<?xml-stylesheet type="text/xsl" href="https://assets.art-decor.org/ADAR/rv/DECOR2schematron.xsl"?><?xml-model href="https://assets.art-decor.org/ADAR/rv/DECOR.xsd" type="application/xml" schematypens="http://purl.oclc.org/dsdl/schematron"?><decor xmlns:sdtc="x" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="https://assets.art-decor.org/ADAR/rv/DECOR.xsd">
    <project id="2.16.840.1.113883.3.1937.99.60.7" prefix="demo7-" experimental="true" defaultLanguage="en-US">
        <name language="en-US" lastTranslated="2025-03-18T11:27:37">Demo 7: Vaccination Certificates Document</name>
        <desc language="en-US" lastTranslated="2025-03-18T11:27:37"><p>Lorem ipsum</p><div class="__artdecor_box"><p>x</p></div><div class="__artdecor_box asinfo"><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd
                    gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit
                amet.</p></div><div class="__artdecor_box asnote"><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p><p>Lorem ipsum dolor sit amet,
                    consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p></div><div class="__artdecor_box assuccess"><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed
                    diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat,
                    sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p></div><div class="__artdecor_box aswarning"><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et
                    accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea
                    takimata sanctus est Lorem ipsum dolor sit amet.</p></div><div class="__artdecor_box aserror"><p><strong>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem
                        ipsum dolor sit amet.</strong></p><p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p></div><p>Lorem
                    ipsum</p><p><strong>Vaccination Certificate </strong><a href="tm::2.16.840.1.113883.3.1937.99.60.7.10.1.1/2013-10-10T00:00:00" class="__artdecor__a__inline__artifact __artdecor_tm" onclick="event.stopPropagation(); event.preventDefault(); return">MinimalCDAVaccdocument</a></p><p>The document is a vaccination certificate. It comprises of a patient ("holder" of the certificate)
                and his or her list of vaccinations. This comes along with the typical CDA R2 components.</p><p>The body contains a section that holds the list of vaccinations both, in free text (table) and as structured entries (CDA class: SubstanceAdministration).</p><p>It has the LOINC code 11369-6 History of immunization.</p><p><strong>Proof of Covid-19 Vaccination or negative status
                    </strong><a href="tm::2.16.840.1.113883.3.1937.99.60.7.10.1.2/2022-01-31T00:00:00" class="__artdecor__a__inline__artifact __artdecor_tm" onclick="event.stopPropagation(); event.preventDefault(); return">MinimalCovid19VaccProofCDAdocument</a></p><p>During the Covid-19 pandemic a "Proof of Covid-19 Vaccination or negative status" document, which is the so-called <em>Green
                    Pass</em>, a document in digital or paper format that certifies vaccination against the Covid-19 disease or, alternatively, the recent negative test result or recent recovery from the infection.</p><p>It contains the "holder" of this proof (patent) and an indication (CDA Act) of whether there was an administration of vaccine product against severe acute respiratory syndrome
                coronavirus 2 (SNOMED 1156257007) or the disease caused by severe acute respiratory syndrome coronavirus 2 is absent (SNOMED 688232241000119100). The codes are included in a value set <a href="vs::2.16.840.1.113883.3.1937.99.60.7.11.2/2024-03-16T10:07:17" class="__artdecor__a__inline__artifact __artdecor_vs" onclick="event.stopPropagation(); event.preventDefault(); return">COVID-19ImmunizationOrNegativeStatusCodes</a>.</p><p>This CDA document specification is just a test and example purpose definition and was not considered for real use.</p><p>It has the LOINC code 97500-3.</p></desc>
        <copyright years="2012-" by="The ART-DECOR Expert Group" logo="art-decor-logo2.png" type="author">
            <addrLine>The ART-DECOR Expert Group</addrLine>
            <addrLine type="email">info@art-decor.org</addrLine>
            <addrLine type="email">contact@art-decor.org</addrLine>
            <addrLine type="uri">https://art-decor.org</addrLine>
            <addrLine type="linkedin">https://www.linkedin.com/company/art-decor-org</addrLine>
            <addrLine type="twitter">https://twitter.com/artdecortool</addrLine>
        </copyright>
        <copyright years="2019-" by="ART-DECOR Open Tools GmbH" logo="art-decor-open-tools.jpg" type="reviewer">
            <addrLine>ART-DECOR Open Tools GmbH</addrLine>
            <addrLine type="email">info@art-decor-open-tools.net</addrLine>
            <addrLine type="uri">https://art-decor-open-tools.net</addrLine>
            <addrLine type="linkedin">https://www.linkedin.com/company/art-decor-open-tools</addrLine>
        </copyright>
        <author id="1" username="kai" email="info@kheitmann.de" notifier="off">dr Kai U. Heitmann</author>
        <reference url="https://examples.art-decor.pub/demo7/"/>
        <restURI for="FHIR" format="4.0">https://art-decor.org/fhir/4.0</restURI>
        <defaultElementNamespace ns="hl7:"/>
        <buildingBlockRepository url="http://art-decor.org/decor/services/" ident="ad3bbr-"/>
        <buildingBlockRepository url="http://art-decor.org/decor/services/" ident="hl7ips-"/>
        <buildingBlockRepository url="http://art-decor.org/decor/services/" ident="ad2bbr-"/>
        <buildingBlockRepository url="http://art-decor.org/decor/services/" ident="ad1bbr-"/>
    <release date="2026-01-19T19:35:20" by="dr Kai U. Heitmann" versionLabel="v1.0.2" statusCode="pending"><note language="en-US" lastTranslated="2026-01-19T19:35:20"><p>2nd edition with IG</p></note></release><release date="2026-01-15T10:45:12" by="dr Kai U. Heitmann" statusCode="pending"><note language="en-US" lastTranslated="2026-01-15T10:45:12"><p>With IG</p></note></release><release date="2026-01-14T17:41:15" by="dr Kai U. Heitmann"/><release date="2026-01-13T21:04:06" by="dr Kai U. Heitmann"><note language="en-US" lastTranslated="2026-01-13T21:04:06"><p>mit IG</p></note></release></project>
    <datasets>
        <dataset id="2.16.840.1.113883.3.1937.99.60.7.1.1" effectiveDate="2013-10-10T00:00:00" statusCode="draft" lastModifiedDate="2025-03-18T11:42:01">
            <name language="en-US">Vaccination Certificates Document</name>
            <desc language="en-US" lastTranslated="2025-03-18T11:36:12"><p>This is the overarching dataset which logically defines the model and covers both scenarios in this project: <em>Vaccination Certificate</em> and <em>Proof of Covid-19 Vaccination or negative status</em>.</p></desc>
            <concept id="2.16.840.1.113883.3.1937.99.60.7.2.1" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                <name language="en-US">Holder (Person)</name>
                <desc language="en-US">Holder (Person)</desc>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.10" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                    <name language="en-US">Name</name>
                    <desc language="en-US">Name of the holder</desc>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.11" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                        <name language="en-US">Family name</name>
                        <desc language="en-US">Family name of the holder</desc>
                        <valueDomain type="string"/>
                    </concept>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.12" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                        <name language="en-US">Given name</name>
                        <desc language="en-US">Given name of the holder</desc>
                        <valueDomain type="string"/>
                    </concept>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.20" statusCode="draft" effectiveDate="2013-10-10T00:00:00" type="item">
                    <name language="en-US">National Patient Identifier</name>
                    <desc language="en-US">National Patient Identifier</desc>
                    <valueDomain type="identifier"/>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.30" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                    <name language="en-US">Date of birth</name>
                    <desc language="en-US">Date of birth of the holder</desc>
                    <valueDomain type="date"/>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.40" statusCode="draft" effectiveDate="2013-10-10T00:00:00" type="item">
                    <name language="en-US">Gender</name>
                    <desc language="en-US">Gender of the holder</desc>
                    <valueDomain type="code">
                        <conceptList id="2.16.840.1.113883.3.1937.99.60.7.8.40.0">
                            <concept id="2.16.840.1.113883.3.1937.99.60.7.8.40.1" exception="false">
                                <name language="en-US">male</name>
                                <desc language="en-US"/>
                            </concept>
                            <concept id="2.16.840.1.113883.3.1937.99.60.7.8.40.2" exception="false">
                                <name language="en-US">female</name>
                                <desc language="en-US"/>
                            </concept>
                            <concept id="2.16.840.1.113883.3.1937.99.60.7.8.40.3" exception="false">
                                <name language="en-US">undifferentiated</name>
                                <desc language="en-US"/>
                            </concept>
                        </conceptList>
                    </valueDomain>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.123" statusCode="draft" effectiveDate="2013-10-23T15:40:46" type="item">
                    <name language="en-US">Address</name>
                    <desc language="en-US">Address of the holder</desc>
                    <valueDomain type="string">
                        <property/>
                    </valueDomain>
                </concept>
            </concept>
            <concept id="2.16.840.1.113883.3.1937.99.60.7.2.3" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                <name language="en-US">Vaccination</name>
                <desc language="en-US">Vaccination</desc>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.70" statusCode="draft" effectiveDate="2013-10-17T17:18:49" type="item">
                    <name language="en-US">Date of vaccination</name>
                    <desc language="en-US">Date of vaccination</desc>
                    <valueDomain type="datetime">
                        <property timeStampPrecision="YMD"/>
                    </valueDomain>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.80" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                    <name language="en-US">Vaccine</name>
                    <desc language="en-US">Vaccine</desc>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.81" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                        <name language="en-US">Vaccine (Name)</name>
                        <desc language="en-US">Vaccine (Name)</desc>
                        <valueDomain type="text"/>
                    </concept>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.82" statusCode="draft" effectiveDate="2013-10-10T00:00:00" type="item">
                        <name language="en-US">Vaccine (Code)</name>
                        <desc language="en-US">Vaccine (Code)</desc>
                        <valueDomain type="code"/>
                    </concept>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.83" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                        <name language="en-US">Lot number</name>
                        <desc language="en-US">Lot number</desc>
                        <valueDomain type="string"/>
                    </concept>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.125" statusCode="draft" effectiveDate="2014-11-18T11:29:16" type="item">
                    <name language="en-US">Dose Quantity</name>
                    <desc language="en-US">Dose Quantity</desc>
                    <valueDomain type="quantity">
                        <example type="neutral">20 ml</example>
                        <example type="neutral">200 I. E.</example>
                    </valueDomain>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.85" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                    <name language="en-US">Route of Administration</name>
                    <desc language="en-US">Route of Administration (Code)</desc>
                    <valueDomain type="code"/>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.121" statusCode="draft" effectiveDate="2013-10-20T20:39:15" type="group">
                    <name language="en-US">Indication</name>
                    <desc language="en-US">Indication</desc>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.122" statusCode="draft" effectiveDate="2013-10-20T20:39:50" type="item">
                        <name language="en-US">Indication (Text)</name>
                        <desc language="en-US">Indication (Text)</desc>
                        <valueDomain type="string">
                            <property/>
                        </valueDomain>
                    </concept>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.90" statusCode="draft" effectiveDate="2013-10-10T00:00:00" type="item">
                        <name language="en-US">Indication (Code)</name>
                        <desc language="en-US">Indication/Disease (Code)</desc>
                        <valueDomain type="code">
                            <conceptList id="2.16.840.1.113883.3.1937.99.60.7.2.90.0">
                                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.90.1">
                                    <name language="en-US">Measles</name>
                                    <desc language="en-US"/>
                                </concept>
                                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.90.2">
                                    <name language="en-US">Mumps</name>
                                    <desc language="en-US"/>
                                </concept>
                                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.90.3">
                                    <name language="en-US">Rubella</name>
                                    <desc language="en-US"/>
                                </concept>
                                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.90.4">
                                    <name language="en-US">Pertussis</name>
                                    <desc language="en-US"/>
                                </concept>
                            </conceptList>
                            <property/>
                        </valueDomain>
                    </concept>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.100" statusCode="draft" effectiveDate="2013-10-10T00:00:00" type="item">
                    <name language="en-US">Reason for Refusal</name>
                    <desc language="en-US">Reason for Refusal (Code) if no immuization</desc>
                    <valueDomain type="code">
                        <conceptList id="2.16.840.1.113883.3.1937.99.60.7.2.100.0"/>
                    </valueDomain>
                </concept>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.2" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                    <name language="en-US">Performing physicians</name>
                    <desc language="en-US">Performing physicians</desc>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.110" type="group" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                        <name language="en-US">Name</name>
                        <desc language="en-US">Name of the physician</desc>
                        <concept id="2.16.840.1.113883.3.1937.99.60.7.2.111" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                            <name language="en-US">Family name</name>
                            <desc language="en-US">Family name of the physician</desc>
                            <valueDomain type="string"/>
                        </concept>
                        <concept id="2.16.840.1.113883.3.1937.99.60.7.2.112" type="item" statusCode="draft" effectiveDate="2013-10-10T00:00:00">
                            <name language="en-US">Given name</name>
                            <desc language="en-US">Given name of the physician</desc>
                            <valueDomain type="string"/>
                        </concept>
                    </concept>
                    <concept id="2.16.840.1.113883.3.1937.99.60.7.2.124" statusCode="draft" effectiveDate="2013-10-23T15:40:46" type="item">
                        <name language="en-US">Address</name>
                        <desc language="en-US">Address of the physician</desc>
                        <valueDomain type="string">
                            <property/>
                        </valueDomain>
                    </concept>
                </concept>
            </concept>
            <concept id="2.16.840.1.113883.3.1937.99.60.7.2.126" effectiveDate="2025-03-18T11:39:03" statusCode="draft" type="group" lastModifiedDate="2025-03-18T11:42:01">
                <name language="en-US" lastTranslated="2025-03-18T11:39:22">Covid-19 Vaccination or Negative status</name>
                <desc language="en-US" lastTranslated="2025-03-18T11:39:22">Covid-19 Vaccination or Negative status</desc>
                <concept id="2.16.840.1.113883.3.1937.99.60.7.2.127" effectiveDate="2025-03-18T11:39:29" statusCode="draft" type="item" lastModifiedDate="2025-03-18T11:42:01">
                    <name language="en-US" lastTranslated="2025-03-18T11:39:38">Proof of Covid-19 Vaccination or negative status</name>
                    <desc language="en-US" lastTranslated="2025-03-18T11:39:38">Proof of Covid-19 Vaccination or negative status</desc>
                    <valueDomain type="code">
                        <conceptList id="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.0">
                            <concept id="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.1" exception="false">
                                <name language="en-US" lastTranslated="2025-03-18T11:42:01">Vaccination against the Covid-19 certified</name>
                            </concept>
                            <concept id="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.2" exception="false">
                                <name language="en-US" lastTranslated="2025-03-18T11:42:01">Covid-19 Negative Status</name>
                            </concept>
                        </conceptList>
                    </valueDomain>
                </concept>
            </concept>
        </dataset>
    </datasets>
    <scenarios>
        <actors>
            <actor id="2.16.840.1.113883.3.1937.99.60.7.7.1" type="person">
                <name language="en-US">Physician performing the Vaccination</name>
            </actor>
        </actors>
        <scenario id="2.16.840.1.113883.3.1937.99.60.7.3.1" effectiveDate="2013-10-10T00:00:00" statusCode="draft" lastModifiedDate="2025-03-18T11:43:15">
            <name language="en-US">Vaccination</name>
            <desc language="en-US">Vaccination</desc>
            <transaction id="2.16.840.1.113883.3.1937.99.60.7.4.1" type="group" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
                <name language="en-US">Vaccination Certificate</name>
                <desc language="en-US">Vaccination Certificate</desc>
                <transaction id="2.16.840.1.113883.3.1937.99.60.7.4.2" type="stationary" model="POCD_MT000040NL" label="vacccda" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
                    <name language="en-US">Create a Vaccination Certificates Document</name>
                    <desc language="en-US">Create a Vaccination Certificates Document</desc>
                    <actors>
                        <actor id="2.16.840.1.113883.3.1937.99.60.7.7.1" role="sender"/>
                    </actors>
                    <representingTemplate sourceDataset="2.16.840.1.113883.3.1937.99.60.7.1.1" ref="2.16.840.1.113883.3.1937.99.60.7.10.1.1" flexibility="2013-10-10T00:00:00">
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.1" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"><!--group 1 :: Holder (Person)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.10" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"><!--group 10 :: Name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.11" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"><!--item 11 :: Family name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.12" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"><!--item 12 :: Given name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.20" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 20 :: National Patient Identifier--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.30" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--item 30 :: Date of birth--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.40" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 40 :: Gender--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.126" flexibility="2015-02-09T13:46:06" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--item 126 :: Birthdate--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.123" flexibility="2013-10-23T15:40:46" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 123 :: Address--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.3" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="*" conformance="R"><!--group 3 :: Vaccination--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.70" flexibility="2013-10-17T17:18:49" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--item 70 :: Date of vaccination--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.80" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--group 80 :: Vaccine--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.81" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--item 81 :: Vaccine (Name)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.82" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 82 :: Vaccine (Code)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.83" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 83 :: Lot number--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.125" flexibility="2014-11-18T11:29:16" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 125 :: Dose Quantity--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.85" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 85 :: Route of Administration--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.121" flexibility="2013-10-20T20:39:15" minimumMultiplicity="0" maximumMultiplicity="*" conformance="R"><!--group 121 :: Indication--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.122" flexibility="2013-10-20T20:39:50" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--item 122 :: Indication (Text)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.90" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 90 :: Indication (Code)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.100" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 100 :: Reason for Refusal--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.2" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--group 2 :: Performing physicians--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.110" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"><!--group 110 :: Name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.111" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="*" conformance="R"><!--item 111 :: Family name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.112" flexibility="2013-10-10T00:00:00" minimumMultiplicity="0" maximumMultiplicity="*" conformance="R"><!--item 112 :: Given name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.124" flexibility="2014-07-04T20:50:07" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"><!--item 124 :: Address--></concept>
                    </representingTemplate>
                </transaction>
            </transaction>
            <transaction id="2.16.840.1.113883.3.1937.99.60.7.4.5" effectiveDate="2025-03-17T17:08:03" statusCode="draft" type="group" lastModifiedDate="2025-03-18T11:43:15">
                <name language="en-US" lastTranslated="2025-03-17T17:08:03">Proof of Vaccination or Negative status</name>
                <transaction id="2.16.840.1.113883.3.1937.99.60.7.4.6" effectiveDate="2025-03-17T17:08:03" statusCode="draft" type="stationary" label="proof" lastModifiedDate="2025-03-18T11:43:15">
                    <name language="en-US" lastTranslated="2025-03-17T17:08:03">Create a Proof of Vaccination or Negative status Document</name>
                    <actors>
                        <actor id="2.16.840.1.113883.3.1937.99.60.7.7.1" role="sender"/>
                    </actors>
                    <representingTemplate sourceDataset="2.16.840.1.113883.3.1937.99.60.7.1.1" sourceDatasetFlexibility="2013-10-10T00:00:00" ref="2.16.840.1.113883.3.1937.99.60.7.10.1.2" flexibility="2022-01-31T00:00:00">
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.1" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--group 1 :: Holder (Person)--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.10" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--group 10 :: Name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.11" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--item 11 :: Family name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.12" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--item 12 :: Given name--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.30" flexibility="2013-10-10T00:00:00" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--item 30 :: Date of birth--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.126" flexibility="2025-03-18T11:39:03" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--group 126 :: Covid-19 Vaccination or Negative status--></concept>
                        <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.127" flexibility="2025-03-18T11:39:29" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="false"><!--item 127 :: Proof of Covid-19 Vaccination or negative status--></concept>
                    </representingTemplate>
                </transaction>
            </transaction>
        </scenario>
    </scenarios>
    <ids>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.1" type="DS" prefix="vacc-dataset-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.2" type="DE" prefix="vacc-dataelement-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.3" type="SC" prefix="vacc-scenario-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.4" type="TR" prefix="vacc-transaction-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.5" type="CS" prefix="vacc-codesystem-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.6" type="IS" prefix="vacc-issue-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.7" type="AC" prefix="vacc-actor-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.8" type="CL" prefix="vacc-conceptlist-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.9" type="EL" prefix="vacc-element-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.10" type="TM" prefix="vacc-template-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.11" type="VS" prefix="vacc-valueset-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.16" type="RL" prefix="vacc-rule-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.17" type="TX" prefix="vacc-test-data-element-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.18" type="SX" prefix="vacc-test-scenario-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.19" type="EX" prefix="vacc-example-instance-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.20" type="QX" prefix="vacc-test-requirement-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.21" type="CM" prefix="vacc-community-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.24" type="MP" prefix="vacc-mapping-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.26" type="SD" prefix="vacc-structuredefinition-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.27" type="QQ" prefix="vacc-questionnaire-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.28" type="QR" prefix="vacc-questionnaire-response-"/>
        <baseId id="2.16.840.1.113883.3.1937.99.60.7.29" type="IG" prefix="vacc-implementationguide-"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.1" type="DS"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.2" type="DE"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.3" type="SC"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.4" type="TR"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.5" type="CS"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.6" type="IS"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.7" type="AC"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.8" type="CL"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.9" type="EL"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.10" type="TM"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.11" type="VS"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.16" type="RL"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.17" type="TX"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.18" type="SX"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.19" type="EX"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.20" type="QX"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.21" type="CM"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.24" type="MP"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.26" type="SD"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.27" type="QQ"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.28" type="QR"/>
        <defaultBaseId id="2.16.840.1.113883.3.1937.99.60.7.29" type="IG"/>
        <id root="2.16.840.1.113883.6.1">
            <designation language="en-US" type="preferred" displayName="LOINC">LOINC</designation>
        </id>
        <id root="2.16.840.1.113883.6.96">
            <designation language="en-US" type="preferred" displayName="Snomed-CT">Snomed-CT</designation>
        </id>
        <id root="2.16.840.1.113883.2.4.6.3">
            <designation language="en-US" type="preferred" displayName="Dutch National Citizen Identifier BSN">This is an example of a National Citizen Identifier used in health care. It is the real Dutch "Burgerservicenummer", the Citizen Service Numnber. </designation>
        </id>
    </ids>
    <terminology>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.8.40.0" valueSet="2.16.840.1.113883.1.11.1"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.8.40.1" code="M" codeSystem="2.16.840.1.113883.5.1"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.8.40.2" code="F" codeSystem="2.16.840.1.113883.5.1"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.2.100.0" effectiveDate="2014-07-29T10:28:25" valueSet="2.16.840.1.113883.1.11.19717" flexibility="2011-07-26T00:00:00"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.8.40.3" effectiveDate="2014-11-18T11:48:46" code="UN" displayName="Undifferentiated" codeSystem="2.16.840.1.113883.5.1"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.0" valueSet="2.16.840.1.113883.3.1937.99.60.7.11.2" flexibility="2024-03-16T10:07:17" effectiveDate="2025-03-18T11:43:42"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.1" code="1156257007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Administration of vaccine product against severe acute respiratory syndrome coronavirus 2 (procedure)" effectiveDate="2025-03-18T11:43:46"/>
        <terminologyAssociation conceptId="2.16.840.1.113883.3.1937.99.60.7.2.127.20250318113929.2" code="688232241000119100" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Disease caused by severe acute respiratory syndrome coronavirus 2 absent (situation)" effectiveDate="2025-03-18T11:43:49"/>
        <codeSystem ref="2.16.840.1.113883.5.1" name="AdministrativeGender" displayName="AdministrativeGender"/>
        <codeSystem ref="2.16.840.1.113883.5.25" name="BasicConfidentialityKind" displayName="BasicConfidentialityKind"/>
        <codeSystem ref="2.16.840.1.113883.6.1" name="LOINC" displayName="LOINC"/>
        <codeSystem ref="2.16.840.1.113883.6.96" name="Snomed-CT" displayName="Snomed-CT"/>
        <valueSet ref="2.16.840.1.113883.1.11.1" name="AdministrativeGender" displayName="AdministrativeGender (HL7)"/>
        <valueSet id="2.16.840.1.113883.3.1937.99.60.7.11.1" effectiveDate="2013-10-20T20:07:50" statusCode="deprecated" name="VaccineAdministered" displayName="Vaccine Administered">
            <desc language="en-US"/>
            <conceptList>
                <concept code="33329007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Animal measles vaccine" level="0" type="L"/>
                <concept code="61602008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Pertussis vaccine" level="0" type="L"/>
                <concept code="440075005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Live measles + rubella vaccine injection dose form" level="0" type="L"/>
                <concept code="61153008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Measles + Mumps + Rubella vaccine" level="0" type="L"/>
                <concept code="419550004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Measles + mumps + rubella + varicella vaccine" level="0" type="L"/>
                <concept code="400449000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Measles virus vaccine, live, 0.5mL/vial powder for injection" level="0" type="L"/>
            </conceptList>
        </valueSet>
        <valueSet id="2.16.840.1.113883.3.1937.99.60.7.11.1" effectiveDate="2025-03-16T10:07:17" statusCode="draft" name="VaccineAdministered" displayName="Vaccine Administered">
            <desc language="en-US">An example value set with a few vaccines (medicinal product)</desc>
            <conceptList>
                <concept code="871765008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only Measles morbillivirus antigen (medicinal product)" level="0" type="L"/>
                <concept code="871758000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only Bordetella pertussis antigen (medicinal product)" level="0" type="L"/>
                <concept code="871817003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only Measles morbillivirus and Rubella virus antigens (medicinal product)" level="0" type="L"/>
                <concept code="871831003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (medicinal product)" level="0" type="L"/>
                <concept code="871908002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only Human alphaherpesvirus 3 and Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (medicinal product)" level="0" type="L"/>
                <concept code="871766009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only live attenuated Measles morbillivirus antigen (medicinal product)" level="0" type="L"/>
                <concept code="1119349007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Vaccine product containing only severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid (medicinal product)" level="0" type="L"/>
            </conceptList>
        </valueSet>
        <valueSet id="2.16.840.1.113883.3.1937.99.60.7.11.2" effectiveDate="2024-03-16T10:07:17" statusCode="draft" name="COVID-19ImmunizationOrNegativeStatusCodes" displayName="COVID-19 Immunization Or Negative Status Codes">
            <desc language="en-US">Proof of COVID-19 immunization or negative status values</desc>
            <conceptList>
                <concept code="1156257007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Administration of vaccine product against severe acute respiratory syndrome coronavirus 2 (procedure)" level="0" type="L"/>
                <concept code="688232241000119100" codeSystem="2.16.840.1.113883.6.96" codeSystemName="Snomed CT" displayName="Disease caused by severe acute respiratory syndrome coronavirus 2 absent (situation)" level="0" type="L"/>
            </conceptList>
        </valueSet>
        <valueSet ref="2.16.840.1.113883.1.11.14581" name="RouteOfAdministration" displayName="RouteOfAdministration"/>
        <valueSet ref="2.16.840.1.113883.1.11.19446" name="x_ActRelationshipEntry" displayName="x_ActRelationshipEntry"/>
        <valueSet ref="2.16.840.1.113883.1.11.19717" name="ActNoImmunizationReason" displayName="ActNoImmunizationReason"/>
        <valueSet ref="2.16.840.1.113883.1.11.16926" name="x_BasicConfidentialityKind" displayName="x_BasicConfidentialityKind"/>
        <valueSet ref="2.16.840.1.113883.1.11.19709" name="ActSubstanceAdministrationImmunizationCode" displayName="ActSubstanceAdministrationImmunizationCode"/>
        <valueSet ref="2.16.840.1.113883.11.22.44" name="IPSVaccines" displayName="IPS Vaccines"/>
        <valueSet ref="2.16.840.1.113883.11.22.43" name="IPSNoImmunizationInfo" displayName="Absent or Unknown Immunization"/>
    </terminology>
    <rules>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.1.1" name="MinimalCDAVaccdocument" displayName="Minimal CDA vaccination document" effectiveDate="2013-10-10T00:00:00" statusCode="draft" isClosed="false" lastModifiedDate="2025-03-18T11:45:04">
            <desc language="en-US" lastTranslated="2025-03-18T11:45:04"><p><strong>Vaccination Certificate Document</strong></p><p>The document is a vaccination certificate. It comprises of a patient ("holder" of the certificate) and his or her list of vaccinations. This comes along with the typical CDA R2 attributes and relationships for the ClinicalDocument class:</p><ul><li><p>typeId:
                        fixed</p></li><li><p>id: unique id of the document instance</p></li><li><p>code: type of document</p></li><li><p>effectiveTime: creation date of the document</p></li><li><p>confidentialityCode: confidentiality level indication for this document</p></li><li><p>recordTarget: the record target (e.g. patient)</p></li><li><p>author: author of this
                            document</p></li><li><p>custodian: custodian for this document</p></li><li><p>component: contains structured body</p></li></ul><p>.The body contains a section that holds the list of vaccinations both, in free text (table) and as structured entries (CDA class: SubstanceAdministration).</p><p>It has the LOINC code 11369-6 History of immunization.</p></desc>
            <classification type="cdadocumentlevel"/>
            <context path="/"/>
            <example>
                <ClinicalDocument xmlns="urn:hl7-org:v3">
                    <!-- CDA Header -->
                    <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.1.1"/>
                    <id extension="123456789" root="2.16.840.1.113883.3.1937.99.3.2.997788.1"/>
                    <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunization"/>
                    <title>Vaccination Certificates Document 2014-10-07</title>
                    <effectiveTime value="20141007122709"/>
                    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
                    <recordTarget><!-- .. --></recordTarget>
                    <author><!-- .. --></author>
                    <custodian><!-- .. --></custodian>
                    <!-- CDA Body -->
                    <component>
                        <structuredBody>
                            <component><!-- .. --></component>
                        </structuredBody>
                    </component>
                </ClinicalDocument>
            </example>
            <element name="hl7:ClinicalDocument" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.1">
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.1" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.2" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <element name="hl7:templateId" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.2">
                    <desc language="en-US" lastTranslated="2025-03-18T11:45:04">CDA document template id for this kind of document</desc>
                    <example>
                        <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.1.1"/>
                    </example>
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.1.1" id="2.16.840.1.113883.3.1937.99.60.7.9.3"/>
                </element>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.3" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <element name="hl7:code" datatype="CE" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.4">
                    <example>
                        <!-- document type -->
                        <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunization"/>
                    </example>
                    <vocabulary code="11369-6" codeSystem="2.16.840.1.113883.6.1"/>
                </element>
                <element name="hl7:title" datatype="ST" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.5">
                    <example>
                        <title>Vaccination Certificates Document 2014-10-07</title>
                    </example>
                </element>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.4" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.5" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.1" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.2" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.3" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <element name="hl7:component" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.6">
                    <example>
                        <!-- now for the study results: CDA body -->
                        <component typeCode="COMP" contextConductionInd="true">
                            <!-- ... -->
                        </component>
                    </example>
                    <attribute name="typeCode" value="COMP" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.7"/>
                    <attribute name="contextConductionInd" value="true" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.8"/>
                    <element name="hl7:structuredBody" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.9">
                        <example>
                            <structuredBody classCode="DOCBODY" moodCode="EVN">
                                <!-- ... -->
                            </structuredBody>
                        </example>
                        <attribute name="classCode" value="DOCBODY" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.10"/>
                        <attribute name="moodCode" value="EVN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.11"/>
                        <element name="hl7:component" contains="2.16.840.1.113883.3.1937.99.60.7.10.3.1" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.12">
                            <attribute name="typeCode" value="COMP" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.13"/>
                            <attribute name="contextConductionInd" value="true" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.14"/>
                        </element>
                    </element>
                </element>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.1.2" name="MinimalCovid19VaccProofOrNegativeCDAdocument" displayName="Minimal Covid-19 vaccination proof or negative CDA document" effectiveDate="2022-01-31T00:00:00" statusCode="draft" isClosed="false" lastModifiedDate="2025-03-18T11:46:24">
            <desc language="en-US" lastTranslated="2025-03-18T11:46:24"><p><strong>Proof of Covid-19 Vaccination or negative status document</strong></p><p>During the Covid-19 pandemic a "Proof of Covid-19 Vaccination or negative status" document, which is the so-called <em>Green Pass</em>, a document in digital or paper format that certifies vaccination against the Covid-19 disease or,
                    alternatively, the recent negative test result or recent recovery from the infection.</p><p>It contains the "holder" of this proof (patent) and an indication of whether there was an administration of vaccine product against severe acute respiratory syndrome coronavirus 2 (SNOMED 1156257007) or the disease caused by severe acute respiratory syndrome coronavirus 2 is absent
                    (SNOMED 688232241000119100). The codes are included in a value set.</p><p>This CDA document specification is just a test and example purpose definition and was not considered for real use.</p><p>It has the LOINC code 97500-3.</p></desc>
            <classification type="cdadocumentlevel"/>
            <context path="/"/>
            <element name="hl7:ClinicalDocument" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.15">
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.1" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.2" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <element name="hl7:templateId" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.16">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.1.2" id="2.16.840.1.113883.3.1937.99.60.7.9.17"/>
                </element>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.3" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true"/>
                <element name="hl7:code" datatype="CE" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.18">
                    <vocabulary code="97500-3" codeSystem="2.16.840.1.113883.6.1" displayName="Proof of COVID-19 immunization or negative status certificate"/>
                </element>
                <element name="hl7:title" datatype="ST" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.19">
                    <example>
                        <title>Vaccination Proof or Negative status Document 2014-10-07</title>
                    </example>
                </element>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.4" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.5" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.1" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.2" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <include ref="2.16.840.1.113883.3.1937.99.60.7.10.2.3" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true"/>
                <element name="hl7:component" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.20">
                    <attribute name="typeCode" value="COMP" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.21"/>
                    <attribute name="contextConductionInd" value="true" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.22"/>
                    <element name="hl7:structuredBody" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.23">
                        <attribute name="classCode" value="DOCBODY" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.24"/>
                        <attribute name="moodCode" value="EVN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.25"/>
                        <element name="hl7:component" contains="2.16.840.1.113883.3.1937.99.60.7.10.3.2" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.26">
                            <attribute name="typeCode" value="COMP" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.27"/>
                            <attribute name="contextConductionInd" value="true" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.28"/>
                        </element>
                    </element>
                </element>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.1" name="CDArealmCode" displayName="CDA realmCode" effectiveDate="2013-10-10T00:00:00" statusCode="active">
            <desc language="en-US">Country specific context</desc>
            <classification type="cdaheaderlevel"/>
            <item label="CDArealmCode"/>
            <element name="hl7:realmCode" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="CS" id="2.16.840.1.113883.3.1937.99.60.7.9.29">
                <example>
                    <realmCode code="DE"/>
                </example>
                <attribute name="code" datatype="cs" id="2.16.840.1.113883.3.1937.99.60.7.9.30">
                    <vocabulary code="DE"/>
                    <vocabulary code="US"/>
                </attribute>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.2" name="CDAtypeId" displayName="CDA typeId" effectiveDate="2013-10-10T00:00:00" statusCode="active">
            <desc language="en-US">The clinical document <tt>typeId</tt> identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier. <p/> The <tt>@root</tt> and <tt>@extension</tt> values of this element are specified as shown in the <i>example</i> below. </desc>
            <classification type="cdaheaderlevel"/>
            <item label="CDAtypeId"/>
            <example>
                <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
            </example>
            <element name="hl7:typeId" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="II" id="2.16.840.1.113883.3.1937.99.60.7.9.31">
                <attribute name="extension" value="POCD_HD000040" id="2.16.840.1.113883.3.1937.99.60.7.9.32"/>
                <attribute name="root" value="2.16.840.1.113883.1.3" id="2.16.840.1.113883.3.1937.99.60.7.9.33"/>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.3" name="CDAId" displayName="CDA Id" effectiveDate="2013-10-10T00:00:00" statusCode="active">
            <desc language="en-US">The clinical document <tt>id</tt> element is an instance identifier data type. The <tt>@root</tt> attribute is typically an OID. The <tt>@root</tt> uniquely identifies the scope of the <tt>@extension</tt>. The <tt>@root</tt> and <tt>@extension</tt> attributes uniquely identify the document.</desc>
            <classification type="cdaheaderlevel"/>
            <example>
                <id extension="1293878605987" root="2.16.528.1.1007.3.2.1111.21.1"/>
            </example>
            <example>
                <id extension="j86574633" root="2.16.840.1.113883.2.4.6.6.99.23444.17"/>
            </example>
            <element name="hl7:id" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.34"/>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.4" name="CDAeffectiveTime" displayName="CDA effectiveTime" effectiveDate="2013-10-10T00:00:00" statusCode="active">
            <desc language="en-US">Date report was created, precise to the second</desc>
            <classification type="cdaheaderlevel"/>
            <example>
                <effectiveTime value="20120611083422"/>
            </example>
            <example caption="Invalid example of an effective date: not precise enough (year and month only)" type="error">
                <effectiveTime value="201310"/>
            </example>
            <example caption="Very valid example of an effective with a time zone" type="valid">
                <effectiveTime value="201310171717+0100"/>
            </example>
            <element name="hl7:effectiveTime" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="TS.DATETIME.MIN" id="2.16.840.1.113883.3.1937.99.60.7.9.35"/>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.5" name="CDAconfidentialityCode" displayName="CDA confidentialityCode" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
            <classification type="cdaheaderlevel"/>
            <example>
                <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
            </example>
            <element name="hl7:confidentialityCode" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="CE" id="2.16.840.1.113883.3.1937.99.60.7.9.36">
                <vocabulary valueSet="2.16.840.1.113883.1.11.16926"/>
            </element>
        </template>
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.2.1" effectiveDate="2013-10-10T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.1" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.2001.1"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.10" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.2001.2"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.30" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.2001.4"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.40" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.2001.5"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.2.1" name="CDArecordTarget" displayName="CDA recordTarget" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
            <desc language="en-US">The patient / client</desc>
            <classification type="cdaheaderlevel"/>
            <example caption="A simple patient, named John Doedidoe">
                <recordTarget>
                    <patientRole>
                        <id root="2.16.840.1.113883.2.4.6.3" extension="100202020"/>
                        <patient>
                            <name>
                                <given>John</given>
                                <family>Doedidoe</family>
                            </name>
                            <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
                            <birthTime value="19620219"/>
                        </patient>
                    </patientRole>
                </recordTarget>
            </example>
            <element name="hl7:recordTarget" id="2.16.840.1.113883.3.1937.99.60.7.9.2001.1">
                <attribute name="typeCode" value="RCT" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.37"/>
                <attribute name="contextControlCode" value="OP" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.38"/>
                <element name="hl7:patientRole" minimumMultiplicity="1" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.39">
                    <attribute name="classCode" value="PAT" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.40"/>
                    <!-- Element id, here: the national patient identifier -->
                    <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.8" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R"/>
                    <!-- Element patient -->
                    <element name="hl7:patient" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" id="2.16.840.1.113883.3.1937.99.60.7.9.41">
                        <example>
                            <patient classCode="PSN" determinerCode="INSTANCE">
                                <name><!-- ... --></name>
                                <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
                                <birthTime value="19620219"/>
                            </patient>
                        </example>
                        <attribute name="classCode" value="PSN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.42"/>
                        <attribute name="determinerCode" value="INSTANCE" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.43"/>
                        <!-- Element name -->
                        <element name="hl7:name" minimumMultiplicity="1" maximumMultiplicity="*" conformance="R" datatype="PN" id="2.16.840.1.113883.3.1937.99.60.7.9.2001.2"/>
                        <!-- Element administrativeGenderCode -->
                        <element name="hl7:administrativeGenderCode" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" datatype="CE" id="2.16.840.1.113883.3.1937.99.60.7.9.2001.5">
                            <vocabulary valueSet="2.16.840.1.113883.1.11.1"/>
                        </element>
                        <!-- Element birthTime -->
                        <element name="hl7:birthTime" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" datatype="TS" id="2.16.840.1.113883.3.1937.99.60.7.9.2001.4"/>
                    </element>
                </element>
            </element>
        </template>
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.2.2" effectiveDate="2013-10-10T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.2" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.2002.1"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.2.2" name="CDAauthor" displayName="CDA author" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
            <desc language="en-US">Author of the document</desc>
            <classification type="cdaheaderlevel"/>
            <example>
                <author>
                    <time value="20131020"/>
                    <assignedAuthor>
                        <id extension="HCP89567" root="2.16.840.1.113883.3.1937.99.3.1.997788"/>
                        <assignedPerson>
                            <name>
                                <given>Kai</given>
                                <family>Heitmann</family>
                            </name>
                        </assignedPerson>
                        <representedOrganization>
                            <name>The World's Best Vaccination Service Delivery Location</name>
                        </representedOrganization>
                    </assignedAuthor>
                </author>
            </example>
            <element name="hl7:author" minimumMultiplicity="1" maximumMultiplicity="*" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.2002.1">
                <attribute name="typeCode" value="AUT" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.44"/>
                <!-- Element time -->
                <element name="hl7:time" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="TS.DATE.MIN" id="2.16.840.1.113883.3.1937.99.60.7.9.45"/>
                <!-- Element assignedAuthor -->
                <element name="hl7:assignedAuthor" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.46">
                    <attribute name="classCode" value="ASSIGNED" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.47"/>
                    <element name="hl7:id" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" datatype="II" id="2.16.840.1.113883.3.1937.99.60.7.9.48"/>
                    <element name="hl7:assignedPerson" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.49">
                        <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.6"/>
                    </element>
                    <element name="hl7:representedOrganization" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.50">
                        <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.7"/>
                    </element>
                </element>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.2.3" name="CDAcustodian" displayName="CDA custodian" effectiveDate="2013-10-10T00:00:00" statusCode="draft">
            <desc language="en-US">Custodian of the document</desc>
            <classification type="cdaheaderlevel"/>
            <example>
                <custodian>
                    <assignedCustodian>
                        <representedCustodianOrganization>
                            <id root="2.16.840.1.113883.3.1937.99.3.2.997788"/>
                            <name/>
                        </representedCustodianOrganization>
                    </assignedCustodian>
                </custodian>
            </example>
            <element name="hl7:custodian" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.51">
                <attribute name="typeCode" value="CST" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.52"/>
                <element name="hl7:assignedCustodian" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.53">
                    <attribute name="classCode" value="ASSIGNED" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.54"/>
                    <element name="hl7:representedCustodianOrganization" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.55">
                        <include ref="2.16.840.1.113883.3.1937.99.60.7.10.9.7"/>
                    </element>
                </element>
            </element>
        </template>
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.9.6" effectiveDate="2011-12-19T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.10" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.1"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.11" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.2"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.12" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.3"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.110" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.1"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.111" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.2"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.112" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.900200.3"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.6" name="CDAPersonElements" displayName="CDA Person Elements" effectiveDate="2011-12-19T00:00:00" statusCode="draft">
            <desc language="en-US">This is a template with multiple elements on top level (use for inclusion)</desc>
            <classification type="cdaheaderlevel"/>
            <attribute name="classCode" value="PSN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.56"/>
            <attribute name="determinerCode" value="INSTANCE" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.57"/>
            <element name="hl7:name" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="PN" id="2.16.840.1.113883.3.1937.99.60.7.9.900200.1">
                <element name="hl7:family" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="ST" id="2.16.840.1.113883.3.1937.99.60.7.9.900200.2"/>
                <element name="hl7:given" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" datatype="ST" id="2.16.840.1.113883.3.1937.99.60.7.9.900200.3"/>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.7" name="CDAOrganizationElements" displayName="CDA Organization Elements" effectiveDate="2011-12-19T00:00:00" statusCode="draft" isClosed="false">
            <desc language="en-US">This is a template with multiple elements on top level (use for inclusion)</desc>
            <classification type="cdaheaderlevel"/>
            <attribute name="classCode" value="ORG" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.58"/>
            <attribute name="determinerCode" value="INSTANCE" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.59"/>
            <element name="hl7:id" minimumMultiplicity="0" maximumMultiplicity="*" datatype="II" id="2.16.840.1.113883.3.1937.99.60.7.9.60"/>
            <element name="hl7:name" minimumMultiplicity="1" maximumMultiplicity="1" datatype="ON" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.61"/>
            <element name="hl7:telecom" minimumMultiplicity="0" maximumMultiplicity="*" datatype="TEL" id="2.16.840.1.113883.3.1937.99.60.7.9.62"/>
            <element name="hl7:addr" minimumMultiplicity="0" maximumMultiplicity="1" datatype="AD" id="2.16.840.1.113883.3.1937.99.60.7.9.63"/>
        </template>
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.9.8" effectiveDate="2013-01-31T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.20" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.110.1"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.9.8" name="NationalPatientIdentifier" displayName="National Patient Identifier" effectiveDate="2013-01-31T00:00:00" statusCode="draft">
            <desc language="en-US">National Patient Identifier: this is an example of a National Citizen Identifier used in health care. In this project it is the real Dutch "Burgerservicenummer", the Citizen Service Numnber. The Burgerservicenummer (BSN) is a unique personal number issued to everyone registered in the 'Gemeentelijke Basisadministratie persoonsgegevens' (GBA), or the Personal
                Records Database of the municipality. The BSN was formerly known as the Social-Fiscal (So-Fi) number. <p/> (Citation: http://www.denhaag.nl/en/residents/to/Burgerservicenummer-BSN.htm) <p/> It has the following format: 9N, with preceding zeros if shorter than 9 characters. </desc>
            <example>
                <id root="2.16.840.1.113883.2.4.6.3" extension="100202020"/>
            </example>
            <element name="hl7:id" datatype="II.NL.BSN" id="2.16.840.1.113883.3.1937.99.60.7.9.110.1">
                <attribute name="root" value="2.16.840.1.113883.2.4.6.3" id="2.16.840.1.113883.3.1937.99.60.7.9.64"/>
                <attribute name="extension" id="2.16.840.1.113883.3.1937.99.60.7.9.65">
                    <desc language="en-US">Burgerservicenummer (National Patient Identifier)</desc>
                </attribute>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.3.1" name="ImmunizationSection" displayName="Immunization Section" effectiveDate="2014-11-18T12:18:00" statusCode="draft" isClosed="false">
            <desc language="en-US">Immunization Section</desc>
            <classification type="cdasectionlevel"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.12.201" flexibility="2005-09-07T00:00:00"/>
            <context id="**"/>
            <example type="valid">
                <section classCode="DOCSECT" moodCode="EVN">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.3.1"/>
                    <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" displayName="History of Immunization Narrative"/>
                    <title>Immunization</title>
                    <text>
                        <content ID="immunSect"/>
                        <table border="1" width="100%">
                            <thead>
                                <tr>
                                    <th>Vaccine</th>
                                    <th>Lot Number</th>
                                    <th>Date</th>
                                    <th>Status</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr ID="immun1">
                                    <td ID="ImmunizationProduct_100">Influenza Virus Vaccine</td>
                                    <td>157hh845</td>
                                    <td>2010-08-15</td>
                                    <td>Completed</td>
                                </tr>
                            </tbody>
                        </table>
                    </text>
                    <entry typeCode="DRIV">
                        <!-- template 2.16.840.1.113883.3.1937.99.60.7.10.4.1 (dynamic) -->
                    </entry>
                </section>
            </example>
            <element name="hl7:section" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.66">
                <attribute name="classCode" value="DOCSECT" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.67"/>
                <attribute name="moodCode" value="EVN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.68"/>
                <element name="hl7:templateId" minimumMultiplicity="1" maximumMultiplicity="1" datatype="II" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.69">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.3.1" id="2.16.840.1.113883.3.1937.99.60.7.9.70"/>
                </element>
                <element name="hl7:code" minimumMultiplicity="0" maximumMultiplicity="1" datatype="CE" strength="CNE" id="2.16.840.1.113883.3.1937.99.60.7.9.71">
                    <desc language="en-US">Description in addition</desc>
                    <vocabulary code="11369-6" codeSystem="2.16.840.1.113883.6.1" displayName="History of Immunization Narrative"/>
                </element>
                <element name="hl7:title" minimumMultiplicity="1" maximumMultiplicity="1" datatype="ST" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.72">
                    <text>Immunization</text>
                </element>
                <element name="hl7:text" minimumMultiplicity="1" maximumMultiplicity="1" datatype="SD.TEXT" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.73"/>
                <element name="hl7:confidentialityCode" minimumMultiplicity="0" maximumMultiplicity="1" datatype="CE" strength="CNE" id="2.16.840.1.113883.3.1937.99.60.7.9.74">
                    <vocabulary valueSet="2.16.840.1.113883.1.11.16926"/>
                </element>
                <element name="hl7:entry" minimumMultiplicity="0" maximumMultiplicity="*" contains="2.16.840.1.113883.3.1937.99.60.7.10.4.1" id="2.16.840.1.113883.3.1937.99.60.7.9.75">
                    <attribute name="typeCode" value="DRIV" datatype="st" id="2.16.840.1.113883.3.1937.99.60.7.9.76"/>
                </element>
            </element>
        </template>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.3.2" name="COVID-19ImmunizationOrNegativeStatusSection" displayName="COVID-19 Immunization Or Negative Status Section" effectiveDate="2022-01-31T00:00:00" statusCode="draft" isClosed="false">
            <desc language="en-US">COVID-19 Immunization Or Negative Status Section</desc>
            <classification type="cdasectionlevel"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.12.201" flexibility="2005-09-07T00:00:00"/>
            <context id="**"/>
            <element name="hl7:section" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.99.60.7.9.77">
                <attribute name="classCode" value="DOCSECT" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.78"/>
                <attribute name="moodCode" value="EVN" isOptional="true" id="2.16.840.1.113883.3.1937.99.60.7.9.79"/>
                <element name="hl7:templateId" minimumMultiplicity="1" maximumMultiplicity="1" datatype="II" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.80">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.3.2" id="2.16.840.1.113883.3.1937.99.60.7.9.81"/>
                </element>
                <element name="hl7:code" minimumMultiplicity="0" maximumMultiplicity="1" datatype="CE" strength="CNE" id="2.16.840.1.113883.3.1937.99.60.7.9.82">
                    <desc language="en-US">Proof of COVID-19 immunization or negative status certificate</desc>
                    <vocabulary code="97500-3" codeSystem="2.16.840.1.113883.6.1" displayName="Proof of COVID-19 immunization or negative status certificate"/>
                </element>
                <element name="hl7:title" minimumMultiplicity="1" maximumMultiplicity="1" datatype="ST" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.83">
                    <text>COVID-19 immunization or negative status certificate</text>
                </element>
                <element name="hl7:text" minimumMultiplicity="1" maximumMultiplicity="1" datatype="SD.TEXT" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.84"/>
                <element name="hl7:entry" minimumMultiplicity="0" maximumMultiplicity="1" contains="2.16.840.1.113883.3.1937.99.60.7.10.4.3" id="2.16.840.1.113883.3.1937.99.60.7.9.85">
                    <attribute name="typeCode" value="DRIV" datatype="st" id="2.16.840.1.113883.3.1937.99.60.7.9.86"/>
                </element>
            </element>
        </template>

        <!-- Immunization -->
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.4.1" effectiveDate="2017-03-08T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.3" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.777.13.9.76"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.70" effectiveDate="2013-10-17T17:18:49" elementId="2.16.840.1.113883.3.1937.777.13.9.84"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.80" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.777.13.9.85"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.85" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.99.60.7.9.87"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.125" effectiveDate="2014-11-18T11:29:16" elementId="2.16.840.1.113883.3.1937.99.60.7.9.88"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.4.1" name="Immunization" displayName="Immunization" effectiveDate="2017-03-08T00:00:00" statusCode="draft" lastModifiedDate="2025-03-17T22:11:29">
            <desc language="en-US" lastTranslated="2025-03-17T22:11:29">An Immunization entry describes immunization substance administrations that have actually occurred.<br/> (This template is actually a copy of the IPS Immunization 2.16.840.1.113883.10.22.4.15) </desc>
            <classification type="cdaentrylevel"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.12.308" flexibility="2005-09-07T00:00:00"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.20.22.4.52" flexibility="2015-08-01T00:00:00"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.22.4.15" flexibility="2017-03-08T00:00:00"/>
            <context id="**"/>
            <item label="Vaccination"/>
            <example type="neutral">
                <substanceAdministration classCode="SBADM" moodCode="EVN">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.4.1"/>
                    <id root="1.2.3.999" extension="__example only__"/>
                    <text>
                        <reference value="#immun1"/>
                    </text>
                    <code code="IMMUNIZ" displayName="Immunization" codeSystem="2.16.840.1.113883.5.4"/>
                    <statusCode code="completed"/>
                    <effectiveTime value="20170721082737"/>
                    <consumable>
                        <!-- template 2.16.840.1.113883.3.1937.99.60.7.10.4.2 'Immunization Medication Information' (dynamic) -->
                    </consumable>
                    <author>
                        <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (dynamic) -->
                    </author>
                </substanceAdministration>
            </example>
            <element name="hl7:substanceAdministration" id="2.16.840.1.113883.3.1937.777.13.9.76">
                <attribute name="classCode" value="SBADM" datatype="cs" id="2.16.840.1.113883.3.1937.777.13.9.77"/>
                <attribute name="moodCode" value="EVN" datatype="cs" id="2.16.840.1.113883.3.1937.777.13.9.78"/>
                <element name="hl7:templateId" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.79">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.4.1" datatype="uid" id="2.16.840.1.113883.3.1937.777.13.9.80"/>
                </element>
                <element name="hl7:id" datatype="II" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.777.13.9.81"/>
                <element name="hl7:code" datatype="CV.IPS" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.82">
                    <vocabulary valueSet="2.16.840.1.113883.1.11.19709" flexibility="dynamic"/>
                </element>
                <element name="hl7:statusCode" datatype="CS" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.83">
                    <vocabulary code="completed"/>
                </element>
                <element name="hl7:effectiveTime" datatype="TS" minimumMultiplicity="1" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.777.13.9.84">
                    <example type="neutral">
                        <effectiveTime value="20170322"/>
                    </example>
                </element>
                <element name="hl7:routeCode" datatype="CE" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.87">
                    <vocabulary valueSet="2.16.840.1.113883.1.11.14581"/>
                </element>
                <element name="hl7:doseQuantity" datatype="IVL_PQ" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.88"/>
                <element name="hl7:consumable" contains="2.16.840.1.113883.3.1937.99.60.7.10.4.2" minimumMultiplicity="1" maximumMultiplicity="1" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.85"/>
                <element name="hl7:author" contains="2.16.840.1.113883.10.12.318" flexibility="dynamic" minimumMultiplicity="0" maximumMultiplicity="*" conformance="R" id="2.16.840.1.113883.3.1937.777.13.9.87"/>
            </element>
        </template>
        <!-- Immunization Medication Information -->
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.4.2" effectiveDate="2017-03-08T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.83" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.777.13.9.258"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.81" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.777.13.9.256"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.82" effectiveDate="2013-10-10T00:00:00" elementId="2.16.840.1.113883.3.1937.777.13.9.256"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.4.2" name="ImmunizationMedicationInformation" displayName="Immunization Medication Information" effectiveDate="2017-03-08T00:00:00" statusCode="draft" lastModifiedDate="2025-03-06T13:18:31">
            <desc language="en-US" lastTranslated="2025-03-06T13:18:31">The Immunization Medication Information represents product information about the immunization substance. The vaccine manufacturer and vaccine lot number are typically recorded in the medical record and should be included if known.<br/> (This template is actually a copy of the IPS Immunization
                2.16.840.1.113883.10.22.4.16)</desc>
            <classification type="cdaentrylevel"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.12.312" flexibility="2005-09-07T00:00:00"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.20.22.4.54" flexibility="2014-06-09T00:00:00"/>
            <relationship type="ADAPT" template="2.16.840.1.113883.10.22.4.16" flexibility="2017-03-08T00:00:00"/>
            <context id="**"/>
            <item label="Vaccination"/>
            <example type="neutral" caption="No previous immunizations">
                <manufacturedProduct classCode="MANU">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.4.2"/>
                    <manufacturedMaterial>
                        <code code="no-known-immunizations" displayName="No known immunizations" codeSystem="2.16.840.1.113883.5.1150.1"/>
                    </manufacturedMaterial>
                    <manufacturerOrganization/>
                </manufacturedProduct>
            </example>
            <example type="error" caption="MMR Vaccine – deprecated code">
                <manufacturedProduct classCode="MANU">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.4.2"/>
                    <manufacturedMaterial>
                        <code code="61153008" displayName="Measles + Mumps + Rubella vaccine" codeSystem="2.16.840.1.113883.6.96"/>
                        <lotNumberText/>
                    </manufacturedMaterial>
                    <manufacturerOrganization/>
                </manufacturedProduct>
            </example>
            <example type="neutral" caption="MMR Vaccine">
                <manufacturedProduct classCode="MANU">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.4.2"/>
                    <manufacturedMaterial>
                        <code code="871831003" displayName="Vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (medicinal product)" codeSystem="2.16.840.1.113883.6.96"/>
                        <lotNumberText/>
                    </manufacturedMaterial>
                    <manufacturerOrganization/>
                </manufacturedProduct>
            </example>

            <example type="neutral" caption="Influenza Vaccine">
                <manufacturedProduct classCode="MANU">
                    <templateId root="2.16.840.1.113883.3.1937.99.60.7.10.4.2"/>
                    <manufacturedMaterial>
                        <code code="1181000221105" displayName="Vaccine product containing only Influenza virus antigen (medicinal product)" codeSystem="2.16.840.1.113883.6.96"/>
                        <lotNumberText/>
                    </manufacturedMaterial>
                    <manufacturerOrganization/>
                </manufacturedProduct>
            </example>
            <element name="hl7:manufacturedProduct" id="2.16.840.1.113883.3.1937.777.13.9.251">
                <attribute name="classCode" value="MANU" datatype="cs" id="2.16.840.1.113883.3.1937.777.13.9.252"/>
                <element name="hl7:templateId" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.253">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.4.2" datatype="uid" id="2.16.840.1.113883.3.1937.777.13.9.254"/>
                </element>
                <element name="hl7:manufacturedMaterial" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.777.13.9.255">
                    <element name="hl7:code" datatype="CD.IPS" strength="preferred" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" id="2.16.840.1.113883.3.1937.777.13.9.256">
                        <item label="Vaccine">
                            <desc language="en-US" lastTranslated="2025-03-06T13:18:31">The Vaccine applied.</desc>
                        </item>
                        <vocabulary valueSet="2.16.840.1.113883.11.22.44" flexibility="2024-08-02T11:41:23"/>
                        <vocabulary valueSet="2.16.840.1.113883.3.1937.99.60.7.11.1" flexibility="2013-10-20T20:07:50"/>
                        <element name="hl7:translation" datatype="CE" minimumMultiplicity="0" maximumMultiplicity="*" id="2.16.840.1.113883.3.1937.777.13.9.257">
                            <vocabulary domain="Product Code"/>
                        </element>
                    </element>
                    <element name="hl7:lotNumberText" datatype="ST" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.777.13.9.258"/>
                </element>
                <element name="hl7:manufacturerOrganization" contains="2.16.840.1.113883.3.1937.99.60.7.10.9.7" flexibility="dynamic" minimumMultiplicity="0" maximumMultiplicity="1" conformance="R" id="2.16.840.1.113883.3.1937.777.13.9.259"/>
            </element>
        </template>
        <!-- COVID-19 Immunization Or Negative Status -->
        <templateAssociation templateId="2.16.840.1.113883.3.1937.99.60.7.10.4.3" effectiveDate="2022-01-31T00:00:00">
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.126" effectiveDate="2025-03-18T11:39:03" elementId="2.16.840.1.113883.3.1937.99.60.7.9.89"/>
            <concept ref="2.16.840.1.113883.3.1937.99.60.7.2.127" effectiveDate="2025-03-18T11:39:29" elementId="2.16.840.1.113883.3.1937.99.60.7.9.95"/>
        </templateAssociation>
        <template id="2.16.840.1.113883.3.1937.99.60.7.10.4.3" name="COVID-19ImmunizationOrNegativeStatus" displayName="COVID-19 Immunization Or Negative Status" effectiveDate="2022-01-31T00:00:00" statusCode="draft" isClosed="false" lastModifiedDate="2025-03-18T11:47:32">
            <classification type="cdaentrylevel"/>
            <relationship type="SPEC" template="2.16.840.1.113883.10.12.301" flexibility="2005-09-07T00:00:00"/>
            <context id="**"/>
            <element name="hl7:act" minimumMultiplicity="1" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.89">
                <attribute name="classCode" value="OBS" datatype="cs" id="2.16.840.1.113883.3.1937.99.60.7.9.90"/>
                <attribute name="moodCode" value="EVN" datatype="cs" id="2.16.840.1.113883.3.1937.99.60.7.9.91"/>
                <element name="hl7:templateId" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" id="2.16.840.1.113883.3.1937.99.60.7.9.92">
                    <attribute name="root" value="2.16.840.1.113883.3.1937.99.60.7.10.4.3" datatype="uid" id="2.16.840.1.113883.3.1937.99.60.7.9.93"/>
                </element>
                <element name="hl7:id" datatype="II" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" id="2.16.840.1.113883.3.1937.99.60.7.9.94"/>
                <element name="hl7:code" datatype="CE" strength="required" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.95">
                    <vocabulary valueSet="2.16.840.1.113883.3.1937.99.60.7.11.2" flexibility="dynamic"/>
                </element>
                <element name="hl7:text" datatype="ED" minimumMultiplicity="0" maximumMultiplicity="1" conformance="C" id="2.16.840.1.113883.3.1937.99.60.7.9.96"/>
                <element name="hl7:statusCode" datatype="CS" minimumMultiplicity="1" maximumMultiplicity="1" conformance="R" isMandatory="true" id="2.16.840.1.113883.3.1937.99.60.7.9.97">
                    <vocabulary code="completed"/>
                </element>
                <element name="hl7:effectiveTime" datatype="TS" minimumMultiplicity="0" maximumMultiplicity="1" id="2.16.840.1.113883.3.1937.99.60.7.9.98">
                    <desc language="en-US" lastTranslated="2025-03-18T11:47:32"><p>Date (time) of certification</p></desc>
                </element>
            </element>
        </template>
        <template ref="2.16.840.1.113883.10.12.318" name="CDAAuthorBody" displayName="CDA Author (Body)"/>
    </rules>
    <issues notifier="on"><issue id="2.16.840.1.113883.3.1937.99.60.7.6.1" displayName="x" priority="N" type="RFC"><tracking effectiveDate="2026-01-14T11:59:52" labels="" statusCode="open"><author id="1">dr Kai U. Heitmann</author><desc language="en-US" lastTranslated="2026-01-14T11:59:51"><p>x</p></desc></tracking></issue></issues>
</decor>