Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: Immunization Medication Information

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationMedicationInformation Version: 4.0.0-ballot
Draft as of 2024-11-21 Computable Name: ImmunizationMedicationInformation
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09

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.

Usage:

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

This structure is derived from ManufacturedProduct

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:immunization-med-info 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs
... id 0..* II
.... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
.... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:immunization-med-info 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs Binding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..* II
.... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
.... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ManufacturedProduct.classCoderequiredFixed Value: MANU
http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:immunization-med-info 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs Binding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... (Choice of one) 1..1
.... manufacturedLabeledDrug 0..1 LabeledDrug
.... manufacturedMaterial C 1..1 Material should-lotNumberText: SHOULD contain lotNumberText
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @classCode 0..1 cs Binding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
..... @determinerCode 0..1 cs Binding: EntityDeterminerDetermined (required)
Fixed Value: KIND
..... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
..... name 0..1 EN
..... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ManufacturedProduct.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.templateId:immunization-med-info.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.classCoderequiredFixed Value: MANU
http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCoderequiredFixed Value: MMAT
http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial
ManufacturedProduct.manufacturedMaterial.determinerCoderequiredFixed Value: KIND
http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of ManufacturedProduct.templateId

Differential View

This structure is derived from ManufacturedProduct

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:immunization-med-info 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs
... id 0..* II
.... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
.... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:immunization-med-info 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs Binding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..* II
.... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
.... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ManufacturedProduct.classCoderequiredFixed Value: MANU
http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C 1..1 ManufacturedProduct XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
should-manufacturerOrganization: SHOULD contain manufacturerOrganization
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:immunization-med-info 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.54
..... @extension 1..1 st Required Pattern: 2014-06-09
... @classCode 1..1 cs Binding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... (Choice of one) 1..1
.... manufacturedLabeledDrug 0..1 LabeledDrug
.... manufacturedMaterial C 1..1 Material should-lotNumberText: SHOULD contain lotNumberText
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @classCode 0..1 cs Binding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
..... @determinerCode 0..1 cs Binding: EntityDeterminerDetermined (required)
Fixed Value: KIND
..... code 1..1 CE Binding: CVX Vaccines Administered Vaccine Set . (required)
..... name 0..1 EN
..... lotNumberText 0..1 ST 𝗨𝗦𝗖𝗗𝗜: Lot Number Text - lotNumberText should be included if known. It may not be known for historical immunizations, planned immunizations, or refused/deferred immunizations.
... manufacturerOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ManufacturedProduct.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.templateId:immunization-med-info.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.classCoderequiredFixed Value: MANU
http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCoderequiredFixed Value: MMAT
http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial
ManufacturedProduct.manufacturedMaterial.determinerCoderequiredFixed Value: KIND
http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined
ManufacturedProduct.manufacturedMaterial.coderequiredCVXVaccinesAdministeredVaccineSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1
should-lotNumberTextwarningManufacturedProduct.manufacturedMaterialSHOULD contain lotNumberText
: lotNumberText.exists()
should-manufacturerOrganizationwarningManufacturedProductSHOULD contain manufacturerOrganization
: manufacturerOrganization.exists()

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of ManufacturedProduct.templateId

 

Other representations of profile: CSV, Excel