Consolidated CDA (C-CDA)
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Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: ImmunizationActivity - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the ImmunizationActivity logical model.

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

0. SubstanceAdministration
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. SubstanceAdministration.templateId
Control1..?
SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. SubstanceAdministration.templateId:immunization-activity
    Slice Nameimmunization-activity
    Control1..1
    6. SubstanceAdministration.templateId:immunization-activity.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.52
    8. SubstanceAdministration.templateId:immunization-activity.extension
    Control1..?
    Pattern Value2015-08-01
    10. SubstanceAdministration.classCode
    Comments

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

    12. SubstanceAdministration.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

    BindingThe codes SHALL be taken from MoodCodeEvnInt .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
    14. SubstanceAdministration.id
    Comments

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

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

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

    18. SubstanceAdministration.negationInd
    ShortUse negationInd="true" to indicate that the immunization was not given.
    Comments

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

    Control1..?
    20. SubstanceAdministration.text
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    22. SubstanceAdministration.text.reference
    Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
    24. SubstanceAdministration.statusCode
    Comments

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

    Control1..?
    26. SubstanceAdministration.statusCode.nullFlavor
    Control0..0
    28. SubstanceAdministration.statusCode.code
    Control1..?
    BindingThe codes SHALL be taken from ActStatus
    (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
    30. SubstanceAdministration.effectiveTime
    Comments

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

    Control1..1
    32. SubstanceAdministration.repeatNumber
    ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
    Invariantsvalue-only: Interval fields SHALL NOT be present ((low | high | width | center).empty())
    34. SubstanceAdministration.repeatNumber.value
    Shortvalue should be used instead of low/high
    36. SubstanceAdministration.routeCode
    Comments

    MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

    BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
    Invariantsshould-translation: SHOULD contain translation (translation.exists())
    38. SubstanceAdministration.routeCode.translation
    Comments

    The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

    BindingThe codes SHOULD be taken from Medication Route .
    (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
    40. SubstanceAdministration.approachSiteCode
    Comments

    MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

    Control0..1
    BindingThe codes SHALL be taken from Body Site Value Set .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
    42. SubstanceAdministration.doseQuantity
    Comments

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

    Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
    44. SubstanceAdministration.doseQuantity.unit
    ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
    Comments

    The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

    BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
    (preferred to http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
    46. SubstanceAdministration.administrationUnitCode
    Comments

    MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

    BindingThe codes SHALL be taken from AdministrationUnitDoseForm .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
    48. SubstanceAdministration.consumable
    Comments

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

    50. SubstanceAdministration.consumable.manufacturedProduct
    Comments

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

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

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

    Control0..1
    54. SubstanceAdministration.author
    Comments

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

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

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

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

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

      Fixed ValueCSM
      62. SubstanceAdministration.participant:drugVehicle.participantRole
      Comments

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

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

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

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

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

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

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

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
        72. SubstanceAdministration.entryRelationship:indication.observation.code
        ShortIndication for Immunization
        74. SubstanceAdministration.entryRelationship:indication.observation.code.code
        Control1..?
        Pattern Value59785-6
        76. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystem
        ShortLOINC
        Control1..?
        Pattern Value2.16.840.1.113883.6.1
        78. SubstanceAdministration.entryRelationship:instruction
        Slice Nameinstruction
        Comments

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

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

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

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

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

        Control1..?
        Fixed Valuetrue
        84. SubstanceAdministration.entryRelationship:instruction.observation
        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
        86. SubstanceAdministration.entryRelationship:medSupplyOrder
        Slice NamemedSupplyOrder
        Comments

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

        Control0..1
        88. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
        Comments

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

        Fixed ValueREFR
        90. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
        Comments

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

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
        92. SubstanceAdministration.entryRelationship:medDispense
        Slice NamemedDispense
        Comments

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

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

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

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

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

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
        98. SubstanceAdministration.entryRelationship:reactionObs
        Slice NamereactionObs
        Comments

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

        Control0..1
        100. SubstanceAdministration.entryRelationship:reactionObs.typeCode
        Comments

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

        Fixed ValueCAUS
        102. SubstanceAdministration.entryRelationship:reactionObs.observation
        Comments

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

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
        104. SubstanceAdministration.entryRelationship:immunizationNotGiven
        Slice NameimmunizationNotGiven
        Comments

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

        Control0..1
        106. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeCode
        Comments

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

        Fixed ValueRSON
        108. SubstanceAdministration.entryRelationship:immunizationNotGiven.observation
        Comments

        SHALL contain exactly one [1..1] Immunization Not Given Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53:2024-05-01) (CONF:1198-15542).

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Not Given Reason)
        110. SubstanceAdministration.entryRelationship:substanceAdmin
        Slice NamesubstanceAdmin
        ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
        Comments

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

        Control0..*
        112. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
        Comments

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

        Fixed ValueCOMP
        114. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
        Comments

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

        Control1..?
        Fixed Valuetrue
        116. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
        Comments

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

        118. SubstanceAdministration.entryRelationship:substanceAdmin.act
        Comments

        SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

        Control1..?
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
        120. SubstanceAdministration.precondition
        SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ criterion
        • 122. SubstanceAdministration.precondition:substanceAdmin
          Slice NamesubstanceAdmin
          Comments

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

          Control0..*
          124. SubstanceAdministration.precondition:substanceAdmin.typeCode
          Comments

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

          Control1..?
          126. SubstanceAdministration.precondition:substanceAdmin.criterion
          Comments

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

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

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

          0. SubstanceAdministration
          Definition

          Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


          Base definition for all types defined in FHIR type system.

          ShortBase for all types and resources
          Control10..1*
          Is Modifierfalse
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstance of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
          should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
          dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
          should-performer: SHOULD contain performer (performer.exists())
          should-author: SHOULD contain author (author.exists())
          2. SubstanceAdministration.nullFlavor
          Definition

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

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          4. SubstanceAdministration.realmCode
          Definition

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

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

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

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          8. SubstanceAdministration.typeId.nullFlavor
          Definition

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

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          10. SubstanceAdministration.typeId.assigningAuthorityName
          Definition

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

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

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

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

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          16. SubstanceAdministration.typeId.extension
          Definition

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

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          18. SubstanceAdministration.templateId
          Definition

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

          Control1..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • value @ extension
          • 20. SubstanceAdministration.templateId:immunization-activity
            Slice Nameimmunization-activity
            Definition

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            22. SubstanceAdministration.templateId:immunization-activity.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            24. SubstanceAdministration.templateId:immunization-activity.assigningAuthorityName
            Definition

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

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

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

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

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

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Pattern Value2.16.840.1.113883.10.20.22.4.52
            30. SubstanceAdministration.templateId:immunization-activity.extension
            Definition

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

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            Pattern Value2015-08-01
            32. SubstanceAdministration.classCode
            Comments

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

            Control1..1
            BindingThe codes SHALL be taken from CDAActClass
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueSBADM
            34. SubstanceAdministration.moodCode
            Comments

            SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

            Control1..1
            BindingThe codes SHALL be taken from MoodCodeEvnInt .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            36. SubstanceAdministration.id
            Comments

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

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

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

            Control0..1
            BindingFor example codes, see CDAActSubstanceAdministrationCode
            (example to http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            40. SubstanceAdministration.negationInd
            ShortUse negationInd="true" to indicate that the immunization was not given.
            Comments

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

            Control1..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            42. SubstanceAdministration.text
            ShortSHOULD reference the portion of section narrative text corresponding to this entry
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            44. SubstanceAdministration.text.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            46. SubstanceAdministration.text.compression
            Definition

            Indicates whether the raw byte data is compressed, and what compression algorithm was used.

            Control0..1
            BindingThe codes SHALL be taken from CDACompressionAlgorithm
            (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCompression
            48. SubstanceAdministration.text.integrityCheck
            Definition

            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.

            Control0..1
            Typebase64Binary(bin: Binary Data)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelIntegrity Check
            50. SubstanceAdministration.text.integrityCheckAlgorithm
            Definition

            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.

            Control0..1
            BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
            (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelIntegrity Check Algorithm
            52. SubstanceAdministration.text.language
            Definition

            For character based information the language property specifies the human language of the text.

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

            Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

            Control0..1
            BindingFor example codes, see MediaType
            (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelMedia Type
            56. SubstanceAdministration.text.representation
            Control0..1
            BindingThe codes SHALL be taken from CDABinaryDataEncoding
            (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            58. SubstanceAdministration.text.xmlText
            Definition

            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.)

            ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
            Comments

            This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as unadorned text.
            60. SubstanceAdministration.text.reference
            Definition

            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.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
            LabelReference
            Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
            62. SubstanceAdministration.text.thumbnail
            Definition

            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.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            LabelThumbnail
            64. SubstanceAdministration.statusCode
            Comments

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

            Control1..1
            BindingThe codes SHALL be taken from ActStatus
            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
            66. SubstanceAdministration.statusCode.nullFlavor
            Definition

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

            Control0..0
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            68. SubstanceAdministration.statusCode.code
            Definition

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

            Control1..1
            BindingThe codes SHALL be taken from ActStatus
            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode
            70. SubstanceAdministration.statusCode.codeSystem
            Definition

            Specifies the code system that defines the code.

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

            The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

            Control0..0
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            LabelTranslation
            88. SubstanceAdministration.effectiveTime
            Comments

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

            Control1..1
            TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
            Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            90. SubstanceAdministration.priorityCode
            Control0..1
            BindingFor example codes, see ActPriority
            (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            92. SubstanceAdministration.repeatNumber
            ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
            Invariantsvalue-only: Interval fields SHALL NOT be present ((low | high | width | center).empty())
            94. SubstanceAdministration.repeatNumber.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            96. SubstanceAdministration.repeatNumber.value
            Shortvalue should be used instead of low/high
            Control0..1
            Typeinteger(int: Integer Number)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            98. SubstanceAdministration.repeatNumber.operator
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDASetOperator
            (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Default ValueI
            100. SubstanceAdministration.repeatNumber.low
            Definition

            This is the low limit of the interval.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
            LabelLow Boundary
            102. SubstanceAdministration.repeatNumber.center
            Definition

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
            LabelCentral Value
            104. SubstanceAdministration.repeatNumber.width
            Definition

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
            LabelWidth
            106. SubstanceAdministration.repeatNumber.high
            Definition

            This is the high limit of the interval.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
            LabelHigh Boundary
            108. SubstanceAdministration.routeCode
            Comments

            MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

            Control0..1
            BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            Invariantsshould-translation: SHOULD contain translation (translation.exists())
            110. SubstanceAdministration.routeCode.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            112. SubstanceAdministration.routeCode.code
            Definition

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

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

            Specifies the code system that defines the code.

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

            The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

            Comments

            The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

            Control0..*
            BindingThe codes SHOULD be taken from Medication Route .
            (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            LabelTranslation
            132. SubstanceAdministration.approachSiteCode
            Comments

            MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

            Control0..1
            BindingThe codes SHALL be taken from Body Site Value Set .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            134. SubstanceAdministration.doseQuantity
            Comments

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
            Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
            136. SubstanceAdministration.doseQuantity.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            138. SubstanceAdministration.doseQuantity.unit
            Definition

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

            ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
            Comments

            The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

            Control0..1
            BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
            (preferred to http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelUnit of Measure
            Default Value1
            140. SubstanceAdministration.doseQuantity.value
            Definition

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

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

            An alternative representation of the same physical quantity expressed in a different unit, of a different unit code system and possibly with a different value.

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
            LabelTranslation
            144. SubstanceAdministration.doseQuantity.operator
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDASetOperator
            (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Default ValueI
            146. SubstanceAdministration.doseQuantity.low
            Definition

            This is the low limit of the interval.

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

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

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

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

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

            This is the high limit of the interval.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
            LabelHigh Boundary
            154. SubstanceAdministration.rateQuantity
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
            156. SubstanceAdministration.maxDoseQuantity
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
            158. SubstanceAdministration.administrationUnitCode
            Comments

            MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

            Control0..1
            BindingThe codes SHALL be taken from AdministrationUnitDoseForm .
            (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            160. SubstanceAdministration.consumable
            Definition

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

            Comments

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
            162. SubstanceAdministration.consumable.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            164. SubstanceAdministration.consumable.realmCode
            Definition

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

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

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
            168. SubstanceAdministration.consumable.typeId.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            170. SubstanceAdministration.consumable.typeId.assigningAuthorityName
            Definition

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

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

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

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

            Identifies the type as an HL7 Registered model

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Fixed Value2.16.840.1.113883.1.3
            176. SubstanceAdministration.consumable.typeId.extension
            Definition

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

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            178. SubstanceAdministration.consumable.templateId
            Definition

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

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

            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

            ShortBase for all types and resources
            Comments

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
            Is Modifierfalse
            Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
            should-manufacturerOrganization: SHOULD contain manufacturerOrganization (manufacturerOrganization.exists())
            184. SubstanceAdministration.subject
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
            186. SubstanceAdministration.specimen
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
            188. SubstanceAdministration.performer
            Comments

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

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

            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

            ShortBase for all types and resources
            Comments

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

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
            Is Modifierfalse
            192. SubstanceAdministration.informant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
            194. SubstanceAdministration.participant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
            SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ typeCode
            • 196. SubstanceAdministration.participant:drugVehicle
              Slice NamedrugVehicle
              Comments

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

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

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

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              200. SubstanceAdministration.participant:drugVehicle.realmCode
              Definition

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

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

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

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              204. SubstanceAdministration.participant:drugVehicle.typeId.nullFlavor
              Definition

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

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              206. SubstanceAdministration.participant:drugVehicle.typeId.assigningAuthorityName
              Definition

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

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

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

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

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              212. SubstanceAdministration.participant:drugVehicle.typeId.extension
              Definition

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

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              214. SubstanceAdministration.participant:drugVehicle.templateId
              Definition

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

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

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

              Control1..1
              BindingThe codes SHALL be taken from CDAParticipationType
              (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueCSM
              218. SubstanceAdministration.participant:drugVehicle.contextControlCode
              Control0..1
              BindingThe codes SHALL be taken from CDAContextControl
              (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueOP
              220. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
              222. SubstanceAdministration.participant:drugVehicle.time
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
              224. SubstanceAdministration.participant:drugVehicle.awarenessCode
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              226. SubstanceAdministration.participant:drugVehicle.participantRole
              Definition

              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

              ShortBase for all types and resources
              Comments

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

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
              Is Modifierfalse
              Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
              228. SubstanceAdministration.entryRelationship
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • profile @ act
              • profile @ observation
              • profile @ supply
              • 230. SubstanceAdministration.entryRelationship:indication
                Slice Nameindication
                Comments

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

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

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

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                234. SubstanceAdministration.entryRelationship:indication.realmCode
                Definition

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

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

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

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                238. SubstanceAdministration.entryRelationship:indication.typeId.nullFlavor
                Definition

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

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                240. SubstanceAdministration.entryRelationship:indication.typeId.assigningAuthorityName
                Definition

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

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

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

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

                Identifies the type as an HL7 Registered model

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Fixed Value2.16.840.1.113883.1.3
                246. SubstanceAdministration.entryRelationship:indication.typeId.extension
                Definition

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

                Control1..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                248. SubstanceAdministration.entryRelationship:indication.templateId
                Definition

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

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

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

                Control1..1
                BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueRSON
                252. SubstanceAdministration.entryRelationship:indication.inversionInd
                Definition

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

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

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

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

                Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                ShortBase for all types and resources
                Comments

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

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
                Is Modifierfalse
                Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())))
                268. SubstanceAdministration.entryRelationship:indication.observation.nullFlavor
                Definition

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

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                270. SubstanceAdministration.entryRelationship:indication.observation.realmCode
                Definition

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

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

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

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                274. SubstanceAdministration.entryRelationship:indication.observation.typeId.nullFlavor
                Definition

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

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                276. SubstanceAdministration.entryRelationship:indication.observation.typeId.assigningAuthorityName
                Definition

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

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

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

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

                Identifies the type as an HL7 Registered model

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Fixed Value2.16.840.1.113883.1.3
                282. SubstanceAdministration.entryRelationship:indication.observation.typeId.extension
                Definition

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

                Control1..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                284. SubstanceAdministration.entryRelationship:indication.observation.templateId
                Definition

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

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship.observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ root
                • value @ extension
                • 286. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication
                  Slice Nameindication
                  Definition

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

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  288. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  290. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.assigningAuthorityName
                  Definition

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

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

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

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

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

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Pattern Value2.16.840.1.113883.10.20.22.4.19
                  296. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  Pattern Value2023-05-01
                  298. SubstanceAdministration.entryRelationship:indication.observation.classCode
                  Comments

                  SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480).

                  Control1..1
                  BindingThe codes SHALL be taken from CDAActClassObservation
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueOBS
                  300. SubstanceAdministration.entryRelationship:indication.observation.moodCode
                  Comments

                  SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481).

                  Control1..1
                  BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
                  (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueEVN
                  302. SubstanceAdministration.entryRelationship:indication.observation.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  304. SubstanceAdministration.entryRelationship:indication.observation.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortIf the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another.Logical id of this artifact
                  Comments

                  SHALL contain at least one [1..*] id (CONF:4537-7483).


                  Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                  Control10..*1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
                  Is Modifierfalse
                  306. SubstanceAdministration.entryRelationship:indication.observation.sdtcCategory
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                  308. SubstanceAdministration.entryRelationship:indication.observation.code
                  Definition

                  Describes what was observed. Sometimes this is called the observation "name".

                  ShortIndication for ImmunizationType of observation (code / type)
                  Comments

                  SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type urn:oid:2.16.840.1.113762.1.4.1267.1.


                  All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

                  Control1..1
                  This element is affected by the following invariants: obs-7
                  BindingThe codes SHOULD be taken from For example codes, see Problem Type .http://hl7.org/fhir/ValueSet/observation-codes
                  (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
                  Is Modifierfalse
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  Requirements

                  Knowing what kind of observation is being made is essential to understanding the observation.

                  Alternate NamesName
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  310. SubstanceAdministration.entryRelationship:indication.observation.code.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  312. SubstanceAdministration.entryRelationship:indication.observation.code.code
                  Definition

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

                  Control1..1
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode
                  Pattern Value59785-6
                  314. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystem
                  Definition

                  Specifies the code system that defines the code.

                  ShortLOINC
                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode System
                  Pattern Value2.16.840.1.113883.6.1
                  316. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystemName
                  Definition

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                  LabelOriginal Text
                  328. SubstanceAdministration.entryRelationship:indication.observation.code.qualifier
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                  LabelQualifier
                  330. SubstanceAdministration.entryRelationship:indication.observation.code.translation
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  332. SubstanceAdministration.entryRelationship:indication.observation.derivationExpr
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                  334. SubstanceAdministration.entryRelationship:indication.observation.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                  ShortSHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
                  Comments

                  Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                  Control0..1
                  This element is affected by the following invariants: dom-6
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
                  Is Modifierfalse
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  336. SubstanceAdministration.entryRelationship:indication.observation.text.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  338. SubstanceAdministration.entryRelationship:indication.observation.text.compression
                  Definition

                  Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                  Control0..1
                  BindingThe codes SHALL be taken from CDACompressionAlgorithm
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCompression
                  340. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheck
                  Definition

                  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.

                  Control0..1
                  Typebase64Binary(bin: Binary Data)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelIntegrity Check
                  342. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheckAlgorithm
                  Definition

                  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.

                  Control0..1
                  BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                  (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelIntegrity Check Algorithm
                  344. SubstanceAdministration.entryRelationship:indication.observation.text.language
                  Definition

                  For character based information the language property specifies the human language of the text.

                  Control0..1
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelLanguage
                  346. SubstanceAdministration.entryRelationship:indication.observation.text.mediaType
                  Definition

                  Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                  Control0..1
                  BindingFor example codes, see MediaType
                  (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelMedia Type
                  348. SubstanceAdministration.entryRelationship:indication.observation.text.representation
                  Control0..1
                  BindingThe codes SHALL be taken from CDABinaryDataEncoding
                  (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  350. SubstanceAdministration.entryRelationship:indication.observation.text.xmlText
                  Definition

                  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.)

                  ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                  Comments

                  This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as unadorned text.
                  352. SubstanceAdministration.entryRelationship:indication.observation.text.reference
                  Definition

                  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.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                  LabelReference
                  Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
                  354. SubstanceAdministration.entryRelationship:indication.observation.text.thumbnail
                  Definition

                  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.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                  LabelThumbnail
                  356. SubstanceAdministration.entryRelationship:indication.observation.statusCode
                  Comments

                  SHALL contain exactly one [1..1] statusCode (CONF:4537-7487).

                  Control1..1
                  BindingThe codes SHALL be taken from ActStatus
                  (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  358. SubstanceAdministration.entryRelationship:indication.observation.statusCode.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  360. SubstanceAdministration.entryRelationship:indication.observation.statusCode.code
                  Definition

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

                  Comments

                  This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105).

                  Control1..1
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelCode
                  Fixed Valuecompleted
                  362. SubstanceAdministration.entryRelationship:indication.observation.statusCode.codeSystem
                  Definition

                  Specifies the code system that defines the code.

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

                  The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

                  Control0..0
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                  LabelOriginal Text
                  376. SubstanceAdministration.entryRelationship:indication.observation.statusCode.qualifier
                  Definition

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

                  Control0..0
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                  LabelQualifier
                  378. SubstanceAdministration.entryRelationship:indication.observation.statusCode.translation
                  Definition

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

                  Control0..0
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  380. SubstanceAdministration.entryRelationship:indication.observation.effectiveTime
                  Comments

                  SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488).

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                  382. SubstanceAdministration.entryRelationship:indication.observation.priorityCode
                  Control0..1
                  BindingFor example codes, see ActPriority
                  (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  384. SubstanceAdministration.entryRelationship:indication.observation.repeatNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                  386. SubstanceAdministration.entryRelationship:indication.observation.languageCode
                  Control0..1
                  BindingThe codes SHALL be taken from AllLanguages
                  (required to http://hl7.org/fhir/ValueSet/all-languages)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  388. SubstanceAdministration.entryRelationship:indication.observation.value
                  ShortIf the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
                  Comments

                  MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet US Core Condition Codes.

                  Control0..1
                  BindingThe codes SHOULD be taken from US Core Condition Codes
                  (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  390. SubstanceAdministration.entryRelationship:indication.observation.interpretationCode
                  Control0..*
                  BindingThe codes SHALL be taken from CDAObservationInterpretation
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  392. SubstanceAdministration.entryRelationship:indication.observation.methodCode
                  Control0..*
                  BindingFor example codes, see ObservationMethod
                  (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  394. SubstanceAdministration.entryRelationship:indication.observation.targetSiteCode
                  Definition

                  Drawn from concept domain ActSite

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  396. SubstanceAdministration.entryRelationship:indication.observation.subject
                  Definition

                  The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

                  ShortWho and/or what the observation is about
                  Comments

                  One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
                  Is Modifierfalse
                  Requirements

                  Observations have no value if you don't know who or what they're about.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  398. SubstanceAdministration.entryRelationship:indication.observation.specimen
                  Definition

                  The specimen that was used when this observation was made.

                  ShortSpecimen used for this observation
                  Comments

                  Should only be used if not implicit in code found in Observation.code. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).

                  Control0..*1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenReference(Specimen, Group)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
                  400. SubstanceAdministration.entryRelationship:indication.observation.performer
                  Definition

                  Who was responsible for asserting the observed value as "true".

                  ShortWho is responsible for the observation
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
                  Is Modifierfalse
                  Requirements

                  May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  402. SubstanceAdministration.entryRelationship:indication.observation.author
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                  404. SubstanceAdministration.entryRelationship:indication.observation.informant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                  406. SubstanceAdministration.entryRelationship:indication.observation.participant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                  408. SubstanceAdministration.entryRelationship:indication.observation.entryRelationship
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  410. SubstanceAdministration.entryRelationship:indication.observation.reference
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                  412. SubstanceAdministration.entryRelationship:indication.observation.precondition
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                  414. SubstanceAdministration.entryRelationship:indication.observation.sdtcPrecondition2
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                  416. SubstanceAdministration.entryRelationship:indication.observation.referenceRange
                  Definition

                  Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.


                  Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

                  ShortProvides guide for interpretation
                  Comments

                  Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRootBackboneElement
                  Is Modifierfalse
                  Requirements

                  Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
                  418. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  420. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  424. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  426. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  432. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  434. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.templateId
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  436. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeCode
                  Control0..1
                  BindingThe codes SHALL be taken from CDAActRelationshipType
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFV
                  438. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.observationRange
                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                  440. SubstanceAdministration.entryRelationship:indication.observation.sdtcInFulfillmentOf1
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                  442. SubstanceAdministration.entryRelationship:indication.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  444. SubstanceAdministration.entryRelationship:indication.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  446. SubstanceAdministration.entryRelationship:indication.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  448. SubstanceAdministration.entryRelationship:indication.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  450. SubstanceAdministration.entryRelationship:indication.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  452. SubstanceAdministration.entryRelationship:indication.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  454. SubstanceAdministration.entryRelationship:instruction
                  Slice Nameinstruction
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  458. SubstanceAdministration.entryRelationship:instruction.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  462. SubstanceAdministration.entryRelationship:instruction.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  464. SubstanceAdministration.entryRelationship:instruction.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  470. SubstanceAdministration.entryRelationship:instruction.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  472. SubstanceAdministration.entryRelationship:instruction.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueSUBJ
                  476. SubstanceAdministration.entryRelationship:instruction.inversionInd
                  Definition

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

                  Comments

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

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

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

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

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  492. SubstanceAdministration.entryRelationship:instruction.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  494. SubstanceAdministration.entryRelationship:instruction.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  496. SubstanceAdministration.entryRelationship:instruction.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  498. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  500. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  502. SubstanceAdministration.entryRelationship:instruction.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  504. SubstanceAdministration.entryRelationship:medSupplyOrder
                  Slice NamemedSupplyOrder
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  508. SubstanceAdministration.entryRelationship:medSupplyOrder.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  512. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  514. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  520. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  522. SubstanceAdministration.entryRelationship:medSupplyOrder.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFR
                  526. SubstanceAdministration.entryRelationship:medSupplyOrder.inversionInd
                  Definition

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

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

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

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default Valuetrue
                  530. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  532. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  534. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  536. SubstanceAdministration.entryRelationship:medSupplyOrder.act
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                  538. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  540. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                  542. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  544. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  546. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  548. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  550. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  552. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
                  Definition

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Comments

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

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
                  should-quantity: SHOULD contain quantity (quantity.exists())
                  554. SubstanceAdministration.entryRelationship:medDispense
                  Slice NamemedDispense
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  558. SubstanceAdministration.entryRelationship:medDispense.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  562. SubstanceAdministration.entryRelationship:medDispense.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  564. SubstanceAdministration.entryRelationship:medDispense.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  570. SubstanceAdministration.entryRelationship:medDispense.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  572. SubstanceAdministration.entryRelationship:medDispense.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFR
                  576. SubstanceAdministration.entryRelationship:medDispense.inversionInd
                  Definition

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

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

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

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default Valuetrue
                  580. SubstanceAdministration.entryRelationship:medDispense.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  582. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  584. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  586. SubstanceAdministration.entryRelationship:medDispense.act
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                  588. SubstanceAdministration.entryRelationship:medDispense.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  590. SubstanceAdministration.entryRelationship:medDispense.observation
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                  592. SubstanceAdministration.entryRelationship:medDispense.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  594. SubstanceAdministration.entryRelationship:medDispense.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  596. SubstanceAdministration.entryRelationship:medDispense.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  598. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  600. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  602. SubstanceAdministration.entryRelationship:medDispense.supply
                  Definition

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Comments

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

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                  should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
                  should-quantity: SHOULD contain quantity (quantity.exists())
                  604. SubstanceAdministration.entryRelationship:reactionObs
                  Slice NamereactionObs
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  608. SubstanceAdministration.entryRelationship:reactionObs.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  612. SubstanceAdministration.entryRelationship:reactionObs.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  614. SubstanceAdministration.entryRelationship:reactionObs.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  620. SubstanceAdministration.entryRelationship:reactionObs.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  622. SubstanceAdministration.entryRelationship:reactionObs.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueCAUS
                  626. SubstanceAdministration.entryRelationship:reactionObs.inversionInd
                  Definition

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

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

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

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

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Comments

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

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                  642. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  644. SubstanceAdministration.entryRelationship:reactionObs.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  646. SubstanceAdministration.entryRelationship:reactionObs.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  648. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  650. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  652. SubstanceAdministration.entryRelationship:reactionObs.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  654. SubstanceAdministration.entryRelationship:immunizationNotGiven
                  Slice NameimmunizationNotGiven
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  658. SubstanceAdministration.entryRelationship:immunizationNotGiven.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  662. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  664. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  670. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  672. SubstanceAdministration.entryRelationship:immunizationNotGiven.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueRSON
                  676. SubstanceAdministration.entryRelationship:immunizationNotGiven.inversionInd
                  Definition

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

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

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

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

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Comments

                  SHALL contain exactly one [1..1] Immunization Not Given Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53:2024-05-01) (CONF:1198-15542).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Not Given Reason)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  692. SubstanceAdministration.entryRelationship:immunizationNotGiven.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  694. SubstanceAdministration.entryRelationship:immunizationNotGiven.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  696. SubstanceAdministration.entryRelationship:immunizationNotGiven.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  698. SubstanceAdministration.entryRelationship:immunizationNotGiven.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  700. SubstanceAdministration.entryRelationship:immunizationNotGiven.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  702. SubstanceAdministration.entryRelationship:immunizationNotGiven.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  704. SubstanceAdministration.entryRelationship:substanceAdmin
                  Slice NamesubstanceAdmin
                  ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
                  Comments

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

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

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  708. SubstanceAdministration.entryRelationship:substanceAdmin.realmCode
                  Definition

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  712. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.nullFlavor
                  Definition

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

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  714. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.assigningAuthorityName
                  Definition

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

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

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

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

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  720. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.extension
                  Definition

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

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  722. SubstanceAdministration.entryRelationship:substanceAdmin.templateId
                  Definition

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

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

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

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueCOMP
                  726. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
                  Definition

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

                  Comments

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

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

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

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

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

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  734. SubstanceAdministration.entryRelationship:substanceAdmin.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  736. SubstanceAdministration.entryRelationship:substanceAdmin.act
                  Definition

                  Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                  ShortBase for all types and resources
                  Comments

                  SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  738. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  740. SubstanceAdministration.entryRelationship:substanceAdmin.observation
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                  742. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  744. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  746. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  748. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  750. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  752. SubstanceAdministration.entryRelationship:substanceAdmin.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  754. SubstanceAdministration.reference
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                  756. SubstanceAdministration.precondition
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                  SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ criterion
                  • 758. SubstanceAdministration.precondition:substanceAdmin
                    Slice NamesubstanceAdmin
                    Comments

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

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

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    762. SubstanceAdministration.precondition:substanceAdmin.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    766. SubstanceAdministration.precondition:substanceAdmin.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    768. SubstanceAdministration.precondition:substanceAdmin.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

                    Control1..1
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelRoot
                    Fixed Value2.16.840.1.113883.1.3
                    774. SubstanceAdministration.precondition:substanceAdmin.typeId.extension
                    Definition

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

                    Control1..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExtension
                    776. SubstanceAdministration.precondition:substanceAdmin.templateId
                    Definition

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

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    778. SubstanceAdministration.precondition:substanceAdmin.typeCode
                    Comments

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

                    Control1..1
                    BindingThe codes SHALL be taken from CDAActRelationshipType
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValuePRCN
                    780. SubstanceAdministration.precondition:substanceAdmin.criterion
                    Definition

                    Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                    ShortBase for all types and resources
                    Comments

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

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
                    Is Modifierfalse
                    782. SubstanceAdministration.sdtcInFulfillmentOf1
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.

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

                    0. SubstanceAdministration
                    Definition

                    Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                    ShortBase for all types and resources
                    Control1..1
                    Is Modifierfalse
                    Logical ContainerClinicalDocument (CDA Class)
                    ValidationInstance of this type are validated by templateId
                    XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
                    Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                    should-doseQuantity: SHOULD contain doseQuantity (doseQuantity.exists())
                    dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
                    should-performer: SHOULD contain performer (performer.exists())
                    should-author: SHOULD contain author (author.exists())
                    2. SubstanceAdministration.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    4. SubstanceAdministration.realmCode
                    Definition

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

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

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

                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                    8. SubstanceAdministration.typeId.nullFlavor
                    Definition

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

                    Control0..1
                    BindingThe codes SHALL be taken from CDANullFlavor
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExceptional Value Detail
                    10. SubstanceAdministration.typeId.assigningAuthorityName
                    Definition

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

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

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

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

                    Identifies the type as an HL7 Registered model

                    Control1..1
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelRoot
                    Fixed Value2.16.840.1.113883.1.3
                    16. SubstanceAdministration.typeId.extension
                    Definition

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

                    Control1..1
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExtension
                    18. SubstanceAdministration.templateId
                    Definition

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

                    Control1..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    SlicingThis element introduces a set of slices on SubstanceAdministration.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ root
                    • value @ extension
                    • 20. SubstanceAdministration.templateId:immunization-activity
                      Slice Nameimmunization-activity
                      Definition

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

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      22. SubstanceAdministration.templateId:immunization-activity.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      24. SubstanceAdministration.templateId:immunization-activity.assigningAuthorityName
                      Definition

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

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

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

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

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

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Pattern Value2.16.840.1.113883.10.20.22.4.52
                      30. SubstanceAdministration.templateId:immunization-activity.extension
                      Definition

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

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      Pattern Value2015-08-01
                      32. SubstanceAdministration.classCode
                      Comments

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

                      Control1..1
                      BindingThe codes SHALL be taken from CDAActClass
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueSBADM
                      34. SubstanceAdministration.moodCode
                      Comments

                      SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC (CONF:1198-8827).

                      Control1..1
                      BindingThe codes SHALL be taken from MoodCodeEvnInt .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.18)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      36. SubstanceAdministration.id
                      Comments

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

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

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

                      Control0..1
                      BindingFor example codes, see CDAActSubstanceAdministrationCode
                      (example to http://hl7.org/cda/stds/core/ValueSet/CDAActSubstanceAdministrationCode)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      40. SubstanceAdministration.negationInd
                      ShortUse negationInd="true" to indicate that the immunization was not given.
                      Comments

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

                      Control1..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      42. SubstanceAdministration.text
                      ShortSHOULD reference the portion of section narrative text corresponding to this entry
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                      44. SubstanceAdministration.text.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      46. SubstanceAdministration.text.compression
                      Definition

                      Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                      Control0..1
                      BindingThe codes SHALL be taken from CDACompressionAlgorithm
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelCompression
                      48. SubstanceAdministration.text.integrityCheck
                      Definition

                      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.

                      Control0..1
                      Typebase64Binary(bin: Binary Data)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelIntegrity Check
                      50. SubstanceAdministration.text.integrityCheckAlgorithm
                      Definition

                      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.

                      Control0..1
                      BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                      (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelIntegrity Check Algorithm
                      52. SubstanceAdministration.text.language
                      Definition

                      For character based information the language property specifies the human language of the text.

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

                      Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                      Control0..1
                      BindingFor example codes, see MediaType
                      (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelMedia Type
                      56. SubstanceAdministration.text.representation
                      Control0..1
                      BindingThe codes SHALL be taken from CDABinaryDataEncoding
                      (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      58. SubstanceAdministration.text.xmlText
                      Definition

                      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.)

                      ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                      Comments

                      This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as unadorned text.
                      60. SubstanceAdministration.text.reference
                      Definition

                      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.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                      LabelReference
                      Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
                      62. SubstanceAdministration.text.thumbnail
                      Definition

                      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.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                      LabelThumbnail
                      64. SubstanceAdministration.statusCode
                      Comments

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

                      Control1..1
                      BindingThe codes SHALL be taken from ActStatus
                      (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                      66. SubstanceAdministration.statusCode.nullFlavor
                      Definition

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

                      Control0..0
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      68. SubstanceAdministration.statusCode.code
                      Definition

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

                      Control1..1
                      BindingThe codes SHALL be taken from ActStatus
                      (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelCode
                      70. SubstanceAdministration.statusCode.codeSystem
                      Definition

                      Specifies the code system that defines the code.

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

                      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      Control0..0
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      XML FormatThe type of this property is determined using the xsi:typeattribute.
                      LabelTranslation
                      88. SubstanceAdministration.effectiveTime
                      Comments

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

                      Control1..1
                      TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
                      Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS
                      XML FormatThe type of this property is determined using the xsi:typeattribute.
                      90. SubstanceAdministration.priorityCode
                      Control0..1
                      BindingFor example codes, see ActPriority
                      (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                      92. SubstanceAdministration.repeatNumber
                      ShortIn "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series.
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                      Invariantsvalue-only: Interval fields SHALL NOT be present ((low | high | width | center).empty())
                      94. SubstanceAdministration.repeatNumber.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      96. SubstanceAdministration.repeatNumber.value
                      Shortvalue should be used instead of low/high
                      Control0..1
                      Typeinteger(int: Integer Number)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      98. SubstanceAdministration.repeatNumber.operator
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default ValueI
                      100. SubstanceAdministration.repeatNumber.low
                      Definition

                      This is the low limit of the interval.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
                      LabelLow Boundary
                      102. SubstanceAdministration.repeatNumber.center
                      Definition

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

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      LabelCentral Value
                      104. SubstanceAdministration.repeatNumber.width
                      Definition

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

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                      LabelWidth
                      106. SubstanceAdministration.repeatNumber.high
                      Definition

                      This is the high limit of the interval.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-INT
                      LabelHigh Boundary
                      108. SubstanceAdministration.routeCode
                      Comments

                      MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet SPL Drug Route of Administration Terminology urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).

                      Control0..1
                      BindingThe codes SHALL be taken from SPL Drug Route of Administration Terminology .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.7)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                      Invariantsshould-translation: SHOULD contain translation (translation.exists())
                      110. SubstanceAdministration.routeCode.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      112. SubstanceAdministration.routeCode.code
                      Definition

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

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

                      Specifies the code system that defines the code.

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

                      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      Comments

                      The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).

                      Control0..*
                      BindingThe codes SHOULD be taken from Medication Route .
                      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.12)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      XML FormatThe type of this property is determined using the xsi:typeattribute.
                      LabelTranslation
                      132. SubstanceAdministration.approachSiteCode
                      Comments

                      MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).

                      Control0..1
                      BindingThe codes SHALL be taken from Body Site Value Set .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      134. SubstanceAdministration.doseQuantity
                      Comments

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

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
                      Invariantsshould-unit: SHOULD contain @unit (nullFlavor.exists() or unit.exists())
                      136. SubstanceAdministration.doseQuantity.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      138. SubstanceAdministration.doseQuantity.unit
                      Definition

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

                      ShortNOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units
                      Comments

                      The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).

                      Control0..1
                      BindingThe codes SHOULD be taken from UnitsOfMeasureCaseSensitive
                      (preferred to http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelUnit of Measure
                      Default Value1
                      140. SubstanceAdministration.doseQuantity.value
                      Definition

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

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

                      An alternative representation of the same physical quantity expressed in a different unit, of a different unit code system and possibly with a different value.

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQR
                      LabelTranslation
                      144. SubstanceAdministration.doseQuantity.operator
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDASetOperator
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Default ValueI
                      146. SubstanceAdministration.doseQuantity.low
                      Definition

                      This is the low limit of the interval.

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

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

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

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

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

                      This is the high limit of the interval.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-PQ
                      LabelHigh Boundary
                      154. SubstanceAdministration.rateQuantity
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ
                      156. SubstanceAdministration.maxDoseQuantity
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
                      158. SubstanceAdministration.administrationUnitCode
                      Comments

                      MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet AdministrationUnitDoseForm urn:oid:2.16.840.1.113762.1.4.1021.30 DYNAMIC (CONF:1198-8846).

                      Control0..1
                      BindingThe codes SHALL be taken from AdministrationUnitDoseForm .
                      (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.30)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                      160. SubstanceAdministration.consumable
                      Definition

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

                      Comments

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

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                      162. SubstanceAdministration.consumable.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      164. SubstanceAdministration.consumable.realmCode
                      Definition

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

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

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

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      168. SubstanceAdministration.consumable.typeId.nullFlavor
                      Definition

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

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional Value Detail
                      170. SubstanceAdministration.consumable.typeId.assigningAuthorityName
                      Definition

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

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

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

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

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      176. SubstanceAdministration.consumable.typeId.extension
                      Definition

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

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      178. SubstanceAdministration.consumable.templateId
                      Definition

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

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

                      Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                      ShortBase for all types and resources
                      Comments

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

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
                      Is Modifierfalse
                      Invariantsproduct-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) ((manufacturedLabeledDrug | manufacturedMaterial).count() = 1)
                      should-manufacturerOrganization: SHOULD contain manufacturerOrganization (manufacturerOrganization.exists())
                      184. SubstanceAdministration.subject
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                      186. SubstanceAdministration.specimen
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                      188. SubstanceAdministration.performer
                      Comments

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

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

                      Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                      ShortBase for all types and resources
                      Comments

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

                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
                      Is Modifierfalse
                      192. SubstanceAdministration.informant
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                      194. SubstanceAdministration.participant
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                      SlicingThis element introduces a set of slices on SubstanceAdministration.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ typeCode
                      • 196. SubstanceAdministration.participant:drugVehicle
                        Slice NamedrugVehicle
                        Comments

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

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

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

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional Value Detail
                        200. SubstanceAdministration.participant:drugVehicle.realmCode
                        Definition

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

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

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

                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                        204. SubstanceAdministration.participant:drugVehicle.typeId.nullFlavor
                        Definition

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

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional Value Detail
                        206. SubstanceAdministration.participant:drugVehicle.typeId.assigningAuthorityName
                        Definition

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

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

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

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

                        Identifies the type as an HL7 Registered model

                        Control1..1
                        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelRoot
                        Fixed Value2.16.840.1.113883.1.3
                        212. SubstanceAdministration.participant:drugVehicle.typeId.extension
                        Definition

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

                        Control1..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExtension
                        214. SubstanceAdministration.participant:drugVehicle.templateId
                        Definition

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

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

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

                        Control1..1
                        BindingThe codes SHALL be taken from CDAParticipationType
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueCSM
                        218. SubstanceAdministration.participant:drugVehicle.contextControlCode
                        Control0..1
                        BindingThe codes SHALL be taken from CDAContextControl
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueOP
                        220. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                        222. SubstanceAdministration.participant:drugVehicle.time
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                        224. SubstanceAdministration.participant:drugVehicle.awarenessCode
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                        226. SubstanceAdministration.participant:drugVehicle.participantRole
                        Definition

                        Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                        ShortBase for all types and resources
                        Comments

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

                        Control1..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
                        Is Modifierfalse
                        Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
                        228. SubstanceAdministration.entryRelationship
                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                        SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • profile @ act
                        • profile @ observation
                        • profile @ supply
                        • 230. SubstanceAdministration.entryRelationship:indication
                          Slice Nameindication
                          Comments

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

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

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

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          234. SubstanceAdministration.entryRelationship:indication.realmCode
                          Definition

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

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

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

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          238. SubstanceAdministration.entryRelationship:indication.typeId.nullFlavor
                          Definition

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

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          240. SubstanceAdministration.entryRelationship:indication.typeId.assigningAuthorityName
                          Definition

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

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

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

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

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          246. SubstanceAdministration.entryRelationship:indication.typeId.extension
                          Definition

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

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          248. SubstanceAdministration.entryRelationship:indication.templateId
                          Definition

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

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

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

                          Control1..1
                          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueRSON
                          252. SubstanceAdministration.entryRelationship:indication.inversionInd
                          Definition

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

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

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

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

                          Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                          ShortBase for all types and resources
                          Comments

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

                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
                          Is Modifierfalse
                          Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                          should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                          indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())))
                          268. SubstanceAdministration.entryRelationship:indication.observation.nullFlavor
                          Definition

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

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          270. SubstanceAdministration.entryRelationship:indication.observation.realmCode
                          Definition

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

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

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

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          274. SubstanceAdministration.entryRelationship:indication.observation.typeId.nullFlavor
                          Definition

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

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          276. SubstanceAdministration.entryRelationship:indication.observation.typeId.assigningAuthorityName
                          Definition

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

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

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

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

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          282. SubstanceAdministration.entryRelationship:indication.observation.typeId.extension
                          Definition

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

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          284. SubstanceAdministration.entryRelationship:indication.observation.templateId
                          Definition

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

                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship.observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ root
                          • value @ extension
                          • 286. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication
                            Slice Nameindication
                            Definition

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

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            288. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            290. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.assigningAuthorityName
                            Definition

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

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

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

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

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

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Pattern Value2.16.840.1.113883.10.20.22.4.19
                            296. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            Pattern Value2023-05-01
                            298. SubstanceAdministration.entryRelationship:indication.observation.classCode
                            Comments

                            SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480).

                            Control1..1
                            BindingThe codes SHALL be taken from CDAActClassObservation
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueOBS
                            300. SubstanceAdministration.entryRelationship:indication.observation.moodCode
                            Comments

                            SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481).

                            Control1..1
                            BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
                            (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueEVN
                            302. SubstanceAdministration.entryRelationship:indication.observation.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            304. SubstanceAdministration.entryRelationship:indication.observation.id
                            ShortIf the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another.
                            Comments

                            SHALL contain at least one [1..*] id (CONF:4537-7483).

                            Control1..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            306. SubstanceAdministration.entryRelationship:indication.observation.sdtcCategory
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                            308. SubstanceAdministration.entryRelationship:indication.observation.code
                            ShortIndication for Immunization
                            Comments

                            SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type urn:oid:2.16.840.1.113762.1.4.1267.1.

                            Control1..1
                            BindingThe codes SHOULD be taken from Problem Type .
                            (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            310. SubstanceAdministration.entryRelationship:indication.observation.code.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            312. SubstanceAdministration.entryRelationship:indication.observation.code.code
                            Definition

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

                            Control1..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode
                            Pattern Value59785-6
                            314. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystem
                            Definition

                            Specifies the code system that defines the code.

                            ShortLOINC
                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System
                            Pattern Value2.16.840.1.113883.6.1
                            316. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystemName
                            Definition

                            The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelOriginal Text
                            328. SubstanceAdministration.entryRelationship:indication.observation.code.qualifier
                            Definition

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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                            LabelQualifier
                            330. SubstanceAdministration.entryRelationship:indication.observation.code.translation
                            Definition

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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            LabelTranslation
                            332. SubstanceAdministration.entryRelationship:indication.observation.derivationExpr
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                            334. SubstanceAdministration.entryRelationship:indication.observation.text
                            ShortSHOULD reference the portion of section narrative text corresponding to this entry
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            336. SubstanceAdministration.entryRelationship:indication.observation.text.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            338. SubstanceAdministration.entryRelationship:indication.observation.text.compression
                            Definition

                            Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                            Control0..1
                            BindingThe codes SHALL be taken from CDACompressionAlgorithm
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCompression
                            340. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheck
                            Definition

                            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.

                            Control0..1
                            Typebase64Binary(bin: Binary Data)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelIntegrity Check
                            342. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheckAlgorithm
                            Definition

                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                            (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelIntegrity Check Algorithm
                            344. SubstanceAdministration.entryRelationship:indication.observation.text.language
                            Definition

                            For character based information the language property specifies the human language of the text.

                            Control0..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelLanguage
                            346. SubstanceAdministration.entryRelationship:indication.observation.text.mediaType
                            Definition

                            Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                            Control0..1
                            BindingFor example codes, see MediaType
                            (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelMedia Type
                            348. SubstanceAdministration.entryRelationship:indication.observation.text.representation
                            Control0..1
                            BindingThe codes SHALL be taken from CDABinaryDataEncoding
                            (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            350. SubstanceAdministration.entryRelationship:indication.observation.text.xmlText
                            Definition

                            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.)

                            ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                            Comments

                            This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as unadorned text.
                            352. SubstanceAdministration.entryRelationship:indication.observation.text.reference
                            Definition

                            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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            LabelReference
                            Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
                            354. SubstanceAdministration.entryRelationship:indication.observation.text.thumbnail
                            Definition

                            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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelThumbnail
                            356. SubstanceAdministration.entryRelationship:indication.observation.statusCode
                            Comments

                            SHALL contain exactly one [1..1] statusCode (CONF:4537-7487).

                            Control1..1
                            BindingThe codes SHALL be taken from ActStatus
                            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            358. SubstanceAdministration.entryRelationship:indication.observation.statusCode.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            360. SubstanceAdministration.entryRelationship:indication.observation.statusCode.code
                            Definition

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

                            Comments

                            This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105).

                            Control1..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode
                            Fixed Valuecompleted
                            362. SubstanceAdministration.entryRelationship:indication.observation.statusCode.codeSystem
                            Definition

                            Specifies the code system that defines the code.

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

                            The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelOriginal Text
                            376. SubstanceAdministration.entryRelationship:indication.observation.statusCode.qualifier
                            Definition

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

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                            LabelQualifier
                            378. SubstanceAdministration.entryRelationship:indication.observation.statusCode.translation
                            Definition

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

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            LabelTranslation
                            380. SubstanceAdministration.entryRelationship:indication.observation.effectiveTime
                            Comments

                            SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                            382. SubstanceAdministration.entryRelationship:indication.observation.priorityCode
                            Control0..1
                            BindingFor example codes, see ActPriority
                            (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            384. SubstanceAdministration.entryRelationship:indication.observation.repeatNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                            386. SubstanceAdministration.entryRelationship:indication.observation.languageCode
                            Control0..1
                            BindingThe codes SHALL be taken from AllLanguages
                            (required to http://hl7.org/fhir/ValueSet/all-languages)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            388. SubstanceAdministration.entryRelationship:indication.observation.value
                            ShortIf the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
                            Comments

                            MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet US Core Condition Codes.

                            Control0..1
                            BindingThe codes SHOULD be taken from US Core Condition Codes
                            (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            390. SubstanceAdministration.entryRelationship:indication.observation.interpretationCode
                            Control0..*
                            BindingThe codes SHALL be taken from CDAObservationInterpretation
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            392. SubstanceAdministration.entryRelationship:indication.observation.methodCode
                            Control0..*
                            BindingFor example codes, see ObservationMethod
                            (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            394. SubstanceAdministration.entryRelationship:indication.observation.targetSiteCode
                            Definition

                            Drawn from concept domain ActSite

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            396. SubstanceAdministration.entryRelationship:indication.observation.subject
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                            398. SubstanceAdministration.entryRelationship:indication.observation.specimen
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                            400. SubstanceAdministration.entryRelationship:indication.observation.performer
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                            402. SubstanceAdministration.entryRelationship:indication.observation.author
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                            404. SubstanceAdministration.entryRelationship:indication.observation.informant
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                            406. SubstanceAdministration.entryRelationship:indication.observation.participant
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                            408. SubstanceAdministration.entryRelationship:indication.observation.entryRelationship
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            410. SubstanceAdministration.entryRelationship:indication.observation.reference
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                            412. SubstanceAdministration.entryRelationship:indication.observation.precondition
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                            414. SubstanceAdministration.entryRelationship:indication.observation.sdtcPrecondition2
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                            416. SubstanceAdministration.entryRelationship:indication.observation.referenceRange
                            Definition

                            Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                            418. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            420. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            424. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            426. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            432. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            434. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.templateId
                            Definition

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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            436. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDAActRelationshipType
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFV
                            438. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.observationRange
                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                            440. SubstanceAdministration.entryRelationship:indication.observation.sdtcInFulfillmentOf1
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                            442. SubstanceAdministration.entryRelationship:indication.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            444. SubstanceAdministration.entryRelationship:indication.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            446. SubstanceAdministration.entryRelationship:indication.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            448. SubstanceAdministration.entryRelationship:indication.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            450. SubstanceAdministration.entryRelationship:indication.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            452. SubstanceAdministration.entryRelationship:indication.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            454. SubstanceAdministration.entryRelationship:instruction
                            Slice Nameinstruction
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            458. SubstanceAdministration.entryRelationship:instruction.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            462. SubstanceAdministration.entryRelationship:instruction.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            464. SubstanceAdministration.entryRelationship:instruction.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            470. SubstanceAdministration.entryRelationship:instruction.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            472. SubstanceAdministration.entryRelationship:instruction.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueSUBJ
                            476. SubstanceAdministration.entryRelationship:instruction.inversionInd
                            Definition

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

                            Comments

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

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

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

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

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            492. SubstanceAdministration.entryRelationship:instruction.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            494. SubstanceAdministration.entryRelationship:instruction.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            496. SubstanceAdministration.entryRelationship:instruction.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            498. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            500. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            502. SubstanceAdministration.entryRelationship:instruction.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            504. SubstanceAdministration.entryRelationship:medSupplyOrder
                            Slice NamemedSupplyOrder
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            508. SubstanceAdministration.entryRelationship:medSupplyOrder.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            512. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            514. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            520. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            522. SubstanceAdministration.entryRelationship:medSupplyOrder.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFR
                            526. SubstanceAdministration.entryRelationship:medSupplyOrder.inversionInd
                            Definition

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

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

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

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            530. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            532. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            534. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            536. SubstanceAdministration.entryRelationship:medSupplyOrder.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            538. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            540. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            542. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            544. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            546. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            548. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            550. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            552. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
                            Definition

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Comments

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

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
                            should-quantity: SHOULD contain quantity (quantity.exists())
                            554. SubstanceAdministration.entryRelationship:medDispense
                            Slice NamemedDispense
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            558. SubstanceAdministration.entryRelationship:medDispense.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            562. SubstanceAdministration.entryRelationship:medDispense.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            564. SubstanceAdministration.entryRelationship:medDispense.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            570. SubstanceAdministration.entryRelationship:medDispense.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            572. SubstanceAdministration.entryRelationship:medDispense.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFR
                            576. SubstanceAdministration.entryRelationship:medDispense.inversionInd
                            Definition

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

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

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

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            580. SubstanceAdministration.entryRelationship:medDispense.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            582. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            584. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            586. SubstanceAdministration.entryRelationship:medDispense.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            588. SubstanceAdministration.entryRelationship:medDispense.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            590. SubstanceAdministration.entryRelationship:medDispense.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            592. SubstanceAdministration.entryRelationship:medDispense.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            594. SubstanceAdministration.entryRelationship:medDispense.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            596. SubstanceAdministration.entryRelationship:medDispense.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            598. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            600. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            602. SubstanceAdministration.entryRelationship:medDispense.supply
                            Definition

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Comments

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

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                            should-repeatNumber: SHOULD contain repeatNumber (repeatNumber.exists())
                            should-quantity: SHOULD contain quantity (quantity.exists())
                            604. SubstanceAdministration.entryRelationship:reactionObs
                            Slice NamereactionObs
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            608. SubstanceAdministration.entryRelationship:reactionObs.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            612. SubstanceAdministration.entryRelationship:reactionObs.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            614. SubstanceAdministration.entryRelationship:reactionObs.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            620. SubstanceAdministration.entryRelationship:reactionObs.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            622. SubstanceAdministration.entryRelationship:reactionObs.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueCAUS
                            626. SubstanceAdministration.entryRelationship:reactionObs.inversionInd
                            Definition

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

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

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

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

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Comments

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

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
                            642. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            644. SubstanceAdministration.entryRelationship:reactionObs.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            646. SubstanceAdministration.entryRelationship:reactionObs.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            648. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            650. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            652. SubstanceAdministration.entryRelationship:reactionObs.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            654. SubstanceAdministration.entryRelationship:immunizationNotGiven
                            Slice NameimmunizationNotGiven
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            658. SubstanceAdministration.entryRelationship:immunizationNotGiven.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            662. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            664. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            670. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            672. SubstanceAdministration.entryRelationship:immunizationNotGiven.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueRSON
                            676. SubstanceAdministration.entryRelationship:immunizationNotGiven.inversionInd
                            Definition

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

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

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

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

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Comments

                            SHALL contain exactly one [1..1] Immunization Not Given Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53:2024-05-01) (CONF:1198-15542).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Not Given Reason)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            692. SubstanceAdministration.entryRelationship:immunizationNotGiven.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            694. SubstanceAdministration.entryRelationship:immunizationNotGiven.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            696. SubstanceAdministration.entryRelationship:immunizationNotGiven.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            698. SubstanceAdministration.entryRelationship:immunizationNotGiven.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            700. SubstanceAdministration.entryRelationship:immunizationNotGiven.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            702. SubstanceAdministration.entryRelationship:immunizationNotGiven.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            704. SubstanceAdministration.entryRelationship:substanceAdmin
                            Slice NamesubstanceAdmin
                            ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
                            Comments

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

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

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            708. SubstanceAdministration.entryRelationship:substanceAdmin.realmCode
                            Definition

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            712. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.nullFlavor
                            Definition

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

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            714. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.assigningAuthorityName
                            Definition

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

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

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

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

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            720. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.extension
                            Definition

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

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            722. SubstanceAdministration.entryRelationship:substanceAdmin.templateId
                            Definition

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

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

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

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueCOMP
                            726. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
                            Definition

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

                            Comments

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

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

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

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

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

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            734. SubstanceAdministration.entryRelationship:substanceAdmin.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            736. SubstanceAdministration.entryRelationship:substanceAdmin.act
                            Definition

                            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                            ShortBase for all types and resources
                            Comments

                            SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
                            Is Modifierfalse
                            Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                            738. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            740. SubstanceAdministration.entryRelationship:substanceAdmin.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            742. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            744. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            746. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            748. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            750. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            752. SubstanceAdministration.entryRelationship:substanceAdmin.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            754. SubstanceAdministration.reference
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                            756. SubstanceAdministration.precondition
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                            SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • profile @ criterion
                            • 758. SubstanceAdministration.precondition:substanceAdmin
                              Slice NamesubstanceAdmin
                              Comments

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

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

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

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional Value Detail
                              762. SubstanceAdministration.precondition:substanceAdmin.realmCode
                              Definition

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

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

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

                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                              766. SubstanceAdministration.precondition:substanceAdmin.typeId.nullFlavor
                              Definition

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

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional Value Detail
                              768. SubstanceAdministration.precondition:substanceAdmin.typeId.assigningAuthorityName
                              Definition

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

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

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

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

                              Identifies the type as an HL7 Registered model

                              Control1..1
                              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelRoot
                              Fixed Value2.16.840.1.113883.1.3
                              774. SubstanceAdministration.precondition:substanceAdmin.typeId.extension
                              Definition

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

                              Control1..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExtension
                              776. SubstanceAdministration.precondition:substanceAdmin.templateId
                              Definition

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

                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              778. SubstanceAdministration.precondition:substanceAdmin.typeCode
                              Comments

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

                              Control1..1
                              BindingThe codes SHALL be taken from CDAActRelationshipType
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed ValuePRCN
                              780. SubstanceAdministration.precondition:substanceAdmin.criterion
                              Definition

                              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

                              ShortBase for all types and resources
                              Comments

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

                              Control1..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
                              Is Modifierfalse
                              782. SubstanceAdministration.sdtcInFulfillmentOf1
                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.