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Template
IPS Immunization
Id
2.16.840.1.113883.10.22.4.15
Effective Date
valid from 2017‑03‑08
Status
Draft
Version Label
Name
IPSImmunization
Display Name
IPS Immunization
Context
Parent nodes of template element with id 2.16.840.1.113883.10.22.4.15
Classification
CDA Entry Level Template
Open/Closed
Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 2 templates
Used by
as
Name
Version
2.16.840.1.113883.10.22.3.5
Containment
IPS Immunizations Section
2017‑04‑05
2.16.840.1.113883.10.22.1.1
International Patient Summary
2017‑04‑11
Uses
as
Name
Version
2.16.840.1.113883.10.22.4.16
Containment
IPS Immunization Medication Information
DYNAMIC
2.16.840.1.113883.10.12.318
Containment
CDA Author (Body)
DYNAMIC
Relationship
Specialization: template 2.16.840.1.113883.10.12.308 (
2005‑09‑07
)
Adaptation: template 2.16.840.1.113883.10.20.22.4.52 (
2015‑08‑01
)
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
>
Expand All
Collapse All
Item
DT
Card
Conf
Description
Label
hl7:substanceAdministration
(IPS…ion)
@classCode
cs
1 … 1
F
SBADM
@moodCode
cs
1 … 1
F
EVN
hl7:templateId
II
1 … 1
M
(IPS…ion)
@root
uid
1 … 1
F
2.16.840.1.113883.10.22.4.15
hl7:id
II
0 … *
(IPS…ion)
hl7:code
CV
1 … 1
M
(IPS…ion)
CONF
The value of @code shall be drawn from value set
2.16.840.1.113883.1.11.19709
ActSubstanceAdministrationImmunizationCode
(DYNAMIC)
hl7:statusCode
CS
1 … 1
M
(IPS…ion)
@code
CONF
1 … 1
F
completed
hl7:effectiveTime
TS
1 … 1
(IPS…ion)
Example
<
effectiveTime
value
="
20170322
"
/
>
hl7:consumable
1 … 1
M
Contains
2.16.840.1.113883.10.22.4.16
IPS Immunization Medication Information
(DYNAMIC)
(IPS…ion)
where
[hl7:manufacturedProduct [hl7:templateId [@root='2.16.840.1.113883.10.22.4.16']]]
hl7:author
0 … *
R
Contains
2.16.840.1.113883.10.12.318
CDA Author (Body)
(DYNAMIC)
(IPS…ion)