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 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 & 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>