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Template Immunization section 2007‑04‑01

Id2.16.840.1.113883.10.20.1.6Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameImmunizationSectionDisplay NameImmunization section
Description

3.11 Immunizations

The template identifier for the immunizations section is 2.16.840.1.113883.10.20.1.6.

The Immunizations section defines a patient’s current immunization status and pertinent immunization history. The primary use case for the Immunization section is to enable communication of a patient’s immunization status. The section should include current immunization status, and may contain the entire immunization history that is relevant to the period of time being summarized.

CONF-376: CCDSHOULD contain exactly one and SHALL NOT contain more than one Immunizations section (templateId 2.16.840.1.113883.10.20.1.6). The Immunizations section SHALL contain a narrative block, and SHOULD contain clinical statements. Clinical statements SHOULD include one or more medication activities (templateId 2.16.840.1.113883.10.20.1.24) and/or supply activities (templateId 2.16.840.1.113883.10.20.1.34).

3.11.1 Section conformance

This section is optional, however it is strongly recommended that it be present in cases of pediatric care and in other cases when such information is available.

CONF-377: The immunizations section SHALL contain Section / code.
CONF-378: The value for “Section / code” SHALL be “11369-6” “History of immunizations” 2.16.840.1.113883.6.1 LOINC STATIC.
CONF-379: The immunizations section SHALL contain Section / title.
CONF-380: Section / titleSHOULD be valued with a case-insensitive language-insensitive text string containing “immunization”.

3.11.2 Clinical statement conformance

The ASTM CCR defines Immunizations using the same data objects and constraints as for Medications. See section 3.9 Medications for details.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.6
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.1Containmentpending CCD v1.0 Templates Root2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.10.20.1.24Includepending Medication activityDYNAMIC
2.16.840.1.113883.10.20.1.34Includepending Supply activityDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
ItemDTCardConfDescriptionLabel
hl7:section
Immudotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.20215 ActClassDocumentSection (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20267 ActMoodEventOccurrence (DYNAMIC)
hl7:templateId
II1 … 1Immudotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.6
hl7:id
II0 … 1Immudotstion
hl7:code
CE1 … 1MCONF‑377 / CONF‑378
@code
CONF1 … 1F11369-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:title
ST1 … 1MCONF‑379 / CONF‑380
 Schematron assertrolered error 
 testcontains(lower-case(.),'immunization') 
 MessageCONF-380: Section / title SHOULD be valued with a case-insensitive language-insensitive text string containing “immunization”. 
hl7:text
SD.TEXT1 … 1MCONF‑376
hl7:confidentialityCode
CE0 … 1Immudotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
CS0 … 1Immudotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Immudotstion
hl7:entry
1 … *CONF‑376
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl0 … 1 
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.24 Medication activity (DYNAMIC)
hl7:substanceAdministration
CONF‑304
@classCode
cs1 … 1FSBADM
@moodCode
cs1 … 1RCONF‑305
 CONF
@moodCode shall be "EVN"
or
@moodCode shall be "INT"
@negationInd
bl0 … 1 
 Schematron assertrolered error 
 testhl7:doseQuantity or hl7:rateQuantity 
 MessageCONF-311: A medication activity SHOULD contain exactly one SubstanceAdministration / doseQuantity or SubstanceAdministration / rateQuantity. 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-315: A medication activity SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑304
@root
uid1 … 1F2.16.840.1.113883.10.20.1.24
hl7:id
II1 … *MCONF‑306
hl7:code
CD0 … 1CONF‑304
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
hl7:text
ED0 … 1CONF‑304
hl7:statusCode
CS1 … 1CONF‑307
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
1 … *CONF‑308
hl7:priorityCode
CE0 … 1CONF‑304
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑304
hl7:routeCode
CE1 … 1CONF‑309 / CONF‑310
 CONF
shall be drawn from concept domain "RouteOfAdministration"
hl7:approachSiteCode
CD0 … *CONF‑304
 CONF
shall be drawn from concept domain "ActSite"
hl7:doseQuantity
IVL_PQ0 … 1CONF‑311 / CONF‑361 / CONF‑362
hl7:rateQuantity
IVL_PQ0 … 1CONF‑312
hl7:maxDoseQuantity
RTO_PQ_PQ0 … 1CONF‑312
hl7:administrationUnitCode
CE0 … 1CONF‑304
 CONF
shall be drawn from concept domain "AdministrableDrugForm"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑304
hl7:consumable
1 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.7 CCD ManufacturedProduct (DYNAMIC)CONF‑354
@typeCode
cs0 … 1FCSM
hl7:performer
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.15 CCD Performer (Body) (DYNAMIC)CONF‑313
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑315
hl7:participant
0 … *Contains 2.16.840.1.113883.10.20.1.52 Product instance (DYNAMIC)CONF‑368
@typeCode
cs1 … 1FDEVCONF‑448
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑368
hl7:awarenessCode
CE0 … 1CONF‑368
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:entryRelationship
0 … *CONF‑328
where [@typeCode='RSON']
@typeCode
cs1 … 1FRSONCONF‑328
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑328
hl7:seperatableInd
BL0 … 1CONF‑328
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.27 Problem act (DYNAMIC)
hl7:act
ProbdotsmAct
@classCode
cs1 … 1FACTCONF‑146
@moodCode
cs1 … 1FEVNCONF‑147
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1ProbdotsmAct
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:id
II1 … *MCONF‑148
hl7:code
CD1 … 1RCONF‑149
@nullFlavor
cs1 … 1FNA
hl7:text
ED0 … 1ProbdotsmAct
hl7:statusCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1CONF‑150
hl7:priorityCode
CE0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)ProbdotsmAct
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
Choice1 … *Elements to choose from:
hl7:entryRelationship
CONF‑151
@typeCode
cs1 … 1FSUBJCONF‑152
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑151
hl7:seperatableInd
BL0 … 1CONF‑151
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
hl7:observation
Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑155
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-161: A problem observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertrolered error 
 test(not(hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) or ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) and (not(ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) or hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) 
 MessageCONF-136: A problem observation in the functional status section SHALL contain exactly one status of functional status observation. 
hl7:templateId
II1 … 1Probdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II0 … *Probdotstion
hl7:code
CD1 … 1R

CONF-129: The value for “Observation / code” in a problem observation or result observation in the functional status section MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.6 FunctionalStatusTypeCode STATIC 20061017.
CONF-159: The value for “Observation / code” in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.

CONF‑128
hl7:derivationExpr
ST0 … 1Probdotstion
hl7:text
ED0 … 1Probdotstion
hl7:statusCode
CS1 … 1MCONF‑156 / CONF‑157
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RProbdotstion
hl7:priorityCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1Probdotstion
hl7:languageCode
CS0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Probdotstion
hl7:interpretationCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Probdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Probdotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑161
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.44 Status of functional status observation (DYNAMIC)CONF‑136
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑160
@typeCode
cs1 … 1FSUBJCONF‑160
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑160
hl7:seperatableInd
BL0 … 1CONF‑160
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑162
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑162
hl7:seperatableInd
BL0 … 1CONF‑162
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)CONF‑165
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑165
hl7:seperatableInd
BL0 … 1CONF‑165
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑161
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑161
hl7:seperatableInd
BL0 … 1CONF‑161
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑161
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Probdotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1Probdotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Probdotstion
hl7:value
0 … 1Probdotstion
hl7:interpretationCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.18 Alert observation (DYNAMIC)
hl7:observation
CONF‑262
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑263
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-269: A alert observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑262
@root
uid1 … 1F2.16.840.1.113883.10.20.1.18
hl7:id
II0 … *CONF‑262
hl7:code
CD1 … 1RCONF‑262
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑262
hl7:text
ED0 … 1CONF‑262
hl7:statusCode
CS1 … 1MCONF‑264 / CONF‑265
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑266
hl7:priorityCode
CE0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑262
hl7:languageCode
CS0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … 1CONF‑267 / CONF‑268
hl7:interpretationCode
CE0 … *CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑262
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑262
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑269
hl7:participant
1 … *CONF‑273
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑273
hl7:awarenessCode
CE0 … 1CONF‑273
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1CONF‑274
@classCode
cs1 … 1FMANUCONF‑276
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *CONF‑274
hl7:telecom
TEL0 … *CONF‑274
hl7:playingEntity
1 … 1CONF‑274
@classCode
cs1 … 1FMMATCONF‑277
@determinerCode
cs0 … 1FINSTANCE
hl7:code
CE1 … 1CONF‑278 / CONF‑279
 CONF
@codeSystem shall be "2.16.840.1.113883.6.88"
or
@codeSystem shall be "2.16.840.1.113883.6.59"
hl7:quantity
PQ0 … *CONF‑274
hl7:name
PN0 … *CONF‑274
hl7:desc
ED0 … 1CONF‑274
hl7:scopingEntity
0 … 1CONF‑274
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10882 EntityClass (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "EntityCode"
hl7:desc
ED0 … 1CONF‑274
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.39 Alert status observation (DYNAMIC)CONF‑270
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑270
hl7:seperatableInd
BL0 … 1CONF‑270
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.54 Reaction observation (DYNAMIC)CONF‑280
@typeCode
cs1 … 1FMFSTCONF‑281
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑280
hl7:seperatableInd
BL0 … 1CONF‑280
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑269
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑269
hl7:seperatableInd
BL0 … 1CONF‑269
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑269
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑262
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑262
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑262
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑262
hl7:value
0 … 1CONF‑262
hl7:interpretationCode
CE0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:entryRelationship
 … 1Contains 2.16.840.1.113883.10.20.1.41 Episode observation (DYNAMIC)CONF‑168
@typeCode
cs1 … 1FSUBJCONF‑176
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 CONF‑176
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑168
hl7:seperatableInd
BL0 … 1CONF‑168
hl7:entryRelationship
Contains 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)CONF‑151
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑151
hl7:seperatableInd
BL0 … 1CONF‑151
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
Included from 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
hl7:observation
Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑155
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-161: A problem observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertrolered error 
 test(not(hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) or ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) and (not(ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) or hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) 
 MessageCONF-136: A problem observation in the functional status section SHALL contain exactly one status of functional status observation. 
hl7:templateId
II1 … 1Probdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II0 … *Probdotstion
hl7:code
CD1 … 1R

CONF-129: The value for “Observation / code” in a problem observation or result observation in the functional status section MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.6 FunctionalStatusTypeCode STATIC 20061017.
CONF-159: The value for “Observation / code” in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.

CONF‑128
hl7:derivationExpr
ST0 … 1Probdotstion
hl7:text
ED0 … 1Probdotstion
hl7:statusCode
CS1 … 1MCONF‑156 / CONF‑157
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RProbdotstion
hl7:priorityCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1Probdotstion
hl7:languageCode
CS0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Probdotstion
hl7:interpretationCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Probdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Probdotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑161
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.44 Status of functional status observation (DYNAMIC)CONF‑136
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑160
@typeCode
cs1 … 1FSUBJCONF‑160
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑160
hl7:seperatableInd
BL0 … 1CONF‑160
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑162
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑162
hl7:seperatableInd
BL0 … 1CONF‑162
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)CONF‑165
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑165
hl7:seperatableInd
BL0 … 1CONF‑165
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑161
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑161
hl7:seperatableInd
BL0 … 1CONF‑161
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑161
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Probdotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1Probdotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Probdotstion
hl7:value
0 … 1Probdotstion
hl7:interpretationCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)
Choice1 … 1Elements to choose from:
  • hl7:act
  • hl7:encounter
  • hl7:observation
  • hl7:observationMedia
  • hl7:organizer
  • hl7:procedure
  • hl7:regionOfInterest
  • hl7:substanceAdministration
  • hl7:supply
hl7:act
CCDCdotsment
hl7:encounter
CCDCdotsment
hl7:observation
CCDCdotsment
hl7:observationMedia
CCDCdotsment
hl7:organizer
CCDCdotsment
hl7:procedure
CCDCdotsment
hl7:regionOfInterest
CCDCdotsment
hl7:substanceAdministration
CCDCdotsment
hl7:supply
CCDCdotsment
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.49 Patient instructions (DYNAMIC)CONF‑330
@typeCode
cs1 … 1FSUBJCONF‑333
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑330
hl7:seperatableInd
BL0 … 1CONF‑330
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.46 Medication series number observation (DYNAMIC)CONF‑338
@typeCode
cs1 … 1FSUBJCONF‑339
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑338
hl7:seperatableInd
BL0 … 1CONF‑338
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.54 Reaction observation (DYNAMIC)CONF‑348
@typeCode
cs1 … 1FCAUSCONF‑349
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑348
hl7:seperatableInd
BL0 … 1CONF‑348
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.47 Medication status observation (DYNAMIC)CONF‑350
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑350
hl7:seperatableInd
BL0 … 1CONF‑350
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑315
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑315
hl7:seperatableInd
BL0 … 1CONF‑315
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑315
where [@typeCode='XCRPT']
hl7:precondition
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.21 CCD Precondition (DYNAMIC)CONF‑327
Included from 2.16.840.1.113883.10.20.1.34 Supply activity (DYNAMIC)
hl7:supply
CONF‑316
@classCode
cs1 … 1FSPLY
@moodCode
cs1 … 1RCONF‑317
 CONF
@moodCode shall be "EVN"
or
@moodCode shall be "INT"
 Schematron assertrolered error 
 testhl7:participant/hl7:participantRole/hl7:id/concat(@root,'#',@extension)=ancestor::hl7:structuredBody//(hl7:act|hl7:observation|hl7:procedure)/hl7:participant/hl7:participantRole/hl7:id/concat(@root,'#',@extension) 
 MessageCONF-370 / CONF-452: [Act | Observation | Procedure] / participant / participantRole / id SHOULD be set to equal a Supply / participant / participantRole / id (see section 3.9.2.4 Representation of a product) to indicate that the Procedure and the Supply are referring to the same product instance. 
hl7:templateId
II1 … 1CONF‑316
@root
uid1 … 1F2.16.840.1.113883.10.20.1.34
hl7:id
II1 … *CONF‑318
hl7:code
CD0 … 1CONF‑316
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑316
hl7:statusCode
CS1 … 1CONF‑319
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
1 … 1CONF‑320
hl7:priorityCode
CE0 … *CONF‑316
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑321
hl7:independentInd
BL0 … 1CONF‑316
hl7:quantity
PQ0 … 1CONF‑322
hl7:expectedUseTime
IVL_TS0 … 1CONF‑316
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑316
hl7:product
0 … 1RContains 2.16.840.1.113883.3.1937.777.4.10.7 CCD ManufacturedProduct (DYNAMIC)CONF‑355
@typeCode
cs0 … 1FPRD
hl7:performer
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.15 CCD Performer (Body) (DYNAMIC)CONF‑324
hl7:author
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.5 CCD Author (Body) (DYNAMIC)CONF‑323
hl7:participant
0 … 1CONF‑325
where [@typeCode='LOC']
@typeCode
cs1 … 1FLOC
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑325
hl7:awarenessCode
CE0 … 1CONF‑325
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1CONF‑325
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11555 RoleClass (DYNAMIC)
hl7:id
II0 … *CONF‑325
hl7:code
CE0 … 1CONF‑325
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *CONF‑325
hl7:telecom
TEL0 … *CONF‑325
Choice0 … 1Elements to choose from:
hl7:playingDevice
Contains 2.16.840.1.113883.3.1937.777.4.10.6 CCD Device (DYNAMIC)CONF‑325
hl7:playingEntity
Contains 2.16.840.1.113883.3.1937.777.4.10.10 CCD PlayingEntity (DYNAMIC)CONF‑325
hl7:scopingEntity
0 … 1CONF‑325
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10882 EntityClass (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CONF‑325
hl7:code
CE0 … 1CONF‑325
 CONF
shall be drawn from concept domain "EntityCode"
hl7:desc
ED0 … 1CONF‑325
hl7:participant
0 … *Contains 2.16.840.1.113883.10.20.1.52 Product instance (DYNAMIC)CONF‑369
@typeCode
cs1 … 1FDEVCONF‑448
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑369
hl7:awarenessCode
CE0 … 1CONF‑369
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.43 Fulfillment instructions (DYNAMIC)CONF‑334
where [@typeCode='SUBJ']
@typeCode
cs1 … 1FSUBJCONF‑337
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑334
hl7:seperatableInd
BL0 … 1CONF‑334
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.47 Medication status observation (DYNAMIC)CONF‑350
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑350
hl7:seperatableInd
BL0 … 1CONF‑350
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entry
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl0 … 1