CDA Examples
1.0.0 - active
CDA Examples
1.0.0 - active
CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions
This demonstrates a patient with a Patient DirectTrust Address and a Provider Organization with a Covered Entity DirectTrust Address.
This file includes examples of the following templates:
This content is an example of the US Realm Header Logical Model and is not a FHIR Resource
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif" xmlns:voc="urn:hl7-org:v3/voc"
xmlns:sdtc="urn:hl7-org:sdtc">
<realmCode code="US"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2024-05-01"/> <!-- C-CDA 3.0 -->
<id root="2.16.840.1.113883.3.109" extension="bf6b3a62-4293-47b4-9f14-c8829a156f4b"/>
<code code="34133-9" codeSystem="2.16.840.1.113883.6.1"
displayName="Summary of episode note" codeSystemName="LOINC" />
<title>Continuity of Care Document (C-CDA)</title>
<effectiveTime value="20170528150200-0400"/>
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"
displayName="normal" codeSystemName="HL7 Confidentiality" />
<languageCode code="en-US"/>
<recordTarget>
<patientRole>
<!-- Here is a public id that has an external meaning based on a root OID that is publically identifiable. -->
<!-- root="1.3.6.1.4.1.41179.2.4" is the assigningAutorityName for
Direct Trust's Patient/Consumer addresses "DT.org PATIENT" -->
<id root="1.3.6.1.4.1.41179.2.4" extension="lisarnelson@direct.myphd.us" assigningAuthorityName="DT.org PATIENT"/>
<!-- More ids may be used. -->
<!-- Here is the patient's MRN at RVHS -->
<id root="2.16.840.1.113883.1.111.12345" extension="12345-0828" assigningAuthorityName="River Valley Health Services"/>
<!-- Use the identifiedBy extention to indicate an identifier type.
If a coded concept is not available in the identifierType Code System, use originalText to describe the identifier type -->
<sdtc:identifiedBy typeCode="REL">
<sdtc:alternateIdentification classCode="IDENT">
<sdtc:id root="1.3.6.1.4.1.41179.2.4" extension="lisarnelson@direct.myphd.us" />
<sdtc:code><originalText>DirectTrust Consumer Identity</originalText></sdtc:code>
</sdtc:alternateIdentification>
</sdtc:identifiedBy>
<!-- Available Direct Trust identitifier types include the following:
<sdtc:identifiedBy typeCode="REL">
<sdtc:alternateIdentification classCode="IDENT">
<sdtc:id root="1.3.6.1.4.1.41179.2.3" extension="lisarnelson@direct.myphd.us" />
<sdtc:code><originalText>DirectTrust Practitioner Identity</originalText></sdtc:code>
</sdtc:alternateIdentification>
</sdtc:identifiedBy>
<sdtc:identifiedBy typeCode="REL">
<sdtc:alternateIdentification classCode="IDENT">
<sdtc:id root="1.3.6.1.4.1.41179.2.2" extension="lisarnelson@direct.myphd.us" />
<sdtc:code><originalText>DirectTrust Business Associate Identity</originalText></sdtc:code>
</sdtc:alternateIdentification>
</sdtc:identifiedBy>
<sdtc:identifiedBy typeCode="REL">
<sdtc:alternateIdentification classCode="IDENT">
<sdtc:id root="1.3.6.1.4.1.41179.2.1" extension="lisarnelson@direct.myphd.us" />
<sdtc:code><originalText>DirectTrust Covered Entity Identity</originalText></sdtc:code>
</sdtc:alternateIdentification>
</sdtc:identifiedBy> -->
<sdtc:identifiedBy typeCode="REL">
<sdtc:alternateIdentification classCode="IDENT">
<sdtc:id root="2.16.840.1.113883.1.111.12345" extension="12345-0828" />
<sdtc:code code="MR" codeSystem="2.16.840.1.113883.18.108" codeSystemName="v2-0203" displayName="Medical record number"></sdtc:code>
</sdtc:alternateIdentification>
</sdtc:identifiedBy>
<addr>
<streetAddressLine>1 Happy Valley Road</streetAddressLine>
<city>Westerly</city>
<state>RI</state>
<postalCode>02891</postalCode>
<country nullFlavor="UNK"/>
</addr>
<telecom use="WP" value="tel:+1-4013482345"/>
<telecom use="HP" value="tel:+1-4016412345"/>
<telecom value="mailto:lisanelson@gmail.com"/>
<telecom value="mailto:lisarnelson@direct.myphd.us"/>
<patient>
<name use="L">
<family>Nelson</family>
<given qualifier="CL">Lisa</given>
</name>
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"
displayName="Female" codeSystemName="HL7 AdministrativeGender" />
<birthTime value="19620828"/>
<maritalStatusCode code="M" codeSystem="2.16.840.1.113883.5.2"
displayName="Married" codeSystemName="HL7 MaritalStatus" />
<raceCode code="2106-3" codeSystem="2.16.840.1.113883.6.238"
displayName="White" codeSystemName="CDC Race and Ethnicity" />
<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.6.238"
displayName="Not Hispanic or Latino" codeSystemName="CDC Race and Ethnicity" />
<languageCommunication>
<templateId root="2.16.840.1.113883.3.88.11.32.2"/>
<languageCode code="en"/>
<preferenceInd value="true"/>
</languageCommunication>
</patient>
<providerOrganization>
<!-- This is a public id where the root is registered to indicate the National Provider ID -->
<id root="2.16.840.1.113883.4.6" extension="1417947383" assigningAuthorityName="National Provider ID" />
<!-- This is a public id where the root indicates this is a Provider Direct Address. -->
<!-- root="1.3.6.1.4.1.41179.2.1" is the assigningAutorityName for
Direct Trust's Covered Entity addresses "DT.org CE" -->
<id root="1.3.6.1.4.1.41179.2.1" extension="rvhs@rvhs.direct.md" assigningAuthorityName="DT.org CE (Covered Entity)"/>
<!-- By including a root OID attribute for a healthcare organization, you can use this information to
indicate a patient's MRN id at that organization.-->
<id root="2.16.840.1.113883.1.111.12345" assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
<name>River Valley Health Services</name>
<telecom use="WP" value="tel:+1-4015394321"/>
<telecom use="WP" value="mailto:rvhs@rvhs.direct.md"/>
<addr>
<streetAddressLine>823 Main Street</streetAddressLine>
<city>River Valley</city>
<state>RI</state>
<postalCode>02832</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
<author>
<time nullFlavor="NI"/>
<assignedAuthor>
<id nullFlavor="NI"/>
<addr nullFlavor="NI"/>
<telecom nullFlavor="NI"/>
<assignedAuthoringDevice>
<manufacturerModelName nullFlavor="NI"/>
<softwareName nullFlavor="NI"/>
</assignedAuthoringDevice>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id nullFlavor="NI" />
<name nullFlavor="NI" />
<telecom nullFlavor="NI" />
<addr nullFlavor="NI" />
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<!-- ... -->
<component>
<structuredBody>
<component>
<section>
<!-- ... -->
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>
IG © Health Level Seven. Package hl7.cda.examples#1.0.0 based on FHIR 5.0.0. Generated 2025-09-17
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