2.16.840.1.113883.10.21.4.15

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Template UVMedicationDispense

Universal Dispense Request (Supply Request)

Actual version

Id	2.16.840.1.113883.10.21.4.15	Effective Date	2023‑01‑30 08:33:47 Other versions this id: UVMedicationDispense as of 2023‑01‑30 08:28:25 UVMedicationDispense as of 2021‑08‑04 16:35:09 UVMedicationDispense as of 2019‑02‑17
Status	Draft	Version Label	2023
Name	UVMedicationDispense	Display Name	UV Medication Dispense
Description	Universal Medication Dispense (Supply Event)
Context	Parent nodes of template element with id 2.16.840.1.113883.10.21.4.15
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Uses	Uses 7 templates Uses as Name Version 2.16.840.1.113883.10.12.320 Containment CDA Subject (Body) DYNAMIC 2.16.840.1.113883.10.21.4.10 Containment UV Medication Information (simple) (R1-STU2-ballot) DYNAMIC 2.16.840.1.113883.10.21.4.11 Containment UV Medication Information (detail) (2023) DYNAMIC 2.16.840.1.113883.10.12.323 Containment CDA Performer (Body) DYNAMIC 2.16.840.1.113883.10.12.321 Containment CDA Participant (Body) DYNAMIC 2.16.840.1.113883.10.21.4.8 Containment UV Medication Order Reference (R1-STU2-ballot) DYNAMIC 2.16.840.1.113883.10.21.4.12 Containment UV Comment Activity (R1-STU2-ballot) DYNAMIC
Relationship	Version: template 2.16.840.1.113883.10.21.4.15 UV Medication Dispense (2021‑08‑04 16:35:09) Specialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07) ref ad1bbr-
Example	Example <supply classCode="SPLY" moodCode="EVN">   <templateId root="2.16.840.1.113883.10.21.4.15"/>  <id root="..." extension="--example only--"/>  <code/>  <text/>  <statusCode code="active"/>  <effectiveTime value="20170601"/>  <independentInd value="false"/>  <quantity value="1"/>  <expectedUseTime>     <low value="20170601"/>    <low value="20170615"/>  </expectedUseTime>  <subject>     <!-- template 'CDA Subject (Body)' (dynamic) -->   </subject>  <product typeCode="PRD">     <!-- template 'CDA ManufacturedProduct' (dynamic) -->   </product>  <performer>     <!-- template 'CDA Performer (Body)' (dynamic) -->   </performer>  <participant typeCode="ORG">     <!-- template 'CDA Participant (Body)' (dynamic) -->   </participant>  <participant typeCode="DST">     <!-- template 'CDA Participant (Body)' (dynamic) -->   </participant>  <participant typeCode="RCV">     <!-- template 'CDA Participant (Body)' (dynamic) -->   </participant>  <participant typeCode="LOC">     <!-- template 'CDA Participant (Body)' (dynamic) -->   </participant>  <entryRelationship typeCode="COMP">     <!-- template 'DispenseRequest' (dynamic) -->   </entryRelationship></supply>
Item DT Card Conf Description Label hl7:supply (UVM...nse) @classCode cs 1 … 1 F SPLY @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (UVM...nse) @root uid 1 … 1 F 2.16.840.1.113883.10.21.4.15 hl7:id II 0 … * (UVM...nse) hl7:code CD (extensible) 0 … 1 (UVM...nse)   CONF The value of @code should be drawn from value set 2.16.840.1.113883.1.11.16208 ActPharmacySupplyType (DYNAMIC) hl7:text ED 0 … 1 (UVM...nse) hl7:statusCode CS 0 … 1 (UVM...nse)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC) hl7:effectiveTime TS 0 … 1 Date/Time of Dispense (UVM...nse) hl7:independentInd BL 0 … 1 (UVM...nse) hl7:quantity PQ 0 … 1 (UVM...nse) hl7:expectedUseTime IVL_TS 0 … 1 (UVM...nse) hl7:subject 0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC) (UVM...nse) Choice 0 … 1 Elements to choose from: hl7:product containing template 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC) hl7:product containing template 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC) hl7:product 0 … 1 R Consumable: The medication that is administered (simple) Contains 2.16.840.1.113883.10.21.4.10 UV Medication Information (simple) (DYNAMIC) (UVM...nse) @typeCode cs 1 … 1 F PRD hl7:product 0 … 1 R Consumable: The medication that is administered (detail) Contains 2.16.840.1.113883.10.21.4.11 UV Medication Information (detail) (DYNAMIC) (UVM...nse) @typeCode cs 1 … 1 F PRD hl7:performer 0 … * Dispenser Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC) (UVM...nse) hl7:participant 0 … 1 Origin Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVM...nse) @typeCode cs 1 … 1 F ORG hl7:participant 0 … 1 Destination Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVM...nse) where [@typeCode='DST'] @typeCode cs 1 … 1 F DST hl7:participant 0 … * Receiver Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVM...nse) where [@typeCode='RCV'] @typeCode cs 1 … 1 F RCV hl7:participant 0 … 1 Location Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVM...nse) where [@typeCode='LOC'] @typeCode cs 1 … 1 F LOC hl7:entryRelationship 0 … * R Reference to the fulfilled Medication Order Contains 2.16.840.1.113883.10.21.4.8 UV Medication Order Reference (DYNAMIC) (UVM...nse) where [@typeCode='REFR'] [hl7:substanceAdministration] @typeCode cs 1 … 1 F REFR   Example <entryRelationship typeCode="REFR">   <substanceAdministration classCode="SBADM" moodCode="RQO">     <templateId root="2.16.840.1.113883.10.21.4.8"/>    <!-- .. -->   </substanceAdministration></entryRelationship> hl7:entryRelationship 0 … * Annotations: The Medication Dispense can be the subject of annotations. Contains 2.16.840.1.113883.10.21.4.12 UV Comment Activity (DYNAMIC) (UVM...nse) @typeCode cs 1 … 1 F COMP

List of all versions of this template

• 2023-01-30 08:33:47 (Under develeopment)
• 2023-01-30 08:28:25 (Under develeopment)
• 2021-08-04 16:35:09 (Under pre-publication review)
• 2019-02-17 (Under pre-publication review)