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 Observation with Post-Coordinated SNOMED Example

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

    
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <!-- ** Problem Observation ** -->
  <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2024-05-01" />
  <id root="AB1791B0-5C71-11DB-B0DE-0800200C9A66" />
  <code code="64572001" displayName="Condition" 
                                    codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
    <translation code="75323-6" 
           codeSystem="2.16.840.1.113883.6.1" 
           codeSystemName="LOINC" 
           displayName="Condition"/>
  </code>
  <!-- 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>
  <!-- Example of a problem you want on problem list, that is not present in SNOMED CT as a precoordinated concept - but would like on the problem list -->
	<value xsi:type="CD" code="281666001"
	   codeSystem="2.16.840.1.113883.6.96"
	   displayName="Family history of disorder">
	   <qualifier>
	       <name code="246090004" displayName="Associated finding"/>
	       <value code="254167000" displayName="Bullous ichthyosiform erythroderma"/>
	   </qualifier>
	</value>
	<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)" />
    </assignedAuthor>
  </author>
</observation>