Id2.16.840.1.113883.3.4424.13.10.4.42Effective Date2015‑08‑15
Statusdraft DraftVersion Label1.0.2
NameplCdaVaccineAdministrationEntryDisplay Name[4] Podanie szczepionki
DescriptionSzablon CDA dla informacji o podaniu szczepionki
ContextParent nodes of template element with id 2.16.840.1.113883.3.4424.13.10.4.42
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.3.4424.13.10.2.2Containmentactive [2] Organizacja (bazowy)DYNAMIC
2.16.840.1.113883.3.4424.13.10.4.17Containmentactive [4] Dane wykonawcy związane z fragmentem treści dokumentu (0.9.10)DYNAMIC
Example
Example
<substanceAdministration classCode="SBADM" moodCode="EVN">
  <templateId root="2.16.840.1.113883.3.4424.13.10.4.42"/>  <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" displayName="Immunization"/>  <text>
    <reference value="#SBADM_1"/>  </text>  <effectiveTime value="201509071125"/>  <routeCode code="IMD" codeSystem="2.16.840.1.113883.5.112" displayName="Injection, intramuscular, deep"/>  <consumable>
    <manufacturedProduct>
      <manufacturedMaterial>
        <code code="1234" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Boostrix 0,5 ml (1 dawka) zawiesina do wstrzykiwań"/>        <lotNumberText>123456789</lotNumberText>      </manufacturedMaterial>    </manufacturedProduct>  </consumable>  <performer typeCode="PRF">
    <templateId root="2.16.840.1.113883.3.4424.13.10.4.17"/>    <assignedEntity>
      <templateId root="2.16.840.1.113883.3.4424.13.10.2.49"/>      <id extension="7724514" root="2.16.840.1.113883.3.4424.1.6.2" displayable="true"/>      <code code="PIEL" codeSystem="2.16.840.1.113883.3.4424.11.3.18" displayName="Pielęgniarka"/>      <assignedPerson>
        <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/>        <name>
          <given>Anna</given>          <family>Nowak</family>        </name>      </assignedPerson>    </assignedEntity>  </performer></substanceAdministration>
ItemDTCardConfDescriptionLabel
hl7:substanceAdministration
1 … 1MplCddotsntry
@classCode
cs0 … 1FSBADM
@moodCode
cs0 … 1FEVN
hl7:templateId
II1 … 1MplCddotsntry
@root
uid1 … 1F2.16.840.1.113883.3.4424.13.10.4.42
hl7:id
II0 … *plCddotsntry
hl7:code
CD1 … 1MplCddotsntry
@code
CONF1 … 1FIMMUNIZ
@codeSystem
1 … 1F2.16.840.1.113883.5.4
@displayName
1 … 1FImmunization
hl7:negationInd
0 … 1plCddotsntry
hl7:text
ED1 … 1MplCddotsntry
hl7:reference
TEL1 … 1MplCddotsntry
@value
st1 … 1R
 Schematron assertrolered error 
 testancestor::hl7:section//*[@ID=substring(current()/@value,2)] 
 Message Referencja musi wskazywać na konkretny element tekstu sekcji o danym ID  
hl7:effectiveTime
TS1 … 1RplCddotsntry
hl7:routeCode
1 … 1RplCddotsntry
hl7:doseQuantity
IVL_PQ0 … 1plCddotsntry
hl7:consumable
1 … 1MplCddotsntry
@typeCode
cs0 … 1FCSM
hl7:manufacturedProduct
1 … 1MplCddotsntry
@classCode
cs0 … 1FMANU
hl7:id
II0 … *plCddotsntry
hl7:manufacturedMaterial
1 … 1MplCddotsntry
@classCode
cs0 … 1FMMAT
@determinerCode
cs0 … 1FKIND
hl7:code
CE1 … 1MplCddotsntry
@displayName
st1 … 1R
@codeSystem
CONF1 … 1F2.16.840.1.113883.3.4424.6.1
hl7:lotNumberText
ST0 … 1plCddotsntry
hl7:manufacturerOrganization
0 … 1Contains 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMIC)plCddotsntry
hl7:performer
1 … 1RContains 2.16.840.1.113883.3.4424.13.10.4.17 [4] Dane wykonawcy związane z fragmentem treści dokumentu (DYNAMIC)plCddotsntry