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: Birth Sex Observation Example with Null Flavor

<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <!--  New templateId for Birth Sex  -->
  <!--  Not asserting conformance to Social History Observation due to different vocab.  -->
  <templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2024-05-01"/>
  <code xsi:type="CD" displayName="Sex Assigned At Birth"
        codeSystem="2.16.840.1.113883.6.1" code="76689-9"/>
  <text/>
  <statusCode code="completed"/>
  <!--  effectiveTime if present should match birthTime  -->
  <effectiveTime value="20100519193605-0500"/>
  <value xsi:type="CD" displayName="Asked But Declined"
         codeSystem="2.16.840.1.113883.4.642.4" code="asked-declined"/>
</observation>