Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Example Binary: Note Activity Standalone Example

This content is an example of the Note Activity Logical Model and is not a FHIR Resource

    
<section xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <!-- C-CDA 2.1 Procedures Section, entries optional -->
  <templateId root="2.16.840.1.113883.10.20.22.2.7"/>
  <templateId root="2.16.840.1.113883.10.20.22.2.7" extension="2014-06-09"/>
  <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
  <title>Procedures</title>
  <text>
    <list>
      <item ID="ProcedureNote1">
        <paragraph>Dr. Physician - 03 Feb 2014</paragraph>
        <paragraph>Free-text note about procedures which have occurred during this visit.</paragraph>
      </item>
    </list>
  </text>
  <!-- If section were entries required, an additional <entry nullFlavor="NI"> would be required for a Procedure Activity -->
  <!-- Note Activity entry -->
  <entry>
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
      <code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
        <translation code="28570-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedure note" />
      </code>
      <text>
        <reference value="#ProcedureNote1" />
      </text>
      <statusCode code="completed"/>
      <!-- Clinically-relevant time of the note -->
      <effectiveTime value="20140203" />
      <!-- Author Participation -->
      <author>
        <templateId root="2.16.840.1.113883.10.20.22.4.119" />
        <!-- Time note was actually written -->
        <time value="20140204083215-0500" />
        <assignedAuthor>
          <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
          <assignedPerson>
            <name>Dr. Physician</name>
          </assignedPerson>
        </assignedAuthor>
      </author>
      <!-- Reference to encounter -->
      <entryRelationship typeCode="COMP" inversionInd="true">
        <encounter classCode="ENC" moodCode="EVN">
          <!-- Encounter ID matches an encounter in the Encounters Section -->
          <id root="1.2.3.4" />
        </encounter>
      </entryRelationship>
    </act>
  </entry>
</section>