Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 United States of America flag

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-ballot 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

Example Binary: Health Concerns Section Example

This content is an example of the Health Concerns Section Logical Model and is not a FHIR Resource

    
<section xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
  <code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
  <title>Health Concerns Section</title>
  <text>
      ...
    </text>
  <entry>
		<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
		  <templateId root="2.16.840.1.113883.10.20.22.4.5" extension="2014-06-09"/>
		  <id root="1093c2ba-6e65-4927-abbf-64dd2b90d19a"/>
		  <code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health status" />
		  <text>
		    <reference value="#healthstatus" />
		  </text>
		  <statusCode code="completed" />
		  <value xsi:type="CD" code="81323004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Alive and well" />
		</observation>
  </entry>
  <entry>
		<act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3">
		  <templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2022-06-01" />
		  <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c" />
		  <code code="75310-3" 
		        codeSystem="2.16.840.1.113883.6.1" 
		        codeSystemName="LOINC" 
		        displayName="Health Concern" />
		  <!-- 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 classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
				  <!-- ** 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 code="11367-0" codeSystem="2.16.840.1.113883.6.1" displayName="History of tobacco use" />
				  <text>
				    <reference value="#tobaccouse" />
				  </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" code="160604004" displayName="Moderate cigarette smoker, 10-19/day" codeSystem="2.16.840.1.113883.6.96" /> 
				</observation>
		  </entryRelationship>
		</act>
  </entry>
</section>