Consolidated CDA (C-CDA)
5.0.0-ballot - STU5 Ballot 1 United States of America flag

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

Example Binary: Planned Coverage Example


<act xmlns="urn:hl7-org:v3" moodCode="INT" classCode="ACT">
  <templateId root="2.16.840.1.113883.10.20.22.4.129" extension="2024-05-01"/>
  <id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
  <code displayName="Payment Sources" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="52556-8"/>
  <statusCode code="active"/>
  <entryRelationship typeCode="COMP">
    <act moodCode="INT" classCode="ACT">
      <!--  These act/identifiers are unique identifiers 
        for the policy or program providing the coverage.  -->
      <id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
      <code displayName="Medicare PPO"
            codeSystemName="Source of Payment Typology (PHDSC)" codeSystem="2.16.840.1.113883.3.221.5" code="112"/>
      <statusCode code="active"/>
    </act>
  </entryRelationship>
</act>