This page is part of the CCDA: Consolidated CDA Release (v5.0.0-ballot: CCDA 5.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 4.0.0. For a full list of available versions, see the Directory of published versions
<supply xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="SPLY">
<templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
<!-- Non-medicinal supply activity template ******* -->
<id root="39b5f1b4-a8e1-4ad7-8849-0deab10c97b1"/>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL-TS">
<high value="20130703"/>
</effectiveTime>
<quantity value="1"/>
<participant typeCode="PRD">
<participantRole classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
<!-- Product instance template -->
<id root="24993f33-6222-41ce-add6-37a9d3da6acb"/>
<playingDevice>
<code displayName="cardiac pacemaker, device (physical object)"
codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="14106009">
<originalText>Cardiac Pacemaker</originalText>
</code>
</playingDevice>
<scopingEntity>
<id root="eb936010-7b17-11db-9fe1-0800200c9b65"/>
<desc>Good Health Durable Medical Equipment</desc>
</scopingEntity>
</participantRole>
</participant>
</supply>