This page is part of the CCDA: Consolidated CDA Release (v5.0.0-ballot: CCDA 5.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 4.0.0. For a full list of available versions, see the Directory of published versions

• Narrative Content

Example Binary: Planned Immunization Activity Example

<substanceAdministration xmlns="urn:hl7-org:v3" moodCode="INT"
                         classCode="SBADM">
  <!--   Planned Immunization Activity  -->
  <templateId root="2.16.840.1.113883.10.20.22.4.120"/>
  <id root="81505d5e-2305-42b3-9273-f579d622000d"/>
  <text/>
  <statusCode code="active"/>
  <effectiveTime xsi:type="IVL_TS" value="20131115"/>
  <repeatNumber value="1"/>
  <routeCode displayName="INTRAMUSCULAR"
             codeSystem="2.16.840.1.113883.3.26.1.1" code="C28161">
    <translation xsi:type="CD"
                 displayName="Intramuscular route (qualifier value)" codeSystemName="SNOMED CT"
                 codeSystem="2.16.840.1.113883.6.96" code="78421000"/>
  </routeCode>
  <consumable>
    <manufacturedProduct classCode="MANU">
      <templateId root="2.16.840.1.113883.10.20.22.4.54"
                  extension="2014-06-09"/>
      <manufacturedMaterial>
        <code
              displayName="Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated" codeSystem="2.16.840.1.113883.12.292" code="130"/>
        <lotNumberText>352435465</lotNumberText>
      </manufacturedMaterial>
      <manufacturerOrganization>
        <name>Shots-r-us</name>
      </manufacturerOrganization>
    </manufacturedProduct>
  </consumable>
</substanceAdministration>