Unknown Immunization Status

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 11/21/2013
  • SDWG: 12/5/2013

  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

C-CDA 2.1 Example:

  • 2.16.840.1.113883.

  • 2.16.840.1.113883.

  • Immunization Activity 2.16.840.1.113883.

  • 2.16.840.1.113883.

    Reference to full CDA sample:

  • Immunizations in empty CCD

Validation location


  • This is an example of how an author can record they do now know whether the patient has received any vaccinations.


  • Brett Marquard, brett@riverrockassociates.com (GitHub: brettmarquard)


  • substance, immunzation




Example: download example view on GitHub

        <!-- conforms to Immunizations section with entries optional -->
        <templateId root="2.16.840.1.113883."/>        
        <templateId root="2.16.840.1.113883." extension="2015-08-01"/>
        <!-- Immunizations section with entries required -->
        <templateId root="2.16.840.1.113883."/>
        <templateId root="2.16.840.1.113883." extension="2015-08-01"/>
        <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
            displayName="History of immunizations"/>
            <table border="1" width="100%">
                    <tr ID="immun1">
                        <td> Unknown Immunization  Status</td>
                        <td>Nov 1999</td>
            <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="false" nullFlavor="NI">
                <!--  We selected NI for this example, C-CDA R2 may describe other appropriate nullFlavors -->
                <templateId root="2.16.840.1.113883."/>
                <templateId root="2.16.840.1.113883." extension="2015-08-01"/>
                <!--  ****   Immunization activity template    **** -->
                <id root="e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f88"/>
                <!-- No information on whether the patient received a vaccination -->
                    <reference value="#immun1"/>
                <!-- Link to narrative stating no information on whether the patient received a vaccination -->
                <statusCode code="completed"/>
                <effectiveTime value="199911"/>
                <!-- Date which you do not know whether or not patient received a vaccination -->
                    <manufacturedProduct classCode="MANU">
                        <!-- ** Immunization medication information ** -->
                        <templateId root="2.16.840.1.113883."/>
                        <templateId root="2.16.840.1.113883." extension="2014-06-09"/>
                            <!-- Needed to use nullFlavor of OTH since templates requires CVX in code element-->
                            <code nullFlavor="OTH">
                                <!-- Optional original text -->
                                <translation code="787859002" displayName="vaccine"
                                    codeSystemName="SNOMED CT"/>
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