Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build United States of America flag

Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

Example Binary: Entry Reference Example

This content is an example of the Entry Reference Logical Model and is not a FHIR Resource

    
<!-- 
  ********************************************************
  Health Concern section
  ********************************************************
-->
<section xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <entry>
    <act classCode="ACT" moodCode="EVN">
      <!-- Health Concern Act of a pneumonia diagnosis -->
      <templateId root="2.16.840.1.113883.10.20.22.4.132" />
      <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c" />
      <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern" />
      <statusCode code="active" />
      <effectiveTime value="20130616" />
      <entryRelationship typeCode="REFR">
        <!-- Problem Observation -->
        <observation classCode="OBS" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09" />
          <id root="8dfacd73-1682-4cc4-9351-e54ccea83612" />
          <code code="29308-4" 
                codeSystem="2.16.840.1.113883.6.1" 
                codeSystemName="LOINC" 
                displayName="Diagnosis"/>
          <statusCode code="completed" />
          <effectiveTime>
            <!-- Date of diagnosis -->
            <low value="20130616" />
          </effectiveTime>
          <value xsi:type="CD" code="233604007" 
                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" 
                displayName="Pneumonia" />
          <!-- This Entry Reference refers to a goal, intervention, actual 
            outcome, or some other entry present in the Care Plan
            that the Health Concern is related to-->
          <entryRelationship typeCode="REFR">
            <act classCode="ACT" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.122" />
              <!-- This ID equals the ID of the goal of a pulse 
                            ox greater than 92% -->
              <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
              <!-- The code is nulled to "NP" Not Present" -->
              <code nullFlavor="NP" />
              <statusCode code="completed" />
            </act>
          </entryRelationship>
        </observation>
      </entryRelationship>
    </act>
  </entry>


<!-- 
  ********************************************************
  Expected Outcomes/Goals section
  ********************************************************
-->

...


 <entry>
  <!-- This is an observation about the expected outcome of a pulse ox reading
       of 92 or greater.  The Id is the same as the ID as the ID of the 
       pneumonia problem above  -->
  <observation classCode="OBS" moodCode="GOL">
    <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
    <code code="59408-5" 
          codeSystem="2.16.840.1.113883.6.1" 
          codeSystemName="LOINC" 
          displayName="Oxygen saturation in Arterial blood by Pulse oximetry"/>
    <statusCode code="active" />
    <value xsi:type="IVL_PQ">
      <low value="92" unit="%" />
    </value>
    <!-- There could be another Entry Reference here referring to the 
            related health concern, actual outcome, or intervention -->
    ...
    
  
  </observation>
</entry>
...
</section>