Clinical Document Architecture, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.0.1). This version is based on the current content of https://github.com/HL7/CDA-core-2.0/ and changes regularly. See the Directory of published versions

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Logical Model: CDAR2.SubstanceAdministration - XML Profile

XML representation of the SubstanceAdministration logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="SubstanceAdministration"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>A derivative of the RIM SubstanceAdministration class, used for representing medication-related events such as medication history or planned medication administration orders.</p>
      <p>SubstanceAdministration.negationInd, when set to &quot;true&quot;, is a positive assertion that the SubstanceAdministration as a whole is negated. Some properties such as SubstanceAdministration.id, SubstanceAdministration.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative SubstanceAdministration. A substance administration statement with negationInd is still a statement about the specific fact described by the SubstanceAdministration. For instance, a negated &quot;aspirin administration&quot; means that the author positively denies that aspirin is being administered, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.</p>
      <p>SubstanceAdministration.priorityCode categorizes the priority of a substance administration. SubstanceAdministration.doseQuantity indicates how much medication is given per dose. SubstanceAdministration.rateQuantity can be used to indicate the rate at which the dose is to be administered (e.g., the flow rate for intravenous infusions). SubstanceAdministration.maxDoseQuantity is used to capture the maximum dose of the medication that can be given over a stated time interval (e.g., maximum daily dose of morphine, maximum lifetime dose of doxorubicin). SubstanceAdministration.effectiveTime is used to describe the timing of administration. It is modeled using the GTS data type to accommodate various dosing scenarios.</p>
      <p>The capture of medication-related information also involves the interrelationship of SubstanceAdministration with several other classes. 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.</p>
    </div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
    <valueUri value="substanceAdministration"/>
  </extension>
  <url
       value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
  <version value="2.0.1"/>
  <name value="CDAR2.SubstanceAdministration"/>
  <title value="SubstanceAdministration (CDA Class)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-10-03T20:44:04+00:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structdoc"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="A derivative of the RIM SubstanceAdministration class, used for representing medication-related events such as medication history or planned medication administration orders.
SubstanceAdministration.negationInd, when set to &quot;true&quot;, is a positive assertion that the SubstanceAdministration as a whole is negated. Some properties such as SubstanceAdministration.id, SubstanceAdministration.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative SubstanceAdministration. A substance administration statement with negationInd is still a statement about the specific fact described by the SubstanceAdministration. For instance, a negated &quot;aspirin administration&quot; means that the author positively denies that aspirin is being administered, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.
SubstanceAdministration.priorityCode categorizes the priority of a substance administration. SubstanceAdministration.doseQuantity indicates how much medication is given per dose. SubstanceAdministration.rateQuantity can be used to indicate the rate at which the dose is to be administered (e.g., the flow rate for intravenous infusions). SubstanceAdministration.maxDoseQuantity is used to capture the maximum dose of the medication that can be given over a stated time interval (e.g., maximum daily dose of morphine, maximum lifetime dose of doxorubicin). SubstanceAdministration.effectiveTime is used to describe the timing of administration. It is modeled using the GTS data type to accommodate various dosing scenarios.
The capture of medication-related information also involves the interrelationship of SubstanceAdministration with several other classes. 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."/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Base definition for all types defined in FHIR type system."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="SubstanceAdministration.classCode">
      <path value="SubstanceAdministration.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="SBADM"/>
      <fixedCode value="SBADM"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.moodCode">
      <path value="SubstanceAdministration.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element id="SubstanceAdministration.realmCode">
      <path value="SubstanceAdministration.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.typeId">
      <path value="SubstanceAdministration.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId">
      <path value="SubstanceAdministration.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.id">
      <path value="SubstanceAdministration.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdministrationCode"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.negationInd">
      <path value="SubstanceAdministration.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.statusCode">
      <path value="SubstanceAdministration.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS"/>
      </extension>
      <path value="SubstanceAdministration.effectiveTime"/>
      <representation value="typeAttr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.effectiveTime"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.priorityCode">
      <path value="SubstanceAdministration.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.repeatNumber">
      <path value="SubstanceAdministration.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.repeatNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.routeCode">
      <path value="SubstanceAdministration.routeCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.routeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.approachSiteCode">
      <path value="SubstanceAdministration.approachSiteCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.approachSiteCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.doseQuantity">
      <path value="SubstanceAdministration.doseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.doseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.rateQuantity">
      <path value="SubstanceAdministration.rateQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.rateQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.maxDoseQuantity">
      <path value="SubstanceAdministration.maxDoseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.maxDoseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.administrationUnitCode">
      <path value="SubstanceAdministration.administrationUnitCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.administrationUnitCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <definition
                  value="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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.consumable.nullFlavor">
      <path value="SubstanceAdministration.consumable.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.realmCode">
      <path value="SubstanceAdministration.consumable.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeId">
      <path value="SubstanceAdministration.consumable.typeId"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="InfrastructureRoot.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.templateId">
      <path value="SubstanceAdministration.consumable.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="InfrastructureRoot.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeCode">
      <path value="SubstanceAdministration.consumable.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.typeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CSM"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject">
      <path value="SubstanceAdministration.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/>
      </type>
    </element>
    <element id="SubstanceAdministration.specimen">
      <path value="SubstanceAdministration.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="SubstanceAdministration.performer">
      <path value="SubstanceAdministration.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.author">
      <path value="SubstanceAdministration.author"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant">
      <path value="SubstanceAdministration.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="SubstanceAdministration.participant">
      <path value="SubstanceAdministration.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship">
      <path value="SubstanceAdministration.entryRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference">
      <path value="SubstanceAdministration.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
      </type>
    </element>
    <element id="SubstanceAdministration.precondition">
      <path value="SubstanceAdministration.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="SubstanceAdministration.classCode">
      <path value="SubstanceAdministration.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <defaultValueCode value="SBADM"/>
      <fixedCode value="SBADM"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.moodCode">
      <path value="SubstanceAdministration.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
    </element>
    <element id="SubstanceAdministration.realmCode">
      <path value="SubstanceAdministration.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.typeId">
      <path value="SubstanceAdministration.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId">
      <path value="SubstanceAdministration.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.id">
      <path value="SubstanceAdministration.id"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdministrationCode"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.negationInd">
      <path value="SubstanceAdministration.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.statusCode">
      <path value="SubstanceAdministration.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueCanonical
                        value="http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS"/>
      </extension>
      <path value="SubstanceAdministration.effectiveTime"/>
      <representation value="typeAttr"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXCM-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.priorityCode">
      <path value="SubstanceAdministration.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.repeatNumber">
      <path value="SubstanceAdministration.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.routeCode">
      <path value="SubstanceAdministration.routeCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.approachSiteCode">
      <path value="SubstanceAdministration.approachSiteCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.doseQuantity">
      <path value="SubstanceAdministration.doseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.rateQuantity">
      <path value="SubstanceAdministration.rateQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.maxDoseQuantity">
      <path value="SubstanceAdministration.maxDoseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.administrationUnitCode">
      <path value="SubstanceAdministration.administrationUnitCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <definition
                  value="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."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeCode">
      <path value="SubstanceAdministration.consumable.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="CSM"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject">
      <path value="SubstanceAdministration.subject"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Subject"/>
      </type>
    </element>
    <element id="SubstanceAdministration.specimen">
      <path value="SubstanceAdministration.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="SubstanceAdministration.performer">
      <path value="SubstanceAdministration.performer"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.author">
      <path value="SubstanceAdministration.author"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant">
      <path value="SubstanceAdministration.informant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="SubstanceAdministration.participant">
      <path value="SubstanceAdministration.participant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship">
      <path value="SubstanceAdministration.entryRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference">
      <path value="SubstanceAdministration.reference"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Reference"/>
      </type>
    </element>
    <element id="SubstanceAdministration.precondition">
      <path value="SubstanceAdministration.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Precondition"/>
      </type>
    </element>
  </differential>
</StructureDefinition>