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. For a full list of available versions, see the Directory of published versions

Example Binary: Diagnosis Reference Example

This content is an example of the Entry Reference Logical Model and is not a FHIR Resource

    
<!-- Show how an encounter can include a discharge diagnosis which references an 
       item on the problem list using the Entry Reference template.
      
      The primary example is the act reference itself -->
<act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.4.122" />
  <id root="R1234567" />
  <code nullFlavor="NP" />
  <text><reference value="#dischargeDiagnosisReference"/></text>
  <statusCode code="completed"/>
</act>
<!-- The following demonstrates how this ID may exist elsewhere

An entry in the problem's section:
<observation>
  <id root="R1234567" />
  <code code="123" codeSystem="1.2.3" displayName="asthma" />
</observation>

The encounter entry which contains an entry references
  This is for illustrative purposes only. In this particular 
    case, the template requires a nested Problem 
    Observation. In the Health Concern template, 
    we'd need a constraint that says it's allowable to 
    include the Entry Reference template.
<encounter xmlns="urn:hl7-org:v3">
  <entryRelationship typeCode="COMP">
    <act>
      <code code="145" codeSystem="4.5.6" displayName="discharge diagnosis" />
      <templateId root="2.16.840.1.113883.10.20.22.4.33" extension="2014-06-09" />
      ...
      <entryRelationship typeCode="SUBJ">
        <act classCode="ACT" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.22.4.122" />
          <id root="R1234567" />
          <code nullFlavor="NP" />
        </act>
      </entryRelationship>
    </act>
  </entryRelationship>
</encounter>-->