<entry>

<act classCode="ACT" moodCode="RQO" {{{negation_ind}}}>
  <templateId root="2.16.840.1.113883.10.20.24.3.130" extension="2019-12-01"/>
  <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="Supply" codeSystemName="ActClass"/>
  <entryRelationship typeCode="SUBJ">
    <supply classCode="SPLY" moodCode="RQO">
      <!-- Plan of Care Activity Supply -->
      <templateId root="2.16.840.1.113883.10.20.22.4.43" extension="2014-06-09"/>
      <!-- Device, Order -->
      <templateId root="2.16.840.1.113883.10.20.24.3.9" extension="2019-12-01"/>
      <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/>
      <text>{{description}}</text>
      <statusCode code="active"/>
      {{#authorDatetime}}
        <!-- QDM Attribute: Author dateTime -->
        {{> qrda_templates/template_partials/_author}}
      {{/authorDatetime}}
      <participant typeCode="DEV">
        <participantRole classCode="MANU">
          <playingDevice classCode="DEV">
            <!-- QDM Attribute: Code -->
            {{> _codes}}
          </playingDevice>
        </participantRole>
      </participant>
      {{#requester}}
        <!-- QDM Attribute: Requester -->
        <participant typeCode="PRF">
          {{> qrda_templates/template_partials/_entity}}
        </participant>
      {{/requester}}
      {{#reason}}
        <!-- QDM Attribute: Reason -->
        {{> qrda_templates/template_partials/_reason}}
      {{/reason}}
    </supply>
  </entryRelationship>
  {{#negationRationale}}
    <!-- QDM Attribute: Negation Rationale -->
    {{> qrda_templates/template_partials/_reason}}
  {{/negationRationale}}
</act>

</entry>