Consolidated CDA (C-CDA)
4.0.0 - STU4
Consolidated CDA (C-CDA)
4.0.0 - STU4
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 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
<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
<!-- ** Advance Directive Existence Observation** -->
<templateId root="2.16.840.1.113883.10.20.22.4.513" extension="2025-05-01"/>
<id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27"/>
<code xsi:type="CD" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="45473-6"/>
<text/>
<statusCode code="completed"/>
<effectiveTime value="20110219"/>
<value xsi:type="CD" displayName="Yes" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="373066001"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.5.6" extension="2019-10-01"/>
<time value="20130801123500-0800"/>
<assignedAuthor>
<id root="2.16.840.1.113883.4.6" extension="1234567890"/>
<code displayName="Registered nurse"
codeSystemName="Health Care Provider Taxonomy" codeSystem="2.16.840.1.113883.6.101" code="163W00000X"/>
<addr use="WP">
<streetAddressLine>22 Sample Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2008" use="MC"/>
<assignedPerson>
<name>
<given>Nurse</given>
<family>Nightingale</family>
<suffix>RN</suffix>
</name>
</assignedPerson>
<representedOrganization>
<id root="2.16.840.1.113883.4.2" extension="1111-22"/>
<id root="2.16.840.1.113883.4.6" extension="1112233344"/>
<name>Good Health Hospital</name>
<telecom value="tel:+1(555)555-2003"/>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="REFR">
<observation moodCode="EVN" classCode="OBS">
<!-- ** Advance Directive Observation** -->
<templateId root="2.16.840.1.113883.10.20.22.4.48"
extension="2025-05-01"/>
<id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27"/>
<code xsi:type="CD" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="75320-2">
<translation xsi:type="CD" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="81334-5"/>
</code>
<text/>
<statusCode code="completed"/>
<effectiveTime>
<!-- The time at which the person named this individual to be his or her healthcare agent -->
<low value="20110219"/>
<high nullFlavor="NA"/>
</effectiveTime>
<value xsi:type="CD" displayName="Healthcare decision making"
codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="405083000"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20130801123500-0800"/>
<assignedAuthor>
<!-- Refers to another author somewhere else in the document -->
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
<addr use="H">
<streetAddressLine>23 Anywhere Street</streetAddressLine>
<city>El Paso</city>
<state>TX</state>
<postalCode>90210</postalCode>
<country>US</country>
</addr>
<telecom value="tel:(999)555-1212" use="WP"/>
<assignedPerson>
<name>
<prefix>Mrs.</prefix>
<given>Martha</given>
<family>Jones</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<informant typeCode="INF" contextControlCode="OP">
<assignedEntity>
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
</assignedEntity>
</informant>
<participant typeCode="VRF">
<templateId root="2.16.840.1.113883.10.20.1.58"/>
<time value="20130213"/>
<participantRole classCode="CON">
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
<code displayName="Registered nurse"
codeSystemName="Health Care Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="163W00000X"/>
<addr use="H">
<streetAddressLine>23 Anywhere Street</streetAddressLine>
<city>El Paso</city>
<state>TX</state>
<postalCode>90210</postalCode>
<country>US</country>
</addr>
<playingEntity classCode="PSN">
<code displayName="Principal" codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96" code="63161005"/>
<name>
<given>Nurse</given>
<family>Florence</family>
<suffix>RN</suffix>
</name>
</playingEntity>
</participantRole>
</participant>
<participant typeCode="CST">
<templateId root="2.16.840.1.113883.10.20.1.58"/>
<participantRole classCode="AGNT">
<code displayName="Mother" codeSystem="2.16.840.1.113883.5.111"
code="MTH"/>
<addr use="H">
<streetAddressLine>23 Anywhere Street</streetAddressLine>
<city>El Paso</city>
<state>TX</state>
<postalCode>90210</postalCode>
<country>US</country>
</addr>
<telecom value="tel:(999)555-1212" use="WP"/>
<playingEntity classCode="PSN">
<code displayName="Principal" codeSystemName="SNOMED-CT"
codeSystem="2.16.840.1.113883.6.96" code="63161005"/>
<name>
<prefix>Mrs.</prefix>
<given>Martha</given>
<family>Jones</family>
</name>
</playingEntity>
</participantRole>
</participant>
<reference typeCode="REFR">
<externalDocument>
<id root="b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3"/>
<code
displayName="Advance directive - do not hospitalize [Minimum Data Set]" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
code="45475-1"/>
<text mediaType="application/pdf">
<reference
value="AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf"/>
</text>
<versionNumber value="1"/>
</externalDocument>
</reference>
</observation>
</entryRelationship>
</observation>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0 based on FHIR 5.0.0. Generated 2025-09-16
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