Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Binary: Functional Status Organizer Example

This content is an example of the Functional Status Organizer Logical Model and is not a FHIR Resource

    
<organizer classCode="CLUSTER" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sdtc="urn:hl7-org:sdtc">
  <!-- Functional Status Organizer -->
  <templateId root="2.16.840.1.113883.10.20.22.4.66" extension="2014-06-09" />
  <id root="a7bc1062-8649-42a0-833d-eed65bd017c9" />
  <code code="d5" displayName="Self-Care" codeSystem="2.16.840.1.113883.6.254" codeSystemName="ICF" />
  <sdtc:text>
    <reference value="#funcstatusorganizer" />
  </sdtc:text>
  <statusCode code="completed" />
  <author>
    <templateId root="2.16.840.1.113883.10.20.22.4.119" />
    <time value="20130311" />
    <assignedAuthor>
      <id extension="KP00017" root="2.16.840.1.113883.19.5" />
      <addr use="HP">
        <streetAddressLine>1003 Health Care
                    Drive</streetAddressLine>
        <city>Ann Arbor</city>
        <state>MI</state>
        <postalCode>02368</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:(555)555-1003" />
      <assignedPerson>
        <name>
          <given>Assigned</given>
          <family>Amanda</family>
        </name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <!-- Functional Status Observation V -->
      <templateId root="2.16.840.1.113883.10.20.22.4.67" extension="2014-06-09" />
      <id root="ce7cfb78-bd16-467e-8bcf-859a3034108e" />
      <code code="54522-8" displayName="Functional status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="SNOMED CT" />
      <text>
        <reference value="#FUNC1" />
      </text>
      <statusCode code="completed" />
      <effectiveTime value="20130311" />
      <value xsi:type="CD" code="129035000" displayName="independent with dressing" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
      <author typeCode="AUT">
        <templateId root="2.16.840.1.113883.10.20.22.4.119" />
        <time value="199803161030-0800" />
        <assignedAuthor>
          <id extension="555555555" root="1.1.1.1.1.1.1.2" />
          <addr use="HP">
            <streetAddressLine>2222 Home Street</streetAddressLine>
            <city>Beaverton</city>
            <state>OR</state>
            <postalCode>97867</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:+1(555)555-2003" use="HP"/>
          <assignedPerson>
            <name>
              <given>Nurse</given>
              <family>Nightingale</family>
              <suffix>RN</suffix>
            </name>
          </assignedPerson>
        </assignedAuthor>
      </author>
    </observation>
  </component>
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <!-- Self-Care Activities (ADL and IADL)-->
      <templateId root="2.16.840.1.113883.10.20.22.4.128" />
      <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0a" />
      <code code="46482-6" displayName="Transferring [OASIS]" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
      <text>
        <reference value="#socialhistory" />
      </text>
      <statusCode code="completed" />
      <effectiveTime>
        <low value="20130311" />
      </effectiveTime>
      <value xsi:type="CD" code="371153006" displayName="Independent" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
      <author typeCode="AUT">
        <templateId root="2.16.840.1.113883.10.20.22.4.119" />
        <time value="199803161030-0800" />
        <assignedAuthor>
          <id extension="555555555" root="1.1.1.1.1.1.1.2" />
          <addr use="HP">
            <streetAddressLine>2222 Home Street</streetAddressLine>
            <city>Beaverton</city>
            <state>OR</state>
            <postalCode>97867</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:+1(555)555-2003" use="HP"/>
          <assignedPerson>
            <name>
              <given>Nurse</given>
              <family>Nightingale</family>
              <suffix>RN</suffix>
            </name>
          </assignedPerson>
        </assignedAuthor>
      </author>
    </observation>
  </component>
</organizer>