Draft| Used by 0 transactions and 1 template, Uses 4 templates | ||||||||||||||||||||||||||||
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| Item | DT | Card | Conf | Description | Label | |||
|---|---|---|---|---|---|---|---|---|
| hl7:substanceAdministration | R | An immunization is a substance administration event. An immunization entry may be a record of why a specific immunization was not performed. In this case, negationInd shall be set to "true", otherwise, it shall be false. | Immu ntry | |||||
| @classCode | cs | 1 … 1 | F | SBADM | ||||
| @moodCode | cs | 1 … 1 | F | EVN | ||||
| @negationInd | bl | 1 … 1 | R | In the case the Immunization was not performed, negationInd shall be set to "true", otherwise, it shall be false. Details/comments can be provided in the appropriate entryRelationship with templateId 1.3.182.11.10.3.3 eHDSI Comment Entry. reasonNotGiven shall be present and contain a valid code if negationInd is set to "true"  1.3.182.11.10.3.3 eHDSI Comment Entry | ||||
| hl7:templateId | II | 1 … 1 | M | Immuntry | ||||
| @root | uid | 1 … 1 | F | 1.3.182.11.10.3.1 | ||||
| hl7:id | II.EPSOS | 1 … 1 | M | Unique identifier for the immunization event. | Immuntry | |||
| hl7:code | CE | 1 … 1 | M | Immuntry | ||||
| @code | CONF | 1 … 1 | F | IMMUNIZ | ||||
| @codeSystem | 1 … 1 | F | 1.3.5.1.4.1.19376.1.5.3.2 | |||||
| hl7:text | ED | 1 … 1 | M | The URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the immunization activity. | Immuntry | |||
| hl7:reference | TEL | 1 … 1 | M | Immuntry | ||||
| @value | st | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 | ||||
| hl7:statusCode | CS | 1 … 1 | M | Immuntry | ||||
| @code | CONF | 1 … 1 | F | completed | ||||
| hl7:effectiveTime | TS.DATE | 1 … * | R | The effectiveTime element shall be present and should contain a time value that indicates the date of the substance administration. If the exact date is not clear, fractions can be given like YYYYMM or YYYY only. Causes validation error: If the date is unknown, this shall be recorded using the nullFlavor attribute, with the reason that the information is unknown being specified. Otherwise, the date shall be recorded, and should have precision of at least the day. | Immuntry | |||
| @nullFlavor | cs | 0 … 1 | F | UNK | ||||
| hl7:effectiveTime | TS.DATE | 0 … * | This effectiveTime element shall be used to present end expiration date of the vaccine. This information together with the lotNumber and the id of the product should come from scanning the box of the vaccine. | Immuntry | ||||
| hl7:reasonNotGiven | CE | 0 … 1 | Coded Element to codify the reason why the vaccination has not been given. This is relevant only when negationInd = true. Details/comments can be provided in the appropriate entryRelationship with templateId 1.3.182.11.10.3.3 eHDSI Comment Entry | Immuntry | ||||
| hl7:routeCode | CE | 0 … 1 | R | The route via which the medication entered the body. This information is given with the Medication item/Vaccine product given. | Immuntry | |||
| hl7:approachSiteCode | CE | 0 … 1 | Body site at which the immunization has been given | Immuntry | ||||
| hl7:doseQuantity | IVL_PQ | 0 … 1 | R | The quantity of the dose information is given with the Medication item/Vaccine product. | Immuntry | |||
| hl7:administrationUnitCode | CE | 0 … 1 | Immuntry | |||||
| hl7:consumable | 1 … 1 | R | The <consumable> element shall be present, and shall contain a <manufacturedElement> element, conforming to the Product Entry Content Module template. | Immuntry | ||||
| @typeCode | cs | 1 … 1 | F | CSM | ||||
| hl7:manufacturedProduct | 1 … 1 | R | Immuntry | |||||
| @classCode | cs | 0 … 1 | F | MANU | ||||
| hl7:id | II | 1 … 1 | R | Immuntry | ||||
| @root | oid | 1 … 1 | F | 1.3.182.4.17 | ||||
| hl7:manufacturedMaterial | 1 … 1 | R | Immuntry | |||||
| @classCode | cs | 0 … 1 | F | MMAT | ||||
| @determinerCode | cs | 0 … 1 | F | KIND | ||||
| hl7:code | CE | 1 … 1 | R | The <code> element is used to support coding of the medication used for immunization. If coded, it must provide a code and codeSystem attribute using a controlled vocabulary for medications. The displayName for the code and codeSystemName should be provided as well for diagnostic and human readability purposes, but are not required. | Immuntry | |||
| CONF |
| |||||||
| hl7:originalText | ED | 0 … 1 | R | In a CDA document, the <originalText> shall contain a <reference> who’s URI value points to the generic name and strength of the medication (in narrative text section), or just the generic name alone if strength is not relevant. | Immuntry | |||
| hl7:name | EN | 1 … 1 | R | Should contain the brand name of the medication / immunization. | Immuntry | |||
| hl7:lotNumberText | ST | 0 … 1 | Charge/Batchnumber of the Vaccine | Immuntry | ||||
| hl7:expirationDate | TS | 0 … 1 | Expiration date of the Vaccine | Immuntry | ||||
| hl7:manufacturerOrganization | 0 … 1 | R | Contains 1.3.182.11.1.13 CDA Organization (DYNAMIC) | Immuntry | ||||
| hl7:performer | 0 … 1 | R | Health professional who performed the activity of the immunization event | Immuntry | ||||
| hl7:assignedEntity | 1 … 1 | R | Contains 1.3.182.7.3.2.10.5 CDA AssignedEntity simple (DYNAMIC) | Immuntry | ||||
| hl7:entryRelationship | 0 … * | R | An immunization entry can have negationInd set to true to indicate that an immunization did not occur. In this case, it shall have at least one comment that provides an explanation for why the immunization did not take place. Other comments may also be present. Contains 1.3.182.11.10.3.3 eHDSI Comment Entry (DYNAMIC) | Immuntry | ||||
| hl7:entryRelationship | 0 … * | R | This repeatable element should be used to identify adverse reactions caused by the immunization. The <observation> element provides a pointer to the adverse reaction caused by the immunization. The <id> element is required, and gives the identifier of the adverse reaction. The adverse reaction pointed to by this element shall be described in more detail using the Allergies entry, elsewhere in the document where the Allergies and Intolerances section is found. Contains 1.3.182.11.10.3.2 eHDSI Problem Entry (DYNAMIC) | Immuntry | ||||
| hl7:reference | 0 … 1 | Immuntry | ||||||
| hl7:externalAct | 1 … 1 | R | This externalAct is used to reference the Immunization protocol if exists. It is to explain to which series of Immunizations this Immunization belongs. | Immuntry | ||||
| hl7:id | II | 1 … 1 | M | Immuntry | ||||
| hl7:code | CD | 1 … 1 | M | Immuntry | ||||
| @code | CONF | 1 … 1 | F | 59780-7 | ||||
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | |||||
| @displayName | 1 … 1 | F | Immunization series | |||||
| hl7:entryRelationship | 0 … 1 | Position of Immunization within the Immunization series | Immuntry | |||||
| hl7:observation | 1 … 1 | R | Immuntry | |||||
| hl7:code | CD | 1 … 1 | M | Immuntry | ||||
| @code | CONF | 1 … 1 | F | 30973-2 | ||||
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | |||||
| hl7:statusCode | CD | 1 … 1 | R | Immuntry | ||||
| @code | CONF | 0 … 1 | F | completed | ||||
| hl7:value | INT | 1 … 1 | R | The sequence number of this immunization within the immunization record | Immuntry | |||