Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
This content is an example of the Admission Diagnosis Section Logical Model and is not a FHIR Resource
<section xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.2.43" extension="2015-08-01"/>
<code code="46241-6" codeSystem="2.16.840.1.113883.6.1" displayName="Hospital Admission Diagnosis">
<translation code="42347-5" codeSystem="2.16.840.1.113883.6.1" displayName="Admission Diagnosis"></translation>
</code>
<title>HOSPITAL ADMISSION DIAGNOSIS</title>
<text>Appendicitis</text>
<entry>
<act classCode="ACT" moodCode="EVN">
<!-- Hospital Admission Diagnosis -->
<templateId root="2.16.840.1.113883.10.20.22.4.34" extension="2015-08-01" />
<code code="46241-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Hospital Admission Diagnosis" />
<entryRelationship typeCode="SUBJ" inversionInd="false">
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<!-- ** Problem Observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2024-05-01" />
<id root="AB1791B0-5C71-11DB-B0DE-0800200C9A66" />
<code code="64572001" displayName="Disease"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<statusCode code="completed" />
<effectiveTime>
<!-- The low value reflects the date of onset -->
<!-- Based on patient symptoms, presumed onset is July 3, 2013 -->
<low value="20130703" />
</effectiveTime>
<value xsi:type="CD"
code="233604007"
codeSystem="2.16.840.1.113883.6.96"
displayName="Pneumonia" />
</observation>
</entryRelationship>
</act>
</entry>
</section>