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The @classCode seems to be required in the CCDA optional in the other cases.
Since there is a default value, based on the approach choosen for the allergies, it could be left optional with fixed value MANU
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Ingredient Substance code and name both are optional, which is probably not enough. HL7 Pharmacy WG and IHE have defined code O and name R.
Make either name R or create a co-constraint code or name must be present