Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
<supply xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="SPLY">
<templateId root="2.16.840.1.113883.10.20.22.4.18" extension="2023-05-01"/>
<id root="1.2.3.4.56789.1"
extension="cb734647-fc99-424c-a864-7e3cda82e704"/>
<code displayName="Completed" codeSystem="2.16.840.1.113883.4.642.4.1971"
code="completed"/>
<text/>
<statusCode code="completed"/>
<effectiveTime xsi:type="SXCM-TS" value="20120815145000-0800"/>
<repeatNumber value="1"/>
<quantity value="75"/>
<product>
<manufacturedProduct classCode="MANU">
<!-- ** Medication information ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.23"
extension="2014-06-09"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
<manufacturedMaterial>
<code
displayName="200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"
code="1649560"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Medication Factory Inc.</name>
</manufacturerOrganization>
</manufacturedProduct>
</product>
<performer>
<assignedEntity>
<id root="2.16.840.1.113883.19.5.9999.456" extension="2981824"/>
<addr>
<streetAddressLine>1007 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+(555)-555-1030" use="WP"/>
</assignedEntity>
</performer>
</supply>