Left: | Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity) |
Right: | Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity) |
Error | StructureDefinition.version | Values for version differ: '3.0.0' vs '4.0.0-ballot' |
Information | StructureDefinition.date | Values for date differ: '2024-05-18T00:16:25-05:00' vs '2024-11-21T20:34:36+00:00' |
Information | SubstanceAdministration.doseQuantity.unit | Example/preferred bindings differ at SubstanceAdministration.doseQuantity.unit using binding from ImmunizationActivity |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration | ||
copyright | |||
date | 2024-05-18T00:16:25-05:00 | 2024-11-21T20:34:36+00:00 |
|
description | An Immunization Activity describes immunization substance administrations that have actually occurred or are intended to occur. Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. Immunization Activities in "EVN" mood reflect immunizations actually received. An Immunization Activity is very similar to a Medication Activity with some key differentiators. The drug code system is constrained to CVX codes. Administration timing is less complex. Patient refusal reasons should be captured. All vaccines administered should be fully documented in the patient's permanent medical record. Healthcare providers who administer vaccines covered by the National Childhood Vaccine Injury Act are required to ensure that the permanent medical record of the recipient indicates: 1. Date of administration 2. Vaccine manufacturer 3. Vaccine lot number 4. Name and title of the person who administered the vaccine and the address of the clinic or facility where the permanent record will reside 5. Vaccine information statement (VIS) a. Date printed on the VIS b. Date VIS given to patient or parent/guardian. This information should be included in an Immunization Activity when available. (Reference: [https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/c/vis-instruct.pdf]) | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | ImmunizationActivity | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Immunization Activity | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity | ||
version | 3.0.0 | 4.0.0-ballot |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
SubstanceAdministration | C | 1..1 | SubstanceAdministration | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-doseQuantity: SHOULD contain doseQuantity dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-performer: SHOULD contain performer should-author: SHOULD contain author | C | 1..1 | SubstanceAdministration | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-doseQuantity: SHOULD contain doseQuantity dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-performer: SHOULD contain performer should-author: SHOULD contain author | |
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
realmCode | 0..* | CS | 0..* | CS | |||||
typeId | 0..1 | II | 0..1 | II | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: SBADM | 1..1 | ?? | Binding: ?? (required) Fixed Value: SBADM | |||
moodCode | 1..1 | ?? | Binding: ?? (required) | 1..1 | ?? | Binding: ?? (required) | |||
id | 1..* | II | 1..* | II | |||||
code | 0..1 | CD | SubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set. Binding: ?? (example) | 0..1 | CD | SubstanceAdministration.code is an optional field. Per HL7 Pharmacy Committee, "this is intended to further specify the nature of the substance administration act. To date the committee has made no use of this attribute". Because the type of substance administration is generally implicit in the routeCode, in the consumable participant, etc., the field is generally not used and there is no defined value set. Binding: ?? (example) | |||
negationInd | 1..1 | ?? | Use negationInd="true" to indicate that the immunization was not given. | 1..1 | ?? | Use negationInd="true" to indicate that the immunization was not given. | |||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||
integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
language | 0..1 | ?? | 0..1 | ?? | |||||
mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||
representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |
thumbnail | 0..1 | ED | 0..1 | ED | |||||
statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||
nullFlavor | 0..0 | 0..0 | |||||||
code | 1..1 | ?? | Binding: ?? (required) | 1..1 | ?? | Binding: ?? (required) | |||
codeSystem | 0..0 | 0..0 | |||||||
codeSystemName | 0..0 | 0..0 | |||||||
codeSystemVersion | 0..0 | 0..0 | |||||||
displayName | 0..0 | 0..0 | |||||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
originalText | 0..0 | 0..0 | |||||||
qualifier | 0..0 | 0..0 | |||||||
translation | 0..0 | 0..0 | |||||||
effectiveTime | 1..1 | SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS | 1..1 | SXCM_TS, IVL_TS, EIVL_TS, PIVL_TS, SXPR_TS | |||||
priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||
repeatNumber | C | 0..1 | IVL_INT | In "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series. value-only: Interval fields SHALL not be present | C | 0..1 | IVL_INT | In "INT" (intent) mood, the repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times. In "EVN" (event) mood, the repeatNumber is the number of occurrences. For example, a repeatNumber of "3" in a substance administration event means that the current administration is the 3rd in a series. value-only: Interval fields SHALL NOT be present | |
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
value | 0..1 | ?? | value should be used instead of low/high | 0..1 | ?? | value should be used instead of low/high | |||
operator | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
low | 0..1 | IVXB_INT | 0..1 | IVXB_INT | |||||
center | 0..1 | INT | 0..1 | INT | |||||
width | 0..1 | INT | 0..1 | INT | |||||
high | 0..1 | IVXB_INT | 0..1 | IVXB_INT | |||||
routeCode | C | 0..1 | CE | Binding: ?? (required) should-translation: SHOULD contain translation | C | 0..1 | CE | Binding: ?? (required) should-translation: SHOULD contain translation | |
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 0..1 | ?? | 0..1 | ?? | |||||
codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||
codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||
codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||
displayName | 0..1 | ?? | 0..1 | ?? | |||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
originalText | 0..1 | ED | 0..1 | ED | |||||
qualifier | 0..0 | 0..0 | |||||||
translation | 0..* | CD | Binding: ?? (preferred) | 0..* | CD | Binding: ?? (preferred) | |||
approachSiteCode | 0..1 | CD | Binding: ?? (required) | 0..1 | CD | Binding: ?? (required) | |||
doseQuantity | C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit | C | 0..1 | IVL_PQ | should-unit: SHOULD contain @unit | |
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
unit | 0..1 | ?? | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: ?? (preferred) | 0..1 | ?? | NOTE: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: ?? (preferred) |
| ||
value | 0..1 | ?? | 0..1 | ?? | |||||
translation | 0..* | PQR | 0..* | PQR | |||||
operator | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
low | 0..1 | IVXB_PQ | 0..1 | IVXB_PQ | |||||
center | 0..1 | PQ | 0..1 | PQ | |||||
width | 0..1 | PQ | 0..1 | PQ | |||||
high | 0..1 | IVXB_PQ | 0..1 | IVXB_PQ | |||||
rateQuantity | 0..1 | IVL_PQ | 0..1 | IVL_PQ | |||||
maxDoseQuantity | 0..1 | RTO_PQ_PQ | 0..1 | RTO_PQ_PQ | |||||
administrationUnitCode | 0..1 | CE | Binding: ?? (required) | 0..1 | CE | Binding: ?? (required) | |||
consumable | 1..1 | InfrastructureRoot | 1..1 | InfrastructureRoot | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
realmCode | 0..* | CS | 0..* | CS | |||||
typeId | 0..1 | II | 0..1 | II | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
templateId | 0..* | II | 0..* | II | |||||
typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: CSM | 0..1 | ?? | Binding: ?? (required) Fixed Value: CSM | |||
manufacturedProduct | C | 1..1 | ?? | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization | C | 1..1 | ?? | Base for all types and resources product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) should-manufacturerOrganization: SHOULD contain manufacturerOrganization | |
subject | 0..1 | Subject | 0..1 | Subject | |||||
specimen | 0..* | Specimen | 0..* | Specimen | |||||
performer | 0..1 | Performer2 | 0..1 | Performer2 | |||||
author | 0..* | ?? | Base for all types and resources | 0..* | ?? | Base for all types and resources | |||
informant | 0..* | Informant | 0..* | Informant | |||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:supply | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:supply | |||
reference | 0..* | Reference | 0..* | Reference | |||||
Slices for precondition | 0..* | Precondition | Slice: Unordered, Open by profile:criterion | 0..* | Precondition | Slice: Unordered, Open by profile:criterion | |||
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||
Documentation for this format |