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
This content is an example of the Physical Exam Section Logical Model and is not a FHIR Resource
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<templateId root="2.16.840.1.113883.10.20.2.10" extension="2015-08-01" />
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="29545-1" displayName="Physical Findings" />
<title>Physical Examination</title>
<!--**10.4.1 Physical Exam at Transfer -->
<text>
<list listType="ordered">
<item>Recurrent GI bleed of unknown etiology; hypotension perhaps
secondary to this but as likely secondary to polypharmacy.</item>
<item>Acute on chronic anemia secondary to #1.</item>
<item>Azotemia, acute renal failure with volume loss secondary to
#1.</item>
<item>Hyperkalemia secondary to #3 and on ACE and K+ supplement.</item>
<item>Other chronic diagnoses as noted above, currently stable.</item>
</list>
</text>
</section>