This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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="2022-06-01"/>
<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="C45329"
codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Active"
codeSystemName="NCI Thesaurus" sdtc:valueSet="2.16.840.1.113762.1.4.1021.48">
<originalText>
<reference value="#ImplantableDeviceStatus_1"/>
</originalText>
</value>
</observation>
</component>
</organizer>