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

This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: ImmunizationActivity - Detailed Descriptions

Draft as of 2025-06-20

Definitions for the ImmunizationActivity logical model.

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

0. SubstanceAdministration
Definition

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


Base definition for all types defined in FHIR type system.

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

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

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

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

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

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

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

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

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

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

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

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

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

Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

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

    Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

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

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

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

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

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

    Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

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

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

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

    A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

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

    An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

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

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

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

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

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

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

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

    Specifies the code system that defines the code.

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

    The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    This is the low limit of the interval.

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

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

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

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

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

    This is the high limit of the interval.

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

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

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

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

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

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

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

    Specifies the code system that defines the code.

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

    The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    This is the low limit of the interval.

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

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

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

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

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

    This is the high limit of the interval.

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

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

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

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

    Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Identifies the type as an HL7 Registered model

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

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

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

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

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

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

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
    184. SubstanceAdministration.subject
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
    186. SubstanceAdministration.specimen
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
    188. SubstanceAdministration.performer
    Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

      Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
      228. SubstanceAdministration.entryRelationship
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
      SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ act
      • profile @ observation
      • profile @ supply
      • 230. SubstanceAdministration.entryRelationship:indication
        Slice Nameindication
        Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
        268. SubstanceAdministration.entryRelationship:indication.observation.nullFlavor
        Definition

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

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

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

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

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

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

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

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

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

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

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

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

        Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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

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

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

          ShortIndication for ImmunizationType of observation (code / type)
          Comments

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


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

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

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

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

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

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

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

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

          Specifies the code system that defines the code.

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

          The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

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

          Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

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

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

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

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

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

          Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

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

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

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

          A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

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

          An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

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

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

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

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

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

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

          Comments

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

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

          Specifies the code system that defines the code.

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

          The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Drawn from concept domain ActSite

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

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

          ShortWho and/or what the observation is about
          Comments

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

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

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

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

          The specimen that was used when this observation was made.

          ShortSpecimen used for this observation
          Comments

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

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

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

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

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

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

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


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

          ShortProvides guide for interpretation
          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

          Comments

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

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

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

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          480. SubstanceAdministration.entryRelationship:instruction.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          482. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          484. SubstanceAdministration.entryRelationship:instruction.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          486. SubstanceAdministration.entryRelationship:instruction.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          488. SubstanceAdministration.entryRelationship:instruction.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          490. SubstanceAdministration.entryRelationship:instruction.observation
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
          492. SubstanceAdministration.entryRelationship:instruction.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          494. SubstanceAdministration.entryRelationship:instruction.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          496. SubstanceAdministration.entryRelationship:instruction.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          498. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          500. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          502. SubstanceAdministration.entryRelationship:instruction.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          504. SubstanceAdministration.entryRelationship:medSupplyOrder
          Slice NamemedSupplyOrder
          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
          554. SubstanceAdministration.entryRelationship:medDispense
          Slice NamemedDispense
          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
          604. SubstanceAdministration.entryRelationship:reactionObs
          Slice NamereactionObs
          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
          642. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          644. SubstanceAdministration.entryRelationship:reactionObs.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          646. SubstanceAdministration.entryRelationship:reactionObs.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          648. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          650. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          652. SubstanceAdministration.entryRelationship:reactionObs.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          654. SubstanceAdministration.entryRelationship:immunizationNotGiven
          Slice NameimmunizationNotGiven
          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

          Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

            Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

              12. SubstanceAdministration.moodCode
              Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

              50. SubstanceAdministration.consumable.manufacturedProduct
              Comments

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

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

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

              Control0..1
              54. SubstanceAdministration.author
              Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                  118. SubstanceAdministration.entryRelationship:substanceAdmin.act
                  Comments

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

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

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

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

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

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

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

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

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

                    0. SubstanceAdministration
                    Definition

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                    Identifies the type as an HL7 Registered model

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

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

                      Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

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

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

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

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

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

                      Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

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

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

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

                      A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

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

                      An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

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

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

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

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

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

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

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

                      Specifies the code system that defines the code.

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

                      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      This is the low limit of the interval.

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

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

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

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

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

                      This is the high limit of the interval.

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

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

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

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

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

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

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

                      Specifies the code system that defines the code.

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

                      The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      This is the low limit of the interval.

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

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

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

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

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

                      This is the high limit of the interval.

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

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

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

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

                      Comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                      Identifies the type as an HL7 Registered model

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

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

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

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

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

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

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ManufacturedProduct(Immunization Medication Information)
                      184. SubstanceAdministration.subject
                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                      186. SubstanceAdministration.specimen
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                      188. SubstanceAdministration.performer
                      Comments

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

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                      190. SubstanceAdministration.author
                      Shorticon Removed:Base for all types and resources
                      Comments

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

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

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

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

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

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

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

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

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

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

                        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional Value Detail
                        206. SubstanceAdministration.participant:drugVehicle.typeId.assigningAuthorityName
                        Definition

                        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelAssigning Authority Name
                        208. SubstanceAdministration.participant:drugVehicle.typeId.displayable
                        Definition

                        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                        Control0..1
                        Typeboolean(bl: Boolean)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelDisplayable
                        210. SubstanceAdministration.participant:drugVehicle.typeId.root
                        Definition

                        Identifies the type as an HL7 Registered model

                        Control1..1
                        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelRoot
                        Fixed Value2.16.840.1.113883.1.3
                        212. SubstanceAdministration.participant:drugVehicle.typeId.extension
                        Definition

                        A character string as a unique identifier within the scope of the identifier root.

                        Control1..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExtension
                        214. SubstanceAdministration.participant:drugVehicle.templateId
                        Definition

                        When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                        216. SubstanceAdministration.participant:drugVehicle.typeCode
                        Comments

                        SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8851).

                        Control1..1
                        BindingThe codes SHALL be taken from CDAParticipationType
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueCSM
                        218. SubstanceAdministration.participant:drugVehicle.contextControlCode
                        Control0..1
                        BindingThe codes SHALL be taken from CDAContextControl
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueOP
                        220. SubstanceAdministration.participant:drugVehicle.sdtcFunctionCode
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                        222. SubstanceAdministration.participant:drugVehicle.time
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                        224. SubstanceAdministration.participant:drugVehicle.awarenessCode
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                        226. SubstanceAdministration.participant:drugVehicle.participantRole
                        Comments

                        SHALL contain exactly one [1..1] Drug Vehicle (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.24) (CONF:1198-15547).

                        Control1..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Drug Vehicle)
                        228. SubstanceAdministration.entryRelationship
                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                        SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • profile @ act
                        • profile @ observation
                        • profile @ supply
                        • 230. SubstanceAdministration.entryRelationship:indication
                          Slice Nameindication
                          Comments

                          MAY contain zero or more [0..*] entryRelationship (CONF:1198-8853) such that it

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                          232. SubstanceAdministration.entryRelationship:indication.nullFlavor
                          Definition

                          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          234. SubstanceAdministration.entryRelationship:indication.realmCode
                          Definition

                          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                          236. SubstanceAdministration.entryRelationship:indication.typeId
                          Definition

                          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          238. SubstanceAdministration.entryRelationship:indication.typeId.nullFlavor
                          Definition

                          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          240. SubstanceAdministration.entryRelationship:indication.typeId.assigningAuthorityName
                          Definition

                          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning Authority Name
                          242. SubstanceAdministration.entryRelationship:indication.typeId.displayable
                          Definition

                          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          244. SubstanceAdministration.entryRelationship:indication.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          246. SubstanceAdministration.entryRelationship:indication.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          248. SubstanceAdministration.entryRelationship:indication.templateId
                          Definition

                          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          250. SubstanceAdministration.entryRelationship:indication.typeCode
                          Comments

                          SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8854).

                          Control1..1
                          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueRSON
                          252. SubstanceAdministration.entryRelationship:indication.inversionInd
                          Definition

                          The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          254. SubstanceAdministration.entryRelationship:indication.contextConductionInd
                          Definition

                          The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Default Valuetrue
                          256. SubstanceAdministration.entryRelationship:indication.negationInd
                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          258. SubstanceAdministration.entryRelationship:indication.sequenceNumber
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                          260. SubstanceAdministration.entryRelationship:indication.seperatableInd
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                          262. SubstanceAdministration.entryRelationship:indication.act
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                          264. SubstanceAdministration.entryRelationship:indication.encounter
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                          266. SubstanceAdministration.entryRelationship:indication.observation
                          Comments

                          SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1198-15537).

                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
                          268. SubstanceAdministration.entryRelationship:indication.observation.nullFlavor
                          Definition

                          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          270. SubstanceAdministration.entryRelationship:indication.observation.realmCode
                          Definition

                          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                          272. SubstanceAdministration.entryRelationship:indication.observation.typeId
                          Definition

                          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          274. SubstanceAdministration.entryRelationship:indication.observation.typeId.nullFlavor
                          Definition

                          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional Value Detail
                          276. SubstanceAdministration.entryRelationship:indication.observation.typeId.assigningAuthorityName
                          Definition

                          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning Authority Name
                          278. SubstanceAdministration.entryRelationship:indication.observation.typeId.displayable
                          Definition

                          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          280. SubstanceAdministration.entryRelationship:indication.observation.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          282. SubstanceAdministration.entryRelationship:indication.observation.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          284. SubstanceAdministration.entryRelationship:indication.observation.templateId
                          Definition

                          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          SlicingThis element introduces a set of slices on SubstanceAdministration.entryRelationship.observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ root
                          • value @ extension
                          • 286. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication
                            Slice Nameindication
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            288. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            290. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            292. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            294. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.root
                            Definition

                            A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Pattern Value2.16.840.1.113883.10.20.22.4.19
                            296. SubstanceAdministration.entryRelationship:indication.observation.templateId:indication.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            Pattern Value2023-05-01
                            298. SubstanceAdministration.entryRelationship:indication.observation.classCode
                            Comments

                            SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-7480).

                            Control1..1
                            BindingThe codes SHALL be taken from CDAActClassObservation
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueOBS
                            300. SubstanceAdministration.entryRelationship:indication.observation.moodCode
                            Comments

                            SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-7481).

                            Control1..1
                            BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
                            (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueEVN
                            302. SubstanceAdministration.entryRelationship:indication.observation.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            304. SubstanceAdministration.entryRelationship:indication.observation.id
                            ShortIf the id element is used to reference a problem recorded elsewhere in the document then this id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another.
                            Comments

                            SHALL contain at least one [1..*] id (CONF:4537-7483).

                            Control1..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            306. SubstanceAdministration.entryRelationship:indication.observation.sdtcCategory
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
                            308. SubstanceAdministration.entryRelationship:indication.observation.code
                            ShortIndication for Immunization
                            Comments

                            SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type urn:oid:2.16.840.1.113762.1.4.1267.1.

                            Control1..1
                            BindingThe codes SHOULD be taken from Problem Type .
                            (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            310. SubstanceAdministration.entryRelationship:indication.observation.code.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            312. SubstanceAdministration.entryRelationship:indication.observation.code.code
                            Definition

                            The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

                            Control1..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode
                            Pattern Value59785-6
                            314. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystem
                            Definition

                            Specifies the code system that defines the code.

                            ShortLOINC
                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System
                            Pattern Value2.16.840.1.113883.6.1
                            316. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystemName
                            Definition

                            The common name of the coding system.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System Name
                            318. SubstanceAdministration.entryRelationship:indication.observation.code.codeSystemVersion
                            Definition

                            If applicable, a version descriptor defined specifically for the given code system.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System Version
                            320. SubstanceAdministration.entryRelationship:indication.observation.code.displayName
                            Definition

                            A name or title for the code, under which the sending system shows the code value to its users.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplay Name
                            322. SubstanceAdministration.entryRelationship:indication.observation.code.sdtcValueSet
                            Definition

                            The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

                            Control0..1
                            Typestring(oid: ISO Object Identifier)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
                            324. SubstanceAdministration.entryRelationship:indication.observation.code.sdtcValueSetVersion
                            Definition

                            The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
                            326. SubstanceAdministration.entryRelationship:indication.observation.code.originalText
                            Definition

                            The text or phrase used as the basis for the coding.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelOriginal Text
                            328. SubstanceAdministration.entryRelationship:indication.observation.code.qualifier
                            Definition

                            Specifies additional codes that increase the specificity of the the primary code.

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                            LabelQualifier
                            330. SubstanceAdministration.entryRelationship:indication.observation.code.translation
                            Definition

                            A set of other concept descriptors that translate this concept descriptor into other code systems.

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            LabelTranslation
                            332. SubstanceAdministration.entryRelationship:indication.observation.derivationExpr
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                            334. SubstanceAdministration.entryRelationship:indication.observation.text
                            ShortSHOULD reference the portion of section narrative text corresponding to this entry
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            336. SubstanceAdministration.entryRelationship:indication.observation.text.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            338. SubstanceAdministration.entryRelationship:indication.observation.text.compression
                            Definition

                            Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                            Control0..1
                            BindingThe codes SHALL be taken from CDACompressionAlgorithm
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCompression
                            340. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheck
                            Definition

                            The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

                            Control0..1
                            Typebase64Binary(bin: Binary Data)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelIntegrity Check
                            342. SubstanceAdministration.entryRelationship:indication.observation.text.integrityCheckAlgorithm
                            Definition

                            Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

                            Control0..1
                            BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                            (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelIntegrity Check Algorithm
                            344. SubstanceAdministration.entryRelationship:indication.observation.text.language
                            Definition

                            For character based information the language property specifies the human language of the text.

                            Control0..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelLanguage
                            346. SubstanceAdministration.entryRelationship:indication.observation.text.mediaType
                            Definition

                            Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                            Control0..1
                            BindingFor example codes, see MediaType
                            (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelMedia Type
                            348. SubstanceAdministration.entryRelationship:indication.observation.text.representation
                            Control0..1
                            BindingThe codes SHALL be taken from CDABinaryDataEncoding
                            (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            350. SubstanceAdministration.entryRelationship:indication.observation.text.xmlText
                            Definition

                            Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

                            ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                            Comments

                            This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as unadorned text.
                            352. SubstanceAdministration.entryRelationship:indication.observation.text.reference
                            Definition

                            A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            LabelReference
                            Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
                            354. SubstanceAdministration.entryRelationship:indication.observation.text.thumbnail
                            Definition

                            An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelThumbnail
                            356. SubstanceAdministration.entryRelationship:indication.observation.statusCode
                            Comments

                            SHALL contain exactly one [1..1] statusCode (CONF:4537-7487).

                            Control1..1
                            BindingThe codes SHALL be taken from ActStatus
                            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            358. SubstanceAdministration.entryRelationship:indication.observation.statusCode.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            360. SubstanceAdministration.entryRelationship:indication.observation.statusCode.code
                            Definition

                            The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

                            Comments

                            This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19105).

                            Control1..1
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode
                            Fixed Valuecompleted
                            362. SubstanceAdministration.entryRelationship:indication.observation.statusCode.codeSystem
                            Definition

                            Specifies the code system that defines the code.

                            Control0..0
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System
                            364. SubstanceAdministration.entryRelationship:indication.observation.statusCode.codeSystemName
                            Definition

                            The common name of the coding system.

                            Control0..0
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System Name
                            366. SubstanceAdministration.entryRelationship:indication.observation.statusCode.codeSystemVersion
                            Definition

                            If applicable, a version descriptor defined specifically for the given code system.

                            Control0..0
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System Version
                            368. SubstanceAdministration.entryRelationship:indication.observation.statusCode.displayName
                            Definition

                            A name or title for the code, under which the sending system shows the code value to its users.

                            Control0..0
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplay Name
                            370. SubstanceAdministration.entryRelationship:indication.observation.statusCode.sdtcValueSet
                            Definition

                            The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

                            Control0..1
                            Typestring(oid: ISO Object Identifier)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
                            372. SubstanceAdministration.entryRelationship:indication.observation.statusCode.sdtcValueSetVersion
                            Definition

                            The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
                            374. SubstanceAdministration.entryRelationship:indication.observation.statusCode.originalText
                            Definition

                            The text or phrase used as the basis for the coding.

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelOriginal Text
                            376. SubstanceAdministration.entryRelationship:indication.observation.statusCode.qualifier
                            Definition

                            Specifies additional codes that increase the specificity of the the primary code.

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                            LabelQualifier
                            378. SubstanceAdministration.entryRelationship:indication.observation.statusCode.translation
                            Definition

                            A set of other concept descriptors that translate this concept descriptor into other code systems.

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            LabelTranslation
                            380. SubstanceAdministration.entryRelationship:indication.observation.effectiveTime
                            Comments

                            SHOULD contain zero or one [0..1] effectiveTime (CONF:4537-7488).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                            382. SubstanceAdministration.entryRelationship:indication.observation.priorityCode
                            Control0..1
                            BindingFor example codes, see ActPriority
                            (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            384. SubstanceAdministration.entryRelationship:indication.observation.repeatNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                            386. SubstanceAdministration.entryRelationship:indication.observation.languageCode
                            Control0..1
                            BindingThe codes SHALL be taken from AllLanguages
                            (required to http://hl7.org/fhir/ValueSet/all-languages)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            388. SubstanceAdministration.entryRelationship:indication.observation.value
                            ShortIf the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
                            Comments

                            MAY contain zero or one [0..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet US Core Condition Codes.

                            Control0..1
                            BindingThe codes SHOULD be taken from US Core Condition Codes
                            (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            390. SubstanceAdministration.entryRelationship:indication.observation.interpretationCode
                            Control0..*
                            BindingThe codes SHALL be taken from CDAObservationInterpretation
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            392. SubstanceAdministration.entryRelationship:indication.observation.methodCode
                            Control0..*
                            BindingFor example codes, see ObservationMethod
                            (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            394. SubstanceAdministration.entryRelationship:indication.observation.targetSiteCode
                            Definition

                            Drawn from concept domain ActSite

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            396. SubstanceAdministration.entryRelationship:indication.observation.subject
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                            398. SubstanceAdministration.entryRelationship:indication.observation.specimen
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                            400. SubstanceAdministration.entryRelationship:indication.observation.performer
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                            402. SubstanceAdministration.entryRelationship:indication.observation.author
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                            404. SubstanceAdministration.entryRelationship:indication.observation.informant
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                            406. SubstanceAdministration.entryRelationship:indication.observation.participant
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                            408. SubstanceAdministration.entryRelationship:indication.observation.entryRelationship
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            410. SubstanceAdministration.entryRelationship:indication.observation.reference
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                            412. SubstanceAdministration.entryRelationship:indication.observation.precondition
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                            414. SubstanceAdministration.entryRelationship:indication.observation.sdtcPrecondition2
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                            416. SubstanceAdministration.entryRelationship:indication.observation.referenceRange
                            Definition

                            Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                            418. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            420. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            422. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            424. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            426. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            428. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            430. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            432. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            434. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            436. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.typeCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDAActRelationshipType
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFV
                            438. SubstanceAdministration.entryRelationship:indication.observation.referenceRange.observationRange
                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                            440. SubstanceAdministration.entryRelationship:indication.observation.sdtcInFulfillmentOf1
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                            442. SubstanceAdministration.entryRelationship:indication.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            444. SubstanceAdministration.entryRelationship:indication.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            446. SubstanceAdministration.entryRelationship:indication.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            448. SubstanceAdministration.entryRelationship:indication.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            450. SubstanceAdministration.entryRelationship:indication.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            452. SubstanceAdministration.entryRelationship:indication.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            454. SubstanceAdministration.entryRelationship:instruction
                            Slice Nameinstruction
                            Comments

                            MAY contain zero or one [0..1] entryRelationship (CONF:1198-8856) such that it

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            456. SubstanceAdministration.entryRelationship:instruction.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            458. SubstanceAdministration.entryRelationship:instruction.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            460. SubstanceAdministration.entryRelationship:instruction.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            462. SubstanceAdministration.entryRelationship:instruction.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            464. SubstanceAdministration.entryRelationship:instruction.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            466. SubstanceAdministration.entryRelationship:instruction.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            468. SubstanceAdministration.entryRelationship:instruction.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            470. SubstanceAdministration.entryRelationship:instruction.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            472. SubstanceAdministration.entryRelationship:instruction.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            474. SubstanceAdministration.entryRelationship:instruction.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8857).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueSUBJ
                            476. SubstanceAdministration.entryRelationship:instruction.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Comments

                            SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-8858).

                            Control1..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed Valuetrue
                            478. SubstanceAdministration.entryRelationship:instruction.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            480. SubstanceAdministration.entryRelationship:instruction.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            482. SubstanceAdministration.entryRelationship:instruction.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            484. SubstanceAdministration.entryRelationship:instruction.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            486. SubstanceAdministration.entryRelationship:instruction.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            488. SubstanceAdministration.entryRelationship:instruction.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            490. SubstanceAdministration.entryRelationship:instruction.observation
                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Instruction Observation)
                            492. SubstanceAdministration.entryRelationship:instruction.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            494. SubstanceAdministration.entryRelationship:instruction.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            496. SubstanceAdministration.entryRelationship:instruction.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            498. SubstanceAdministration.entryRelationship:instruction.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            500. SubstanceAdministration.entryRelationship:instruction.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            502. SubstanceAdministration.entryRelationship:instruction.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            504. SubstanceAdministration.entryRelationship:medSupplyOrder
                            Slice NamemedSupplyOrder
                            Comments

                            MAY contain zero or one [0..1] entryRelationship (CONF:1198-8860) such that it

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            506. SubstanceAdministration.entryRelationship:medSupplyOrder.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            508. SubstanceAdministration.entryRelationship:medSupplyOrder.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            510. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            512. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            514. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            516. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            518. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            520. SubstanceAdministration.entryRelationship:medSupplyOrder.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            522. SubstanceAdministration.entryRelationship:medSupplyOrder.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            524. SubstanceAdministration.entryRelationship:medSupplyOrder.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8861).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFR
                            526. SubstanceAdministration.entryRelationship:medSupplyOrder.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            528. SubstanceAdministration.entryRelationship:medSupplyOrder.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            530. SubstanceAdministration.entryRelationship:medSupplyOrder.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            532. SubstanceAdministration.entryRelationship:medSupplyOrder.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            534. SubstanceAdministration.entryRelationship:medSupplyOrder.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            536. SubstanceAdministration.entryRelationship:medSupplyOrder.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            538. SubstanceAdministration.entryRelationship:medSupplyOrder.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            540. SubstanceAdministration.entryRelationship:medSupplyOrder.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            542. SubstanceAdministration.entryRelationship:medSupplyOrder.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            544. SubstanceAdministration.entryRelationship:medSupplyOrder.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            546. SubstanceAdministration.entryRelationship:medSupplyOrder.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            548. SubstanceAdministration.entryRelationship:medSupplyOrder.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            550. SubstanceAdministration.entryRelationship:medSupplyOrder.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            552. SubstanceAdministration.entryRelationship:medSupplyOrder.supply
                            Comments

                            SHALL contain exactly one [1..1] Medication Supply Order (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.17:2014-06-09) (CONF:1198-15539).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Supply Order)
                            554. SubstanceAdministration.entryRelationship:medDispense
                            Slice NamemedDispense
                            Comments

                            MAY contain zero or one [0..1] entryRelationship (CONF:1198-8863) such that it

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            556. SubstanceAdministration.entryRelationship:medDispense.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            558. SubstanceAdministration.entryRelationship:medDispense.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            560. SubstanceAdministration.entryRelationship:medDispense.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            562. SubstanceAdministration.entryRelationship:medDispense.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            564. SubstanceAdministration.entryRelationship:medDispense.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            566. SubstanceAdministration.entryRelationship:medDispense.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            568. SubstanceAdministration.entryRelationship:medDispense.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            570. SubstanceAdministration.entryRelationship:medDispense.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            572. SubstanceAdministration.entryRelationship:medDispense.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            574. SubstanceAdministration.entryRelationship:medDispense.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8864).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueREFR
                            576. SubstanceAdministration.entryRelationship:medDispense.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            578. SubstanceAdministration.entryRelationship:medDispense.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            580. SubstanceAdministration.entryRelationship:medDispense.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            582. SubstanceAdministration.entryRelationship:medDispense.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            584. SubstanceAdministration.entryRelationship:medDispense.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            586. SubstanceAdministration.entryRelationship:medDispense.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            588. SubstanceAdministration.entryRelationship:medDispense.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            590. SubstanceAdministration.entryRelationship:medDispense.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            592. SubstanceAdministration.entryRelationship:medDispense.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            594. SubstanceAdministration.entryRelationship:medDispense.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            596. SubstanceAdministration.entryRelationship:medDispense.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            598. SubstanceAdministration.entryRelationship:medDispense.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            600. SubstanceAdministration.entryRelationship:medDispense.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            602. SubstanceAdministration.entryRelationship:medDispense.supply
                            Comments

                            SHALL contain exactly one [1..1] Medication Dispense (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.18:2014-06-09) (CONF:1198-15540).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply(Medication Dispense)
                            604. SubstanceAdministration.entryRelationship:reactionObs
                            Slice NamereactionObs
                            Comments

                            MAY contain zero or one [0..1] entryRelationship (CONF:1198-8866) such that it

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            606. SubstanceAdministration.entryRelationship:reactionObs.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            608. SubstanceAdministration.entryRelationship:reactionObs.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            610. SubstanceAdministration.entryRelationship:reactionObs.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            612. SubstanceAdministration.entryRelationship:reactionObs.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            614. SubstanceAdministration.entryRelationship:reactionObs.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            616. SubstanceAdministration.entryRelationship:reactionObs.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            618. SubstanceAdministration.entryRelationship:reactionObs.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            620. SubstanceAdministration.entryRelationship:reactionObs.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            622. SubstanceAdministration.entryRelationship:reactionObs.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            624. SubstanceAdministration.entryRelationship:reactionObs.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8867).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueCAUS
                            626. SubstanceAdministration.entryRelationship:reactionObs.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            628. SubstanceAdministration.entryRelationship:reactionObs.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            630. SubstanceAdministration.entryRelationship:reactionObs.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            632. SubstanceAdministration.entryRelationship:reactionObs.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            634. SubstanceAdministration.entryRelationship:reactionObs.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            636. SubstanceAdministration.entryRelationship:reactionObs.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            638. SubstanceAdministration.entryRelationship:reactionObs.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            640. SubstanceAdministration.entryRelationship:reactionObs.observation
                            Comments

                            SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-15541).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
                            642. SubstanceAdministration.entryRelationship:reactionObs.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            644. SubstanceAdministration.entryRelationship:reactionObs.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            646. SubstanceAdministration.entryRelationship:reactionObs.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            648. SubstanceAdministration.entryRelationship:reactionObs.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            650. SubstanceAdministration.entryRelationship:reactionObs.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            652. SubstanceAdministration.entryRelationship:reactionObs.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            654. SubstanceAdministration.entryRelationship:immunizationNotGiven
                            Slice NameimmunizationNotGiven
                            Comments

                            MAY contain zero or one [0..1] entryRelationship (CONF:1198-8988) such that it

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            656. SubstanceAdministration.entryRelationship:immunizationNotGiven.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            658. SubstanceAdministration.entryRelationship:immunizationNotGiven.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            660. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            662. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            664. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            666. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            668. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            670. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            672. SubstanceAdministration.entryRelationship:immunizationNotGiven.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            674. SubstanceAdministration.entryRelationship:immunizationNotGiven.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8989).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueRSON
                            676. SubstanceAdministration.entryRelationship:immunizationNotGiven.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            678. SubstanceAdministration.entryRelationship:immunizationNotGiven.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            680. SubstanceAdministration.entryRelationship:immunizationNotGiven.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            682. SubstanceAdministration.entryRelationship:immunizationNotGiven.sequenceNumber
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            684. SubstanceAdministration.entryRelationship:immunizationNotGiven.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            686. SubstanceAdministration.entryRelationship:immunizationNotGiven.act
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                            688. SubstanceAdministration.entryRelationship:immunizationNotGiven.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            690. SubstanceAdministration.entryRelationship:immunizationNotGiven.observation
                            Comments

                            SHALL contain exactly one [1..1] Immunization Not Given Reason (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.53:2024-05-01) (CONF:1198-15542).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Immunization Not Given Reason)
                            692. SubstanceAdministration.entryRelationship:immunizationNotGiven.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            694. SubstanceAdministration.entryRelationship:immunizationNotGiven.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            696. SubstanceAdministration.entryRelationship:immunizationNotGiven.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            698. SubstanceAdministration.entryRelationship:immunizationNotGiven.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            700. SubstanceAdministration.entryRelationship:immunizationNotGiven.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            702. SubstanceAdministration.entryRelationship:immunizationNotGiven.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            704. SubstanceAdministration.entryRelationship:substanceAdmin
                            Slice NamesubstanceAdmin
                            ShortThe following entryRelationship is used to indicate a given immunization's order in a series. The nested Substance Administered Act identifies an administration in the series. The entryRelationship/sequenceNumber shows the order of this particular administration in that series.
                            Comments

                            SHOULD contain zero or more [0..*] entryRelationship (CONF:1198-31510) such that it

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            706. SubstanceAdministration.entryRelationship:substanceAdmin.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            708. SubstanceAdministration.entryRelationship:substanceAdmin.realmCode
                            Definition

                            When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                            710. SubstanceAdministration.entryRelationship:substanceAdmin.typeId
                            Definition

                            When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            712. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.nullFlavor
                            Definition

                            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional Value Detail
                            714. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.assigningAuthorityName
                            Definition

                            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning Authority Name
                            716. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.displayable
                            Definition

                            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            718. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            720. SubstanceAdministration.entryRelationship:substanceAdmin.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            722. SubstanceAdministration.entryRelationship:substanceAdmin.templateId
                            Definition

                            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            724. SubstanceAdministration.entryRelationship:substanceAdmin.typeCode
                            Comments

                            SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31511).

                            Control1..1
                            BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                            (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueCOMP
                            726. SubstanceAdministration.entryRelationship:substanceAdmin.inversionInd
                            Definition

                            The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                            Comments

                            SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1198-31512).

                            Control1..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed Valuetrue
                            728. SubstanceAdministration.entryRelationship:substanceAdmin.contextConductionInd
                            Definition

                            The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default Valuetrue
                            730. SubstanceAdministration.entryRelationship:substanceAdmin.negationInd
                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            732. SubstanceAdministration.entryRelationship:substanceAdmin.sequenceNumber
                            Comments

                            MAY contain zero or one [0..1] sequenceNumber (CONF:1198-31513).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                            734. SubstanceAdministration.entryRelationship:substanceAdmin.seperatableInd
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                            736. SubstanceAdministration.entryRelationship:substanceAdmin.act
                            Comments

                            SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1198-31514).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Substance Administered Act)
                            738. SubstanceAdministration.entryRelationship:substanceAdmin.encounter
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                            740. SubstanceAdministration.entryRelationship:substanceAdmin.observation
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                            742. SubstanceAdministration.entryRelationship:substanceAdmin.observationMedia
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                            744. SubstanceAdministration.entryRelationship:substanceAdmin.organizer
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                            746. SubstanceAdministration.entryRelationship:substanceAdmin.procedure
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                            748. SubstanceAdministration.entryRelationship:substanceAdmin.regionOfInterest
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                            750. SubstanceAdministration.entryRelationship:substanceAdmin.substanceAdministration
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                            752. SubstanceAdministration.entryRelationship:substanceAdmin.supply
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                            754. SubstanceAdministration.reference
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                            756. SubstanceAdministration.precondition
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                            SlicingThis element introduces a set of slices on SubstanceAdministration.precondition. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • profile @ criterion
                            • 758. SubstanceAdministration.precondition:substanceAdmin
                              Slice NamesubstanceAdmin
                              Comments

                              MAY contain zero or more [0..*] precondition (CONF:1198-8869) such that it

                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                              760. SubstanceAdministration.precondition:substanceAdmin.nullFlavor
                              Definition

                              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional Value Detail
                              762. SubstanceAdministration.precondition:substanceAdmin.realmCode
                              Definition

                              When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                              764. SubstanceAdministration.precondition:substanceAdmin.typeId
                              Definition

                              When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                              766. SubstanceAdministration.precondition:substanceAdmin.typeId.nullFlavor
                              Definition

                              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional Value Detail
                              768. SubstanceAdministration.precondition:substanceAdmin.typeId.assigningAuthorityName
                              Definition

                              A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                              Control0..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelAssigning Authority Name
                              770. SubstanceAdministration.precondition:substanceAdmin.typeId.displayable
                              Definition

                              Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelDisplayable
                              772. SubstanceAdministration.precondition:substanceAdmin.typeId.root
                              Definition

                              Identifies the type as an HL7 Registered model

                              Control1..1
                              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelRoot
                              Fixed Value2.16.840.1.113883.1.3
                              774. SubstanceAdministration.precondition:substanceAdmin.typeId.extension
                              Definition

                              A character string as a unique identifier within the scope of the identifier root.

                              Control1..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExtension
                              776. SubstanceAdministration.precondition:substanceAdmin.templateId
                              Definition

                              When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              778. SubstanceAdministration.precondition:substanceAdmin.typeCode
                              Comments

                              SHALL contain exactly one [1..1] @typeCode="PRCN" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8870).

                              Control1..1
                              BindingThe codes SHALL be taken from CDAActRelationshipType
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed ValuePRCN
                              780. SubstanceAdministration.precondition:substanceAdmin.criterion
                              Comments

                              SHALL contain exactly one [1..1] Precondition for Substance Administration (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1198-15548).

                              Control1..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Criterion(Precondition for Substance Administration)
                              782. SubstanceAdministration.sdtcInFulfillmentOf1
                              Control0..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.