| Id | 2.16.840.1.113883.10.22.4.16|| | Effective Date | 2017‑03‑08 |
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| Status |  Under pre-publication review | Version Label | STU1 |
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| Name | IPSImmunizationMedicationInformation | Display Name | IPS Immunization Medication Information |
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| 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. |
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.16 |
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Associated with | | Associated with 3 concepts | | Id | Name | Data Set |
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| hl7ips-dataelement-54 |  Product Administered | 0 | | hl7ips-dataelement-46 | Immunizations Content Status | 0 | | hl7ips-dataelement-52 | Vaccine for type of disease | 0 |
|
|
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| Uses | | Uses 1 template | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.22.9.1 | Containment | IPS CDA Organization (STU1) | DYNAMIC |
|
|
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| Relationship | Adaptation: templateAdaptation: template |
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| Example | | No previous immunizations | <manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.22.4.16"/> <manufacturedMaterial>
<code code="no-known-immunizations" displayName="No known immunizations" codeSystem="2.16.840.1.113883.5.1150.1"/> </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> |
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| Item | DT | Card | Conf | Description | Label |
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| | | | | (IPS...ion) | | |  | | hl7ips-dataelement-54 | Product Administered | |
|  | @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 (preferred) | 1 … 1 | R | | (IPS...ion) | | | | | hl7ips-dataelement-46 | Immunizations Content Status | | | hl7ips-dataelement-52 | Vaccine for type of disease | |
| | | CONF | | The value of @code comes preferably from value set 2.16.840.1.113883.11.22.43 Absent or Unknown Immunization (DYNAMIC) | | or | | The value of @code comes preferably from value set 2.16.840.1.113883.11.22.44 IPS Vaccines (DYNAMIC) |
| | CE | 0 … * | | | (IPS...ion) | | | CONF | | shall be drawn from concept domain "Product Code" |
| | | hl7:lotNumberText
|
| ST | 0 … 1 | | | (IPS...ion) | | hl7:manufacturerOrganization
|
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | (IPS...ion) |
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Under pre-publication review
