| 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-46 |  Immunizations Content Status | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-52 | Vaccine for type of disease | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-54 | Product Administered | CEN/TC 251 prEN 17269 |
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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: template 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (2005‑09‑07) ref ad1bbr-
Adaptation: template 2.16.840.1.113883.10.20.22.4.54 Immunization Medication Information (V2) (2014‑06‑09) ref ccda- |
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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> |
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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) | | |  | | hl7ips-dataelement-54 | Product Administered | CEN/TC 251 prEN 17269 |
|  | @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
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| CD.IPS (preferred) | 1 … 1 | R | | (IPS...ion) | | | | | hl7ips-dataelement-46 | Immunizations Content Status | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-52 | Vaccine for type of disease | CEN/TC 251 prEN 17269 |
| | | 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
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| ST | 0 … 1 | | | (IPS...ion) | | hl7:manufacturerOrganization
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| | 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
