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: Assessment Scale Observation Example

  <!--  Additional observations summing to 7  -->
<observation xmlns="urn:hl7-org:v3" moodCode="EVN" classCode="OBS">
  <templateId root="2.16.840.1.113883.10.20.22.4.69" extension="2022-06-01"/>
  <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
  <sdtc:category xmlns:sdtc="urn:hl7-org:sdtc" displayName="survey"
                 codeSystem="2.16.840.1.113883.4.642.1.1125" code="survey"/>
  <code 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"/>
  <derivationExpr>Text description of the calculation</derivationExpr>
  <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>