Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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 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: Precondition for Substance Administration

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/PreconditionforSubstanceAdministration Version: 4.0.0
Draft as of 2025-10-02 Computable Name: PreconditionforSubstanceAdministration
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09

A criterion for administration can be used to record that the medication is to be administered only when the associated criteria are met.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 3.0.0:

  • New Content

    • Formal Views of Template Content

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

    This structure is derived from Criterion

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion Criterion XML Namespace: urn:hl7-org:v3
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:precondition-substance-admin 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... code 1..1 CD
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion 1..1 Criterion XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:precondition-substance-admin 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ... code 1..1 CD Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Criterion.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.templateId:precondition-substance-admin.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.moodCode Base required ActMoodPredicate 📦3.0.0 THO v6.5
    Criterion.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Criterion.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Criterion.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion 1..1 Criterion XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:precondition-substance-admin 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ... code 1..1 CD Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Criterion.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.templateId:precondition-substance-admin.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.moodCode Base required ActMoodPredicate 📦3.0.0 THO v6.5
    Criterion.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Criterion.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Criterion.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

    This structure is derived from Criterion

    Summary

    Mandatory: 8 elements

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Criterion.templateId

    Differential View

    This structure is derived from Criterion

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion Criterion XML Namespace: urn:hl7-org:v3
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:precondition-substance-admin 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... code 1..1 CD
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion 1..1 Criterion XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:precondition-substance-admin 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ... code 1..1 CD Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Criterion.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.templateId:precondition-substance-admin.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.moodCode Base required ActMoodPredicate 📦3.0.0 THO v6.5
    Criterion.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Criterion.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Criterion.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Criterion 1..1 Criterion XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:precondition-substance-admin 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.25
    ..... @extension 1..1 st Required Pattern: 2014-06-09
    ... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ... code 1..1 CD Binding: v3 Code System ActCode (example)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Required Pattern: ASSERTION
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.5.4
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED
    ... value 1..1 CD Binding: US Core Condition Codes (required)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Criterion.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.templateId:precondition-substance-admin.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.moodCode Base required ActMoodPredicate 📦3.0.0 THO v6.5
    Criterion.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Criterion.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Criterion.value Base required US Core Condition Codes 📦8.0.0 US Core v8.0

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Criterion.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

    This structure is derived from Criterion

    Summary

    Mandatory: 8 elements

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Criterion.templateId

     

    Other representations of profile: CSV, Excel