Id1.3.6.1.4.1.12559.11.10.1.3.1.3.3Effective Date2019‑11‑11 14:18:44
Statusretired RetiredVersion Label
NameepSOSCDASupplyDisplay NameepSOS CDA Supply
DescriptionDispensed Medicine Entry Content Module
ContextParent nodes of template element with id 1.3.6.1.4.1.12559.11.10.1.3.1.3.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 4 templates
Uses as NameVersion
1.3.6.1.4.1.12559.11.10.1.3.1.3.1Containmentretired eHDSI Manufactured ProductDYNAMIC
2.16.840.1.113883.3.1937.777.11.10.136Containmentactive eHDSI Performer (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.144Containmentactive eHDSI Related PrescriptionDYNAMIC
2.16.840.1.113883.3.1937.777.11.10.149Includeactive eHDSI Dispenser Credentialing OrganizationDYNAMIC
RelationshipVersion: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.3 epSOS CDA Supply (2013‑12‑20)
Specialization: template 2.16.840.1.113883.10.20.1.8 (DYNAMIC)
Example
Example
<supply classCode="SPLY" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.34"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/>  <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.3"/>  <id root="" extension=""/>  <quantity value="" unit=""/>  <product>
    <!-- ... -->
  </product>  <performer typeCode="PRF">
    <time value=""/>    <assignedEntity>
      <id root="" extension=""/>      <addr/>      <telecom use="" value=""/>      <assignedPerson>
        <name/>      </assignedPerson>      <representedOrganization>
        <name/>      </representedOrganization>    </assignedEntity>  </performer>  <!-- related prescription -->
  <entryRelationship typeCode="REFR">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <!-- ... -->
    </substanceAdministration>  </entryRelationship>  <!-- Optional Substitution Act -->
  <entryRelationship typeCode="COMP">
    <act classCode="ACT" moodCode="EVN">
      <!-- ... -->
    </act>  </entryRelationship>  <entryRelationship typeCode="COMP">
    <substanceAdministration classCode="SBADM" moodCode="INT">
      <doseQuantity/>    </substanceAdministration>  </entryRelationship>  <!-- Optional Patient instrctions -->
  <entryRelationship typeCode="SUBJ">
    <!-- ... -->
  </entryRelationship></supply>
ItemDTCardConfDescriptionLabel
hl7:supply
1 … 1R The element shall be present. The moodCode attribute shall be INT to reflect that a medication has been prescribed, or EVN to indicate that the prescription has been filled. epSOdotspply
@classCode
cs1 … 1FSPLY
@moodCode
cs1 … 1FEVN
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.19461 x_DocumentSubstanceMood (DYNAMIC)
hl7:templateId
II.EPSOS1 … 1MepSOdotspply
@root
uid1 … 1F2.16.840.1.113883.10.20.1.34
hl7:templateId
II.EPSOS1 … 1MepSOdotspply
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.7.3
hl7:templateId
II.EPSOS1 … 1MepSOdotspply
@root
uid1 … 1F1.3.6.1.4.1.12559.11.10.1.3.1.3.3
hl7:id
II.EPSOS1 … 1M Each supply act shall have an identifier to uniquely identify the dispensation of this particular medication. epSOdotspply
hl7:quantity
PQ1 … 1M
The supply entry shall indicate the dispensed number of packages. 

The value attribute shall be present and indicate the dispensed number of packages. The unit attribute must equal UCUM unit 1. In dispensations for overall amount (such as 400 tablets), the value attribute must equal 1, and the overall amount shall be placed in hl7:supply/hl7:product/hl7:manufacturedProduct/hl7:manufacturedMaterial/epsos:asContent/epsos:containerPackagedMedicine/epsos:capacityQuantity element. See its description for more information.
epSOdotspply
hl7:product
1 … 1RProduct
The <product> element shall be present, and shall contain a <manufacturedProduct> entry, conforming to the Medicine Entry template. This is the actual medication dispensed, and may include packaging information.
Contains 1.3.6.1.4.1.12559.11.10.1.3.1.3.1 eHDSI Manufactured Product (DYNAMIC)		epSOdotspply
@typeCode
cs0 … 1FPRD
hl7:performer
1 … 1RDispenser
The <performer> element shall be present to indicate who actually filled (moodCode='EVN') the prescription. The dispenser is described within the specific entry structure of the prescription under the /ClinicalDocument/component/structuredBody/component/section/entry/supply/performer XML element.
Data elementHL7 V3 Data TypeCDA Header position (relative XPath expression)
Dispensation TimeTSperformer/time
Dispenser NamePNperformer/assignedEntity/assignedPerson/name
Dispenser identifierIIperformer/assignedEntity/id
Pharmacy Organization IdentifierIIperformer/assignedEntity/representedOrganization/id
Pharmacy Organization NameONperformer/assignedEntity/representedOrganization/name
Pharmacy Organization AddressADperformer/assignedEntity/representedOrganization/addr

Contains 2.16.840.1.113883.3.1937.777.11.10.136 eHDSI Performer (Body) (DYNAMIC)		epSOdotspply
Included0 … *R from 2.16.840.1.113883.3.1937.777.11.10.149 eHDSI Dispenser Credentialing Organization (DYNAMIC)
Dispenser Credentialing Organization 
The organization which provided the credentialing for the dispenser needs to be expressed via a <participant> structure, which is in addition to the <performer> element specified earlier. The type code of the <participant> element shall be "PRF", and the class code of the <participantRole> element shall be "LIC". 

The ID of the participation role is optional, and when present it shall be the dispenser ID as specified in the <performer> structure. 

The credentialing organization (College) is represented by the <scopingEntity> element with a class code of "ORG". The name is represented by the <desc> element, and the credentialing organization (College) ID is represented by the <id> element of the scoping entity 
 Example<participant typeCode="PRF">
  <participantRole classCode="LIC">
    <id root=" " extension=" "/>    <scopingEntity classCode="ORG">
      <id root=" " extension=" "/>      <desc>Name</desc>    </scopingEntity>  </participantRole></participant>
hl7:participant
0 … *ReHDSdotstion
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
cs1 … 1FOP
hl7:time
IVL_TS0 … 1ReHDSdotstion
hl7:awarenessCode
CE.EPSOS0 … 1ReHDSdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1ReHDSdotstion
@classCode
cs0 … 1FLIC
hl7:id
II.EPSOS0 … *ReHDSdotstion
hl7:code
CE.EPSOS0 … 1ReHDSdotstion
@codeSystem
CONF0 … 1F2.16.840.1.113883.5.111
hl7:addr
AD0 … *ReHDSdotstion
hl7:telecom
TEL0 … *ReHDSdotstion
hl7:scopingEntity
0 … 1ReHDSdotstion
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II.EPSOS0 … *ReHDSdotstion
hl7:code
CE.EPSOS0 … 1ReHDSdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16040 EntityCode (DYNAMIC)
hl7:desc
ED0 … 1ReHDSdotstion
hl7:entryRelationship
1 … 1MRelated Prescription

The related prescription item is represented via an entry relationship of type code "REFR", and containing a prescription entry as described in section 12.1.2.4. The prescription item ID is required within the Dispensed Medication Entry.

Contains 2.16.840.1.113883.3.1937.777.11.10.144 eHDSI Related Prescription (DYNAMIC)		epSOdotspply
@typeCode
cs1 … 1FREFR
 Example<entryRelationship typeCode="REFR">
  <substanceAdministration classCode="SBADM" moodCode="INT">
    <!-- ... -->
  </substanceAdministration></entryRelationship>
hl7:entryRelationship
0 … 1RSubstitution
An entry relationship may be present to inform that a substitution occured. When present, this entry relationship SHALL contain one and only one act.

This act SHALL have the code element valorized with @code=’SUBST' and @codeSystem='2.16.840.1.113883.5.6'
epSOdotspply
@typeCode
cs1 … 1FCOMP
hl7:act
1 … 1RepSOdotspply
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:code
1 … 1RepSOdotspply
@code
CONF0 … 1FSUBST
@codeSystem
0 … 1F2.16.840.1.113883.5.6