<entry>

<substanceAdministration classCode="SBADM" moodCode="RQO" {{{negation_ind}}}>
  <!-- Conforms to C-CDA R2.1 Planned Immunization Activity -->
  <templateId root="2.16.840.1.113883.10.20.22.4.120"/>
  <!-- Immunization Order (V2) -->
  <templateId root="2.16.840.1.113883.10.20.24.3.143" extension="2019-12-01"/>
  <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/>
  <text>{{description}}</text>
  <statusCode code="active"/>
  {{#activeDatetime}}
    <!-- QDM Attribute: Active dateTime -->
    {{{active_date_time}}}
  {{/activeDatetime}}
  {{> qrda_templates/template_partials/_immunization_details}}
  <consumable>
    <manufacturedProduct classCode="MANU">
      <!-- ** Immunization medication information ** -->
      <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09" />
      <id root="{{random_id}}"/>
      <manufacturedMaterial>
        <!--  QDM Attribute: Code -->
        {{> _codes}}
        <lotNumberText>1</lotNumberText>
      </manufacturedMaterial>
    </manufacturedProduct>
  </consumable>
  {{#authorDatetime}}
    <!-- QDM Attribute: Author dateTime -->
    {{> qrda_templates/template_partials/_author}}
  {{/authorDatetime}}
  {{#requester}}
    <!-- QDM Attribute: Requester -->
    <participant typeCode="PRF">
      {{> qrda_templates/template_partials/_entity}}
    </participant>
  {{/requester}}
  {{#reason}}
    <!-- QDM Attribute: Reason -->
    {{> qrda_templates/template_partials/_reason}}
  {{/reason}}
  {{#negationRationale}}
    <!-- QDM Attribute: Negation Rationale -->
    {{> qrda_templates/template_partials/_reason}}
  {{/negationRationale}}
  {{#supply}}
    <!-- QDM Attribute: Supply -->
    <entryRelationship typeCode="REFR">
        {{> qrda_templates/template_partials/_immunization_supply_request}}
    </entryRelationship>
  {{/supply}}
</substanceAdministration>

</entry>