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ref Template  BC Immunization Observation

Id 2.16.840.1.113883.3.1818.10.3.11 Effective Date valid from 2017‑04‑03 01:36:19
Status draft Draft Version Label
Name BCImmunizationObservation Display Name BC Immunization Observation
Description

The Immunization Observation template 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 DIN 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. 

Context Parent nodes of template element with id 2.16.840.1.113883.3.1818.10.3.11
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 7 templates, Uses 10 templates
Used by Template id as Name Version
2.16.840.1.113883.3.1818.10.2.14.1 Containment draft BC CDA E2E Immunizations List with Entries 2017‑04‑03 06:10:07
2.16.840.1.113883.3.1818.10.1.1 link draft BC CDA E2E EMR Conversion 2016‑11‑18 18:04:46
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:48:26
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:39:16
2.16.840.1.113883.3.1818.10.1.3 link draft BC CDA E2E Patient Chart Transfer 2017‑04‑04 12:36:54
2.16.840.1.113883.3.1818.10.1.6 link draft BC CDA E2E Structured Referral 2017‑04‑04 15:16:39
2.16.840.1.113883.3.1818.10.1.7 link draft BC CDA E2E Structured Consult Report 2017‑04‑04 13:59:01
Uses Template id as Name Version
2.16.840.1.113883.3.1937.777.17.10.68 Containment draft BC Immunization Product DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.2 Containment draft BC CDA Author (Body) DYNAMIC
2.16.840.1.113883.3.1818.10.4.13 Containment draft BC Location Participant (Body) DYNAMIC
2.16.840.1.113883.3.1818.10.4.27 Containment draft BC Secondary Code (Drug) DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.74 Containment draft BC Reported Immunization Indicator DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.72 Containment draft BC Antigen / Vaccine Type DYNAMIC
2.16.840.1.113883.3.1818.10.4.24 Containment draft BC Reason Observation DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.4 Containment draft BC Date Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.3 Containment draft BC Comment Observation DYNAMIC
2.16.840.1.113883.3.1818.10.4.23 Containment draft BC Reaction Observation DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.308 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:substanceAdministration
1 … 1 R CONF‑975
treetree @classCode
cs 1 … 1 F SBADM CONF‑976
treetree @moodCode
cs 1 … 1 F EVN CONF‑977
treetree @negationInd
bl 0 … 1   CONF‑980
treetree hl7:templateId
II 1 … 1 M CONF‑975
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.3.1818.10.3.11
treetree hl7:templateId
II 1 … 1 R CONF‑975
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.12.308
treetree hl7:id
II 1 … 1 M CONF‑978
treetree hl7:code
CD 0 … 1 CONF‑979
treeblank treetree @code
CONF 1 … 1 F IMMUNIZ
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.5.4 (Act Code)
treeblank treetree @displayName
1 … 1 F Immunization
treeblank treetree @codeSystemName
1 … 1 F ActCode
treetree hl7:effectiveTime
SXCM_TS 1 … 1 M CONF‑981
  Constraint

MAY be a partial date conforming to the TS data type constraints [CONF:981.62]. 

treetree hl7:routeCode
CE CNE 0 … 1 R CONF‑982
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (2011‑07‑26)
treetree hl7:approachSiteCode
CD CNE 0 … 1 R CONF‑983
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19724 HumanSubstanceAdministrationSite (DYNAMIC)
treetree hl7:doseQuantity
IVL_PQ 0 … 1 R CONF‑984
treetree hl7:administrationUnitCode
CE 0 … 1 R CONF‑985
  Constraint
  1. SHALL be selected from ValueSet AdministerableDrugForm 2.16.840.1.113883.1.11.14570 STATIC [CONF:985]. 

treetree hl7:consumable
1 … 1 R Contains 2.16.840.1.113883.3.1937.777.17.10.68 BC Immunization Product (DYNAMIC) CONF‑986
treeblank treetree @typeCode
cs 1 … 1 F CSM CONF‑987
treetree hl7:author
1 … 1 R Contains 2.16.840.1.113883.3.1937.777.17.10.2 BC CDA Author (Body) (DYNAMIC) CONF‑1020
treetree hl7:participant
1 … 1 R Contains 2.16.840.1.113883.3.1818.10.4.13 BC Location Participant (Body) (DYNAMIC) CONF‑1021
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1818.10.4.27 BC Secondary Code (Drug) (DYNAMIC) CONF‑966
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.27']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑1412
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1413
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1937.777.17.10.74 BC Reported Immunization Indicator (DYNAMIC) CONF‑997
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.74']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑998
treetree hl7:entryRelationship
1 … 1 M Contains 2.16.840.1.113883.3.1937.777.17.10.72 BC Antigen / Vaccine Type (DYNAMIC) CONF‑1004
treeblank where [hl7:substanceAdministration [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.72']] [hl7:templateId [@root='2.16.840.1.113883.10.12.308']]]
treeblank treetree @typeCode
cs 1 … 1 F COMP CONF‑1005
treetree hl7:entryRelationship
0 … 1 R Contains 2.16.840.1.113883.3.1818.10.4.24 BC Reason Observation (DYNAMIC) CONF‑1022
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.24']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F RSON CONF‑1291
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1292
treetree hl7:entryRelationship
0 … 1 R Contains 2.16.840.1.113883.3.1937.777.17.10.4 BC Date Observation (DYNAMIC) CONF‑1023
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.4']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1330
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1331
treetree hl7:entryRelationship
0 … 1 R Contains 2.16.840.1.113883.3.1818.10.4.3 BC Comment Observation (DYNAMIC) CONF‑1024
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.3']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1318
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1319
treetree hl7:entryRelationship
0 … * R Contains 2.16.840.1.113883.3.1818.10.4.23 BC Reaction Observation (DYNAMIC) CONF‑1025
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.23']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treeblank treetree @typeCode
cs 1 … 1 F SUBJ CONF‑1338
treeblank treetree @contextConductionInd
bl 1 … 1 R CONF‑1339