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

• Narrative Content

Example Binary: Allergy Intolerance Observation Medication Example

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<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <!--  ** Allergy observation **  -->
  <templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/>
  <templateId root="2.16.840.1.113883.10.20.24.3.90" extension="2014-06-09"/>
  <id root="901db0f8-9355-4794-81cd-fd951ef07917"/>
  <code xsi:type="CD" codeSystem="2.16.840.1.113883.5.4" code="ASSERTION"/>
  <text/>
  <!--  Observation statusCode represents the status of the act of observing  -->
  <statusCode code="completed"/>
  <!--  The high value reflects when the allergy was known to be resolved 
            (and will generally be absent)  -->
  <effectiveTime>
    <!--  The low value reflects the date of onset of the allergy  -->
    <low nullFlavor="UNK"/>
  </effectiveTime>
  <value xsi:type="CD" displayName="Allergy to drug"
         codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="416098002"/>
  <author typeCode="AUT">
    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
    <time value="20080814103000-0800"/>
    <assignedAuthor>
      <id root="2.16.840.1.113883.4.6" extension="555555555"/>
      <code displayName="Adult Medicine Physician"
            codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
      <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>Joe Anywhere</name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <participant typeCode="CSM">
    <participantRole classCode="MANU">
      <playingEntity classCode="MMAT">
        <code displayName="Tetracycline" codeSystemName="RxNorm"
              codeSystem="2.16.840.1.113883.6.88" code="10395"/>
      </playingEntity>
    </participantRole>
  </participant>
  <entryRelationship typeCode="MFST" inversionInd="true">
    <observation moodCode="EVN" classCode="OBS">
      <!--  ** Reaction observation **  -->
      <templateId root="2.16.840.1.113883.10.20.22.4.9"
                  extension="2014-06-09"/>
      <id root="38c63dea-1a43-4f84-ab71-1ffd04f6a1dd"/>
      <code xsi:type="CD" codeSystem="2.16.840.1.113883.5.4"
            code="ASSERTION"/>
      <text/>
      <statusCode code="completed"/>
      <effectiveTime>
        <low nullFlavor="UNK"/>
        <high nullFlavor="UNK"/>
      </effectiveTime>
      <value xsi:type="CD" displayName="Vertigo caused by drug"
             codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="103297000"/>
    </observation>
  </entryRelationship>
  <!--  The Severity Observation SHOULD NOT be present on allergies:
  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09" />
      <code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
      <text>
        <reference value="#allergyseverity2" />
      </text>
      <statusCode code="completed" />
      <value xsi:type="CD" code="255604002" displayName="Mild" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
    </observation>
  </entryRelationship>
    -->
  <entryRelationship typeCode="SUBJ" inversionInd="true">
    <observation moodCode="EVN" classCode="OBS">
      <!--  ** Criticality observation **  -->
      <templateId root="2.16.840.1.113883.10.20.22.4.145"/>
      <code xsi:type="CD" displayName="Criticality Observation"
            codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="82606-5"/>
      <text/>
      <statusCode code="completed"/>
      <value xsi:type="CD" displayName="low criticality"
             codeSystemName="ObservationValue" codeSystem="2.16.840.1.113883.5.1063" code="CRITL"/>
    </observation>
  </entryRelationship>
</observation>