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Template _Immunization (harmonization) 2021‑06‑23 19:42:25

Id2.16.840.1.113883.3.1937.99.61.30.10.59Effective Date2021‑06‑23 19:42:25
Statuscancelled CancelledVersion Label
NameCCDAIPSImmunizationDisplay Name_Immunization (harmonization)
DescriptionAn Immunization entry describes immunization substance administrations that have actually occurred. 
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.30.10.59
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.10.12.318Containmentactive CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.22.4.16Containmentpending IPS Immunization Medication Information (STU1)DYNAMIC
RelationshipAdaptation: 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
CCDAdotstion
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MCCDAdotstion
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.30.10.59
hl7:id
II0 … *CCDAdotstion
hl7:code
CV.IPS1 … 1MCCDAdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19709 ActSubstanceAdministrationImmunizationCode (DYNAMIC)
hl7:statusCode
CS1 … 1MCCDAdotstion
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
TS1 … 1RCCDAdotstion
 Example<effectiveTime value="20170322"/>
hl7:consumable
1 … 1MContains 2.16.840.1.113883.10.22.4.16 IPS Immunization Medication Information (DYNAMIC)CCDAdotstion
hl7:author
0 … *RContains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)CCDAdotstion