Id2.16.840.1.113883.3.1937.99.60.7.10.1.1Effective Date2013‑10‑10
Statusdraft DraftVersion Label
NameMinimalCDAVaccdocumentDisplay NameMinimal CDA vaccination document
Description
A minimal CDA Release 2 document, that contains only a few attributes and relationships for the ClinicalDocument class:
  • typeId: fixed
  • id: unique id of the document instance
  • code: type of document
  • effectiveTime: creation date of the document
  • confidentialityCode: confidentiality level indication for this document
  • recordTarget: the record target (e.g. patient)
  • author: author of this document
  • custodian: custodian for this document
  • component: contains (in this case) structured body
ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 11 concepts
IdNameData Set
vacc-dataelement-20draft National Patient Identifier draft Vaccination Certificates Document
vacc-dataelement-1draft Holder (Person) draft Vaccination Certificates Document
vacc-dataelement-10draft Name draft Vaccination Certificates Document
vacc-dataelement-30draft Date of birth draft Vaccination Certificates Document
vacc-dataelement-40draft Gender draft Vaccination Certificates Document
vacc-dataelement-11draft Family name draft Vaccination Certificates Document
vacc-dataelement-12draft Given name draft Vaccination Certificates Document
vacc-dataelement-110draft Name draft Vaccination Certificates Document
vacc-dataelement-111draft Family name draft Vaccination Certificates Document
vacc-dataelement-112draft Given name draft Vaccination Certificates Document
vacc-dataelement-2draft Performing physicians draft Vaccination Certificates Document
Used by / Uses
Used by 1 transaction and 0 templates, Uses 9 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.60.7.4.2Transactiondraft Create a Vaccination Certificates Document2013‑10‑10
Uses as NameVersion
2.16.840.1.113883.3.1937.99.60.7.10.2.1Includedraft CDA recordTargetDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.2.2Includedraft CDA authorDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.2.3Includedraft CDA custodianDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.3.1Containmentdraft Immunization SectionDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.9.1Includeactive CDA realmCodeDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.9.2Includeactive CDA typeIdDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.9.3Includeactive CDA IdDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.9.4Includeactive CDA effectiveTimeDYNAMIC
2.16.840.1.113883.3.1937.99.60.7.10.9.5Includedraft CDA confidentialityCodeDYNAMIC
Example
Example
<ClinicalDocument>
  <!-- CDA Header -->
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.1.1"/>  <id extension="123456789" root="2.16.840.1.113883.3.1937.99.3.2.997788.1"/>  <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunization"/>  <effectiveTime value="20131020122709"/>  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>  <recordTarget>
    <!-- .. -->
  </recordTarget>  <author>
    <!-- .. -->
  </author>  <custodian>
    <!-- .. -->
  </custodian>  <!-- CDA Body -->
  <component>
    <structuredBody>
      <component>
        <!-- .. -->
      </component>    </structuredBody>  </component></ClinicalDocument>
ItemDTCardConfDescriptionLabel
hl7:ClinicalDocument
0 … *Minidotsment
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.9.1 CDA realmCode (DYNAMIC)
hl7:realmCode
CS1 … 1MCDArdotsCode
@code
cs1 … 1R
 CONF
@code shall be "DE"
or
@code shall be "US"
 Example<realmCode code="DE"/>
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.9.2 CDA typeId (DYNAMIC)
hl7:typeId
II1 … 1MCDAtypeId
@extension
st1 … 1FPOCD_HD000040
@root
uid1 … 1F2.16.840.1.113883.1.3
hl7:templateId
II1 … 1MCDA document template id for this kind of documentMinidotsment
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.60.7.10.1.1
 Example<templateId root="2.16.840.1.113883.3.1937.99.60.7.10.1.1"/>
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.9.3 CDA Id (DYNAMIC)
hl7:id
II1 … 1MCDAId
hl7:code
CE1 … 1MMinidotsment
@code
CONF1 … 1F11369-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
 Example<!-- document type -->
<code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunization"/>
hl7:title
ST0 … 1Minidotsment
 Example<title>Vaccination Certificates Document 2014-10-07</title>
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.9.4 CDA effectiveTime (DYNAMIC)
hl7:effectiveTime
TS.DATETIME.MIN1 … 1MCDAedotsTime
Included0 … 1R from 2.16.840.1.113883.3.1937.99.60.7.10.9.5 CDA confidentialityCode (DYNAMIC)
hl7:confidentialityCode
CE0 … 1M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAcdotsCode
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.2.1 CDA recordTarget (DYNAMIC)
hl7:recordTarget
1 … 1MCDArdotsrget
 
target
vacc-dataelement-1draft Holder (Person) draft Vaccination Certificates Document
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
hl7:patientRole
1 … 1CDArdotsrget
@classCode
cs0 … 1FPAT
Included1 … 1R from 2.16.840.1.113883.3.1937.99.60.7.10.9.8 National Patient Identifier (DYNAMIC)
hl7:id
II.NL.BSN1 … 1RNatidotsfier
 
target
vacc-dataelement-20draft National Patient Identifier draft Vaccination Certificates Document
@root
uid1 … 1F2.16.840.1.113883.2.4.6.3
@extension
st1 … 1RBurgerservicenummer (National Patient Identifier)
hl7:patient
1 … 1RCDArdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Example<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19620219"/></patient>
hl7:name
PN1 … *RCDArdotsrget
 
target
vacc-dataelement-10draft Name draft Vaccination Certificates Document
hl7:administrativeGenderCode
CE1 … 1RCDArdotsrget
 
target
vacc-dataelement-40draft Gender draft Vaccination Certificates Document
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
hl7:birthTime
TS1 … 1RCDArdotsrget
 
target
vacc-dataelement-30draft Date of birth draft Vaccination Certificates Document
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.2.2 CDA author (DYNAMIC)
hl7:author
1 … 1MCDAauthor
 
target
vacc-dataelement-2draft Performing physicians draft Vaccination Certificates Document
@typeCode
cs0 … 1FAUT
hl7:time
TS.DATE.MIN1 … 1MCDAauthor
hl7:assignedAuthor
1 … 1MCDAauthor
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … 1RCDAauthor
hl7:assignedPerson
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.60.7.10.9.6 CDA Person Elements (DYNAMIC)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … 1MCDAPdotsents
 
target
vacc-dataelement-10draft Name draft Vaccination Certificates Document
vacc-dataelement-110draft Name draft Vaccination Certificates Document
hl7:family
ST1 … 1MCDAPdotsents
 
target
vacc-dataelement-11draft Family name draft Vaccination Certificates Document
vacc-dataelement-111draft Family name draft Vaccination Certificates Document
hl7:given
ST1 … 1MCDAPdotsents
 
target
vacc-dataelement-12draft Given name draft Vaccination Certificates Document
vacc-dataelement-112draft Given name draft Vaccination Certificates Document
hl7:representedOrganization
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.60.7.10.9.7 CDA Organization Elements (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotsents
hl7:name
ON1 … 1MCDAOdotsents
hl7:telecom
TEL0 … *CDAOdotsents
hl7:addr
AD0 … 1CDAOdotsents
Included1 … 1M from 2.16.840.1.113883.3.1937.99.60.7.10.2.3 CDA custodian (DYNAMIC)
hl7:custodian
1 … 1MCDAcdotsdian
@typeCode
cs0 … 1FCST
hl7:assignedCustodian
1 … 1MCDAcdotsdian
@classCode
cs0 … 1FASSIGNED
hl7:representedCustodianOrganization
0 … 1CDAcdotsdian
Included from 2.16.840.1.113883.3.1937.99.60.7.10.9.7 CDA Organization Elements (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotsents
hl7:name
ON1 … 1MCDAOdotsents
hl7:telecom
TEL0 … *CDAOdotsents
hl7:addr
AD0 … 1CDAOdotsents
hl7:component
0 … *Minidotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
 Example<!-- now for the study results: CDA body -->
<component typeCode="COMP" contextConductionInd="true">
  <!-- ... -->
</component>
hl7:structuredBody
0 … *Minidotsment
@classCode
cs0 … 1FDOCBODY
@moodCode
cs0 … 1FEVN
 Example<structuredBody classCode="DOCBODY" moodCode="EVN">
  <!-- ... -->
</structuredBody>
hl7:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.60.7.10.3.1 Immunization Section (DYNAMIC)Minidotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue