This page is part of the CCDA: Consolidated CDA Release (v5.0.0-ballot: CCDA 5.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 4.0.0. For a full list of available versions, see the Directory of published versions

• Narrative Content

Example Binary: Admission Diagnosis Section Example

<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.43" extension="2015-08-01"/>
  <code displayName="Hospital Admission Diagnosis"
        codeSystem="2.16.840.1.113883.6.1" code="46241-6">
    <translation xsi:type="CD" displayName="Admission Diagnosis"
                 codeSystem="2.16.840.1.113883.6.1" code="42347-5"/>
  </code>
  <title>HOSPITAL ADMISSION DIAGNOSIS</title>
  <text>Appendicitis</text>
  <entry>
    <act moodCode="EVN" classCode="ACT">
      <!--  Hospital Admission Diagnosis  -->
      <templateId root="2.16.840.1.113883.10.20.22.4.34"
                  extension="2015-08-01"/>
      <code displayName="Hospital Admission Diagnosis"
            codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="46241-6"/>
      <entryRelationship typeCode="SUBJ" inversionInd="false">
        <observation moodCode="EVN" classCode="OBS">
          <!--  ** Problem Observation **  -->
          <templateId root="2.16.840.1.113883.10.20.22.4.4"
                      extension="2024-05-01"/>
          <id root="AB1791B0-5C71-11DB-B0DE-0800200C9A66"/>
          <code xsi:type="CD" displayName="Disease"
                codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96" code="64572001"/>
          <statusCode code="completed"/>
          <effectiveTime>
            <!--  The low value reflects the date of onset  -->
            <!--  Based on patient symptoms, presumed onset is July 3, 2013  -->
            <low value="20130703"/>
          </effectiveTime>
          <value xsi:type="CD" displayName="Pneumonia"
                 codeSystem="2.16.840.1.113883.6.96" code="233604007"/>
        </observation>
      </entryRelationship>
    </act>
  </entry>
</section>