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
This is an example of a value from a lab with a discrete unit, but whose value is not a number, so the PQ datatype, the only type with a unit attribute, cannot be used.
This file includes examples of the following templates:
<section xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
<!-- Results Section with Coded Entries Required -->
<code displayName="Relevant diagnostic tests and/or laboratory data"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="30954-2"/>
<title>Results</title>
<text>
<table border="1">
<thead>
<tr>
<th>Description</th>
<th>Value</th>
<th>Unit</th>
<th>Interpretation</th>
<th>Reference Range</th>
</tr>
</thead>
<tbody>
<tr>
<th colspan="4">Lipid Panel, 10/20/2013 9:08 am</th>
</tr>
<tr ID="result1">
<td>Triglycerides</td>
<td>450</td>
<td>mg/dL</td>
<td>Abnormal</td>
<td><150 mg/dL</td>
</tr>
<tr ID="result2">
<td>LDL, Calculated</td>
<!-- Example value filed from HL7 interface, paired with a real unit -->
<td>Unable to calculate</td>
<td>mg/dL</td>
<td/>
<td/>
</tr>
</tbody>
</table>
</text>
<entry>
<organizer moodCode="EVN" classCode="BATTERY">
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
<templateId root="2.16.840.1.113883.10.20.22.4.1"
extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.1"
extension="2023-05-01"/>
<id root="f16043d8-8d93-41a1-9682-a6cc7215572c"/>
<code displayName="Lipid Panel" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="24331-1"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="20131020090800-0500"/>
<high value="20131020090800-0500"/>
</effectiveTime>
<!-- This component just here to show a typical PQ result, as well as the basis for an atypical LDL result -->
<component>
<!-- optional interpretationCode/referenceRange snipped for brevity -->
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<templateId root="2.16.840.1.113883.10.20.22.4.2"
extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.2"
extension="2023-05-01"/>
<id root="ccccccd8-8d93-41a1-9682-a6cc7215572c"/>
<code xsi:type="CD" displayName="Triglycerides"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="3043-7"/>
<text xsi:type="ED">
<reference value="#result1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20131020090800-0500"/>
<value xsi:type="PQ" value="450" unit="mg/dL"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<templateId root="2.16.840.1.113883.10.20.22.4.2"
extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.2"
extension="2023-05-01"/>
<id root="eeeee3d8-8d93-41a1-9682-a6cc7215572c"/>
<code xsi:type="CD"
displayName="Cholesterol in LDL by calculation" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
code="13457-7"/>
<text xsi:type="ED">
<reference value="#result2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20131020090800-0500"/>
<!-- When non-numeric, value is a string and does not contain the units.
If coming from a v2 message, this contains only the value from OBX-5 -->
<value xsi:type="ST">Unable to calculate</value>
<!-- Units are expressed in a related component observation.
The code (question) is the SNOMED code for units.
The value (answer) is represented as xsi:type="CD" with a codeSystem of UCUM.
Note - if the unit is non-UCUM (such as receiving a string in OBX-6),
the value element would be a string with xsi:type="ST". -->
<entryRelationship typeCode="COMP">
<observation moodCode="EVN" classCode="OBS">
<code xsi:type="CD" displayName="units"
codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="246514001"/>
<value xsi:type="CD" displayName="milligram per deciliter"
codeSystemName="UCUM" codeSystem="2.16.840.1.113883.6.8" code="mg/dL"/>
</observation>
</entryRelationship>
</observation>
</component>
</organizer>
</entry>
</section>