Template

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Template XeH Immunization 2022‑05‑06 09:23:08

Id2.16.840.1.113883.2.51.10.64Effective Date2022‑05‑06 09:23:08
Statusactive ActiveVersion Label1.0
NameXeHImmunizationDisplay NameXeH Immunization
DescriptionAn Immunization entry describes immunization substance administrations that have actually occurred. 
ContextParent nodes of template element with id 2.16.840.1.113883.2.51.10.64
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.2.51.10.65Containmentactive XeH Immunizations Section (1.0)2022‑05‑06 09:34:10
Uses as NameVersion
2.16.840.1.113883.2.51.10.66Containmentactive XeH Immunization Refusal Reason (1.0)DYNAMIC
2.16.840.1.113883.10.12.318Containmentactive CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.323Containmentactive CDA Performer (Body)DYNAMIC
2.16.840.1.113883.10.22.4.16Containmentpending IPS Immunization Medication Information (STU1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.22.4.15 IPS Immunization (2017‑03‑08)
ref
hl7ips-

Adaptation: template 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 2.16.840.1.113883.10.20.22.4.52 Immunization Activity (V3) (2015‑08‑01)
ref
ccda-
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.15"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="IMMUNIZ" displayName="Immunization" codeSystem="2.16.840.1.113883.5.4"/>  <statusCode code="completed"/>  <effectiveTime value="20170721082737"/>  <consumable>
    <!-- template 2.16.840.1.113883.10.22.4.16 'IPS Immunization Medication Information' (dynamic) -->
  </consumable>  <author>
    <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (dynamic) -->
  </author></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
XeHIdotstion
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MXeHIdotstion
@root
uid1 … 1F2.16.840.1.113883.2.51.10.64
hl7:id
II0 … *XeHIdotstion
hl7:code
CV.IPS1 … 1MXeHIdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19709 ActSubstanceAdministrationImmunizationCode (DYNAMIC)
hl7:statusCode
CS1 … 1RXeHIdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
TS1 … 1RXeHIdotstion
 Example<effectiveTime value="20170322"/>
hl7:repeatNumber
0 … 1In "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. XeHIdotstion
hl7:routeCode
CE0 … 1XeHIdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
hl7:approachSiteCode
CD0 … *XeHIdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:consumable
1 … 1MContains 2.16.840.1.113883.10.22.4.16 IPS Immunization Medication Information (DYNAMIC)XeHIdotstion
hl7:performer
0 … *Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)XeHIdotstion
hl7:author
0 … *RContains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)XeHIdotstion
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.2.51.10.66 XeH Immunization Refusal Reason (DYNAMIC)XeHIdotstion
@typeCode
cs1 … 1FRSON