This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions
This content is an example of the Planned Supply Logical Model and is not a FHIR Resource
<supply moodCode="INT" classCode="SPLY" xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.4.43" extension="2024-05-01" />
<!-- Planned Supply -->
<id root="9a6d1bac-17d3-4195-89c4-1121bc809b5d" />
<statusCode code="active" />
<!-- The effectiveTime in a planned supply represents
the time that the supply should occur. -->
<effectiveTime value="20130615" />
<repeatNumber value="1" />
<quantity value="3" />
<!-- This product represents medication that is ordered,
requested or intended for the patient. -->
<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 code="573621" codeSystem="2.16.840.1.113883.6.88" displayName="Proventil 0.09 MG/ACTUAT inhalant solution">
<originalText>
<reference value="#MedSec_1" />
</originalText>
<translation code="573621" displayName="Proventil 0.09 MG/ACTUAT inhalant solution" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
</code>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Medication Factory Inc.</name>
</manufacturerOrganization>
</manufacturedProduct>
</product>
<!-- The clinician who is expected to perform the supply
could be identified using supply/performer. -->
<performer>
...
</performer>
<!-- The author in a supply represents the clinician
who is requesting or planning the supply. -->
<author typeCode="AUT">
...
</author>
<entryRelationship typeCode="REFR">
<!-- Patient Priority Preference -->
...
</entryRelationship>
<entryRelationship typeCode="REFR">
<!-- Provider Priority Preference -->
...
</entryRelationship>
<entryRelationship typeCode="RSON">
<!-- Indication -->
...
</entryRelationship>
<entryRelationship typeCode="SUBJ">
<!-- Instruction -->
...
</entryRelationship>
<entryRelationship typeCode="COMP">
<!-- Planned Coverage -->
...
</entryRelationship>
</supply>