Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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

Example Binary: Social History Section Example


  <!-- >
    <entry>
      <observation classCode="OBS" moodCode="EVN">
        // Caregiver Characteristics 
        <templateId root="2.16.840.1.113883.10.20.22.4.72" />
       ...
            
      </observation>
    </entry>
    <entry>
      <observation classCode="OBS" moodCode="EVN">
        // **Cultural and Religious Observations(NEW)**
        <templateId root="2.16.840.1.113883.10.20.22.4.111" />
        ...
            
            
      </observation>
    </entry>
    <entry>
      <observation classCode="OBS" moodCode="EVN">
        // ** Characteristics of Care Environment** 
        <templateId root="2.16.840.1.113883.10.20.22.4.109" />
       ...
            
            
      </observation>
    </entry>  -->
<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
  <code displayName="Social History" codeSystem="2.16.840.1.113883.6.1"
        code="29762-2"/>
  <title>SOCIAL HISTORY</title>
  <text>
    <content ID="#socialhistory"/>
  </text>
  <!--  Various optional Social History entries
    <entry>
      <observation classCode="OBS" moodCode="EVN">
        //  Social history observation 
        <templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2015-08-01" />							
       ...
            
      </observation>
    </entry> -->
  <entry>
    <observation moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.511"
                  extension="2024-05-01"/>
      <id root="2.16.840.1.113883.19" extension="123456789"/>
      <code xsi:type="CD" displayName="Tobacco smoking status"
            codeSystem="2.16.840.1.113883.6.1" code="72166-2"/>
      <text/>
      <statusCode code="completed"/>
      <!--  The effectiveTime reflects when the current smoking status was observed.  -->
      <effectiveTime value="20120910"/>
      <!--  The value represents the patient's smoking status currently observed.  -->
      <value xsi:type="CD" displayName="Former smoker"
             codeSystem="2.16.840.1.113883.6.96" code="8517006"/>
      <author typeCode="AUT">
        <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
        <time value="19980316103000-0800"/>
        <assignedAuthor>
          <id root="1.1.1.1.1.1.1.2" extension="555555555"/>
          <addr use="HP">
            <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>
    </observation>
  </entry>
</section>