2.16.840.1.113883.10.21.4.2
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Template
UVDispenseRequest
Universal Dispense Request (Supply Request)
Actual version
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
List of all versions of this template
2016-05-01 (Under pre-publication review)
Category
:
Template
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