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: Note Activity Standalone Example

This content is an example of the Note Activity Logical Model and is not a FHIR Resource

    
<section xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
  <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
  <title>Procedures</title>
  <text>
    <list>
      <item ID="ProcedureNote1">
        <paragraph>Dr. Physician - 03 Feb 2014</paragraph>
        <paragraph>Free-text note about procedures which have occurred during this visit.</paragraph>
      </item>
    </list>
  </text>
	<entry>
		<procedure classCode="PROC" moodCode="EVN" xmlns="urn:hl7-org:v3">
		  <!-- Procedure Activity Procedure -->
		  <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2024-05-01" />
		  <id root="d5b614bd-01ce-410d-8726-e1fd01dcc72a" />
		  <code code="103716009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Stent Placement">
		    <originalText>
		      <reference value="#Proc1" />
		    </originalText>
		  </code>
		  <statusCode code="completed" />
		  <effectiveTime xsi:type="IVL_TS">
				<low nullFlavor="UNK"/>
				<high value="20130512120000-0700" />
			</effectiveTime>
		  <targetSiteCode code="28273000" displayName="bile duct" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
		  <specimen typeCode="SPC">
		    <specimenRole classCode="SPEC">
		      <id root="a6d7b927-2b70-43c7-bdf3-0e7c4133062c" />
		      <specimenPlayingEntity>
		        <code code="57259009" codeSystem="2.16.840.1.113883.6.96" displayName="gallbladder bile" />
		      </specimenPlayingEntity>
		    </specimenRole>
		  </specimen>
			<performer typeCode="PRF" xmlns="urn:hl7-org:v3">
			  <assignedEntity>
			    <id extension="IO00017" root="2.16.840.1.113883.19.5" />
			    <code code="207RG0100X" codeSystem="2.16.840.1.113883.6.96" codeSystemName="NUCC" displayName="Gastroenterologist" />
			    <addr use="WP">
			      <streetAddressLine>1001 Hospital Lane</streetAddressLine>
			      <city>Ann Arbor</city>
			      <state>MI</state>
			      <postalCode>99999</postalCode>
			      <country>US</country>
			    </addr>
			    <telecom value="tel:(999)555-1212" />
			    <assignedPerson>
			      <name>
			        <prefix>Dr.</prefix>
			        <given>Tony</given>
			        <family>Tum</family>
			      </name>
			    </assignedPerson>
		      <representedOrganization classCode="ORG">
		        <id root="2.16.840.1.113883.19.5" />
		        <name>Good Health Hospital</name>
				    <telecom value="tel:(999)555-1212" />
				    <addr use="WP">
				      <streetAddressLine>1001 Hospital Lane</streetAddressLine>
				      <city>Ann Arbor</city>
				      <state>MI</state>
				      <postalCode>99999</postalCode>
				      <country>US</country>
				    </addr>
		      </representedOrganization>
			  </assignedEntity>
			</performer>
		</procedure>
	</entry>
  <entry>
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
      <code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
        <translation code="28570-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedure note" />
      </code>
      <text>
        <reference value="#ProcedureNote1" />
      </text>
      <statusCode code="completed"/>
      <!-- Clinically-relevant time of the note -->
      <effectiveTime value="20140203" />
      <!-- Author Participation -->
      <author>
        <templateId root="2.16.840.1.113883.10.20.22.4.119" />
        <!-- Time note was actually written -->
        <time value="20140204083215-0500" />
        <assignedAuthor>
          <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
			    <addr use="WP">
			      <streetAddressLine>1001 Hospital Lane</streetAddressLine>
			      <city>Ann Arbor</city>
			      <state>MI</state>
			      <postalCode>99999</postalCode>
			      <country>US</country>
			    </addr>
			    <telecom value="tel:(999)555-1212" />
          <assignedPerson>
            <name>Dr. Physician</name>
          </assignedPerson>
        </assignedAuthor>
      </author>
      <!-- Reference to encounter -->
      <entryRelationship typeCode="COMP" inversionInd="true">
        <encounter classCode="ENC" moodCode="EVN">
          <!-- Encounter ID matches an encounter in the Encounters Section -->
          <id root="1.2.3.4" />
        </encounter>
      </entryRelationship>
    </act>
  </entry>
</section>