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: Mental Status Section Example

<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01"/>
  <!--  Mental Status Section  -->
  <code displayName="Mental status Narrative" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="10190-7"/>
  <title>MENTAL STATUS</title>
  <text>
    <list listType="unordered">
      <item ID="mentalStatus1">
        <caption>Cognitive function - measured October 12, 2023</caption>
        <paragraph ID="mentalStatus1obs1">Memory finding</paragraph>
      </item>
    </list>
  </text>
  <entry>
    <!--  Additional <component> observations may be included  -->
    <organizer moodCode="EVN" classCode="CLUSTER">
      <!--  Mental Status Organizer -->
      <templateId root="2.16.840.1.113883.10.20.22.4.75"
                  extension="2015-08-01"/>
      <id root="a7bc1062-8649-42a0-833d-ekd65bd013c9"/>
      <!--  Note this code is just SHOULD ICF or SHOULD LOINC
           Future versions of C-CDA may assign a fixed code here  -->
      <code displayName="Cognitive function" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="75275-8"/>
      <!--  The organizer's text element is in namespace urn:hl7-org:sdtc -->
      <sdtc:sdtcText xmlns:sdtc="urn:hl7-org:sdtc">
        <reference value="#mentalStatus1"/>
      </sdtc:sdtcText>
      <statusCode code="completed"/>
      <effectiveTime>
        <low value="20231012065200-0500"/>
        <high value="20231012065200-0500"/>
      </effectiveTime>
      <component>
        <observation moodCode="EVN" classCode="OBS">
          <!--  Mental Status Observation  -->
          <templateId root="2.16.840.1.113883.10.20.22.4.74"
                      extension="2024-05-01"/>
          <id root="41cf96a8-6e2f-41b3-b210-5640ea0375a6"/>
          <code xsi:type="CD" displayName="Mental Status"
                codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="8693-4"/>
          <text xsi:type="ED">
            <reference value="#mentalStatus1obs1"/>
          </text>
          <statusCode code="completed"/>
          <effectiveTime value="20231012065200-0500"/>
          <value xsi:type="CD" displayName="Memory finding (finding)"
                 codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="106136008"/>
        </observation>
      </component>
    </organizer>
  </entry>
</section>