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: Intervention Counseling

Approval Status: Approved
Task Force Approval: 2020-07-02
SDWG Approval: 2020-07-09

This example illustrates an intervention section, with an intervention act wrapping a procedure activity act. The example task force approved this to provide a parallel example to how QRDA communicates interventions. Some systems may choose to include this in the procedure section.

This file includes examples of the following templates: 


<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.21.2.3" extension="2015-08-01"/>
  <code displayName="Interventions Provided" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="62387-6"/>
  <title>Interventions Section</title>
  <text>
    <table>
      <thead>
        <tr>
          <th>Description</th>
          <th>Date and Time (Range)</th>
          <th>Status</th>
        </tr>
      </thead>
      <tbody>
        <tr ID="Procedure1">
          <td ID="ProcedureDesc1">Individual Counseling For Medical Nutrition </td>
          <td>29 Mar 2014 10:45am</td>
          <td>Completed</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry typeCode="DRIV">
    <!--  Act should be used for care of the patient that cannot be classified as a procedure or observation (e.g. wound dressing change, counseling)  -->
    <!--  Intervention Act  -->
    <act moodCode="EVN" classCode="ACT">
      <templateId root="2.16.840.1.113883.10.20.22.4.131"
                  extension="2015-08-01"/>
      <id root="85fa4b62-e3a9-4385-b064-fe04cca35adb"/>
      <code displayName="Intervention" codeSystemName="SNOMED CT"
            codeSystem="2.16.840.1.113883.6.96" code="362956003"/>
      <statusCode code="completed"/>
      <entryRelationship typeCode="REFR">
        <!--  The following act is one intervention - Nutrition education  -->
        <!--  Procedure Activity Act  -->
        <act moodCode="EVN" classCode="ACT">
          <templateId root="2.16.840.1.113883.10.20.22.4.12"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.12"
                      extension="2014-06-09"/>
          <id root="9c0f070c-2e9e-4be1-a5b5-ff6d0f68123c"/>
          <code displayName="Nutrition education" codeSystemName="SNOMED-CT"
                codeSystem="2.16.840.1.113883.6.96" code="61310001">
            <originalText>
              <reference value="#ProcedureDesc1"/>
            </originalText>
            <translation xsi:type="CD"
                         displayName="Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes" codeSystemName="CPT"
                         codeSystem="2.16.840.1.113883.6.12" code="97802"/>
            <translation xsi:type="CD"
                         displayName="Nutritional counseling, diet" codeSystemName="HCPCS"
                         codeSystem="2.16.840.1.113883.6.13" code="S9470"/>
            <!--  For some activities, ICD-9 and ICD-10 procedure codes may not apply (e.g. nutritional counseling). ICD-9 and ICD-10 diagnosis codes translate and shown below -->
            <translation xsi:type="CD"
                         displayName="Dietary surveillance and counseling" codeSystemName="ICD-9 Diagnosis"
                         codeSystem="2.16.840.1.113883.6.103" code="V65.3"/>
            <translation xsi:type="CD"
                         displayName="Dietary counseling and surveillance" codeSystemName="ICD-10 Diagnosis"
                         codeSystem="2.16.840.1.113883.6.90" code="Z71.3"/>
          </code>
          <text>
            <reference value="#Procedure1"/>
          </text>
          <statusCode code="completed"/>
          <effectiveTime value="20140329104513-0500"/>
        </act>
      </entryRelationship>
    </act>
  </entry>
</section>