2.16.840.1.113883.10.21.4.2/static-2016-05-01T000000

Id	2.16.840.1.113883.10.21.4.2	Effective Date	2016‑05‑01
Status	Under pre-publication review	Version Label	R1-STU2-ballot
Name	UVDispenseRequest	Display Name	UV Dispense Request
Description	Universal Dispense Request (Supply Request)
Context	Parent nodes of template element with id 2.16.840.1.113883.10.21.4.2
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Uses	Uses 4 templates Uses as Name Version 2.16.840.1.113883.10.12.320 Containment CDA Subject (Body) DYNAMIC 2.16.840.1.113883.10.12.312 Containment CDA ManufacturedProduct 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
Relationship	Specialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07) ref ad1bbr-
Example	Example <supply classCode="SPLY" moodCode="RQO">   <templateId root="2.16.840.1.113883.10.21.4.2"/>  <id root="..." extension="--example only--"/>  <code/>  <text/>  <statusCode code="active"/>  <effectiveTime xsi:type="IVL_TS">     <low value="20170601"/>    <high value="20170801"/>  </effectiveTime>  <repeatNumber/>  <independentInd value="false"/>  <quantity value="1"/>  <expectedUseTime>     <low value="20160511153724"/>  </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 (UVD...est) @classCode cs 1 … 1 F SPLY @moodCode cs 1 … 1 F RQO hl7:templateId II 1 … 1 M (UVD...est) @root uid 1 … 1 F 2.16.840.1.113883.10.21.4.2 hl7:id II 0 … * (UVD...est) hl7:code CD (extensible) 0 … 1 (UVD...est)   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 (UVD...est) hl7:statusCode CS 0 … 1 (UVD...est) @code CONF 0 … 1 F active hl7:effectiveTime IVL_TS 0 … 1 Validity period of the Dispense Request (UVD...est) hl7:repeatNumber IVL_INT 0 … 1 (UVD...est) hl7:independentInd BL 0 … 1 (UVD...est) hl7:quantity PQ 0 … 1 (UVD...est) hl7:expectedUseTime IVL_TS 0 … 1 (UVD...est) hl7:subject 0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC) (UVD...est) hl7:product 0 … 1 R Contains 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (DYNAMIC) (UVD...est) @typeCode cs 0 … 1 F PRD hl7:performer 0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC) (UVD...est) hl7:participant 0 … 1 Origin Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVD...est) @typeCode 1 … 1 F ORG hl7:participant 0 … 1 Destination Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVD...est) where [@typeCode='DST'] @typeCode 1 … 1 F DST hl7:participant 0 … * Receiver Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVD...est) where [@typeCode='RCV'] @typeCode 1 … 1 F RCV hl7:participant 0 … 1 Location Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC) (UVD...est) where [@typeCode='LOC'] @typeCode 1 … 1 F LOC