Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Binary: Planned Immunization Activity Example

This content is an example of the Planned Immunization Activity Logical Model and is not a FHIR Resource

    
<substanceAdministration classCode="SBADM" moodCode="INT" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <!--  Planned Immunization Activity -->
  <templateId root="2.16.840.1.113883.10.20.22.4.120" />
  <id root="81505d5e-2305-42b3-9273-f579d622000d" />
  <text>
    <reference value="#imm1" />
  </text>
  <statusCode code="active" />
  <effectiveTime xsi:type="IVL_TS" value="20131115" />
  <repeatNumber value="1" />
  <routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="INTRAMUSCULAR">
    <translation code="78421000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Intramuscular route (qualifier value)" />
  </routeCode>
  <consumable>
    <manufacturedProduct classCode="MANU">
      <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09" />
      <manufacturedMaterial>
        <code code="130" codeSystem="2.16.840.1.113883.12.292" displayName="Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated" />
        <lotNumberText>352435465</lotNumberText>
      </manufacturedMaterial>
      <manufacturerOrganization>
        <name>Shots-r-us</name>
      </manufacturerOrganization>
    </manufacturedProduct>
  </consumable>
</substanceAdministration>