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: Disability Status Observation Example

<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <templateId root="2.16.840.1.113883.10.20.22.4.505" extension="2023-05-01"/>
  <code xsi:type="CD" displayName="Disability Status [CUBS]"
        codeSystem="2.16.840.1.113883.6.1" code="89571-4"/>
  <text/>
  <statusCode code="completed"/>
  <effectiveTime value="20221111"/>
  <!--  From LOINC Answer Set associated with Disability Status [CUBS]  -->
  <value xsi:type="CD"
         displayName="I'm Vulnerable - I sometimes or periodically have acute or chronic symptoms affecting housing, employment, social interactions, etc." codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
         code="LA29243-5"/>
  <!--  Assessment Scale template With Assessment Scale observation containing the disability related questions    -->
  <entryRelationship typeCode="COMP">
    <observation moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.69"
                  extension="2022-06-01"/>
      <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
      <code xsi:type="CD" displayName="survey"
            codeSystem="2.16.840.1.113883.4.642.1.1125" code="survey">
        <translation xsi:type="CD"
                     displayName="Brief Interview for Mental Status - summary score [BIMS]" codeSystemName="LOINC"
                     codeSystem="2.16.840.1.113883.6.1" code="54614-3"/>
      </code>
      <derivationExpr>Sum of the yes answers.</derivationExpr>
      <statusCode code="completed"/>
      <effectiveTime value="20120214"/>
      <!--  Summed score of the component values  -->
      <value xsi:type="INT" value="6"/>
      <!--  Supporting observations  -->
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Are you deaf, or do you have serious difficulty hearing?" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69856-3"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes" code="LA33-6"/>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Are you blind, or do you have serious difficulty seeing, even when wearing glasses?" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69857-1"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes"
                 codeSystem="2.16.840.1.113883.6.1" code="LA33-6"/>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions??" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69858-9"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes"
                 codeSystem="2.16.840.1.113883.6.1" code="LA33-6"/>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Do you have serious difficulty walking or climbing stairs?" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69859-7"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes"
                 codeSystem="2.16.840.1.113883.6.1" code="LA33-6"/>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Do you have difficulty dressing or    bathing?" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69860-5"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes"
                 codeSystem="2.16.840.1.113883.6.1" code="LA33-6"/>
        </observation>
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD"
                displayName="Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="69861-3"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="CD" displayName="Yes"
                 codeSystem="2.16.840.1.113883.6.1" code="LA33-6"/>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</observation>