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	Draft	Version Label
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