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ref Template  IPS Immunization Medication Information

Id 2.16.840.1.113883.10.22.4.16 Effective Date valid from 2017‑03‑08
Status draft Draft Version Label
Name IPSImmunizationMedicationInformation Display Name IPS Immunization Medication Information
Description
The Immunization Medication Information represents product information about the immunization substance. The vaccine manufacturer and vaccine lot number are typically recorded in the medical record and should be included if known.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.16
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.10.22.4.15 Containment draft IPS Immunization 2017‑03‑08
2.16.840.1.113883.10.22.3.5 link draft IPS Immunizations Section 2017‑04‑05
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2017‑04‑11
Relationship Specialization: template 2.16.840.1.113883.10.12.312 (2005‑09‑07)
Adaptation: template 2.16.840.1.113883.10.20.22.4.54 (2014‑06‑09)
Example
No previous immunisations
<manufacturedProduct classCode="MANU">
  <templateId root="2.16.840.1.113883.10.22.4.16"/>  <manufacturedMaterial>
    <code code="401179006" displayName="No previous immunisations" codeSystem="2.16.840.1.113883.6.96"/>  </manufacturedMaterial>  <manufacturerOrganization/></manufacturedProduct>
Example
MMR Vaccine
<manufacturedProduct classCode="MANU">
  <templateId root="2.16.840.1.113883.10.22.4.16"/>  <manufacturedMaterial>
    <code code="61153008" displayName="Measles + Mumps + Rubella vaccine" codeSystem="2.16.840.1.113883.6.96"/>    <lotNumberText/>  </manufacturedMaterial>  <manufacturerOrganization/></manufacturedProduct>
Item DT Card Conf Description Label
hl7:manufacturedProduct
 (IPS…ion)
@classCode
 cs 1 … 1 F MANU
hl7:templateId
 II 1 … 1 M (IPS…ion)
@root
 uid 1 … 1 F 2.16.840.1.113883.10.22.4.16
hl7:manufacturedMaterial
 1 … 1 M (IPS…ion)
hl7:code
 CD.IPS 1 … 1 R (IPS…ion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.43 Absent or Unknown Immunization (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.44 IPS Vaccines (DYNAMIC)
hl7:translation
 CE 0 … * (IPS…ion)
  CONF
shall be drawn from concept domain "Product Code"
hl7:lotNumberText
 0 … 1 (IPS…ion)
hl7:manufacturerOrganization
 0 … 1 R (IPS…ion)