UDI Organizer Example - Consolidated CDA v3.0.0-ballot

Consolidated CDA
3.0.0-ballot - ballot United States of America flag
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
Narrative Content
Example Binary: UDI Organizer Example

This content is an example of the UDI Organizer Logical Model and is not a FHIR Resource
    
<!-- UDI Organizer -->
<organizer xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="CLUSTER" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.22.4.311"
        extension="2019-06-21"/>
  <id assigningAuthorityName="FDA" extension="(01)99994328998989(11)160330(10)ABC124(17)200712(21)2302991ABC210181" root="GS1"/>
  <code code="74711-3" codeSystem="2.16.840.1.113883.6.1"
        displayName="Unique Device Identifier"/>
  <statusCode code="completed"/>
  <!-- UDI components -->
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.304"
                extension="2019-06-21"/>
      <code code="C101722" displayName="Primary DI Number"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <!-- GS1 Device Identifier -->
      <value xsi:type="II" root="1.3.160"
                extension="99994328998989" displayable="true"
                assigningAuthorityName="GS1"/>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.315"
                extension="2019-06-21"/>
      <code code="C101672" displayName="Lot or Batch Number"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#LotOrBatchNumber_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.319"
                extension="2019-06-21"/>
      <code code="C101671" displayName="Serial Number"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#SerialNumber_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.316"
                extension="2019-06-21"/>
      <code code="C101669" displayName="Manufacturing Date"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="TS" value="20181015"/>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.309"
                extension="2019-06-21"/>
      <code code="C101670" displayName="Expiration Date"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="TS" value="20221015"/>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.308"
                extension="2019-06-21"/>
      <code code="C113843"
                displayName="Distinct Identification Code"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#DistinctIdentificationCode_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.301"
                extension="2019-06-21"/>
      <code code="C71898" displayName="Brand Name"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#BrandName_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.317"
                extension="2019-06-21"/>
      <code code="C99285" displayName="Model Number"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#ModelNumber_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.302"
                extension="2019-06-21"/>
      <code code="C99286" displayName="Catalog Number"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#CatalogNumber_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.303"
                extension="2019-06-21"/>
      <code code="C54131" displayName="Company Name"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="ED">
        <reference value="#CompanyName_1"/>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.318"
                extension="2019-06-21"/>
      <code code="C106044" displayName="MRI Safety Status"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="CD" code="C113844"
                codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Labeling does not Contain MRI Safety Information"
                codeSystemName="NCI Thesaurus" sdtc:valueSet="2.16.840.1.113762.1.4.1021.46">
        <originalText>
          <reference value="#MRISafety_1"/>
        </originalText>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.314"
                extension="2019-06-21"/>
      <code code="C160938" displayName="Latex Safety Status"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="CD" code="C106038"
                codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Not Made with Natural Rubber Latex"
                codeSystemName="NCI Thesaurus" sdtc:valueSet="2.16.840.1.113762.1.4.1021.47">
        <originalText>
          <reference value="#LatexSafety_1"/>
        </originalText>
      </value>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.305"
                extension="2019-06-21"/>
      <code code="C160939" displayName="Implantable Device Status"
                codeSystem="2.16.840.1.113883.3.26.1.1"
                codeSystemName="NCI Thesaurus"/>
      <value xsi:type="CD" code="C160942"
                codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Reduced Function"
                codeSystemName="NCI Thesaurus" sdtc:valueSet="2.16.840.1.113762.1.4.1021.48">
        <originalText>
          <reference value="#ImplantableDeviceStatus_1"/>
        </originalText>
      </value>
    </observation>
  </component>
</organizer>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0-ballot based on FHIR 5.0.0. Generated 2023-12-21
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