ImmunizationActivity

Immunization Activity

draftC-CDA Templates4.0.0logical21 key elements

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) 1. Date printed on the VIS 2. Date VIS given to patient or parent/guardian.

This information should be included in an Immunization Activity when available. Reference: CDC Instructions

#### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: ImmunizationNotGivenReason, Indication, InstructionObservation, MedicationDispense, MedicationSupplyOrder, ReactionObservation, SubstanceAdministeredAct

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity
ID
ImmunizationActivity
Type
Base Definition
SubstanceAdministration
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:immunization-activity1..1
1+
templateId.root
1+
templateId.extension
1+
id
1+
negationInd
1+
Use negationInd="true" to indicate that the immunization was not given.
statusCode
1+
statusCode.code
1+
effectiveTime1..1
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.observation.code.code
1+
entryRelationship.observation.code.codeSystem
1+
LOINC
entryRelationship.inversionInd
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.supply
http://hl7.org/cda/stds/core/StructureDefinition/Supply
1+
entryRelationship.supply
http://hl7.org/cda/stds/core/StructureDefinition/Supply
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.inversionInd
1+
entryRelationship.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+
precondition.typeCode
1+