Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Example Binary: Immunizations Section Example

This content is an example of the Immunizations Section Logical Model and is not a FHIR Resource

    
<section  xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.2.1" extension="2015-08-01" />
  <!--  ********  Immunizations section template   ******** -->
  <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations" />
  <title>Immunizations</title>
  <text>
    <table border="1" width="100%">
      <thead>
        <tr>
          <th>Vaccine</th>
          <th>Date</th>
          <th>Status</th>
        </tr>
      </thead>
      <tbody>
        <tr>
          <td>
            <content ID="immun1" />Influenza virus vaccine, IM
                    
                    
          </td>
          <td>Nov 1999</td>
          <td>Completed</td>
        </tr>
        <tr>
          <td>
            <content ID="immun2" />Influenza virus vaccine, IM
                    
                    
          </td>
          <td>Dec 1998</td>
          <td>Completed</td>
        </tr>
        <tr>
          <td>
            <content ID="immun3" />
            Pneumococcal polysaccharide vaccine, IM
                    
                    
          </td>
          <td>Dec 1998</td>
          <td>Completed</td>
        </tr>
        <tr>
          <td>
            <content ID="immun4" />Tetanus and diphtheria toxoids, IM
                    
                    
          </td>
          <td>1997</td>
          <td>Refused</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry typeCode="DRIV">
    <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
      <templateId root="2.16.840.1.113883.10.20.22.4.52" />
      <!--  ****  Immunization activity template  **** -->
        
    </substanceAdministration>
  </entry>

</section>