Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

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. For a full list of available versions, see the Directory of published versions

Example Binary: Medication Dispense Example

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>