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
Encounter Section Examples from C-CDA
Name | Description | Approval |
---|---|---|
Hospital Discharge Encounter with Billable Diagnoses |
This is an example of a hospitalization with discharge diagnoses. Meaningful Use requires a place to document encounter diagnoses, and this example attempts to satisfy. This example aligns with QRDA suggestion to use a Rank Observation for Principal diagnosis. |
2015-02-12, 2016-12-01 |
Inpatient Encounter Discharged to Rehab Location |
This is an example of a hospitalization with discharge disposition. The Discharge Disposition includes both the standard code and a local code, and a discharge destination |
2016-02-02 |
Multiple CPT E&M Codes |
This is an example of how to record multiple CPT Evaluation and Management codes with a single encounter. |
2017-11-30 |
Outpatient Encounter Patient Disenrolled |
This is an example of an outpatient visit discharge disposition. In order to support a local Discharge Disposition code the dischargeDisposition contains the "OTH" nullFlavor. |
2016-02-02 |
Outpatient Encounter with Diagnoses |
This example illustrates how to structure Encounter Diagnosis for the 170.314(b)(2) Transitions of care - L) Encounter Diagnosis |
2015-05-28, 2017-02-02 |