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pending Template  Immunization Activity

Template 2.16.840.1.113883.10.20.22.4.52 - ImmunizationActivity
Id 2.16.840.1.113883.10.20.22.4.52
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.52
Open/Closed Open (other than defined elements are allowed)
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 by / Uses
Used by / Uses 15 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.2.2 Containment ImmunizationsSectionentriesoptional Immunizations Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.3 link HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 link ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.2.2.1 Containment ImmunizationsSectionentriesrequired Immunizations Section (entries required) 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.54 Containment ImmunizationMedicationInformation DYNAMIC
2.16.840.1.113883.10.20.22.4.24 Containment DrugVehicle DYNAMIC
2.16.840.1.113883.10.20.22.4.19 Containment Indication DYNAMIC
2.16.840.1.113883.10.20.22.4.20 Containment Instructions DYNAMIC
2.16.840.1.113883.10.20.22.4.17 Containment MedicationSupplyOrder DYNAMIC
2.16.840.1.113883.10.20.22.4.18 Containment MedicationDispense DYNAMIC
2.16.840.1.113883.10.20.22.4.9 Containment ReactionObservation DYNAMIC
2.16.840.1.113883.10.20.22.4.53 Containment ImmunizationRefusalReason DYNAMIC
2.16.840.1.113883.10.20.22.4.25 Containment PreconditionforSubstanceAdministration DYNAMIC
Item DT Card Conf Description Label
cda:substanceAdministration
(ImmunizationActivity)
treetree @classCode
1 .. 1 F SBADM
treetree @moodCode
1 .. 1 R
  CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 MoodCodeEvnInt (DYNAMIC)
treetree @negationInd
1 .. 1 R
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:8828) such that it conf‑8828
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.52
treetree cda:id
1 .. * M SHALL contain at least one [1..*] id (CONF:8829). conf‑8829
treetree cda:code
0 .. 1 MAY contain zero or one [0..1] code (CONF:8830). conf‑8830
treetree cda:text
0 .. 1 R SHOULD contain zero or one [0..1] text (CONF:8831). conf‑8831
treeblank treetree cda:reference
0 .. 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15543).

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
conf‑15543
treeblank treeblank treetree @value
0 .. 1  
  Schematron assert role red error
  test count(cda:text/cda:reference[@value])=0 or starts-with(cda:text/cda:reference/@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
1 .. 1 M SHALL contain exactly one [1..1] statusCode (CONF:8833). conf‑8833
treetree cda:effectiveTime
1 .. 1 M SHALL contain exactly one [1..1] effectiveTime (CONF:8834). conf‑8834
treetree cda:repeatNumber
0 .. 1 MAY contain zero or one [0..1] repeatNumber (CONF:8838). conf‑8838
treetree cda:routeCode
0 .. 1 MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA 2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:8839). conf‑8839
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.7 Medication Route FDA (DYNAMIC)
treetree cda:approachSiteCode
CD 0 .. 1 MAY contain zero or one [0..1] approachSiteCode, where the code SHALL be selected from ValueSet Body Site 2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:8840). conf‑8840
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)
treetree cda:doseQuantity
0 .. 1 R SHOULD contain zero or one [0..1] doseQuantity (CONF:8841). 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 UnitsOfMeasureCaseSensitive (DYNAMIC)
treetree cda:administrationUnitCode
0 .. 1 MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet Medication Product Form Value Set 2.16.840.1.113883.3.88.12.3221.8.11 DYNAMIC (CONF:8846). conf‑8846
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.11 Medication Product Form (DYNAMIC)
treetree cda:consumable
where
[cda:manufacturedProduct [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.54']]
1 .. 1 M conf‑8847
  Contains 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (DYNAMIC)
treetree cda:performer
0 .. 1 R SHOULD contain zero or one [0..1] performer (CONF:8849). conf‑8849
treetree cda:participant
where
[cda:participantRole [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.24']]
0 .. * conf‑8850
treeblank treetree @typeCode
1 .. 1 F CSM
  Contains 2.16.840.1.113883.10.20.22.4.24 Drug Vehicle (DYNAMIC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.19']]
0 .. * conf‑8853
treeblank treetree @typeCode
1 .. 1 F RSON
  Contains 2.16.840.1.113883.10.20.22.4.19 Indication (DYNAMIC)
treetree cda:entryRelationship
where
[cda:act [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.20']]
0 .. 1 conf‑8856
treeblank treetree @typeCode
1 .. 1 F SUBJ
treeblank treetree @inversionInd
1 .. 1 F true
  Contains 2.16.840.1.113883.10.20.22.4.20 Instructions (DYNAMIC)
treetree cda:entryRelationship
where
[cda:supply [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.17']]
0 .. 1 conf‑8860
treeblank treetree @typeCode
1 .. 1 F REFR
  Contains 2.16.840.1.113883.10.20.22.4.17 Medication Supply Order (DYNAMIC)
treetree cda:entryRelationship
where
[cda:supply [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.18']]
0 .. 1 conf‑8863
treeblank treetree @typeCode
1 .. 1 F REFR
  Contains 2.16.840.1.113883.10.20.22.4.18 Medication Dispense (DYNAMIC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.9']]
0 .. 1 conf‑8866
treeblank treetree @typeCode
1 .. 1 F CAUS
  Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (DYNAMIC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.53']]
0 .. 1 conf‑8988
treeblank treetree @typeCode
1 .. 1 F RSON
  Contains 2.16.840.1.113883.10.20.22.4.53 Immunization Refusal Reason (DYNAMIC)
treetree cda:precondition
where
[cda:criterion [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.25']]
0 .. * conf‑8869
treeblank treetree @typeCode
1 .. 1 F PRCN
  Contains 2.16.840.1.113883.10.20.22.4.25 Precondition for Substance Administration (DYNAMIC)