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 Assessment Scale Observation Logical Model and is not a FHIR Resource
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<templateId root="2.16.840.1.113883.10.20.22.4.69" extension="2022-06-01"/>
<id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
<code code="survey" codeSystem="2.16.840.1.113883.4.642.1.1125" displayName="survey">
<translation code="54614-3"
displayName="Brief Interview for Mental Status - summary score [BIMS]"
codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"/>
</code>
<derivationExpr>Text description of the calculation</derivationExpr>
<text><reference value="#assessmentScale"/></text>
<statusCode code="completed"/>
<effectiveTime value="20120214"/>
<!-- Summed score of the component values -->
<value xsi:type="INT" value="7"/>
<!-- Supporting observations -->
<entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.86" extension="2022-06-01"/>
<id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
<code code="248240001" displayName="motor response"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED"/>
<text><reference value="#assessmentObservation"/></text>
<statusCode code="completed"/>
<value xsi:type="INT" value="3"/>
</observation>
</entryRelationship>
<!-- Additional observations summing to 7 -->
</observation>