Template 2.16.840.1.113883.10.20.22.4.52 Immunization Activity

2012‑01‑12

Template 2.16.840.1.113883.10.20.22.4.52 - ImmunizationActivity
Id 2.16.840.1.113883.10.20.22.4.52
Classification cdaentrylevel
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.52
Label conf‑787
Version valid from 2012‑01‑12 status draft
Description An Immunization Activity describes immunization substance administrations that have actually occurred or are intended to occur. Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. Immunization Activities in "EVN" mood reflect immunizations actually received.
An Immunization Activity is very similar to a Medication Activity with some key differentiators. The drug code system is constrained to CVX codes. Administration timing is less complex. Patient refusal reasons should be captured. All vaccines administered should be fully documented in the patient's permanent medical record. Healthcare providers who administer vaccines covered by the National Childhood Vaccine Injury Act are required to ensure that the permanent medical record of the recipient indicates:

1) Date of administration
2) Vaccine manufacturer
3) Vaccine lot number
4) Name and title of the person who administered the vaccine and the address of the clinic or facility where the permanent record will reside
5) Vaccine information statement (VIS)
a. date printed on the VIS
b. date VIS given to patient or parent/guardian.

This information should be included in an Immunization Activity when available.
Used in 2 templates:

Id Name as of
2.16.840.1.113883.10.20.22.2.2 ImmunizationsSectionentriesoptional  Immunizations Section (entries optional) 2012‑01‑12
link11 Dependency: 2.16.840.1.113883.10.20.22.1.4 ConsultationNote  Consultation Note 2012‑01‑12
2.16.840.1.113883.10.20.22.2.2.1 ImmunizationsSectionentriesrequired  Immunizations Section (entries required) 2012‑01‑12
Item DT Card Conf Desc Label
cda:substanceAdministration
conf-787
treetree @classCode
1..1 F SBADM
treetree @moodCode
1..1
CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 flexibility dynamic
treetree @negationInd
1..1
treetree cda:templateId
II 1..1 M conf‑8828
treeblank treetree @root
1..1 F 2.16.840.1.113883.10.20.22.4.52
treetree cda:id
II 1..* M conf‑8829
treetree cda:code
CE 0..1 O conf‑8830
treetree cda:text
ED 0..1 R conf‑8831
treeblank treetree cda:reference/@value
0..1 R conf‑8832
Schematron assert Role red error
Test starts-with(@value,'#')
Message
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1
treetree cda:statusCode
CS 1..1 M conf‑8833
treetree cda:effectiveTime
IVL_TS 1..1 M conf‑8834
treetree cda:repeatNumber
IVL_INT 0..1 O In "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a dispense act means that the current dispensation is the 3rd. A repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series. conf‑8838
treetree cda:routeCode
CE 0..1 O conf‑8839
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.7 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.3.88.12.3221.8.7"
treetree cda:approachSiteCode
SET_CD 0..1 O conf‑8840
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.3.88.12.3221.8.9"
treetree cda:doseQuantity
IVL_PQ 0..1 R conf‑8841
treeblank treetree @unit
0..1
CONF
The value of @unit shall be drawn from value set 2.16.840.1.113883.1.11.12839 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.1.11.12839"
treetree cda:administrationUnitCode
CE 0..1 O conf‑8846
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.11 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.3.88.12.3221.8.11"
treetree cda:consumable
1..1 M conf‑8847
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.54 with overridden cardinality 1 .. 1 mandatory
treetree cda:performer
0..1 R conf‑8849
treetree cda:participant
0..* O conf‑8850
treeblank treetree @typeCode
1..1 F CSM
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.24 with overridden cardinality 0 .. *
treetree cda:entryRelationship
0..* O conf‑8853
treeblank treetree @typeCode
1..1 F RSON
Contains an element with template id 2.16.840.1.113883.10.20.22.4.19 with overridden cardinality 0 .. *
treetree cda:entryRelationship
0..1 O conf‑8856
treeblank treetree @typeCode
1..1 F SUBJ
treeblank treetree @inversionInd
1..1
treeblank treetree @value
1..1 F true
Contains an element with template id 2.16.840.1.113883.10.20.22.4.20 with overridden cardinality 0 .. 1
treetree cda:entryRelationship
0..1 O conf‑8860
treeblank treetree @typeCode
1..1 F REFR
Contains an element with template id 2.16.840.1.113883.10.20.22.4.17 with overridden cardinality 0 .. 1
treetree cda:entryRelationship
0..1 O conf‑8863
treeblank treetree @typeCode
1..1 F REFR
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.18 with overridden cardinality 0 .. 1
treetree cda:entryRelationship
0..1 O conf‑8866
treeblank treetree @typeCode
1..1 F CAUS
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.9 with overridden cardinality 0 .. 1
treetree cda:precondition
0..* O conf‑8869
treeblank treetree @typeCode
1..1 F PRCN
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.25 with overridden cardinality 0 .. *
treetree cda:entryRelationship
0..1 O conf‑8988
treeblank treetree @typeCode
1..1 F RSON
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.53 with overridden cardinality 0 .. 1