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: Results with translation unit

Approval Status: Approved
Task Force Approval: 2014-02-27
SDWG Approval: 2014-03-06, 2016-12-01

This is an example of a value from a lab which requires a translation for its unit. All units for physical quantities should be represent in UCUM.

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 / Unit</th>
          <th>Interpretation</th>
          <th>Reference Range</th>
        </tr>
      </thead>
      <tbody>
        <tr>
          <th colspan="4">Platelets [#/volume] in Blood at 10-20-2013 9:08a </th>
        </tr>
        <tr ID="SomeReferenceGoesHere5">
          <td>Platelets [#/volume] in Blood</td>
          <td>152 THOUS/MCL</td>
          <td>Normal</td>
          <td>150-400</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="Platelets [#/volume] in Blood"
            codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="26515-7"/>
      <statusCode code="completed"/>
      <effectiveTime>
        <low value="20131020090800-0500"/>
        <high value="20131020090800-0500"/>
      </effectiveTime>
      <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="f16043d8-8d93-41a1-9682-a6cc7215572c"/>
          <code xsi:type="CD" displayName="Platelets [#/volume] in Blood"
                codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="26515-7"/>
          <text xsi:type="ED">
            <reference value="#SomeReferenceGoesHere5"/>
          </text>
          <statusCode code="completed"/>
          <effectiveTime>
            <low value="20131020090800-0500"/>
            <high value="20131020090800-0500"/>
          </effectiveTime>
          <!--  Representing a result which has been translated from a non-UCUM code (e.g. result reported from external lab) -->
          <value xsi:type="PQ" value="152" unit="10*3/uL"/>
          <interpretationCode displayName="Normal"
                              codeSystem="2.16.840.1.113883.5.83" code="N"/>
          <!--  This entryRelationship presents the translation from originalText to the units -->
          <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="thousand per microliter"
                     codeSystemName="UCUM" codeSystem="2.16.840.1.113883.6.8" code="10*3/uL">
                <originalText>THOUS/MCL</originalText>
              </value>
            </observation>
          </entryRelationship>
          <referenceRange>
            <observationRange>
              <!--  Reference ranges can be expressed as structured physical quantity interval -->
              <value xsi:type="IVL_PQ">
                <low value="150" unit="10*3/uL"/>
                <high value="400" unit="10*3/uL"/>
              </value>
              <!--  This interpretation code denotes that this reference range is for normal results. This is not the interpretation a specific patient value -->
              <interpretationCode displayName="Normal"
                                  codeSystem="2.16.840.1.113883.5.83" code="N"/>
            </observationRange>
          </referenceRange>
        </observation>
      </component>
    </organizer>
  </entry>
</section>