| Id | 2.16.840.1.113883.10.22.4.16 | Effective Date | valid from 2017‑03‑08 |
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| Status |  Draft | Version Label | |
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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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| Used by / Uses | | Used by 0 transactions and 3 templates, Uses 0 templates | | Used by | as | Name | Version |
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| 2.16.840.1.113883.10.22.4.15 | Containment | IPS Immunization | 2017‑03‑08 | | 2.16.840.1.113883.10.22.3.5 |  | IPS Immunizations Section | 2017‑04‑05 | | 2.16.840.1.113883.10.22.1.1 | | International Patient Summary | 2017‑04‑11 |
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| Relationship | Specialization: template 2.16.840.1.113883.10.12.312 (2005‑09‑07)
Adaptation: template 2.16.840.1.113883.10.20.22.4.54 (2014‑06‑09) |
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| Example | | No previous immunisations | <manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.22.4.16"/> <manufacturedMaterial>
<code code="401179006" displayName="No previous immunisations" codeSystem="2.16.840.1.113883.6.96"/> </manufacturedMaterial> <manufacturerOrganization/></manufacturedProduct> |
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| 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) |  | @classCode
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| cs | 1 … 1 | F | MANU | | hl7:templateId
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| II | 1 … 1 | M | | (IPS…ion) |  | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.16 | | hl7:manufacturedMaterial
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| | 1 … 1 | M | | (IPS…ion) | | | hl7:code
|
| CD.IPS | 1 … 1 | R | | (IPS…ion) | | | CONF | | The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.43 Absent or Unknown Immunization (DYNAMIC) | | or | | The value of @code shall be drawn 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
|
| | 0 … 1 | | | (IPS…ion) | | hl7:manufacturerOrganization
|
| | 0 … 1 | R | | (IPS…ion) |
|
Draft
