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: Patient Referral Act Example

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>