Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot
Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot
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-ballot 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
This content is an example of the Vital Signs Section Logical Model and is not a FHIR Resource
<section xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sdtc="urn:hl7-org:sdtc">
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01" />
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs" />
<title>Vital Signs (Last Filed)</title>
<text>
<table>
<thead>
<tr>
<th>Date</th>
<th>Blood Pressure</th>
<th>Average Blood Pressure</th>
<th>Pulse</th>
<th>Temperature</th>
<th>Respiratory Rate</th>
<th>Height</th>
<th>Weight</th>
<th>BMI</th>
<th>SpO2</th>
</tr>
</thead>
<tbody>
<tr>
<td>05/20/2014 7:36pm</td>
<!-- You can consolidate Systolic and Diastolic in human view if desired but should retain separate references-->
<td>
<content ID="SystolicBP_1">120</content>/<content ID="DiastolicBP_1">80</content>mm[Hg] </td>
<!-- You can consolidate Systolic and Diastolic in human view if desired but should retain separate references-->
<td>
<content ID="SystolicAVGBP_1">122</content>/<content ID="DiastolicAVGBP_1">82</content>mm[Hg] </td>
<td ID="Pulse_1">80 /min</td>
<td ID="Temp_1">37.2 C</td>
<td ID="RespRate_1">18 /min</td>
<td ID="Height_1">170.2 cm</td>
<td ID="Weight_1">108.8 kg</td>
<td ID="BMI_1">37.58 kg/m2</td>
<td ID="SPO2_1">98%</td>
</tr>
</tbody>
</table>
</text>
<!-- Average Blood Pressure Organizer - exists on its own outside Vital Signs Organizer -->
<entry typeCode="DRIV">
<organizer classCode="BATTERY" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.512" extension="2024-05-01" />
<id root="604b2f9e-a3e7-4f4c-a4f8-0022d72dee2b" />
<code code="96607-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Blood pressure panel mean systolic and mean diastolic" />
<sdtc:text>
<reference value="#AvgBP_1"/>
</sdtc:text>
<statusCode code="completed" />
<effectiveTime value="20140519193605-0500" />
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="a24910a8-2710-4940-908e-b3d805d5130c" />
<code code="96608-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="average aystolic blood pressure" />
<text>
<!-- This reference identifies content in human readable formatted text-->
<reference value="#SystolicAVGBP_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140519193605-0500" />
<!-- Example of Value with UCUM unit. Note that metric units used in this example-->
<value xsi:type="PQ" value="122" unit="mm[Hg]" />
<!-- Additional information of interpretation and/or reference range may be included but are optional-->
</observation>
</component>
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="553f3f45-9046-4659-b3e7-5de904003550" />
<code code="96609-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="average Diastolic blood pressure" />
<text>
<reference value="#DiastolicBP_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="82" unit="mm[Hg]" />
</observation>
</component>
</organizer>
</entry>
<entry typeCode="DRIV">
<!-- When a set of vital signs are recorded together, include them in single clustered organizer-->
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01" />
<id root="e6c800c4-4a71-41bf-80e2-e741dd1168e9" />
<code code="74728-7"
displayName="Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel"
codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"/>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<!-- Each vital sign should be its own component. Note that systolic and diastolic BP must be separate components-->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="fdbd831b-5919-4f06-9467-76b07022f8e8" />
<code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Systolic blood pressure" />
<text>
<!-- This reference identifies content in human readable formatted text-->
<reference value="#SystolicBP_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<!-- Example of Value with UCUM unit. Note that metric units used in this example-->
<value xsi:type="PQ" value="120" unit="mm[Hg]" />
<!-- Additional information of interpretation and/or reference range may be included but are optional-->
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="553f3f45-9046-4659-b3e7-5de904003550" />
<code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diastolic blood pressure" />
<text>
<reference value="#DiastolicBP_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="80" unit="mm[Hg]" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="77bfe276-a1dd-4372-9072-e603905acc07" />
<code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Heart rate" />
<text>
<reference value="#Pulse_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="80" unit="/min" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="24faa204-db62-4610-864f-cb50b650d0fa" />
<code code="8310-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body temperature" />
<text>
<reference value="#Temp_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="37.2" unit="Cel" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="79f25395-8ec6-488b-8c05-becc97f79995" />
<code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Respiratory rate" />
<text>
<reference value="#RespRate_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="18" unit="/min" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="6d3fa9f8-6049-41bd-b0c3-b0196bb6bd37" />
<code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body height" />
<text>
<reference value="#Height_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="170.2" unit="cm" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="2594e631-2189-4e72-9dd1-d6769ee2a7be" />
<code code="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body weight" />
<text>
<reference value="#Weight_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="108.863" unit="kg" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="5858e765-2ffe-413f-9197-260f2c6e7aa8" />
<code code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body mass index (BMI) [Ratio]" />
<text>
<reference value="#BMI_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="37.58" unit="kg/m2" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
<id root="4ce6046c-f6e3-41b0-91fc-2d5325f2bbc3" />
<code code="2710-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="OXYGEN SATURATION" />
<text>
<reference value="#SPO2_1"/>
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="98" unit="%" />
</observation>
</component>
</organizer>
</entry>
</section>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0-ballot based on FHIR 5.0.0. Generated 2024-12-19
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