactly one [1..1] @classCode=&quot;SBADM&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-32770)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBADM"/>
      <fixedCode value="SBADM"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.moodCode">
      <path value="SubstanceAdministration.moodCode"/>
      <representation value="xmlAttr"/>
      <label value="moodCode must match the parent substanceAdministration EVN or INT"/>
      <short value="moodCode must match the parent substanceAdministration EVN or INT"/>
      <requirements value="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:81-32771)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.realmCode">
      <path value="SubstanceAdministration.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.typeId">
      <path value="SubstanceAdministration.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId">
      <path value="SubstanceAdministration.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
      <definition value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId:primary">
      <path value="SubstanceAdministration.templateId"/>
      <sliceName value="primary"/>
      <definition value="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"/>
      <requirements value="SHALL contain exactly one [1..1] templateId (CONF:81-32753) such that it"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId:primary.nullFlavor">
      <path value="SubstanceAdministration.templateId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.templateId:primary.assigningAuthorityName">
      <path value="SubstanceAdministration.templateId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId:primary.displayable">
      <path value="SubstanceAdministration.templateId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId:primary.root">
      <path value="SubstanceAdministration.templateId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
      <requirements value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.4.147&quot; (CONF:81-32772)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.10.20.22.4.147"/>
    </element>
    <element id="SubstanceAdministration.templateId:primary.extension">
      <path value="SubstanceAdministration.templateId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.id">
      <path value="SubstanceAdministration.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <requirements value="SHALL contain exactly one [1..1] code (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:81-32775)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdministrationActCode"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.code.nullFlavor">
      <path value="SubstanceAdministration.code.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.code.code">
      <path value="SubstanceAdministration.code.code"/>
      <representation value="xmlAttr"/>
      <label value="Code"/>
      <definition value="The plain code symbol defined by the code system. For example, &quot;784.0&quot; is the code symbol of the ICD-9 code &quot;784.0&quot; for headache."/>
      <requirements value="This code SHALL contain exactly one [1..1] @code=&quot;76662-6&quot; Instructions Medication (CONF:81-32780)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="76662-6"/>
    </element>
    <element id="SubstanceAdministration.code.codeSystem">
      <path value="SubstanceAdministration.code.codeSystem"/>
      <representation value="xmlAttr"/>
      <label value="Code System"/>
      <definition value="Specifies the code system that defines the code."/>
      <requirements value="This code SHALL contain exactly one [1..1] @codeSystem=&quot;2.16.840.1.113883.6.1&quot; (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:81-32781)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystem"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <patternString value="2.16.840.1.113883.6.1"/>
    </element>
    <element id="SubstanceAdministration.code.codeSystemName">
      <path value="SubstanceAdministration.code.codeSystemName"/>
      <representation value="xmlAttr"/>
      <label value="Code System Name"/>
      <definition value="The common name of the coding system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.codeSystemVersion">
      <path value="SubstanceAdministration.code.codeSystemVersion"/>
      <representation value="xmlAttr"/>
      <label value="Code System Version"/>
      <definition value="If applicable, a version descriptor defined specifically for the given code system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.codeSystemVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.displayName">
      <path value="SubstanceAdministration.code.displayName"/>
      <representation value="xmlAttr"/>
      <label value="Display Name"/>
      <definition value="A name or title for the code, under which the sending system shows the code value to its users."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.displayName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.sdtcValueSet">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSet"/>
      </extension>
      <path value="SubstanceAdministration.code.sdtcValueSet"/>
      <representation value="xmlAttr"/>
      <definition value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.valueSet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.sdtcValueSetVersion">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="valueSetVersion"/>
      </extension>
      <path value="SubstanceAdministration.code.sdtcValueSetVersion"/>
      <representation value="xmlAttr"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.sdtcValueSetVersion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.originalText">
      <path value="SubstanceAdministration.code.originalText"/>
      <label value="Original Text"/>
      <definition value="The text or phrase used as the basis for the coding."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CD.originalText"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.qualifier">
      <path value="SubstanceAdministration.code.qualifier"/>
      <label value="Qualifier"/>
      <definition value="Specifies additional codes that increase the specificity of the the primary code."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.qualifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code.translation">
      <path value="SubstanceAdministration.code.translation"/>
      <representation value="typeAttr"/>
      <label value="Translation"/>
      <definition value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CD.translation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="SubstanceAdministration.negationInd">
      <path value="SubstanceAdministration.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <requirements value="SHALL contain exactly one [1..1] text (CONF:81-32754)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.nullFlavor">
      <path value="SubstanceAdministration.text.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.text.charset">
      <path value="SubstanceAdministration.text.charset"/>
      <representation value="xmlAttr"/>
      <label value="Charset"/>
      <definition value="For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 []."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.charset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.compression">
      <path value="SubstanceAdministration.text.compression"/>
      <representation value="xmlAttr"/>
      <label value="Compression"/>
      <definition value="Indicates whether the raw byte data is compressed, and what compression algorithm was used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.compression"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.text.integrityCheck">
      <path value="SubstanceAdministration.text.integrityCheck"/>
      <representation value="xmlAttr"/>
      <label value="Integrity Check"/>
      <definition value="The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.integrityCheck"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.integrityCheckAlgorithm">
      <path value="SubstanceAdministration.text.integrityCheckAlgorithm"/>
      <representation value="xmlAttr"/>
      <label value="Integrity Check Algorithm"/>
      <definition value="Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.integrityCheckAlgorithm"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.text.language">
      <path value="SubstanceAdministration.text.language"/>
      <representation value="xmlAttr"/>
      <label value="Language"/>
      <definition value="For character based information the language property specifies the human language of the text."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.mediaType">
      <path value="SubstanceAdministration.text.mediaType"/>
      <representation value="xmlAttr"/>
      <label value="Media Type"/>
      <definition value="Identifies the type of the encapsulated data and identifies a method to interpret or render the data."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.mediaType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.representation">
      <path value="SubstanceAdministration.text.representation"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.representation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.data[x]">
      <path value="SubstanceAdministration.text.data[x]"/>
      <representation value="xmlText"/>
      <definition value="Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.data[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="base64Binary"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.reference">
      <path value="SubstanceAdministration.text.reference"/>
      <label value="Reference"/>
      <short value="Reference into the section/text to a tag that only contains free text sig."/>
      <definition value="A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data."/>
      <requirements value="This text SHALL contain exactly one [1..1] reference (CONF:81-32755)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ED.reference"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/TEL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.reference.nullFlavor">
      <path value="SubstanceAdministration.text.reference.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.text.reference.value">
      <path value="SubstanceAdministration.text.reference.value"/>
      <representation value="xmlAttr"/>
      <requirements value="This reference SHOULD contain zero or one [0..1] @value (CONF:81-32756)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="TEL.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <constraint>
        <key value="81-32774"/>
        <severity value="error"/>
        <human value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-32774)."/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.text.reference.useablePeriod">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="SXPR-TS"/>
      </extension>
      <path value="SubstanceAdministration.text.reference.useablePeriod"/>
      <representation value="typeAttr"/>
      <label value="Useable Period"/>
      <definition value="Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.useablePeriod"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text.reference.use">
      <path value="SubstanceAdministration.text.reference.use"/>
      <representation value="xmlAttr"/>
      <label value="Use Code"/>
      <definition value="One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="TEL.use"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressUse"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.text.thumbnail">
      <path value="SubstanceAdministration.text.thumbnail"/>
      <label value="Thumbnail"/>
      <definition value="An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ED.thumbnail"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.statusCode">
      <path value="SubstanceAdministration.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.effectiveTime">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </extension>
      <path value="SubstanceAdministration.effectiveTime"/>
      <representation value="typeAttr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.effectiveTime"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.priorityCode">
      <path value="SubstanceAdministration.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.repeatNumber">
      <path value="SubstanceAdministration.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.repeatNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.routeCode">
      <path value="SubstanceAdministration.routeCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.routeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.approachSiteCode">
      <path value="SubstanceAdministration.approachSiteCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.approachSiteCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.doseQuantity">
      <path value="SubstanceAdministration.doseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.doseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.rateQuantity">
      <path value="SubstanceAdministration.rateQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.rateQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.maxDoseQuantity">
      <path value="SubstanceAdministration.maxDoseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.maxDoseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.administrationUnitCode">
      <path value="SubstanceAdministration.administrationUnitCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.administrationUnitCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <requirements value="SHALL contain exactly one [1..1] consumable (CONF:81-32776)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeCode">
      <path value="SubstanceAdministration.consumable.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="CSM"/>
      <fixedCode value="CSM"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <requirements value="This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:81-32777)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.classCode">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ManufacturedProduct.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="MANU"/>
      <fixedCode value="MANU"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.templateId">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.templateId"/>
      <definition value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ManufacturedProduct.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.id">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ManufacturedProduct.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.sdtcIdentifiedBy">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="identifiedBy"/>
      </extension>
      <path value="SubstanceAdministration.consumable.manufacturedProduct.sdtcIdentifiedBy"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ManufacturedProduct.sdtcIdentifiedBy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug"/>
      <requirements value="This manufacturedProduct SHALL contain exactly one [1..1] manufacturedLabeledDrug (CONF:81-32778)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ManufacturedProduct.manufacturedLabeledDrug"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/LabeledDrug"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor"/>
      <representation value="xmlAttr"/>
      <requirements value="This manufacturedLabeledDrug SHALL contain exactly one [1..1] @nullFlavor=&quot;NA&quot; Not Applicable (CONF:81-32779)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="NA"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LabeledDrug.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="MMAT"/>
      <fixedCode value="MMAT"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="LabeledDrug.determinerCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="KIND"/>
      <fixedCode value="KIND"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.templateId">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.templateId"/>
      <definition value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="LabeledDrug.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.code">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LabeledDrug.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-DrugEntity"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.name">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.name"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LabeledDrug.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EN"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedMaterial">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedMaterial"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ManufacturedProduct.manufacturedMaterial"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Material"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturerOrganization">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturerOrganization"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ManufacturedProduct.manufacturerOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject">
      <path value="SubstanceAdministration.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject.typeCode">
      <path value="SubstanceAdministration.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.contextControlCode">
      <path value="SubstanceAdministration.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.awarenessCode">
      <path value="SubstanceAdministration.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.awarenessCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.relatedSubject">
      <path value="SubstanceAdministration.subject.relatedSubject"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.relatedSubject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
      </type>
    </element>
    <element id="SubstanceAdministration.specimen">
      <path value="SubstanceAdministration.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="SubstanceAdministration.performer">
      <path value="SubstanceAdministration.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.author">
      <path value="SubstanceAdministration.author"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant">
      <path value="SubstanceAdministration.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.typeCode">
      <path value="SubstanceAdministration.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.contextControlCode">
      <path value="SubstanceAdministration.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.assignedEntity">
      <path value="SubstanceAdministration.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.relatedEntity">
      <path value="SubstanceAdministration.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.participant">
      <path value="SubstanceAdministration.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship">
      <path value="SubstanceAdministration.entryRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="subst-er-1"/>
        <severity value="error"/>
        <human value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
        <source value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.entryRelationship.typeCode">
      <path value="SubstanceAdministration.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.inversionInd">
      <path value="SubstanceAdministration.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.contextConductionInd">
      <path value="SubstanceAdministration.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="SubstanceAdministration.entryRelationship.sequenceNumber">
      <path value="SubstanceAdministration.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.negationInd">
      <path value="SubstanceAdministration.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.seperatableInd">
      <path value="SubstanceAdministration.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observation">
      <path value="SubstanceAdministration.entryRelationship.observation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.regionOfInterest">
      <path value="SubstanceAdministration.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observationMedia">
      <path value="SubstanceAdministration.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.substanceAdministration">
      <path value="SubstanceAdministration.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.supply">
      <path value="SubstanceAdministration.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.procedure">
      <path value="SubstanceAdministration.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.encounter">
      <path value="SubstanceAdministration.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.organizer">
      <path value="SubstanceAdministration.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.act">
      <path value="SubstanceAdministration.entryRelationship.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference">
      <path value="SubstanceAdministration.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.typeCode">
      <path value="SubstanceAdministration.reference.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.seperatableInd">
      <path value="SubstanceAdministration.reference.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalAct">
      <path value="SubstanceAdministration.reference.externalAct"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalAct"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalObservation">
      <path value="SubstanceAdministration.reference.externalObservation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalObservation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalProcedure">
      <path value="SubstanceAdministration.reference.externalProcedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalProcedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalDocument">
      <path value="SubstanceAdministration.reference.externalDocument"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalDocument"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
      </type>
    </element>
    <element id="SubstanceAdministration.precondition">
      <path value="SubstanceAdministration.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
    </element>
    <element id="SubstanceAdministration.classCode">
      <path value="SubstanceAdministration.classCode"/>
      <requirements value="SHALL contain exactly one [1..1] @classCode=&quot;SBADM&quot; (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-32770)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.moodCode">
      <path value="SubstanceAdministration.moodCode"/>
      <label value="moodCode must match the parent substanceAdministration EVN or INT"/>
      <short value="moodCode must match the parent substanceAdministration EVN or INT"/>
      <requirements value="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:81-32771)."/>
      <min value="1"/>
      <max value="1"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.templateId">
      <path value="SubstanceAdministration.templateId"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="root"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
    </element>
    <element id="SubstanceAdministration.templateId:primary">
      <path value="SubstanceAdministration.templateId"/>
      <sliceName value="primary"/>
      <requirements value="SHALL contain exactly one [1..1] templateId (CONF:81-32753) such that it"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.templateId:primary.root">
      <path value="SubstanceAdministration.templateId.root"/>
      <requirements value="SHALL contain exactly one [1..1] @root=&quot;2.16.840.1.113883.10.20.22.4.147&quot; (CONF:81-32772)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.10.20.22.4.147"/>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <requirements value="SHALL contain exactly one [1..1] code (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:81-32775)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.code.code">
      <path value="SubstanceAdministration.code.code"/>
      <requirements value="This code SHALL contain exactly one [1..1] @code=&quot;76662-6&quot; Instructions Medication (CONF:81-32780)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="76662-6"/>
    </element>
    <element id="SubstanceAdministration.code.codeSystem">
      <path value="SubstanceAdministration.code.codeSystem"/>
      <requirements value="This code SHALL contain exactly one [1..1] @codeSystem=&quot;2.16.840.1.113883.6.1&quot; (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:81-32781)."/>
      <min value="1"/>
      <max value="1"/>
      <patternString value="2.16.840.1.113883.6.1"/>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <requirements value="SHALL contain exactly one [1..1] text (CONF:81-32754)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.text.reference">
      <path value="SubstanceAdministration.text.reference"/>
      <short value="Reference into the section/text to a tag that only contains free text sig."/>
      <requirements value="This text SHALL contain exactly one [1..1] reference (CONF:81-32755)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.text.reference.value">
      <path value="SubstanceAdministration.text.reference.value"/>
      <requirements value="This reference SHOULD contain zero or one [0..1] @value (CONF:81-32756)."/>
      <min value="0"/>
      <max value="1"/>
      <constraint>
        <key value="81-32774"/>
        <severity value="error"/>
        <human value="This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-32774)."/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <requirements value="SHALL contain exactly one [1..1] consumable (CONF:81-32776)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <requirements value="This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:81-32777)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug"/>
      <requirements value="This manufacturedProduct SHALL contain exactly one [1..1] manufacturedLabeledDrug (CONF:81-32778)."/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor">
      <path value="SubstanceAdministration.consumable.manufacturedProduct.manufacturedLabeledDrug.nullFlavor"/>
      <requirements value="This manufacturedLabeledDrug SHALL contain exactly one [1..1] @nullFlavor=&quot;NA&quot; Not Applicable (CONF:81-32779)."/>
      <min value="1"/>
      <max value="1"/>
      <patternCode value="NA"/>
    </element>
  </differential>
</StructureDefinition>