No Known Health Concerns

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Example metadata last updated 2017-09-11 13:32:21.871000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 11/5/2015
  • SDWG: 11/12/2015
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

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Comments:

  • This is an example of how an author can record they have no health concerns for a patient.

Custodian: Brett Marquard, brett@riverrockassociates.com (GitHub: brettmarquard)

Full sample: Empty CCD

Example: download example view on GitHub

<component>
    <!-- No known health concerns is different than no information about health concerns --> 
    <!-- This example records assertion of no concerns -->
    <section>
        <!-- Health Concerns Section (V2) (V1 was added as a NEW template in R2.0, V2 was updated in R2.1) -->
        <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
        <code code="75310-3" displayName="Health Concerns Document"
            codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
        <title>Health Concerns</title>
        <!--Including ID at text element is allowed -->
        <text ID="HealthConcern_1">No Known Health Concerns on 11/15/2015</text>
        <entry typeCode="COMP">
            <!-- negationInd=true indicates no known health concerns at the stated time-->
            <act classCode="ACT" moodCode="EVN" negationInd="true">
                <templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/>
                <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/>
                <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                    displayName="Health Concern"/>
                <text>
                    <reference value="#HealthConcern_1"/>
                </text>
                <!-- This Health Concern has a statusCode of concern because assertion is ongoing -->
                <statusCode code="active"/>
                <!-- The effective time is the date that the Health Concern started being followed - 
                    this does not necessarily correlate to the onset date of the contained health issues-->
                <effectiveTime value="20151115123506+0500"/>
                <!-- Time at which THIS “concern” began being tracked.-->
                <!-- Optional Author Element-->
                <!-- This is different then No Known Problems in that we aren't requiring declaration that no concerns
                for each of the potential 30+ choices available.-->
                <author>
                    <time value="20151115"/>
                    <assignedAuthor>
                        <id extension="66666" root="2.16.840.1.113883.4.6"/>
                        <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101"
                            codeSystemName="NUCC" displayName="Cardiovascular Disease"/>
                        <addr>
                            <streetAddressLine>6666 StreetName St.</streetAddressLine>
                            <city>Silver Spring</city>
                            <state>MD</state>
                            <postalCode>20901</postalCode>
                            <country>US</country>
                        </addr>
                        <telecom value="tel:+1(301)666-6666" use="WP"/>
                        <assignedPerson>
                            <name>
                                <given>Heartly</given>
                                <family>Sixer</family>
                                <suffix>MD</suffix>
                            </name>
                        </assignedPerson>
                    </assignedAuthor>
                </author>
            </act>
        </entry>
    </section>
</component>
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