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          <body>Specifies additional information that is required when the order is for certain drugs.  Currently only used for the drug Clozapine.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgCl6uLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgCl6eLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64304DA590038" name="dataEnterer" visibility="public" isUnique="false" association="_420A62FD03B64304DA580177">
        <ownedComment xmi:id="_NgLv0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64304DA590038">
          <body>Captures participation information (who, when, comments) of the person performing data entry.

&quot;A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text&quot; (HL7)
</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B6418CF92600E1?VHIM/gov/va/med/cds/cdm/common/PractitionerParticipationLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgLv1uLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgLv1eLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592AF610217" name="pharmacyRequest" visibility="public" type="_420A62FD03B64592AF50014B" isUnique="false" association="_420A62FD03B64592AF600147">
        <ownedComment xmi:id="_NhYCoOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AF610217">
          <body>Contains generic order information for the pharmacy request.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhYCo-LiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhYCouLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641B4C6720346" name="OutpatientMedicationPromise">
      <eAnnotations xmi:id="_NZ7W1uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_NZeq5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4C6720346">
        <body>An outpatient request for medication to be administered for this patient.</body>
      </ownedComment>
      <generalization xmi:id="_420A62FD03B641B71D74024E" general="_420A62FD03B641B4BDD30213"/>
      <ownedAttribute xmi:id="_ZtnDsD1IEd21Ld4NOywUWg" name="patient" visibility="public">
        <type xmi:type="uml:Class" href="Common.efx#_D3bakD1IEd21Ld4NOywUWg?VHIM/gov/va/med/cds/cdm/common/PatientLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B641990EA80281" name="expirationDate" visibility="public">
        <eAnnotations xmi:id="_NZob5uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NZob5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641990EA80281">
          <body>The date after which the order may no longer be filled.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGHeLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGHOLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B641A2638F029A" name="lastDispenseDate" visibility="public">
        <eAnnotations xmi:id="_NZyM4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NZob8eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A2638F029A">
          <body>The most recent date the order was filled.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGIeLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGIOLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6419908A90067" name="numberOfRefillsAuthorized" visibility="public">
        <ownedComment xmi:id="_NZyM5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419908A90067">
          <body>Indicates the number of times the order may be filled without additional authorization.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592D1F703C9" name="patientInstructions" visibility="public">
        <eAnnotations xmi:id="_NZ7W0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_vf2RcBmFEd6Dt_mMR6XrIg" key="ordered list"/>
        </eAnnotations>
        <ownedComment xmi:id="_NZyM7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D1F703C9">
          <body>The complete textual representation of the signature, or &quot;sig&quot;, for the prescription. Contains all relevant information about the dosage instructions for the medication prescribed. For example, the signature might say &quot;take twice daily with food&quot;. From the Latin &quot;signare&quot; meaning &quot;to sign or mark.&quot;
</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGJeLjEdutr_MT9HkPyQ" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGJOLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592D217029A" name="otherPatientInstructions" visibility="public">
        <eAnnotations xmi:id="_NZyM6eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_0UAkABmFEd6Dt_mMR6XrIg" key="ordered list"/>
        </eAnnotations>
        <ownedComment xmi:id="_NZyM5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D217029A">
          <body>Captures the medication instructions as entered in the patient's chosen other language.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGI-LjEdutr_MT9HkPyQ" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGIuLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592D21F023B" name="expandedPatientInstructions" visibility="public">
        <eAnnotations xmi:id="_NZob4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_kzxI8CxYEd-mfNbtTIzaDw" key="ordered list"/>
        </eAnnotations>
        <ownedComment xmi:id="_NZeq6-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D21F023B">
          <body>The complete textual representation of the signature, or &quot;sig&quot;, for the prescription. Contains all relevant information about the dosage instructions for the medication prescribed. For example, the signature might say &quot;take twice daily with food&quot;. From the Latin &quot;signare&quot; meaning &quot;to sign or mark.&quot;
</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGG-LjEdutr_MT9HkPyQ" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGGuLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_8sQdgCxXEd-mfNbtTIzaDw" name="pharmacyInstructions" visibility="public">
        <eAnnotations xmi:id="_lLnBMCxYEd-mfNbtTIzaDw" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_lLwLICxYEd-mfNbtTIzaDw" key="ordered list"/>
        </eAnnotations>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iDCGsSxYEd-mfNbtTIzaDw" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iDCGsCxYEd-mfNbtTIzaDw"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6431E0578020A" name="sig" visibility="public">
        <eAnnotations xmi:id="_4pevcBmFEd6Dt_mMR6XrIg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_4pevcRmFEd6Dt_mMR6XrIg" key="ordered list"/>
        </eAnnotations>
        <ownedComment xmi:id="_NZ7W1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E0578020A">
          <body>The complete textual representation of the signature, or &quot;sig&quot;, for the prescription. Contains all relevant information about the dosage instructions for the medication prescribed. For example, the signature might say &quot;take twice daily with food&quot;. From the Latin &quot;signare&quot; meaning &quot;to sign or mark.&quot;
</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_478_gRmFEd6Dt_mMR6XrIg" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_478_gBmFEd6Dt_mMR6XrIg"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_CltkMCxYEd-mfNbtTIzaDw" name="digitalSignatureCode" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KuELYSxYEd-mfNbtTIzaDw" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KuELYCxYEd-mfNbtTIzaDw"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592C310005C" name="copayTransactionTypeCode" visibility="public">
        <ownedComment xmi:id="_NZeq6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C310005C">
          <body>Pointer to IB (Integrated Billing) ACTION TYPE file (#350.1)</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LAZRgSxYEd-mfNbtTIzaDw" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LAZRgCxYEd-mfNbtTIzaDw"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592C32F0176" name="transitionalRxBenefitCode" visibility="public">
        <eAnnotations xmi:id="_NZob7uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NZob7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C32F0176">
          <body>Indicates that this prescription has been created as part of the Transitional Pharmacy Benefit project.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGH-LjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGHuLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64476D0560118" name="originalDispense" visibility="public" type="_420A62FD03B64476CF8400B2" isUnique="false" association="_420A62FD03B64476D05402AF">
        <ownedComment xmi:id="_NgyMxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476D0560118">
          <body>Captures information about the dispense of a medication to an outpatient in fulfillment of this request.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgyMyeLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgyMyOLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64586FA280229" name="refillDispenses" visibility="public" type="_420A62FD03B64476CF8400B2" isUnique="false" association="_420A62FD03B64586FA270029">
        <ownedComment xmi:id="_NhFHsOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FA280229">
          <body>Captures information about the REFILL dispense of a medication to an outpatient in fulfillment of this request.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhFHs-LiEduGJrQyRGTO1A" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhFHsuLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64586FAB40176" name="partialDispenses" visibility="public" type="_420A62FD03B64476CF8400B2" isUnique="false" association="_420A62FD03B64586FAB30215">
        <ownedComment xmi:id="_NhFHt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FAB40176">
          <body>Captures information about the PARTIAL dispense of a medication to an outpatient in fulfillment of this request.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhFHuuLiEduGJrQyRGTO1A" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhFHueLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592DDE900FA" name="medicationInstructions" visibility="public" type="_420A62FD03B6447DAF2F024E" isUnique="false" association="_420A62FD03B64592DDE80281">
        <ownedComment xmi:id="_Nh0upOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592DDE900FA">
          <body>Contains all relevant information about the dosage instructions for the medication prescribed.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nh-fkuLiEduGJrQyRGTO1A" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nh-fkeLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64574800E0288" name="treatmentFactors" visibility="public" isUnique="false" association="_420A62FD03B64574800D0331">
        <ownedComment xmi:id="_Ng79xuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64574800E0288">
          <body>The benefit(s) cited for this order.  Examples include Agent Orange Exposure, Ionizing Radiation Exposure, etc.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B641BDF1430168?VHIM/gov/va/med/cds/cdm/common/TreatmentFactor?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ng79yeLiEduGJrQyRGTO1A" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ng79yOLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592E0020320" name="finisher" visibility="public" isUnique="false" association="_420A62FD03B64592E0020051">
        <ownedComment xmi:id="_Nh-fluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E0020320">
          <body>The party who completed the Outpatient Pharmacy order.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B6418CF92600E1?VHIM/gov/va/med/cds/cdm/common/PractitionerParticipationLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nh-fmeLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nh-fmOLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_OJdXYG08EdydJfIfCwJn4g" name="cancelDate" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_Q6CooG08EdydJfIfCwJn4g" name="cancelComments" visibility="public">
        <eAnnotations xmi:id="_9jADIBmFEd6Dt_mMR6XrIg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_9jADIRmFEd6Dt_mMR6XrIg" key="ordered list"/>
        </eAnnotations>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_91VJQRmFEd6Dt_mMR6XrIg" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_91VJQBmFEd6Dt_mMR6XrIg"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_bkIw8BmFEd6Dt_mMR6XrIg" name="recordSource" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_rByAIBmEEd6Dt_mMR6XrIg?VHIM/gov/va/med/cds/cdm/basedatatypes/FacilityIdentifier?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ckW30RmFEd6Dt_mMR6XrIg" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ckW30BmFEd6Dt_mMR6XrIg"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_j2JF8F2IEdymarS4gFkc5w" name="recordVersion" visibility="public">
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_lS4JsF2IEdymarS4gFkc5w" name="recordUpdateTime" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_oTDIsCxXEd-mfNbtTIzaDw" name="activitylogs" visibility="public" type="_QhPV0CxWEd-mfNbtTIzaDw" association="_oS5-wCxXEd-mfNbtTIzaDw">
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uKtfoSxXEd-mfNbtTIzaDw" value="*"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uKtfoCxXEd-mfNbtTIzaDw"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641DEF1AC0015" name="SpecialDrugTracking">
      <eAnnotations xmi:id="_NahzzeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_NaYCzOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641DEF1AC0015">
        <body>This class is used to carry additional information that is required when the order is for certain drugs.  Currently only used for the drug Clozapine.</body>
      </ownedComment>
      <ownedAttribute xmi:id="_420A62FD03B641BA067F0028" name="totalDailyDosage" visibility="public">
        <eAnnotations xmi:id="_Nahzy-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NahzyeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641BA067F0028">
          <body>The total daily dosage of the specially-tracked drug.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B641886F630221?VHIM/gov/va/med/cds/cdm/basedatatypes/PhysicalQuantity?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGK-LjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGKuLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_sM19YG06EdydJfIfCwJn4g" name="wbcObservationCount" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B641886F630221?VHIM/gov/va/med/cds/cdm/basedatatypes/PhysicalQuantity?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_uGlGMG06EdydJfIfCwJn4g" name="wbcObservationDate" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vFwrQW06EdydJfIfCwJn4g" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vFwrQG06EdydJfIfCwJn4g"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64476CF8400B2" name="OutpatientMedicationDispense">
      <eAnnotations xmi:id="_Nb3QgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_NbkVleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476CF8400B2">
        <body>The dispensing or issuing of medication to an outpatient or representative.</body>
      </ownedComment>
      <generalization xmi:id="_420A62FD03B64476CFD202A8" general="_420A62FD03B641928F4302E4"/>
      <ownedAttribute xmi:id="_420A62FD03B641928F610020" name="identifier" visibility="public">
        <ownedComment xmi:id="_NbkVnOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641928F610020">
          <body>The unique identifier for this dispense.&#xD;
&#xD;
This property is only used for refills and partial fills.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_eE_dREeDEdyIZay-9vWL7Q?VHIM/gov/va/med/cds/cdm/basedatatypes/EntityIdentifier?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5xLKAUuZEdyGhN1DL5AQjA" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5xLKAEuZEdyGhN1DL5AQjA"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6419901DD0065" name="daysSupply" visibility="public">
        <ownedComment xmi:id="_NbkVmeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419901DD0065">
          <body>The length of time in days that the quantity dispensed will last if consumed at the rate prescribed.  For example if th patient is instructed to take 2 pills a day, 60 pills will last 30 days.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592C2530300" name="levelOfUnderstandingCode" visibility="public">
        <eAnnotations xmi:id="_NbuGlOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NbuGkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C2530300">
          <body>Impression of how well the patient understood the education received.  Example values include: Poor, Fair, Good, Group - no assessment, Refused, etc.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGLeLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGLOLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6447DA30D007B" name="mailWindow" visibility="public">
        <ownedComment xmi:id="_NbuGl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA30D007B">
          <body>Indicates whether the medication dispensed will be mailed to the patient, or the patient will pick up the medication at the pharmacy window. Valid values are M=Mail, W=Window.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B645786888034C" name="releaseDate" visibility="public">
        <eAnnotations xmi:id="_NbuGnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NbuGmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645786888034C">
          <body>The actual date and time the medication was released for inventory purposes and copay billing if applicable. (VistA)

In the commercial world, &quot;release date&quot; typically corresponds to the date/time that the patient took possession of the medication.  Need to verifiy the VistA usage.
</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3EOLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGLuLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592C23201BE" name="wasPatientCounseledCode" visibility="public">
        <ownedComment xmi:id="_NbuGn-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C23201BE">
          <body>Captures whether or not the patient received counseling regarding the dispensed medication.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592EB3300D8" name="dispensedDrug" visibility="public" type="_420A62FD03B64592E9E3037C" isUnique="false" association="_420A62FD03B64592EB32032A">
        <ownedComment xmi:id="_NiIQm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592EB3300D8">
          <body>Contains information about the actual drug dispensed as part of this outpatient medication order.</body>
        </ownedComment>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSpywGq8EdybFIFHjYyNBA" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSgBwGq8EdybFIFHjYyNBA"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592EB98002C" name="pharmacist" visibility="public" isUnique="false" association="_420A62FD03B64592EB970099">
        <ownedComment xmi:id="_NiIQoOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592EB98002C">
          <body>The pharmacist responsible for dispensing the medication for this outpatient order.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B6418CF92600E1?VHIM/gov/va/med/cds/cdm/common/PractitionerParticipationLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NiRaguLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NiRageLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_FHakkG07EdydJfIfCwJn4g" name="cmopEventStatusCode" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_ScpgUG07EdydJfIfCwJn4g" name="divisionIdCode" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_U2SRMG07EdydJfIfCwJn4g" name="divisionNcpdpIdCode" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_vNpvoD1GEd21Ld4NOywUWg" name="numberOfRefillsRemaining" visibility="public">
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xj_U4T1GEd21Ld4NOywUWg" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xj_U4D1GEd21Ld4NOywUWg"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447DAF2F024E" name="MedicationInstructionComponent">
      <eAnnotations xmi:id="_Ncm3ZuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_NcKyhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DAF2F024E">
        <body>The signature, or &quot;sig&quot;, for the prescription. Contains all relevant information about the dosage instructions for the medication prescribed. For example, the signature might say &quot;take twice daily with food&quot;. From the Latin &quot;signare&quot; meaning &quot;to sign or mark.&quot;&#xD;
</body>
      </ownedComment>
      <ownedAttribute xmi:id="_420A62FD03B64592CEE502AF" name="conjunctionCode" visibility="public">
        <eAnnotations xmi:id="_NcdtceLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NcT8geLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CEE502AF">
          <body>Used to build patient instructions for a complex medication dose (e.g., &quot;and&quot;, &quot;then&quot;, &quot;except&quot;).</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3IOLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3H-LjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64586ECA4033D" name="dispenseUnitsPerDose" visibility="public">
        <eAnnotations xmi:id="_NcdtduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NcdtdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586ECA4033D">
          <body>This is the number of Units (tablets, capsules, etc.) to be dispensed per dose for this order.  For the following example where the doctor is ordering the patient to take two 40 mg tablets (for a total of 80 mg per dose) twice a day for 30 days, this property will contain 2.  This property corresponds to 52.113.1 in VistA.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3IuLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3IeLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_sNP7sASwEdy1Nto7002dZQ" name="dosageOrdered" visibility="public">
        <ownedComment xmi:id="_jlhmAASyEdy1Nto7002dZQ" annotatedElement="_sNP7sASwEdy1Nto7002dZQ">
          <body>This is the amount of medication the patient will receive for a single dose.  For the following example where the doctor is ordering the patient to take two 40 mg tablets (for a total of 80 mg per dose) twice a day for 30 days, this property will contain 80.  This property corresponds to 52.113.01 in VistA.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v5SIkQSwEdy1Nto7002dZQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v5SIkASwEdy1Nto7002dZQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_MrovEASwEdy1Nto7002dZQ" name="nounCode" visibility="public">
        <ownedComment xmi:id="_Dyn1EASyEdy1Nto7002dZQ" annotatedElement="_MrovEASwEdy1Nto7002dZQ">
          <body>The noun that is associated with the dosage form (e.g., &quot;Tablet&quot;).</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZK7hUASwEdy1Nto7002dZQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZKyXYASwEdy1Nto7002dZQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6431E057801AF" name="routeCode" visibility="public">
        <eAnnotations xmi:id="_NcT8fuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NcT8fOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E057801AF">
          <body>&quot;The method of introducing the therapeutic material into or onto the subject.&quot; (HL7 3.0)&#xD;
</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3HuLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3HeLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592CF01031A" name="scheduleCode" visibility="public">
        <ownedComment xmi:id="_NcdtfuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CF01031A">
          <body>&quot;This field is used to tell the patient how often the  medication is to be used.&quot; (VistA)</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZwVUcQSwEdy1Nto7002dZQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZwVUcASwEdy1Nto7002dZQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64592CF0B0226" name="verbCode" visibility="public">
        <eAnnotations xmi:id="_Ncm3ZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Ncm3YuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CF0B0226">
          <body>&quot;This field is used to describe how the medication will be taken/used.&quot; (VistA)</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3JuLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3JeLjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_P_v7QEtpEdyGhN1DL5AQjA" name="giveUnitsCode" visibility="public">
        <ownedComment xmi:id="_gusk0EtpEdyGhN1DL5AQjA" annotatedElement="_P_v7QEtpEdyGhN1DL5AQjA">
          <body>This propert holds the units of measure for a dosage.  Used for backward-compatibility with legacy HL7 v2 message.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L-49wUxBEdyVYrcEhQ5TbQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L-49wExBEdyVYrcEhQ5TbQ"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64586E9FA0043" name="intendedDuration" visibility="public">
        <eAnnotations xmi:id="_Ncdte-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NcdteeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586E9FA0043">
          <body>The period of time over which a medication order should be given.  For the following example where the doctor is ordering the patient to take two 40 mg tablets (for a total of 80 mg per dose) twice a day for 30 days, this property will contain 30 days.  This property corresponds to 52.113.4 in VistA.  This is a String type in order to accommodate VistA literals, such as &quot;1W&quot; to indicate one week duration.</body>
        </ownedComment>
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3JOLjEdutr_MT9HkPyQ" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3I-LjEdutr_MT9HkPyQ"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592AF50014B" name="PharmacyRequest">
      <eAnnotations xmi:id="_NdDjV-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_Nc6ZZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AF50014B">
        <body>Contains generic order information for the pharmacy request.</body>
      </ownedComment>
      <ownedAttribute xmi:id="_420A62FD03B64304E48C0046" name="cosigner" visibility="public" isUnique="false" association="_420A62FD03B64304E48A018E">
        <ownedComment xmi:id="_NgVg0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64304E48C0046">
          <body>Captures participation information (who, when, comments) of the person who co-signed the procedure.

Note that while the term &quot;Co-Sign&quot; is commonly used throughout VistA, the equivalent term in HL7's vocabulary is unclear.  More research is needed.
</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B6418CF92600E1?VHIM/gov/va/med/cds/cdm/common/PractitionerParticipationLite?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgVg1uLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgVg1eLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6446E0AA4039D" name="orderedMedication" visibility="public" isUnique="false" association="_420A62FD03B6446E0AA30215">
        <ownedComment xmi:id="_NgobzeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446E0AA4039D">
          <body>The medication that was requested as part of this pharmacy order.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B641B9DF76025D?VHIM/gov/va/med/cds/cdm/common/Medicine?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgyMwuLiEduGJrQyRGTO1A" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgyMweLiEduGJrQyRGTO1A"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B64594125C03CF" name="orderedItem" visibility="public" isUnique="false" association="_420A62FD03B64594125A0244">
        <ownedComment xmi:id="_NjBBZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64594125C03CF">
          <body>The item ordered as part of this Pharmacy request.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Common.efx#_420A62FD03B645940BC80075?VHIM/gov/va/med/cds/cdm/common/PharmacyOrderableItem?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Aasy8bVqEdyJSs9DZ0i8vw" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Aasy8LVqEdyJSs9DZ0i8vw"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_MyKKEG04EdydJfIfCwJn4g" name="orderDate" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PpmRQW04EdydJfIfCwJn4g" value="1"/>
        <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PpmRQG04EdydJfIfCwJn4g"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_NG310G04EdydJfIfCwJn4g" name="identifier" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_eE_dREeDEdyIZay-9vWL7Q?VHIM/gov/va/med/cds/cdm/basedatatypes/EntityIdentifier?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_NOBmsG04EdydJfIfCwJn4g" name="status" visibility="public">
        <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_NV6-cG04EdydJfIfCwJn4g" name="statusModifierCode" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_dtt5gEncEdyXcM5TklTDNg?VHIM/gov/va/med/cds/cdm/basedatatypes/CodedElementLite?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_NekkIG04EdydJfIfCwJn4g" name="orderLocationIdentifier" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_eFInIEeDEdyIZay-9vWL7Q?VHIM/gov/va/med/cds/cdm/basedatatypes/LocationIdentifier?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_JIiikG05EdydJfIfCwJn4g" name="orderingInstitutionIdentifier" visibility="public">
        <type xmi:type="uml:Class" href="Datatypes.efx#_-W0FMFSpEdykW9HHKt7M3Q?VHIM/gov/va/med/cds/cdm/basedatatypes/OrganizationIdentifier?"/>
      </ownedAttribute>
    </packagedElement>
    <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592E9E3037C" name="DispensedDrugInstance">
      <eAnnotations xmi:id="_NejYMOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_NeZnKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E9E3037C">
        <body>Contains information about the actual drug dispensed as part of this outpatient medication order.</body>
      </ownedComment>
      <ownedAttribute xmi:id="_420A62FD03B64592E95A01B1" name="drugUnitPrice" visibility="public">
        <ownedComment xmi:id="_NeZnLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E95A01B1">
          <body>This is the price of the medication per dispense unit.</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B641886F630160?VHIM/gov/va/med/cds/cdm/basedatatypes/Money?"/>
      </ownedAttribute>
      <ownedAttribute xmi:id="_420A62FD03B6419906560120" name="expirationDate" visibility="public">
        <eAnnotations xmi:id="_NejYJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NejYIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419906560120">
          <body>&quot;The date and time the manufacturer no longer ensures the safety, quality, and/or proper functioning of the material.&quot; (HL7 3.0)&#xD;
</body>
        </ownedComment>
        <type xmi:type="uml:Class" href="Datatypes.efx#_420A62FD03B64244824602F5?VHIM/gov/va/med/cds/cdm/basedatatypes/PointInTime?"/>
        <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3KuLjEdutr_MT9HkPyQ" value="1"/>
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