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: No Known Health Concerns

Approval Status: Approved
Task Force Approval: 2015-11-05
SDWG Approval: 2015-11-12, 2017-02-02

This is an example of how an author can record they have no health concerns for a patient.

This file includes examples of the following templates: 


  <!--  No known health concerns is different than no information about health concerns  -->
  <!--  This example records assertion of no concerns  -->
<section xmlns="urn:hl7-org:v3">
  <!--  Health Concerns Section (V2) (V1 was added as a NEW template in R2.0, V2 was updated in R2.1)  -->
  <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
  <code displayName="Health Concerns Document" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
  <title>Health Concerns</title>
  <text>No Known Health Concerns on 11/15/2015</text>
  <entry typeCode="COMP">
    <!--  negationInd=true indicates no known health concerns at the stated time -->
    <act negationInd="true" 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="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/>
      <code displayName="Health Concern" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
      <text>
        <reference value="#HealthConcern_1"/>
      </text>
      <!--  This Health Concern has a statusCode of concern because assertion is ongoing  -->
      <statusCode code="active"/>
      <!--  The effective time is the date that the Health Concern started being followed -
           this does not necessarily correlate to the onset date of the contained health issues -->
      <effectiveTime value="20151115123506-0500"/>
      <!--  Time at which THIS "concern" began being tracked. -->
      <!--  Optional Author Element -->
      <!--  This is different then No Known Problems in that we aren't requiring declaration that no concerns
           for each of the potential 30+ choices available. -->
      <author>
        <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
        <time value="20151115"/>
        <assignedAuthor>
          <id root="2.16.840.1.113883.4.6" extension="66666"/>
          <code displayName="Cardiovascular Disease Physician"
                codeSystemName="NUCC" codeSystem="2.16.840.1.113883.6.101" code="207RC0000X"/>
          <addr use="WP">
            <streetAddressLine>6666 StreetName St.</streetAddressLine>
            <city>Silver Spring</city>
            <state>MD</state>
            <postalCode>20901</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:+1(301)666-6666" use="WP"/>
          <assignedPerson>
            <name>
              <given>Heartly</given>
              <family>Sixer</family>
              <suffix>MD</suffix>
            </name>
          </assignedPerson>
        </assignedAuthor>
      </author>
    </act>
  </entry>
</section>