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: Hospital Discharge Diagnosis Example

This content is an example of the Hospital Discharge Diagnosis Logical Model and is not a FHIR Resource

    
<act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.4.33" extension="2015-08-01"/>
  <id root="5a784260-6856-4f38-9638-80c751aff2fb" />
  <code code="11535-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HOSPITAL DISCHARGE DIAGNOSIS" />
  <text>
    <reference value="#dischargediag" />
  </text>
  <statusCode code="active" />
  <effectiveTime>
    <low value="201209091904-0400" />
  </effectiveTime>
  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation classCode="OBS" moodCode="EVN">
      <!-- Problem observation template -->
      <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="Disease" 
        codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
        <translation code="29308-4" codeSystem="2.16.840.1.113883.6.1" displayName="Diagnosis" />  
      </code>
      <text>
        <reference value="#problem" />
      </text>
      <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="20130814" />
      </effectiveTime>
      <value xsi:type="CD"
        code="233604007" 
        codeSystem="2.16.840.1.113883.6.96"  
        displayName="Pneumonia" />   
      <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>   
    </observation>
  </entryRelationship>
</act>