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: Postprocedure Diagnosis Section Example

This content is an example of the Postprocedure Diagnosis Section Logical Model and is not a FHIR Resource

    
<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.36" extension="2015-08-01" />
  <code code="59769-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="POSTPROCEDURE DIAGNOSIS" />
  <title>Postprocedure Diagnosis</title>
  <text>Pneumonia</text>
  <entry>
		<act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
		  <templateId root="2.16.840.1.113883.10.20.22.4.51" extension="2015-08-01"/>
		  <code code="59769-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Postprocedure diagnosis narrative" />
		  <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>
  </entry>
</section>