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 is an example of how a single procedure (angioplasty) can have multiple implants (2 drug eluting stents). There are still two entries since this is being included in medical equipment rather than procedure section.
This file includes examples of the following templates:
<!-- This is meant to represent multiple implants during the same procedure -->
<!-- This is not necessarily an ideal modeling and other changes to transition away from procedure act may be in future -->
<!-- That said, this is designed for compliance with current C-CDA 1.1 & 2.1 (and MU rules) -->
<section xmlns="urn:hl7-org:v3">
<templateId root="2.16.840.1.113883.10.20.22.2.23"/>
<templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
<code displayName="Medical Equipment" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="46264-8"/>
<title>Implants</title>
<text>
<table>
<thead>
<tr>
<th>Implant</th>
<th>Area</th>
<th>Manufacturer</th>
<th>Device Identifier</th>
<th>Model</th>
<th>Serial Number</th>
<th>Lot</th>
<th>Date and Provider</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="implantOne">Drug Eluting Coronary Stent (LIBERTE TAXUS 3.00 mm)</td>
<td>Left Anterior Descending Coronary Artery</td>
<td>Boston Scientific</td>
<td>(01)00848486001048(11)160330(10)ABC124</td>
<td>Z-0068-2010</td>
<td>0111-066-31456</td>
<td>ABC124</td>
<td>Implanted 04/13/2016 by Fleming, Barry</td>
</tr>
<tr>
<td ID="implantTwo">Drug Eluting Coronary Stent (LIBERTE TAXUS 2.75 mm)</td>
<td>Left Anterior Descending Coronary Artery</td>
<td>Boston Scientific</td>
<td>(01)00848486001048(11)160542(10)ABC125</td>
<td>Z-0068-2010</td>
<td>0111-066-31456</td>
<td>ABC125</td>
<td>Implanted 04/13/2016 by Fleming, Barry</td>
</tr>
</tbody>
</table>
</text>
<entry>
<procedure moodCode="EVN" classCode="PROC">
<templateId root="2.16.840.1.113883.10.20.22.4.14"/>
<templateId root="2.16.840.1.113883.10.20.22.4.14"
extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.14"
extension="2024-05-01"/>
<!-- C-CDA 3.0 -->
<id root="1.2.840.114350.1.13.5552.1.7.2.737780" extension="27456789"/>
<code
displayName="Percutaneous insertion of drug eluting stent into coronary artery using fluoroscopic guidance with contrast" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"
code="609153008"/>
<!-- Procedure is completed, even though the implant is still active -->
<statusCode code="completed"/>
<effectiveTime>
<!-- Placed Date -->
<low value="20160413"/>
</effectiveTime>
<targetSiteCode
displayName="Structure of anterior descending branch of left coronary artery" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="59438005"/>
<performer typeCode="PRF">
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="2222222222"/>
<addr>
<streetAddressLine>#456, Lincon Street</streetAddressLine>
<streetAddressLine>Wilson Garden</streetAddressLine>
<city>Anytown</city>
<state>CO</state>
<postalCode>80203</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1-(859)085-0945"/>
<assignedPerson>
<name>
<family>Barry</family>
<given>Fleming</given>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<participant typeCode="DEV">
<participantRole classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
<id root="2.16.840.1.113883.3.3719"
extension="(01)00848486001048(11)160330(10)ABC124" assigningAuthorityName="FDA"/>
<playingDevice>
<code nullFlavor="UNK">
<originalText>
<reference value="#implantOne"/>
</originalText>
</code>
</playingDevice>
<!-- From Product Instance template:
The scopingEntity/id should correspond to FDA or the appropriate issuing agency. -->
<scopingEntity>
<id root="2.16.840.1.113883.3.3719"/>
</scopingEntity>
</participantRole>
</participant>
</procedure>
</entry>
<entry>
<procedure moodCode="EVN" classCode="PROC">
<templateId root="2.16.840.1.113883.10.20.22.4.14"/>
<templateId root="2.16.840.1.113883.10.20.22.4.14"
extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.14"
extension="2024-05-01"/>
<!-- C-CDA 3.0 -->
<!-- Note that since this is the same procedure, the id is the same as prior entry -->
<id root="1.2.840.114350.1.13.5552.1.7.2.737780" extension="27456789"/>
<code
displayName="Percutaneous insertion of drug eluting stent into coronary artery using fluoroscopic guidance with contrast" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"
code="609153008"/>
<!-- Procedure is completed, even though the implant is still active -->
<statusCode code="completed"/>
<effectiveTime>
<!-- Placed Date -->
<low value="20160413"/>
</effectiveTime>
<targetSiteCode
displayName="Structure of anterior descending branch of left coronary artery" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="59438005"/>
<performer typeCode="PRF">
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="2222222222"/>
<addr>
<streetAddressLine>#456, Lincon Street</streetAddressLine>
<streetAddressLine>Wilson Garden</streetAddressLine>
<city>Anytown</city>
<state>CO</state>
<postalCode>80203</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1-(859)085-0945"/>
<assignedPerson>
<name>
<family>Barry</family>
<given>Fleming</given>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<participant typeCode="DEV">
<participantRole classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.37"/>
<id root="2.16.840.1.113883.3.3719"
extension="(01)00848486001048(11)160542(10)ABC125" assigningAuthorityName="FDA"/>
<playingDevice>
<code nullFlavor="UNK">
<originalText>
<reference value="#implantTwo"/>
</originalText>
</code>
</playingDevice>
<!-- From Product Instance template:
The scopingEntity/id should correspond to FDA or the appropriate issuing agency. -->
<scopingEntity>
<id root="2.16.840.1.113883.3.3719"/>
</scopingEntity>
</participantRole>
</participant>
</procedure>
</entry>
</section>
IG © Health Level Seven. Package hl7.cda.examples#1.0.0 based on FHIR 5.0.0. Generated 2025-08-28
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