Clinical Document Architecture V2.0.1
2.1.0 - CI Build

Clinical Document Architecture V2.0.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). 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

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/StructureDefinition/elementdefinition-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <url
       value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
  <version value="2.1.0"/>
  <name value="CDAR2.SubstanceAdministration"/>
  <title value="SubstanceAdministration (CDA Class)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-06-21T05:38:02+00:00"/>
  <publisher value="Health Level 7"/>
  <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="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="SubstanceAdministration"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="SubstanceAdministration.classCode">
      <path value="SubstanceAdministration.classCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.classCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBADM"/>
      <fixedCode value="SBADM"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.moodCode">
      <path value="SubstanceAdministration.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.moodCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </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/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.typeId">
      <path value="SubstanceAdministration.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.templateId">
      <path value="SubstanceAdministration.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.id">
      <path value="SubstanceAdministration.id"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdministrationActCode"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.negationInd">
      <path value="SubstanceAdministration.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.statusCode">
      <path value="SubstanceAdministration.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.statusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </extension>
      <path value="SubstanceAdministration.effectiveTime"/>
      <representation value="typeAttr"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.effectiveTime"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.priorityCode">
      <path value="SubstanceAdministration.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.priorityCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.repeatNumber">
      <path value="SubstanceAdministration.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.repeatNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.routeCode">
      <path value="SubstanceAdministration.routeCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.routeCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.approachSiteCode">
      <path value="SubstanceAdministration.approachSiteCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.approachSiteCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.doseQuantity">
      <path value="SubstanceAdministration.doseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.doseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.rateQuantity">
      <path value="SubstanceAdministration.rateQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.rateQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.maxDoseQuantity">
      <path value="SubstanceAdministration.maxDoseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.maxDoseQuantity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.administrationUnitCode">
      <path value="SubstanceAdministration.administrationUnitCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.administrationUnitCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeCode">
      <path value="SubstanceAdministration.consumable.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="CSM"/>
      <fixedCode value="CSM"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject">
      <path value="SubstanceAdministration.subject"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject.typeCode">
      <path value="SubstanceAdministration.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.contextControlCode">
      <path value="SubstanceAdministration.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.awarenessCode">
      <path value="SubstanceAdministration.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.awarenessCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.relatedSubject">
      <path value="SubstanceAdministration.subject.relatedSubject"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.subject.relatedSubject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
      </type>
    </element>
    <element id="SubstanceAdministration.specimen">
      <path value="SubstanceAdministration.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="SubstanceAdministration.performer">
      <path value="SubstanceAdministration.performer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.author">
      <path value="SubstanceAdministration.author"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant">
      <path value="SubstanceAdministration.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.typeCode">
      <path value="SubstanceAdministration.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.contextControlCode">
      <path value="SubstanceAdministration.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.contextControlCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.assignedEntity">
      <path value="SubstanceAdministration.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.assignedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.relatedEntity">
      <path value="SubstanceAdministration.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.informant.relatedEntity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.participant">
      <path value="SubstanceAdministration.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship">
      <path value="SubstanceAdministration.entryRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="subst-er-1"/>
        <severity value="error"/>
        <human
               value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression
                    value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.entryRelationship.typeCode">
      <path value="SubstanceAdministration.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.inversionInd">
      <path value="SubstanceAdministration.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.inversionInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.contextConductionInd">
      <path
            value="SubstanceAdministration.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="SubstanceAdministration.entryRelationship.contextConductionInd"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="SubstanceAdministration.entryRelationship.sequenceNumber">
      <path value="SubstanceAdministration.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.sequenceNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.negationInd">
      <path value="SubstanceAdministration.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.negationInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.seperatableInd">
      <path value="SubstanceAdministration.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observation">
      <path value="SubstanceAdministration.entryRelationship.observation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.observation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.regionOfInterest">
      <path value="SubstanceAdministration.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.regionOfInterest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observationMedia">
      <path value="SubstanceAdministration.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.observationMedia"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element
             id="SubstanceAdministration.entryRelationship.substanceAdministration">
      <path
            value="SubstanceAdministration.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="SubstanceAdministration.entryRelationship.substanceAdministration"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.supply">
      <path value="SubstanceAdministration.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.supply"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.procedure">
      <path value="SubstanceAdministration.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.encounter">
      <path value="SubstanceAdministration.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.organizer">
      <path value="SubstanceAdministration.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.organizer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.act">
      <path value="SubstanceAdministration.entryRelationship.act"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.entryRelationship.act"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference">
      <path value="SubstanceAdministration.reference"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.reference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.typeCode">
      <path value="SubstanceAdministration.reference.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.typeCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.seperatableInd">
      <path value="SubstanceAdministration.reference.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.seperatableInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalAct">
      <path value="SubstanceAdministration.reference.externalAct"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalAct"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalObservation">
      <path value="SubstanceAdministration.reference.externalObservation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalObservation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalProcedure">
      <path value="SubstanceAdministration.reference.externalProcedure"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalProcedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalDocument">
      <path value="SubstanceAdministration.reference.externalDocument"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="SubstanceAdministration.reference.externalDocument"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
      </type>
    </element>
    <element id="SubstanceAdministration.precondition">
      <path value="SubstanceAdministration.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="SubstanceAdministration.precondition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="SubstanceAdministration">
      <path value="SubstanceAdministration"/>
      <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"/>
      </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"/>
      </type>
    </element>
    <element id="SubstanceAdministration.realmCode">
      <path value="SubstanceAdministration.realmCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.typeId">
      <path value="SubstanceAdministration.typeId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.id">
      <path value="SubstanceAdministration.id"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
      </type>
    </element>
    <element id="SubstanceAdministration.code">
      <path value="SubstanceAdministration.code"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdministrationActCode"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.negationInd">
      <path value="SubstanceAdministration.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.text">
      <path value="SubstanceAdministration.text"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="SubstanceAdministration.statusCode">
      <path value="SubstanceAdministration.statusCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.effectiveTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype">
        <valueString value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </extension>
      <path value="SubstanceAdministration.effectiveTime"/>
      <representation value="typeAttr"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXCM-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS"/>
      </type>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS"/>
      </type>
    </element>
    <element id="SubstanceAdministration.priorityCode">
      <path value="SubstanceAdministration.priorityCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.repeatNumber">
      <path value="SubstanceAdministration.repeatNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.routeCode">
      <path value="SubstanceAdministration.routeCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.approachSiteCode">
      <path value="SubstanceAdministration.approachSiteCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.doseQuantity">
      <path value="SubstanceAdministration.doseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.rateQuantity">
      <path value="SubstanceAdministration.rateQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.maxDoseQuantity">
      <path value="SubstanceAdministration.maxDoseQuantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ"/>
      </type>
    </element>
    <element id="SubstanceAdministration.administrationUnitCode">
      <path value="SubstanceAdministration.administrationUnitCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrableDrugForm"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable">
      <path value="SubstanceAdministration.consumable"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.consumable.typeCode">
      <path value="SubstanceAdministration.consumable.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="CSM"/>
      <fixedCode value="CSM"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetDirect"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.consumable.manufacturedProduct">
      <path value="SubstanceAdministration.consumable.manufacturedProduct"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ManufacturedProduct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject">
      <path value="SubstanceAdministration.subject"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.subject.typeCode">
      <path value="SubstanceAdministration.subject.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="SBJ"/>
      <fixedCode value="SBJ"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.contextControlCode">
      <path value="SubstanceAdministration.subject.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.awarenessCode">
      <path value="SubstanceAdministration.subject.awarenessCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.subject.relatedSubject">
      <path value="SubstanceAdministration.subject.relatedSubject"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
      </type>
    </element>
    <element id="SubstanceAdministration.specimen">
      <path value="SubstanceAdministration.specimen"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
      </type>
    </element>
    <element id="SubstanceAdministration.performer">
      <path value="SubstanceAdministration.performer"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.author">
      <path value="SubstanceAdministration.author"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant">
      <path value="SubstanceAdministration.informant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.typeCode">
      <path value="SubstanceAdministration.informant.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="INF"/>
      <fixedCode value="INF"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.contextControlCode">
      <path value="SubstanceAdministration.informant.contextControlCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <defaultValueCode value="OP"/>
      <fixedCode value="OP"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
      </binding>
    </element>
    <element id="SubstanceAdministration.informant.assignedEntity">
      <path value="SubstanceAdministration.informant.assignedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.informant.relatedEntity">
      <path value="SubstanceAdministration.informant.relatedEntity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
      </type>
    </element>
    <element id="SubstanceAdministration.participant">
      <path value="SubstanceAdministration.participant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship">
      <path value="SubstanceAdministration.entryRelationship"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
      <constraint>
        <key value="subst-er-1"/>
        <severity value="error"/>
        <human
               value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
        <expression
                    value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
      </constraint>
    </element>
    <element id="SubstanceAdministration.entryRelationship.typeCode">
      <path value="SubstanceAdministration.entryRelationship.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.inversionInd">
      <path value="SubstanceAdministration.entryRelationship.inversionInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.contextConductionInd">
      <path
            value="SubstanceAdministration.entryRelationship.contextConductionInd"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
    </element>
    <element id="SubstanceAdministration.entryRelationship.sequenceNumber">
      <path value="SubstanceAdministration.entryRelationship.sequenceNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.negationInd">
      <path value="SubstanceAdministration.entryRelationship.negationInd"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.seperatableInd">
      <path value="SubstanceAdministration.entryRelationship.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observation">
      <path value="SubstanceAdministration.entryRelationship.observation"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.regionOfInterest">
      <path value="SubstanceAdministration.entryRelationship.regionOfInterest"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.observationMedia">
      <path value="SubstanceAdministration.entryRelationship.observationMedia"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
      </type>
    </element>
    <element
             id="SubstanceAdministration.entryRelationship.substanceAdministration">
      <path
            value="SubstanceAdministration.entryRelationship.substanceAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
      </type>
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    <element id="SubstanceAdministration.entryRelationship.supply">
      <path value="SubstanceAdministration.entryRelationship.supply"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
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    </element>
    <element id="SubstanceAdministration.entryRelationship.procedure">
      <path value="SubstanceAdministration.entryRelationship.procedure"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.encounter">
      <path value="SubstanceAdministration.entryRelationship.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.organizer">
      <path value="SubstanceAdministration.entryRelationship.organizer"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
      </type>
    </element>
    <element id="SubstanceAdministration.entryRelationship.act">
      <path value="SubstanceAdministration.entryRelationship.act"/>
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      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
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    </element>
    <element id="SubstanceAdministration.reference">
      <path value="SubstanceAdministration.reference"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.typeCode">
      <path value="SubstanceAdministration.reference.typeCode"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.seperatableInd">
      <path value="SubstanceAdministration.reference.seperatableInd"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
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    <element id="SubstanceAdministration.reference.externalAct">
      <path value="SubstanceAdministration.reference.externalAct"/>
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      <max value="1"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
      </type>
    </element>
    <element id="SubstanceAdministration.reference.externalObservation">
      <path value="SubstanceAdministration.reference.externalObservation"/>
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      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
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    </element>
    <element id="SubstanceAdministration.reference.externalProcedure">
      <path value="SubstanceAdministration.reference.externalProcedure"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
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    </element>
    <element id="SubstanceAdministration.reference.externalDocument">
      <path value="SubstanceAdministration.reference.externalDocument"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
      </type>
    </element>
    <element id="SubstanceAdministration.precondition">
      <path value="SubstanceAdministration.precondition"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
      </type>
    </element>
  </differential>
</StructureDefinition>