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: Planned EKG

Approval Status: Approved
Task Force Approval: 2015-11-25
SDWG Approval: 2016-02-11, 2017-02-02

This example illustrates how to structure a planned observation.

This file includes examples of the following templates: 


  <!--  here is the optional Plan of Treatment  -->
<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
  <templateId root="2.16.840.1.113883.10.20.22.2.10"/>
  <code displayName="Plan of care note" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="18776-5"/>
  <title>Plan of Treatment</title>
  <text>
    <!--  this section may contain many different Planned items, so we use the table caption to help identify each  -->
    <table>
      <caption>Planned Observation</caption>
      <thead>
        <tr>
          <th>Name</th>
          <th>Date</th>
          <th>Details</th>
        </tr>
      </thead>
      <tbody>
        <tr ID="ID0EFFFFFFCAB2">
          <td ID="ID0EFAAAAACAB2">EKG 12 channel panel</td>
          <td>June 23, 2015</td>
          <td/>
        </tr>
      </tbody>
    </table>
  </text>
  <!--  a planned observation entry  -->
  <entry>
    <!--  observation with moodCode indicating Intent  -->
    <observation moodCode="INT" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.44"
                  extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.44"/>
      <id root="b52bee94-c34b-4e2c-8c15-5ad9d6def205"/>
      <code xsi:type="CD" displayName="EKG 12 channel panel"
            codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="34534-8">
        <originalText>
          <reference value="#ID0EFAAAAACAB2"/>
        </originalText>
      </code>
      <text xsi:type="ED">
        <!--  referencing the entire text  -->
        <reference value="#ID0EFFFFFFCAB2"/>
      </text>
      <statusCode code="active"/>
      <effectiveTime value="20150623"/>
    </observation>
  </entry>
</section>