Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Example Binary: Discharge Diagnosis Example

This content is an example of the Discharge Diagnosis Section Logical Model and is not a FHIR Resource

    
<section xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <!-- Discharge Diagnosis Section Template Id -->
  <templateId root="2.16.840.1.113883.10.20.22.2.24" extension="2015-08-01" />
  <code code="11535-2" displayName="Hospital Discharge Diagnosis"
                                codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC">
    <translation code="78375-3" displayName="Discharge Diagnosis"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"></translation>
  </code>
  <title>Discharge Diagnosis</title>
  <text>Diverticula of intestine</text>
  <entry>
    <!-- optional Hospital discharge Diagnosis act entry -->
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.33" extension="2015-08-01"/>
      <code code="11535-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HOSPITAL DISCHARGE DIAGNOSIS" />
      <entryRelationship typeCode="SUBJ" inversionInd="false">
        <observation classCode="OBS" moodCode="EVN">
          <!-- ** Problem Observation ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
          <id root="AB1791B0-5C71-11DB-B0DE-0800200C9A66" />
          <code code="64572001" displayName="Condition" 
            codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
          <!-- The statusCode reflects the status of the observation itself -->
          <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" />
            <!-- The high value reflects when the problem was known to be resolved -->
            <!-- Based on signs and symptoms, appears to be resolved on Aug 14, 2013 -->
            <high value="20130814" />
          </effectiveTime>
          <value xsi:type="CD"
            code="271959005" 
            codeSystem="2.16.840.1.113883.6.96"  
            displayName="Diverticula of intestine" />
        </observation>
      </entryRelationship>
    </act>
  </entry>
</section>