Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
This content is an example of the Immunization Activity Logical Model and is not a FHIR Resource
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false" xmlns="urn:hl7-org:v3">
<!-- ** Immunization activity ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01" />
<id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92" />
<statusCode code="completed" />
<effectiveTime value="19981215" />
<routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection" />
<doseQuantity value="50" unit="ug" />
<consumable>
<manufacturedProduct classCode="MANU">
<!-- ** Immunization medication information ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09" />
<manufacturedMaterial>
<code code="33" codeSystem="2.16.840.1.113883.12.292" displayName="Pneumococcal polysaccharide vaccine" codeSystemName="CVX">
<translation code="854981" displayName="Pneumovax 23 (Pneumococcal vaccine polyvalent) Injectable Solution" codeSystemName="RxNORM" codeSystem="2.16.840.1.113883.6.88" />
</code>
<lotNumberText>1</lotNumberText>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Health LS - Immuno Inc.</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<performer>
<assignedEntity>
<id root="2.16.840.1.113883.19.5.9999.456" extension="2981824" />
<addr>
<streetAddressLine>1007 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom use="WP" value="tel: +(555)-555-1030" />
<assignedPerson>
<name>
<given>Harold</given>
<family>Hippocrates</family>
</name>
</assignedPerson>
<representedOrganization>
<id root="2.16.840.1.113883.19.5.9999.1394" />
<name>Good Health Clinic</name>
<telecom use="WP" value="tel: +(555)-555-1030" />
<addr>
<streetAddressLine>1007 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</substanceAdministration>