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Template Immunization Activity 2013‑06‑02

Id2.16.840.1.113883.3.1937.99.61.5.10.900208Effective Date2013‑06‑02
Statusdraft DraftVersion Label
NameImmunizationActivityDisplay NameImmunization Activity
Description
Template Immunization Activity
An Immunization Activity describes immunization substance administrations that have actually occurred or are intended to occur. Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. Immunization Activities in "EVN" mood reflect immunizations actually received.
An Immunization Activity is very similar to a Medication Activity with some key differentiators. The drug code system is constrained to CVX codes. Administration timing is less complex. Patient refusal reasons should be captured. All vaccines administered should be fully documented in the patient's permanent medical record. Healthcare providers who administer vaccines covered by the National Childhood Vaccine Injury Act are required to ensure that the permanent medical record of the recipient indicates:
  • Date of administration
  • Vaccine manufacturer
  • Vaccine lot number
  • Name and title of the person who administered the vaccine and the address of the clinic or facility where the permanent record will reside
  • Vaccine information statement (VIS): date printed on the VIS, date VIS given to patient or parent/guardian
  • Date of administration
This information should be included in an Immunization Activity when available
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.5.10.900208
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
vacc-dataelement-85draft de-DE KH_Abt_Station_Praxis draft Vaccination Certificates Document Datatset
vacc-dataelement-70draft de-DE Institutions-ID draft Vaccination Certificates Document Datatset
Used by / Uses
Used by 0 transactions and 2 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.5.10.900207Containmentdraft Immunization Section2013‑10‑17
2.16.840.1.113883.3.1937.99.61.5.10.900214Containmentdraft Symptom2013‑11‑15 10:21:55
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.5.10.900209Containmentdraft Immunization Medication InformationDYNAMIC
2.16.840.1.113883.3.1937.99.61.5.10.900210Containmentdraft Immunization Refusal ReasonDYNAMIC
2.16.840.1.113883.3.1937.99.61.5.10.900211Containmentdraft IndicationDYNAMIC
RelationshipAdaptation: template 2.16.840.1.113883.10.20.22.4.52 (DYNAMIC)
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
0 … *Immudotsvity
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FINT
@negationInd
bl1 … 1RRefusal (negationInd=true)
hl7:templateId
II1 … 1RImmudotsvity
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.5.10.900208
hl7:id
II1 … *RImmudotsvity
hl7:code
CE0 … 1Immudotsvity
hl7:text
ED0 … 1Immudotsvity
hl7:effectiveDate
TS1 … 1Radministered dateImmudotsvity
 
target
vacc-dataelement-70draft de-DE Institutions-ID draft Vaccination Certificates Document Datatset
hl7:routeCode
CE0 … 1route codeImmudotsvity
 
target
vacc-dataelement-85draft de-DE KH_Abt_Station_Praxis draft Vaccination Certificates Document Datatset
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
hl7:approachSiteCode
CE0 … 1approachSiteCodeImmudotsvity
hl7:doseQuantity
PQ0 … 1doseQuantityImmudotsvity
hl7:consumable
0 … 1Contains 2.16.840.1.113883.3.1937.99.61.5.10.900209 Immunization Medication Information (DYNAMIC)Immudotsvity
@typeCode
cs1 … 1FCSM
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.3.1937.99.61.5.10.900211 Indication (DYNAMIC)Immudotsvity
@typeCode
cs0 … 1FRSON
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1937.99.61.5.10.900210 Immunization Refusal Reason (DYNAMIC)Immudotsvity
@typeCode
cs1 … 1FRSON