CDA Examples
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CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions

Example: Health Concerns Link to Problems Section

Approval Status: Approved
Task Force Approval: 2015-12-15
SDWG Approval: 2016-02-11, 2017-02-02

This is an example of how to link a concern to a problem in the problem list section.

This file includes examples of the following templates: 


<structuredBody xmlns="urn:hl7-org:v3">
  <component>
    <section>
      <templateId root="2.16.840.1.113883.10.20.22.2.58"
                  extension="2015-08-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.58"/>
      <code displayName="Health Concerns Document" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
      <title>Health Concerns Section</title>
      <text>
        <table width="100%" border="1">
          <thead>
            <tr>
              <th>Health Concern</th>
              <th>Date</th>
              <th>Related Problem</th>
            </tr>
          </thead>
          <tbody>
            <tr ID="Concern1">
              <td ID="Concern1Issue1">Patient is concerned about being contagious and infecting roommate.</td>
              <td>Concern from 03/02/2014</td>
              <td>Community Acquired Pneumonia</td>
            </tr>
          </tbody>
        </table>
      </text>
      <entry>
        <act moodCode="EVN" classCode="ACT">
          <templateId root="2.16.840.1.113883.10.20.22.4.132"
                      extension="2022-06-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.132"
                      extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.132"/>
          <id root="63c5e137-3024-46cc-951f-885ec69d9030"/>
          <code displayName="Health Concern" codeSystemName="LOINC"
                codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
          <text>
            <reference value="#Concern1"/>
          </text>
          <statusCode code="active"/>
          <effectiveTime value="20140302"/>
          <entryRelationship typeCode="REFR">
            <observation moodCode="EVN" classCode="OBS">
              <templateId root="2.16.840.1.113883.10.20.22.4.4"
                          extension="2024-05-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.4"
                          extension="2015-08-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
              <id root="59c5ca3e-662f-4e33-943f-2777ebc6227e"/>
              <code xsi:type="CD" displayName="Problem"
                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="55607006">
                <translation xsi:type="CD" displayName="Problem"
                             codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                             code="75326-9"/>
              </code>
              <text xsi:type="ED">
                <reference value="#Concern1"/>
              </text>
              <statusCode code="completed"/>
              <effectiveTime>
                <low value="20140302"/>
              </effectiveTime>
              <value xsi:type="CD" nullFlavor="OTH">
                <originalText>
                  <reference value="#Concern1Issue1"/>
                </originalText>
              </value>
            </observation>
          </entryRelationship>
          <entryRelationship typeCode="REFR">
            <act moodCode="EVN" classCode="ACT">
              <templateId root="2.16.840.1.113883.10.20.22.4.122"/>
              <id root="49c5ca3e-662f-4e33-948f-2777ebc6727e"/>
              <code nullFlavor="NP"/>
              <statusCode code="completed"/>
            </act>
          </entryRelationship>
        </act>
      </entry>
    </section>
  </component>
  <component>
    <section>
      <templateId root="2.16.840.1.113883.10.20.22.2.5.1"
                  extension="2015-08-01"/>
      <code displayName="Problem List" codeSystem="2.16.840.1.113883.6.1"
            code="11450-4"/>
      <title>Problem List</title>
      <text>
        <table>
          <thead>
            <tr>
              <th>Name</th>
              <th>Dates</th>
              <th>Status</th>
            </tr>
          </thead>
          <tbody>
            <tr ID="Problem1">
              <td>Community Acquired Pneumonia</td>
              <td>
                <content>Onset: 02/27/2014</content>
              </td>
              <td>Active</td>
            </tr>
          </tbody>
        </table>
      </text>
      <entry>
        <act moodCode="EVN" classCode="ACT">
          <templateId root="2.16.840.1.113883.10.20.22.4.3"
                      extension="2024-05-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.3"
                      extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.3"/>
          <id root="102ca2e9-884c-4523-a2b4-1b6c3469c397"/>
          <code codeSystem="2.16.840.1.113883.5.6" code="CONC"/>
          <text>
            <reference value="#Problem1"/>
          </text>
          <statusCode code="active"/>
          <effectiveTime>
            <low value="20140302124536-0500"/>
          </effectiveTime>
          <entryRelationship typeCode="SUBJ">
            <observation moodCode="EVN" classCode="OBS">
              <templateId root="2.16.840.1.113883.10.20.22.4.4"
                          extension="2024-05-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.4"
                          extension="2015-08-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
              <id root="49c5ca3e-662f-4e33-948f-2777ebc6727e"/>
              <code xsi:type="CD" displayName="Problem"
                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="55607006">
                <translation xsi:type="CD" displayName="Problem"
                             codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                             code="75326-9"/>
              </code>
              <text xsi:type="ED">
                <reference value="#Problem1"/>
              </text>
              <statusCode code="completed"/>
              <effectiveTime>
                <low value="20140227"/>
              </effectiveTime>
              <value xsi:type="CD"
                     displayName="Community acquired pneumonia" codeSystemName="SNOMED CT"
                     codeSystem="2.16.840.1.113883.6.96" code="385093006"/>
            </observation>
          </entryRelationship>
        </act>
      </entry>
    </section>
  </component>
</structuredBody>