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: Course of Care Section Example

<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.64"/>
  <code displayName="Hospital Course Narrative" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="8648-8"/>
  <title>Hospital Course of Care</title>
  <text>
    <paragraph>This patient was only recently transferred after a recurrent 
        GI bleed as described below.</paragraph>
    <paragraph>He presented to the ER today c/o a dark stool yesterday 
        but a normal brown stool today. On exam he was hypotensive in the 
        80s resolved after .... .... .... </paragraph>
    <paragraph>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1, 
        electrolytes normal. H. pylori antibody pending. Admission 
        hematocrit 16%, discharge hematocrit 29%. WBC 7300, platelet 
        count 256,000. Urinalysis normal. Urine culture: No growth. INR 
        1.1, PTT 40.</paragraph>
    <paragraph>He was transfused with 6 units of packed red blood cells 
        with .... .... ....</paragraph>
    <paragraph>GI evaluation 12 September: Colonoscopy showed single red 
       clot in .... .... ....</paragraph>
  </text>
</section>