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: Gender Identity Observation NullFlavor Example

<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <!--  Gender Identity Observation  -->
  <templateId root="2.16.840.1.113883.10.20.34.3.45" extension="2023-05-01"/>
  <id root="5501b49a-32ea-4c78-9c31-3dbe782871b7"/>
  <code xsi:type="CD" displayName="Gender identity" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="76691-5"/>
  <statusCode code="completed"/>
  <effectiveTime>
    <low value="20180703"/>
  </effectiveTime>
  <value xsi:type="CD" displayName="Asked But Declined"
         codeSystem="2.16.840.1.113883.4.642.4" code="asked-declined"/>
</observation>