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: Problem Concern Act Example

<act xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="ACT">
  <!--  ** Problem Concern Act **  -->
  <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2024-05-01"/>
  <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
  <code displayName="Concern" codeSystem="2.16.840.1.113883.5.6" code="CONC"/>
  <!--  The statusCode represents the need to continue tracking the problem  -->
  <!--  This is of ongoing concern to the provider  -->
  <statusCode code="active"/>
  <effectiveTime>
    <!--  The low value represents when the problem was first recorded in the patient's chart  -->
    <!--  Concern was documented on July 6, 2013  -->
    <low value="20130706114500-0800"/>
  </effectiveTime>
  <author typeCode="AUT">
    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
    <!--  Same as Concern effectiveTime/low  -->
    <time value="20130706114500-0800"/>
    <assignedAuthor>
      <id root="2.16.840.1.113883.4.6" extension="555555555"/>
      <code displayName="Adult Medicine Physician"
            codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
      <addr nullFlavor="UNK"/>
      <telecom nullFlavor="UNK"/>
      <assignedPerson>
        <name>Doctor Adult</name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <entryRelationship typeCode="SUBJ">
    <observation moodCode="EVN" classCode="OBS">
      <!--  ** 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 xsi:type="CD" displayName="Disease" codeSystemName="SNOMED CT"
            codeSystem="2.16.840.1.113883.6.96" code="64572001">
        <translation xsi:type="CD" displayName="Condition"
                     codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="75323-6"/>
      </code>
      <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" displayName="Pneumonia"
             codeSystem="2.16.840.1.113883.6.96" code="233604007"/>
      <author typeCode="AUT">
        <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
        <time value="20080814103000-0800"/>
        <assignedAuthor>
          <id root="2.16.840.1.113883.4.6" extension="555555555"/>
          <code displayName="Adult Medicine Physician"
                codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
          <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>