C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot

C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

## Binary: CF-immunization

    <entry typeCode="DRIV">
      <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
        <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
        <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
        <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"/>
        <text>
          <reference value="#immun1"/>
        </text>
        <statusCode code="completed"/>
        <effectiveTime value="20100815"/>
        <consumable>
          <manufacturedProduct classCode="MANU">
            <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
            <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
            <manufacturedMaterial>
              <code code="88" codeSystem="2.16.840.1.113883.12.292"
                                    displayName="Influenza virus vaccine" codeSystemName="CVX">
                <originalText>
                  <reference value="#ImmunizationProduct_100"/>
                </originalText>
              </code>
              <lotNumberText>1</lotNumberText>
            </manufacturedMaterial>
          </manufacturedProduct>
        </consumable>
        <performer>
          <assignedEntity>
            <id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
            <addr>
              <streetAddressLine>1021 Health Drive</streetAddressLine>
              <city>Ann Arbor</city>
              <state>MI</state>
              <postalCode>99099</postalCode>
              <country>US</country>
            </addr>
            <telecom nullFlavor="UNK"/>
            <assignedPerson>
              <name>
                <given>Amanda</given>
                <family>Assigned</family>
              </name>
            </assignedPerson>
            <representedOrganization>
              <id root="2.16.840.1.113883.19.5.9999.1394"/>
              <name>Good Health Clinic</name>
              <telecom nullFlavor="UNK"/>
              <addr nullFlavor="UNK"/>
            </representedOrganization>
          </assignedEntity>
        </performer>
        <author>
          <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
          <time value="20100816"/>
          <assignedAuthor>
            <id extension="99999999" root="2.16.840.1.113883.4.6"/>
            <code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Health Care Provider Taxonomy" displayName="Family Medicine" />
            <telecom use="WP" value="tel:555-555-1002"/>
            <assignedPerson>
              <name>
                <given>Henry</given>
                <family>Seven</family>
              </name>
            </assignedPerson>
          </assignedAuthor>
        </author>
      </substanceAdministration>
    </entry>