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
This content is an example of the Patient Referral Act Logical Model and is not a FHIR Resource
<act classCode="PCPR" moodCode="INT" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<!--Patient Referral Act-->
<templateId root="2.16.840.1.113883.10.20.22.4.140" />
<id root="70bdd7db-e02d-4eff-9829-35e3b7d9e154" />
<code code="44383000" displayName="Patient referral for consultation" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96" />
<text>
<reference value="#referral" />
</text>
<statusCode code="active" />
<effectiveTime value="20130311" />
<priorityCode code="A"
codeSystem="2.16.840.1.113883.5.7"
codeSystemName="ActPriority"
displayName="ASAP"/>
<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="WP">
<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>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="RQO">
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<statusCode code="completed" />
<priorityCode code="A"
codeSystem="2.16.840.1.113883.5.7"
codeSystemName="ActPriority"
displayName="ASAP"/>
<value xsi:type="CD" code="268528005" displayName="full care by specialist" codeSystem="2.16.840.1.113883.6.96" />
</observation>
</entryRelationship>
</act>