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: Health Concern Act Example

<act xmlns="urn:hl7-org:v3" 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"/>
  <!--  This Health Concern has a statusCode of active because it is an active concern  -->
  <statusCode code="active"/>
  <!--  The effective time is the date that the Health Concern started being followed - 
     this does not necessarily correlate to the onset date of the contained health issues -->
  <effectiveTime value="20130616"/>
  <!--  Health Concern: Current every day smoker -->
  <entryRelationship typeCode="REFR">
    <!--  Tobacco Use  -->
    <observation moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.85"
                  extension="2014-06-09"/>
      <id root="45efb604-7049-4a2e-ad33-d38556c9636c"/>
      <code xsi:type="CD" displayName="History of tobacco use"
            codeSystem="2.16.840.1.113883.6.1" code="11367-0"/>
      <text/>
      <statusCode code="completed"/>
      <effectiveTime>
        <!--  The low value reflects the start date of the observation/value (moderate smoker)  -->
        <low value="20090214"/>
        <!--  The high value reflects the end date of the observation/value (moderate smoker)  -->
        <high value="20110215"/>
      </effectiveTime>
      <value xsi:type="CD"
             displayName="Moderate cigarette smoker (10-19 cigs/day)" codeSystem="2.16.840.1.113883.6.96" code="160604004"/>
    </observation>
  </entryRelationship>
</act>