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-ballot 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
This content is an example of the Medication Dispense Logical Model and is not a FHIR Resource
<supply classCode="SPLY" moodCode="EVN" xmlns="urn:hl7-org:v3">
<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 code="completed" displayName="Completed" codeSystem="2.16.840.1.113883.4.642.4.1971"/>
<text>
<reference value="#supply"/>
</text>
<statusCode code="completed" />
<effectiveTime value="201208151450-0800" />
<repeatNumber value="1" />
<quantity value="75" />
<product>
<manufacturedProduct classCode="MANU" xmlns="urn:hl7-org:v3">
<!-- ** 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 code="1649560" displayName="200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
</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 use="WP" value="tel:+(555)-555-1030" />
</assignedEntity>
</performer>
</supply>