CDA Examples
1.0.0 - active
CDA Examples
1.0.0 - active
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 panel of the nine common vital signs collected on an adult in mixed metric/imperial units. Note that body surface area (BSA), head circumference and height (lying) are not included.
This file includes examples of the following templates:
<section xmlns="urn:hl7-org:v3">
<!-- Note that C-CDA 3.0 has a different LOINC code requirement for Vital Signs Organizer.
C-CDA 2.1 allows this as long as the 1.1 templateId is not present.
For that reason, the 1.1 templateIds have been omitted in this example.
See more information at organizer/code -->
<!-- <templateId root="2.16.840.1.113883.10.20.22.2.4.1" /> -->
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
<code displayName="Vital signs" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="8716-3"/>
<title>Vital Signs (Last Filed)</title>
<text>
<table>
<thead>
<tr>
<th>Date</th>
<th>Blood Pressure</th>
<th>Pulse</th>
<th>Temperature</th>
<th>Respiratory Rate</th>
<th>Height</th>
<th>Weight</th>
<th>BMI</th>
<th>SpO2</th>
</tr>
</thead>
<tbody>
<tr>
<td>05/20/2014 7:36pm</td>
<!-- You can consolidate Systolic and Diastolic in human view if desired but should retain separate references -->
<td>
<content ID="SystolicBP_2">120</content>/
<content ID="DiastolicBP_2">80</content>mm[Hg]
</td>
<td ID="Pulse_2">80 /min</td>
<td ID="Temp_2">99.0 F</td>
<td ID="RespRate_2">18 /min</td>
<td ID="Height_2">5'7 (67 inches)</td>
<td ID="Weight_2">239.9 lbs</td>
<td ID="BMI_2">37.58 kg/m2</td>
<td ID="SPO2_2">98%</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- When a set of vital signs are recorded together, include them in single clustered organizer -->
<organizer moodCode="EVN" classCode="CLUSTER">
<!-- <templateId root="2.16.840.1.113883.10.20.22.4.26"/> -->
<templateId root="2.16.840.1.113883.10.20.22.4.26"
extension="2015-08-01"/>
<id root="e421f5c8-29c2-4798-9cb5-7988c236e49d"/>
<!-- If this were C-CDA 1.1 + 2.1 (with an additional templateId containing no extension),
the code element would have SNOMED code 46680005. Since this is not allowed in C-CDA 3.0,
it has been omitted from this example. -->
<code
displayName="Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
code="74728-7"/>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Each vital sign should be its own component. Note that systolic and diastolic BP must be separate components -->
<component>
<!-- Additional information of interpretation and/or reference range may be included but are optional -->
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="2721acc5-0d05-4402-9e62-79943ea3901c"/>
<code xsi:type="CD" displayName="Systolic blood pressure"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8480-6"/>
<text xsi:type="ED">
<!-- This reference identifies content in human readable formatted text -->
<reference value="#SystolicBP_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Example of Value with UCUM unit. Note that mixed metric and imperial units used in this example -->
<value xsi:type="PQ" value="120" unit="mm[Hg]"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="88a01c83-a096-4705-a992-b5f59eca8c8c"/>
<code xsi:type="CD" displayName="Diastolic blood pressure"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8462-4"/>
<text xsi:type="ED">
<reference value="#DiastolicBP_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="80" unit="mm[Hg]"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="83bbffe1-54e5-4984-a32d-ad8f8d6896d8"/>
<code xsi:type="CD" displayName="Heart rate"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8867-4"/>
<text xsi:type="ED">
<reference value="#Pulse_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="80" unit="/min"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="85f5784f-2958-4321-b7b6-3030d1577dc0"/>
<code xsi:type="CD" displayName="Body temperature"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8310-5"/>
<text xsi:type="ED">
<reference value="#Temp_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Note the UCUM conformant way to specify degrees Farenheit -->
<value xsi:type="PQ" value="99.0" unit="[degF]"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="b618fa98-6596-4e19-a9e7-6bdb48012fc8"/>
<code xsi:type="CD" displayName="Respiratory rate"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="9279-1"/>
<text xsi:type="ED">
<reference value="#RespRate_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="18" unit="/min"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="1b1274a9-b45f-449a-8493-08eaeaeba7d6"/>
<code xsi:type="CD" displayName="Body height"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8302-2"/>
<text xsi:type="ED">
<reference value="#Height_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Note the UCUM conformant way to specify inches -->
<value xsi:type="PQ" value="67" unit="[in_us]"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="1c1f89f1-8e93-4a46-b37f-9434f99727b8"/>
<code xsi:type="CD" displayName="Body weight"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="29463-7"/>
<text xsi:type="ED">
<reference value="#Weight_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Note the UCUM conformant way to specify pounds -->
<value xsi:type="PQ" value="239.9" unit="[lb_av]"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="fd4ccd0b-c045-4587-8976-a17e2e064a1e"/>
<code xsi:type="CD" displayName="Body mass index (BMI) [Ratio]"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="39156-5"/>
<text xsi:type="ED">
<reference value="#BMI_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="37.58" unit="kg/m2"/>
</observation>
</component>
<component>
<observation moodCode="EVN" classCode="OBS">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27"
extension="2014-06-09"/>
<id root="0ef4afda-1638-4ad2-9978-7321bbceb0cb"/>
<code xsi:type="CD" displayName="OXYGEN SATURATION"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="2710-2"/>
<text xsi:type="ED">
<reference value="#SPO2_2"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="98" unit="%"/>
</observation>
</component>
</organizer>
</entry>
</section>
IG © Health Level Seven. Package hl7.cda.examples#1.0.0 based on FHIR 5.0.0. Generated 2025-09-17
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