<entry>
<act classCode="ACT" moodCode="EVN" {{{negation_ind}}}> <!-- Medication Dispensed Act --> <templateId root="2.16.840.1.113883.10.20.24.3.139" extension="2019-12-01"/> <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="supply" codeSystemName="ActClass"/> <entryRelationship typeCode="SUBJ"> <!--Medication dispensed --> <supply classCode="SPLY" moodCode="EVN"> <!-- Medication Dispensed template --> <templateId root="2.16.840.1.113883.10.20.24.3.45" extension="2019-12-01"/> <!-- Medication Dispense template --> <templateId root="2.16.840.1.113883.10.20.22.4.18" extension="2014-06-09"/> <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/> <text>{{description}}</text> <statusCode code="completed"/> {{#relevantDatetime}} <!-- QDM Attribute: Relevant dateTime --> {{{relevant_date_time_value}}} {{/relevantDatetime}} {{^relevantDatetime}} {{#relevantPeriod}} <!-- QDM Attribute: Relevant Period --> {{{medication_duration_effective_time}}} {{/relevantPeriod}} {{^relevantPeriod}} <effectiveTime xsi:type="IVL_TS" nullFlavor="UNK"/> {{/relevantPeriod}} {{/relevantDatetime}} <product> <manufacturedProduct classCode="MANU"> <!-- Medication Information (consolidation) template --> <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/> <id root="{{random_id}}"/> <manufacturedMaterial> {{> _codes}} </manufacturedMaterial> </manufacturedProduct> </product> {{#authorDatetime}} <!-- QDM Attribute: Author dateTime --> {{> qrda_templates/template_partials/_author}} {{/authorDatetime}} {{#dispenser}} <!-- QDM Attribute: Dispenser --> <participant typeCode="DIST"> {{> qrda_templates/template_partials/_entity}} </participant> {{/dispenser}} {{#prescriber}} <!-- QDM Attribute: Prescriber --> <participant typeCode="PRF"> {{> qrda_templates/template_partials/_entity}} </participant> {{/prescriber}} {{#daysSupplied}} <entryRelationship typeCode="REFR"> {{> qrda_templates/template_partials/_days_supplied}} </entryRelationship> {{/daysSupplied}} <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="EVN"> {{> qrda_templates/template_partials/_medication_details}} <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> </substanceAdministration> </entryRelationship> {{#supply}} <!-- QDM Attribute: Supply --> <entryRelationship typeCode="REFR"> {{> qrda_templates/template_partials/_medication_supply_request}} </entryRelationship> {{/supply}} </supply> </entryRelationship> {{#negationRationale}} <!-- QDM Attribute: Negation Rationale --> {{> qrda_templates/template_partials/_reason}} {{/negationRationale}} </act>
</entry>