CDA Examples
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CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions

Example: Non-Medicinal Supply - Cane and Eyeglasses

Approval Status: Approved
Task Force Approval: 2019-10-03
SDWG Approval: 2019-10-10

This example demonstrates how to represent equipment supplied to or used by a patient such as wheelchairs, canes, walkers, hearing aids, eye glasses.

This file includes examples of the following templates: 


<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
  <code displayName="Medical Equipment" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="46264-8"/>
  <title>Medical Equipment</title>
  <text>
    <table>
      <colgroup>
        <col width="25%"/>
        <col width="25%"/>
        <col width="25%"/>
        <col width="25%"/>
      </colgroup>
      <thead>
        <tr>
          <th>Medical Equipment</th>
          <th>Device Identifier (if applicable)</th>
          <th>Model / Serial / Lot (if applicable)</th>
          <th>Date</th>
        </tr>
      </thead>
      <tbody>
        <tr ID="equipment1">
          <td>
            <content ID="equipment1item">Eye Glasses</content>
          </td>
          <td>n/a</td>
          <td>n/a</td>
          <td>(01/13/2000 -  )</td>
        </tr>
        <tr ID="equipment2">
          <td>
            <content ID="equipment2item">Cane</content>
          </td>
          <td>n/a</td>
          <td>n/a</td>
          <td>(04/13/2016 -  )</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry>
    <supply moodCode="EVN" classCode="SPLY">
      <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.50"
                  extension="2014-06-09"/>
      <id root="1.2.840.999.1.13.5552.1.7.2.99999" extension="2744999"/>
      <text>
        <reference value="#equipment1"/>
      </text>
      <statusCode code="active"/>
      <!--  low represents when person first received supply  -->
      <!--  patient use of supply is ongoing  -->
      <effectiveTime xsi:type="IVL_TS">
        <low value="20000113"/>
        <high nullFlavor="NI"/>
      </effectiveTime>
      <!-- <quantity value="1" />  -->
      <participant typeCode="PRD">
        <participantRole classCode="MANU">
          <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
          <!--  id of supply is unknown; An FDA identifier is not required since this is a non-implantable device   -->
          <id root="1.2.840.999.1.13.5552.1.7.2.999991" nullFlavor="UNK"/>
          <playingDevice>
            <code displayName="Eyeglasses"
                  codeSystem="2.16.840.1.113883.6.96" code="50121007">
              <originalText>
                <reference value="#equipment1item"/>
              </originalText>
            </code>
          </playingDevice>
          <!--  Required by Product Instance Template  -->
          <scopingEntity>
            <id nullFlavor="NA"/>
          </scopingEntity>
        </participantRole>
      </participant>
    </supply>
  </entry>
  <entry>
    <supply moodCode="EVN" classCode="SPLY">
      <templateId root="2.16.840.1.113883.10.20.22.4.50"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.50"
                  extension="2014-06-09"/>
      <id root="1.2.840.999.1.13.5552.1.7.2.99999" extension="2744999"/>
      <!--  Template does not require a code, but best practice is to include a meaningful code for the type of entry.  -->
      <code displayName="Durable medical equipment (physical object)"
            codeSystemName="SNOMEDCT" codeSystem="2.16.840.1.113883.6.96" code="425399007"/>
      <text>
        <reference value="#equipment2"/>
      </text>
      <statusCode code="active"/>
      <!--  low represents when person first received supply  -->
      <!--  patient use of supply is ongoing  -->
      <effectiveTime xsi:type="IVL_TS">
        <low value="20160413"/>
        <high nullFlavor="NI"/>
      </effectiveTime>
      <participant typeCode="PRD">
        <participantRole classCode="MANU">
          <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
          <!--  id of supply is unknown; An FDA identifier is not required since this is a non-implantable device   -->
          <id root="1.2.840.999.1.13.5552.1.7.2.999991" nullFlavor="UNK"/>
          <playingDevice>
            <code displayName="Cane" codeSystem="2.16.840.1.113883.6.96"
                  code="87405001">
              <originalText>
                <reference value="#equipment2item"/>
              </originalText>
            </code>
          </playingDevice>
          <!--  Required by Product Instance Template  -->
          <scopingEntity>
            <id nullFlavor="NA"/>
          </scopingEntity>
        </participantRole>
      </participant>
    </supply>
  </entry>
</section>