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 Concerns Section Example

<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
  <code displayName="Health Concerns Document" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="75310-3"/>
  <title>Health Concerns Section</title>
  <text>
    <content ID="#tobaccouse"/>
  </text>
  <entry>
    <observation moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.5"
                  extension="2014-06-09"/>
      <id root="1093c2ba-6e65-4927-abbf-64dd2b90d19a"/>
      <code xsi:type="CD" displayName="Health status" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="11323-3"/>
      <text/>
      <statusCode code="completed"/>
      <value xsi:type="CD" displayName="Alive and well"
             codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="81323004"/>
    </observation>
  </entry>
  <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"/>
      <!--  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">
          <!--  ** Tobacco use ** 2.16.840.1.113883.10.20.22.4.511, 2024-05-01  -->
          <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/day" codeSystem="2.16.840.1.113883.6.96" code="160604004"/>
        </observation>
      </entryRelationship>
    </act>
  </entry>
</section>