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: Referral Act Example

<act xmlns="urn:hl7-org:v3" moodCode="INT" classCode="PCPR">
  <!-- Referral Act -->
  <templateId root="2.16.840.1.113883.10.20.22.4.140"/>
  <id root="70bdd7db-e02d-4eff-9829-35e3b7d9e154"/>
  <code displayName="Patient referral for consultation"
        codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96" code="44383000"/>
  <text/>
  <statusCode code="active"/>
  <effectiveTime value="20130311"/>
  <priorityCode displayName="ASAP" codeSystemName="ActPriority"
                codeSystem="2.16.840.1.113883.5.7" code="A"/>
  <author>
    <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
    <time value="20130311"/>
    <assignedAuthor>
      <id root="2.16.840.1.113883.19.5" extension="KP00017"/>
      <addr use="WP">
        <streetAddressLine>1003 Health Care
                        Drive</streetAddressLine>
        <city>Ann Arbor</city>
        <state>MI</state>
        <postalCode>02368</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:(555)555-1003" use="WP"/>
      <assignedPerson>
        <name>
          <given>Assigned</given>
          <family>Amanda</family>
        </name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <entryRelationship typeCode="SUBJ">
    <observation moodCode="RQO" classCode="OBS">
      <code xsi:type="CD" codeSystem="2.16.840.1.113883.5.4"
            code="ASSERTION"/>
      <statusCode code="completed"/>
      <priorityCode displayName="ASAP" codeSystemName="ActPriority"
                    codeSystem="2.16.840.1.113883.5.7" code="A"/>
      <value xsi:type="CD" displayName="full care by specialist"
             codeSystem="2.16.840.1.113883.6.96" code="268528005"/>
    </observation>
  </entryRelationship>
</act>