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 Observation with Post-Coordinated SNOMED Example

<observation xmlns="urn:hl7-org:v3" 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>
  <!--  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="20080814"/>
  </effectiveTime>
  <!--  Example of a problem you want on problem list, that is not present in SNOMED CT as a precoordinated concept - but would like on the problem list  -->
  <value xsi:type="CD" displayName="Family history of disorder"
         codeSystem="2.16.840.1.113883.6.96" code="281666001">
    <qualifier>
      <name displayName="Associated finding"
            codeSystem="2.16.840.1.113883.6.96" code="246090004"/>
      <value displayName="Bullous ichthyosiform erythroderma"
             codeSystem="2.16.840.1.113883.6.96" code="254167000"/>
    </qualifier>
  </value>
  <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>