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: Risk Concern Act Example

  <!--  Risk Concern Act  -->
<act xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="ACT">
  <templateId root="2.16.840.1.113883.10.20.22.4.136" extension="2015-08-01"/>
  <id root="cbcbf20a-d011-449f-87d1-a23cc3e5f7cf"/>
  <code displayName="At risk for" codeSystemName="SNOMED CT"
        codeSystem="2.16.840.1.113883.6.96" code="281694009"/>
  <!--  This Health Risk has a statusCode of active because it is an active risk  -->
  <statusCode code="active"/>
  <!--  The effective time is the date that the Health Risk started being followed - 
    this does not necessarily correlate to the onset date of the contained health issues -->
  <effectiveTime value="20130616"/>
  <!--  Health Risk: Malignant neoplastic disease  -->
  <entryRelationship typeCode="REFR">
    <!--  Problem Observation  -->
    <observation moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.4"
                  extension="2024-05-01"/>
      <id root="8dfacd73-1682-4cc4-9351-e54ccea83612"/>
      <code xsi:type="CD" displayName="Risk factor"
            codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="80943009"/>
      <statusCode code="completed"/>
      <effectiveTime>
        <low value="20130613"/>
      </effectiveTime>
      <value xsi:type="CD" displayName="Malignant neoplastic disease"
             codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="363346000"/>
    </observation>
  </entryRelationship>
  <!--  This entryRelationship represents the relationship 
         "Health Risk REFERS TO Health Concern"
     -->
  <entryRelationship typeCode="REFR">
    <!--  Entry Reference Concern Act  -->
    <act moodCode="EVN" classCode="ACT">
      <templateId root="2.16.840.1.113883.10.20.22.4.122"/>
      <!--  This id points to an already defined Health Concern  -->
      <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
      <code nullFlavor="NP"/>
      <statusCode code="completed"/>
    </act>
  </entryRelationship>
</act>