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: Entry Reference Example

  <!--  The Entry Reference template points to another entry elsewhere in the document

  Here, it is present wihin a health concerns section to reference a goal observation elsewhere in the document
 -->
<structuredBody xmlns="urn:hl7-org:v3">
  <component>
    <section>
      <!--  Health Concerns section code/text omitted for examlple  -->
      <entry>
        <act moodCode="EVN" classCode="ACT">
          <templateId root="2.16.840.1.113883.10.20.22.4.132"
                      extension="2022-06-01"/>
          <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
          <code displayName="Health Concern" codeSystemName="LOINC"
                codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
          <statusCode code="active"/>
          <effectiveTime value="20130616"/>
          <entryRelationship typeCode="REFR">
            <observation moodCode="EVN" classCode="OBS">
              <templateId root="2.16.840.1.113883.10.20.22.4.4"
                          extension="2024-05-01"/>
              <id root="8dfacd73-1682-4cc4-9351-e54ccea83612"/>
              <code xsi:type="CD" displayName="Diagnosis"
                    codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="29308-4"/>
              <statusCode code="completed"/>
              <effectiveTime>
                <low value="20130616"/>
              </effectiveTime>
              <value xsi:type="CD" displayName="Pneumonia"
                     codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96" code="233604007"/>
              <!--  Location of EntryReference within the Health Concern Act  -->
              <entryRelationship typeCode="SPRT">
                <!--  This is the primary example of the entry reference template  -->
                <act moodCode="EVN" classCode="ACT">
                  <templateId root="2.16.840.1.113883.10.20.22.4.122"/>
                  <!--  This ID equals the ID of the goal of a pulse ox greater than 92%  -->
                  <id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
                  <!--  The code is nulled to "NP" Not Present"  -->
                  <code nullFlavor="NP"/>
                  <statusCode code="completed"/>
                </act>
              </entryRelationship>
            </observation>
          </entryRelationship>
        </act>
      </entry>
    </section>
  </component>
  <!--  Elsewhere in the document  -->
  <component>
    <section>
      <entry>
        <!-- 
          This is an observation about the expected outcome of a pulse ox reading
            of 92 or greater.  The Id is the same as the ID as the ID of the
            entry reference in the pneumonia problem above   -->
        <!--  
          There could be another Entry Reference here referring to the 
                  related health concern, actual outcome, or intervention
          ...  -->
        <observation moodCode="GOL" classCode="OBS">
          <id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
          <code xsi:type="CD"
                displayName="Oxygen saturation in Arterial blood by Pulse oximetry" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
                code="59408-5"/>
          <statusCode code="active"/>
          <value xsi:type="IVL_PQ">
            <low value="92" unit="%"/>
          </value>
        </observation>
      </entry>
    </section>
  </component>
</structuredBody>