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 Section Example

<section xmlns="urn:hl7-org:v3">
  <!--  [C-CDA R2.1] Problem Section (entries required)  -->
  <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
  <code displayName="PROBLEM LIST" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="11450-4"/>
  <title>PROBLEMS</title>
  <text>
    <list listType="ordered">
      <item ID="problem">Pneumonia: Resolved in March 1998</item>
      <item ID="problem1"/>
    </list>
  </text>
  <entry typeCode="DRIV">
    <act 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>
  </entry>
</section>