Non-Medicinal Supply - Cane and Eyeglasses

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 10/3/2019
  • SDWG: 10/10/2019

C-CDA 2.1 Example:

  • Non-Medicinal Supply Activity (V2): 2.16.840.1.113883.10.20.22.4.50:2014-06-09

Reference to full CDA sample:

  • Empty CCD

Validation location

  • SITE

Comments

  • This example demonstrates how to represent equipment supplied to or used by a patient such as wheelchairs, canes, walkers, hearing aids, eye glasses.

Certification

  • ONC

Custodian

  • Lisa R Nelson lnelson@maxmd.com (GitHub: lisarnelson/C-CDA-Examples

Keywords

  • Non-Medicinal Devices; Medical Devices

Permalink

 

Example: download example view on GitHub

<section>
	<templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
	<code code="46264-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medical Equipment"/>
	<title>Medical Equipment</title>
	<text>
		<table>
			<colgroup>
				<col width="25%"/>
				<col width="25%"/>
				<col width="25%"/>
				<col width="25%"/>
			</colgroup>
			<thead>
				<tr>
					<th>Medical Equipment</th>
					<th>Device Identifier (if applicable)</th>
					<th>Model / Serial / Lot (if applicable)</th>
					<th>Date</th>
				</tr>
			</thead>
			<tbody>
				<tr ID="equipment1">
					<td><content ID="equipment1item" styleCode="header">Eye Glasses</content></td>
					<td>n/a</td>
					<td>n/a</td>
					<td>(01/13/2000 -  )</td>
				</tr>
				<tr ID="equipment2">
					<td><content ID="equipment2item" styleCode="header">Cane</content></td>
					<td>n/a</td>
					<td>n/a</td>
					<td>(04/13/2016 -  )</td>
				</tr>
			</tbody>
		</table>
	</text>
	<entry>
		<supply classCode="SPLY" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.50"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
			<id extension="2744999" root="1.2.840.999.1.13.5552.1.7.2.99999"/>
			<text>
				<reference value="#equipment1" />
			</text>
			<statusCode code="active"/>
			<!-- low represents when person first received supply -->
			<effectiveTime xsi:type="IVL_TS">
				<low value="20000113"/>
				<high nullFlavor="NI"/> <!-- patient use of supply is ongoing -->
			</effectiveTime>
			<!--<quantity value="1" /> -->
			<participant typeCode="PRD">
				<participantRole classCode="MANU">
					<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
					<!-- id of supply is unknown; An FDA identifier is not required since this is a non-implantable device  -->
					<id root="1.2.840.999.1.13.5552.1.7.2.999991" nullFlavor="UNK"/> 
					<playingDevice>
						<code code="50121007" codeSystem="2.16.840.1.113883.6.96" displayName="Eyeglasses">
							<originalText>
								<reference value="#equipment1item"/>
							</originalText>
						</code>
					</playingDevice>
					<!-- Required by Product Instance Template -->
					<scopingEntity>
						<id nullFlavor="NA"/>
					</scopingEntity>
				</participantRole>
			</participant>
		</supply>
	</entry>
	<entry>
		<supply classCode="SPLY" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.50"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.50" extension="2014-06-09"/>
			<id extension="2744999" root="1.2.840.999.1.13.5552.1.7.2.99999"/>
			<!-- Template does not require a code, but best practice is to include a meaningful code for the type of entry. -->
			<code code="425399007" codeSystem="2.16.840.1.113883.6.96" 
				codeSystemName="SNOMEDCT" displayName="Durable medical equipment (physical object)">
			</code>
			<text>
				<reference value="#equipment2" />
			</text>
			<statusCode code="active"/>
			<!-- low represents when person first received supply -->
			<effectiveTime xsi:type="IVL_TS">
				<low value="20160413"/>
				<high nullFlavor="NI"/> <!-- patient use of supply is ongoing -->
			</effectiveTime>
			<participant typeCode="PRD">
				<participantRole classCode="MANU">
					<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
					<!-- id of supply is unknown; An FDA identifier is not required since this is a non-implantable device  -->
					<id root="1.2.840.999.1.13.5552.1.7.2.999991" nullFlavor="UNK"/>
					<playingDevice>
						<code code="87405001" codeSystem="2.16.840.1.113883.6.96" displayName="Cane">
							<originalText>
								<reference value="#equipment2item"/>
							</originalText>
						</code>
					</playingDevice>
					<!-- Required by Product Instance Template -->
					<scopingEntity>
						<id  nullFlavor="NA"/>
					</scopingEntity>
				</participantRole>
			</participant>
		</supply>
	</entry>
</section>
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