Item | DT | Card | Conf | Description | Label |
---|
cda:substanceAdministration
| | | | | ImmuCcda |
@classCode
| cs | 1 … 1 | F | SBADM |
| C-CDA = IPS
|
@moodCode
| cs | 1 … 1 | R | C-CDA 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).
IPS only EVN |
| CONF | |
@negationInd
| bl | 1 … 1 | R | C-CDA SHALL contain exactly one [1..1] @negationInd (CONF:1198-8985).
IPS Not explicitly specified
|
hl7:templateId
| II | 1 … 1 | M | | ImmuCcda |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1937.99.61.30.10.60 |
cda:id
| II | 1 … * | R | C-CDA SHALL contain at least one [1..*] id (CONF:1198-8829).
IPS optional | ImmuCcda |
hl7:code
| CV | 1 … 1 | M | | ImmuCcda |
| CONF | |
cda:statusCode
| CS | 1 … 1 | R | C-CDA SHALL contain exactly one [1..1] statusCode (CONF:1198-8833).
IPS fixed to "complete" (under revision also for the IPS) | ImmuCcda |
cda:effectiveTime
| | 1 … 1 | R | C-CDA SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8834).
IPS only TS | ImmuCcda |
cda:repeatNumber
| | 0 … 1 | | C-CDA MAY contain zero or one [0..1] repeatNumber (CONF:1198-8838).In "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.
IPS Not explicitly specified
| ImmuCcda |
cda:routeCode
| | 0 … 1 | | C-CDA MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839).
IPS Not explicitly specified
To Do example or preferred binding to be specified | ImmuCcda |
cda:approachSiteCode
| CD | 0 … 1 | | C-CDA MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1198-8840).
IPS Not explicitly specified
To Do example or preferred binding to be specified
| ImmuCcda |
cda:doseQuantity
| | 0 … 1 | R | C-CDA SHOULD contain zero or one [0..1] doseQuantity (CONF:1198-8841).
IPS Not explicitly specified
| ImmuCcda |
@unit
| cs | 0 … 1 | | C-CDA The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-8842).
IPS Not explicitly specified
|
| CONF | |
cda:administrationUnitCode
| CE | 0 … 1 | | C-CDA 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).
IPS Not explicitly specified
To Do example or preferred binding to be specified
| ImmuCcda |
cda:consumable
| | 1 … 1 | M | C-CDA contains: 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (V2) (2014-06-09T00:00:00)
IPS
Contains 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (V2) (2014‑06‑09) | ImmuCcda |
cda:performer
| | 0 … 1 | R | C-CDA SHOULD contain zero or one [0..1] performer (CONF:1198-8849).
IPS Not explicitly specified
| ImmuCcda |
cda:author
| | 0 … * | R | C-CDA SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31151).
IPS SHOULD contain zero or more [0..*] 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | ImmuCcda |
cda:participant
| | 0 … * | | C-CDA It represents the vehicle (e.g., saline, dextrose) for administering a medication.
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.24 Drug Vehicle (2015‑08‑13) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | CSM |
| C-CDA SHALL contain exactly one [1..1] @typeCode="CSM" (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8851).
IPS Not explicitly specified
|
cda:entryRelationship
| | 0 … * | | C-CDA It represents the rationale for an action such as an encounter, a medication administration, or a procedure.
IPS Not explicitly specified Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | RSON |
| C-CDA SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8854).
IPS Not explicitly specified
|
cda:entryRelationship
| | 0 … 1 | | C-CDA The Instruction template can be used in several ways, such as to record patient instructions within a Medication Activity or to record fill instructions within a supply order.
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | SUBJ | CONF8857 |
| SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8857). |
@inversionInd
| bl | 1 … 1 | F | true | CONF8858 |
| SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-8858). |
cda:entryRelationship
| | 0 … 1 | | C-CDA It records the intent to supply a patient with medications
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.17 Medication Supply Order (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | REFR |
| SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8861). |
cda:entryRelationship
| | 0 … 1 | | C-CDA It records the act of supplying medications (i.e., dispensing).
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.18 Medication Dispense (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | REFR |
| SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8864). |
cda:entryRelationship
| | 0 … 1 | | Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | CAUS |
| SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8867). |
cda:entryRelationship
| | 0 … 1 | | C-CDA It documents the rationale for the patient declining an immunization.
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.53 Immunization Refusal Reason (2015‑08‑13) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | RSON |
| SHALL contain exactly one [1..1] @typeCode="RSON" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8989). |
cda:entryRelationship
| | 0 … * | R | C-CDA The 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.
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.118 Substance Administered Act (2015‑08‑13) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | COMP |
| SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31511). |
@inversionInd
| bl | 1 … 1 | F | true |
| SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1198-31512). |
cda:sequenceNumber
| | 0 … 1 | | C-CDA MAY contain zero or one [0..1] sequenceNumber (CONF:1198-31513).
IPS Not explicitly specified
| ImmuCcda |
cda:precondition
| | 0 … * | | C-CDA The following entryRelationship is used to indicate a criterion for administration can be used to record that the medication is to be administered only when the associated criteria are met.
IPS Not explicitly specified
Contains 2.16.840.1.113883.10.20.22.4.25 Precondition for Substance Administration (V2) (2014‑06‑09) | ImmuCcda |
@typeCode
| cs | 1 … 1 | F | PRCN |
| SHALL contain exactly one [1..1] @typeCode="PRCN" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8870). |