C-CDA on FHIR
1.2.0-ballot - CI Build United States of America flag

This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Binary: CF-medication

    
<entry typeCode="DRIV">
  <substanceAdministration classCode="SBADM" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
    <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
    <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
    <statusCode code="active"/>
    <effectiveTime xsi:type="IVL_TS">
      <low value="20120806"/>
      <high nullFlavor="UNK"/>
    </effectiveTime>
    <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
      <period nullFlavor="UNK"/>
    </effectiveTime>
    <repeatNumber value="1"/>
    <doseQuantity value="1"/>
    <consumable>
      <manufacturedProduct classCode="MANU">
        <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
        <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
        <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
        <manufacturedMaterial>
          <code code="252298" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="albuterol 0.1 MG Inhalation Powder"/>
        </manufacturedMaterial>
      </manufacturedProduct>
    </consumable>
    <performer>
      <assignedEntity>
        <id root="2.16.840.1.113883.4.6" extension="2222222222"/>
        <addr nullFlavor="UNK"/>
        <telecom use="WP" value="tel:+1(555)555-1002"/>
        <representedOrganization>
          <name>Agastha Medical Center</name>
        </representedOrganization>
      </assignedEntity>
    </performer>
  </substanceAdministration>
</entry>