Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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

Example Binary: Advance Directive Existence Observation Example


<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>