CDA Examples
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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

Example: No Medications

Approval Status: Approved
Task Force Approval: 2014-03-13
SDWG Approval: 2014-04-10, 2016-12-01

This is an example of no medications

This file includes examples of the following templates:


<section xmlns="urn:hl7-org:v3">
  <!--  conforms to Medications section with entries optional  -->
  <templateId root="2.16.840.1.113883.10.20.22.2.1"/>
  <templateId root="2.16.840.1.113883.10.20.22.2.1" extension="2014-06-09"/>
  <!--  Medications section with entries required  -->
  <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
  <templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
  <code displayName="HISTORY OF MEDICATION USE" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="10160-0"/>
  <title>MEDICATIONS</title>
  <text>No Medications</text>
  <entry>
    <!--  Act.actionNegationInd  -->
    <substanceAdministration negationInd="true" moodCode="EVN"
                             classCode="SBADM">
      <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.16"
                  extension="2014-06-09"/>
      <!--  ** MEDICATION ACTIVITY  -->
      <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
      <text>
        <!--  This reference refers to medication information in unstructured portion of section -->
        <reference value="#Medication_None"/>
      </text>
      <statusCode code="active"/>
      <effectiveTime xsi:type="IVL_TS" nullFlavor="NA">
        <low nullFlavor="NA"/>
      </effectiveTime>
      <doseQuantity nullFlavor="NA"/>
      <consumable>
        <manufacturedProduct classCode="MANU">
          <templateId root="2.16.840.1.113883.10.20.22.4.23"
                      extension="2014-06-09"/>
          <manufacturedMaterial>
            <code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88">
              <translation xsi:type="CD" displayName="Drug or medicament"
                           codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"
                           code="410942007"/>
            </code>
          </manufacturedMaterial>
        </manufacturedProduct>
      </consumable>
      <author>
        <!--  Time the author noted that patient is on no medications  -->
        <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
        <time value="20130607160506-0500"/>
        <assignedAuthor>
          <id root="2.16.840.1.113883.4.6" extension="66666"/>
          <code
                displayName="Allopathic &amp; Osteopathic Physicians; Internal Medicine, Cardiovascular Disease" codeSystemName="NUCC" codeSystem="2.16.840.1.113883.6.101"
                code="207RC0000X"/>
          <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>
    </substanceAdministration>
  </entry>
</section>