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: Sensory Status Example

​
<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <!--  Sensory and Speech Status(NEW) -->
  <templateId root="2.16.840.1.113883.10.20.22.4.127"/>
  <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0a"/>
  <code xsi:type="CD" displayName="Hearing" codeSystemName="SNOMED-CT"
        codeSystem="2.16.840.1.113883.6.96" code="47078008"/>
  <text/>
  <statusCode code="completed"/>
  <effectiveTime>
    <low value="20130311"/>
  </effectiveTime>
  <value xsi:type="CD" displayName="Impaired" codeSystemName="SNOMED CT"
         codeSystem="2.16.840.1.113883.6.96" code="260379002"/>
  <author typeCode="AUT">
    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
    <time value="20120910114500-0800"/>
    <assignedAuthor>
      <id root="1.1.1.1.1.1.1.2" extension="555555555"/>
      <!--  US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1  -->
      <addr use="HP">
        <!--  HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119  -->
        <streetAddressLine>2222 Home Street</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97867</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)555-2003" use="HP"/>
      <assignedPerson>
        <name>
          <given>Nurse</given>
          <family>Nightingale</family>
          <suffix>RN</suffix>
        </name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <entryRelationship typeCode="COMP">
    <observation moodCode="EVN" classCode="OBS">
      <!-- Assessment Scale Observation  -->
      <templateId root="2.16.840.1.113883.10.20.22.4.69"
                  extension="2022-06-01"/>
      <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
      <code xsi:type="CD" displayName="survey"
            codeSystem="2.16.840.1.113883.4.642.1.1125" code="survey">
        <translation xsi:type="CD"
                     displayName="Brief Interview for Mental Status - summary score [BIMS]" codeSystemName="LOINC"
                     codeSystem="2.16.840.1.113883.6.1" code="54614-3"/>
      </code>
      <derivationExpr>Text description of the calculation</derivationExpr>
      <text/>
      <statusCode code="completed"/>
      <effectiveTime value="20120214"/>
      <!--  Summed score of the component values  -->
      <value xsi:type="INT" value="7"/>
      <!--  Supporting observations  -->
      <entryRelationship typeCode="COMP">
        <observation moodCode="EVN" classCode="OBS">
          <templateId root="2.16.840.1.113883.10.20.22.4.86"
                      extension="2022-06-01"/>
          <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
          <code xsi:type="CD" displayName="motor response"
                codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96" code="248240001"/>
          <text/>
          <statusCode code="completed"/>
          <value xsi:type="INT" value="3"/>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</observation>