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: Problem Concern Act Example

This content is an example of the Problem Concern Act Logical Model and is not a FHIR Resource

    
<act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <!-- ** Problem Concern Act ** -->
  <templateId root="2.16.840.1.113883.10.20.22.4.3" 
          extension="2024-05-01" />
  <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7" />
  <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
  <!-- The statusCode represents the need to continue tracking the problem -->
  <!-- This is of ongoing concern to the provider -->
  <statusCode code="active" />
  <effectiveTime>
    <!-- The low value represents when the problem was first recorded in the patient's chart -->
    <!-- Concern was documented on July 6, 2013 -->
    <low value="201307061145-0800" />
  </effectiveTime>
  <author typeCode="AUT">
    <templateId root="2.16.840.1.113883.10.20.22.4.119" />
    <!-- Same as Concern effectiveTime/low -->
    <time value="201307061145-0800" />
    <assignedAuthor>
      <id extension="555555555" root="2.16.840.1.113883.4.6" />
      <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101"
        codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
      <addr nullFlavor="UNK" />
      <telecom nullFlavor="UNK" />
      <assignedPerson>
        <name>Doctor Adult</name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <entryRelationship typeCode="SUBJ">
    <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="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition" />
      <!-- 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="20080814" />
      </effectiveTime>
      <value xsi:type="CD" 
             code="233604007" 
             codeSystem="2.16.840.1.113883.6.96"  
             displayName="Pneumonia" />
      <author typeCode="AUT">
        <templateId root="2.16.840.1.113883.10.20.22.4.119" />
        <time value="200808141030-0800" />
        <assignedAuthor>
          <id extension="555555555" root="2.16.840.1.113883.4.6" />
          <code code="207QA0505X" 
                displayName="Adult Medicine" 
                codeSystem="2.16.840.1.113883.6.101"
                codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
          <!-- addr / telecom / name are the same as above -->
        </assignedAuthor>
      </author>
    </observation>
  </entryRelationship>
</act>