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: Note Activity Standalone Example

<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
  <code displayName="HISTORY OF PROCEDURES" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="47519-4"/>
  <title>Procedures</title>
  <text>
    <list listType="unordered">
      <item ID="ProcedureNote1">
        <paragraph>Dr. Physician - 03 Feb 2014</paragraph>
        <paragraph>Free-text note about procedures which have occurred during this visit.</paragraph>
      </item>
    </list>
  </text>
  <entry>
    <procedure moodCode="EVN" classCode="PROC">
      <!--  Procedure Activity Procedure  -->
      <templateId root="2.16.840.1.113883.10.20.22.4.14"
                  extension="2024-05-01"/>
      <id root="d5b614bd-01ce-410d-8726-e1fd01dcc72a"/>
      <code displayName="Stent Placement" codeSystemName="SNOMED CT"
            codeSystem="2.16.840.1.113883.6.96" code="103716009">
        <originalText/>
      </code>
      <statusCode code="completed"/>
      <effectiveTime>
        <low nullFlavor="UNK"/>
        <high value="20130512120000-0700"/>
      </effectiveTime>
      <targetSiteCode displayName="bile duct" codeSystemName="SNOMED CT"
                      codeSystem="2.16.840.1.113883.6.96" code="28273000"/>
      <specimen typeCode="SPC">
        <specimenRole classCode="SPEC">
          <id root="a6d7b927-2b70-43c7-bdf3-0e7c4133062c"/>
          <specimenPlayingEntity>
            <code displayName="gallbladder bile"
                  codeSystem="2.16.840.1.113883.6.96" code="57259009"/>
          </specimenPlayingEntity>
        </specimenRole>
      </specimen>
      <performer typeCode="PRF">
        <assignedEntity>
          <id root="2.16.840.1.113883.19.5" extension="IO00017"/>
          <code displayName="Gastroenterologist" codeSystemName="NUCC"
                codeSystem="2.16.840.1.113883.6.96" code="207RG0100X"/>
          <addr use="WP">
            <streetAddressLine>1001 Hospital Lane</streetAddressLine>
            <city>Ann Arbor</city>
            <state>MI</state>
            <postalCode>99999</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:(999)555-1212"/>
          <assignedPerson>
            <name>
              <prefix>Dr.</prefix>
              <given>Tony</given>
              <family>Tum</family>
            </name>
          </assignedPerson>
          <representedOrganization classCode="ORG">
            <id root="2.16.840.1.113883.19.5"/>
            <name>Good Health Hospital</name>
            <telecom value="tel:(999)555-1212"/>
            <addr use="WP">
              <streetAddressLine>1001 Hospital Lane</streetAddressLine>
              <city>Ann Arbor</city>
              <state>MI</state>
              <postalCode>99999</postalCode>
              <country>US</country>
            </addr>
          </representedOrganization>
        </assignedEntity>
      </performer>
    </procedure>
  </entry>
  <entry>
    <act moodCode="EVN" classCode="ACT">
      <templateId root="2.16.840.1.113883.10.20.22.4.202"
                  extension="2016-11-01"/>
      <code displayName="Note" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="34109-9">
        <translation xsi:type="CD" displayName="Procedure note"
                     codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="28570-0"/>
      </code>
      <text>
        <reference value="#ProcedureNote1"/>
      </text>
      <statusCode code="completed"/>
      <!--  Clinically-relevant time of the note  -->
      <effectiveTime value="20140203"/>
      <!--  Author Participation  -->
      <author>
        <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
        <!--  Time note was actually written  -->
        <time value="20140204083215-0500"/>
        <assignedAuthor>
          <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
          <addr use="WP">
            <streetAddressLine>1001 Hospital Lane</streetAddressLine>
            <city>Ann Arbor</city>
            <state>MI</state>
            <postalCode>99999</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:(999)555-1212"/>
          <assignedPerson>
            <name>Dr. Physician</name>
          </assignedPerson>
        </assignedAuthor>
      </author>
      <!--  Reference to encounter  -->
      <entryRelationship typeCode="COMP" inversionInd="true">
        <encounter moodCode="EVN" classCode="ENC">
          <!--  Encounter ID matches an encounter in the Encounters Section  -->
          <id root="1.2.3.4"/>
        </encounter>
      </entryRelationship>
    </act>
  </entry>
</section>