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 Preoperative Diagnosis Logical Model and is not a FHIR Resource
<act moodCode="EVN" classCode="ACT" xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.4.65" extension="2015-08-01" />
<code code="10219-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Preoperative Diagnosis" />
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<!-- ** Problem Observation ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2024-05-01" />
<id root="AB1791B0-5C71-11DB-B0DE-0800200C9A66" />
<code code="64572001" displayName="Disease"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<translation code="75323-6"
codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Condition"/>
</code>
<text><reference value="#problem"/></text>
<!-- The statusCode reflects the status of the observation itself -->
<statusCode code="completed" />
<effectiveTime>
<!-- The low value reflects the date of onset -->
<!-- Based on patient symptoms, presumed onset is July 3, 2013 -->
<low value="20130703" />
<!-- The high value reflects when the problem was known to be resolved -->
<!-- Based on signs and symptoms, appears to be resolved on Aug 14, 2013 -->
<high value="20130814" />
</effectiveTime>
<value xsi:type="CD"
code="233604007"
codeSystem="2.16.840.1.113883.6.96"
displayName="Pneumonia" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="200808141030-0800" />
<assignedAuthor>
<id extension="555555555" root="2.16.840.1.113883.4.6" />
<code code="207QA0505X"
displayName="Adult Medicine Physician"
codeSystem="2.16.840.1.113883.6.101"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr use="H">
<streetAddressLine>23 Anywhere Street</streetAddressLine>
<city>El Paso</city>
<state>TX</state>
<postalCode>90210</postalCode>
<country>US</country>
</addr>
<telecom value="tel:(999)555-1212" use="WP" />
<assignedPerson>
<name>Joe Anywhere</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
</act>