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: Health Status Evalutations and Outcomes Section Example

This content is an example of the Health Status Evaluations and Outcomes Section Logical Model and is not a FHIR Resource

    
<?xml version="1.0"?>
<structuredBody xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<component>
		<section>
			<!-- Health Status Evaluations/Outcomes Section  -->
			<templateId root="2.16.840.1.113883.10.20.22.2.61"/>
			<code code="11383-7" displayName="Patient Problem Outcome" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
			<title>Health Status Evaluations/Outcomes Section</title>
			<text>
				<list>
					<item><content styleCode="Bold">Pulse oximetry greater than 92% on room air</content>: MET 
        <list><item>Evaluates Expected Outcome/Goal: 
            
            <content styleCode="Bold">
              Pulse oximetry greater than 92% on room air
            </content>
          </item><item>Supported by: Pulse oximetry 95% on room air (March 21, 2013 at 15:20)</item></list></item>
				</list>
			</text>
			<entry>
				<!-- Outcome Observation -->
				<observation xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="OBS" moodCode="EVN">
					<templateId root="2.16.840.1.113883.10.20.22.4.144"/>
					<id root="0aaaa123-24e2-46b3-9d49-6b753c712dec"/>
					<code code="44616-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse oximetry panel"/>
					<text>
						<reference value="#goal1"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="20130806"/>
					<value xsi:type="PQ" value="95" unit="%"/>
					<!-- This Outcome Observation EVALUATES a Goal 
		    (Pulse ox reading of 95 evaluates the goal of Pulse ox reading > 92) -->
					<entryRelationship typeCode="GEVL">
						<act classCode="ACT" moodCode="EVN">
							<!-- Entry reference -->
							<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
							<!-- Must reference a Goal Observation -->
							<id root="36700436-475d-4c47-bbac-a14e55fa990b"/>
							<code nullFlavor="NP"/>
							<text>
								<reference value="#goal1"/>
							</text>
							<statusCode code="completed"/>
						</act>
					</entryRelationship>
				</observation>
			</entry>
		</section>
	</component>
	<component>
		<section>
			<entry typeCode="COMP">
				<observation classCode="OBS" moodCode="GOL">
					<templateId root="2.16.840.1.113883.10.20.22.4.121" extension="2022-06-01"/>
					<id root="36700436-475d-4c47-bbac-a14e55fa990b"/>
					<code nullFlavor="UNK"/>
					<text>
						<reference value="#goal1"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime nullFlavor="UNK"/>
				</observation>
			</entry>
		</section>
	</component>
</structuredBody>