Device-example-udi3.xml

Implantable device/UDI example HIBBC Format (id = "example-udi3")

<Device xmlns="http://hl7.org/fhir">
  <id value="example-udi3"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : example-udi3</p> <p> <b> identifier</b> : Serial Number = XYZ456789012345678</p> <h3> Udis</h3> <table> <tr> <td> -</td> <td> <b> Name</b> </td> <td> <b> Jurisdiction</b> </td> <td> <b> CarrierHRF</b> </td> <td> <b> Issuer</b> </td> <td> <b> EntryType</b> </td> </tr> <tr> <td> *</td> <td> FHIR® Ulltra Implantable</td> <td> <a> http://hl7.org/fhir/NamingSystem/fda-udi</a> </td> <td> +H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C</td> <td> <a> http://hl7.org/fhir/NamingSystem/hibcc</a> </td> <td> manual</td> </tr> </table> <p> <b> status</b> : inactive</p> <p> <b> lotNumber</b> : LOT123456789012345</p> <p> <b> manufacturer</b> : GlobalMed, Inc</p> <p> <b> manufactureDate</b> : 02/02/2013</p> <p> <b> expirationDate</b> : 02/02/2020</p> <p> <b> model</b> : Ultra Implantable</p> <p> <b> patient</b> : <a> Patient/example</a> </p> </div> </text> <identifier> 
    <!--   The serial number which is a component of the production identifier (PI), a conditional,
     variable portion of a UDI. The identifier.type code should be set to “SNO”(Serial Number)
     and the system left empty.    -->
    <type> 
      <coding> 
        <system value="http://hl7.org/fhir/identifier-type"/> 
        <code value="SNO"/> 
      </coding> 
    </type> 
    <value value="XYZ456789012345678"/> 
    <!--     this is the serial number    -->
  </identifier> 
  <udi> 
    <!--   brand name on label   -->
    <name value="FHIR® Ulltra Implantable"/> 
    <!--    This is  US FDA example    -->
    <jurisdiction value="http://hl7.org/fhir/NamingSystem/fda-udi"/> 
    <!--     The Human readable form here  which is FDA GS-1 format of the udi     -->
    <carrierHRF value="+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C"/> 
    <issuer value="http://hl7.org/fhir/NamingSystem/hibcc"/> 
    <!--    YOu may want to know how the data was entered for data integrity reasons.  This has
     overlap with Provenance which could identify the enterer   -->
    <entryType value="manual"/> 
  </udi> 
  <status value="inactive"/> 
  <lotNumber value="LOT123456789012345"/> 
  <manufacturer value="GlobalMed, Inc"/> 
  <manufactureDate value="2013-02-02"/> 
  <!--   20130202= this is the manufacturing date expressed in  [YYYYMMDD]   -->
  <expirationDate value="2020-02-02"/> 
  <!--   20020216 = this is the expiration date expressed in YYMMDDHH   -->
  <model value="Ultra Implantable"/> 
  <patient> 
    <reference value="Patient/example"/> 
  </patient> 
</Device>