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

Table of Contents

.. 0 Table of Contents
... 1 CDA Examples
... 2 Examples by Template
... 3 Examples by Category
.... 3.1 Allergy Examples
.... 3.2 Care Team Examples
.... 3.3 Encounters Examples
.... 3.4 Family History Examples
.... 3.5 Functional Status Examples
.... 3.6 General Examples
.... 3.7 Goals Examples
.... 3.8 Header Examples
.... 3.9 Health Concerns Examples
.... 3.10 Immunizations Examples
.... 3.11 Interventions Examples
.... 3.12 Medical Equipment Examples
.... 3.13 Medications Examples
.... 3.14 Mental Status Examples
.... 3.15 Notes Examples
.... 3.16 Plan of Treatment Examples
.... 3.17 Problems Examples
.... 3.18 Procedures Examples
.... 3.19 Quality Examples
.... 3.20 Referrals Examples
.... 3.21 Results Examples
.... 3.22 Social History Examples
.... 3.23 Unstructured Examples
.... 3.24 Vital Signs Examples
... 4 Change Log
... 5 effectiveTime Use
... 6 Medication statusCodes
... 7 Medication Frequency
... 8 Narrative Text Linking
... 9 Performers, Authors, Informants, and Participants
... 10 Artifacts Summary
.... 10.1 Allergy to food egg
.... 10.2 Allergy to latex
.... 10.3 Allergy to specific drug Codeine
.... 10.4 Allergy to specific drug Penicillin
.... 10.5 Allergy to specific drug class Penicillins
.... 10.6 Free-text Allergy to clinical trial drug
.... 10.7 No Known Allergies
.... 10.8 No Known Medication Allergies
.... 10.9 No Section Information Allergies
.... 10.10 Not Allergic to Peanuts
.... 10.11 Care Team Narrative Only
.... 10.12 Care Team Structured Entry
.... 10.13 Hospital Discharge Encounter with Billable Diagnoses
.... 10.14 Inpatient Encounter Discharged to Rehab Location
.... 10.15 Multiple CPT E&M Codes
.... 10.16 Outpatient Encounter Patient Disenrolled
.... 10.17 Outpatient Encounter with Diagnoses
.... 10.18 Family History Generic
.... 10.19 Family History two individuals same relationship to the patient
.... 10.20 Normal Family History Father deceased-Mother alive
.... 10.21 Functional Assessment - Glasgow Coma
.... 10.22 Functional Impairment
.... 10.23 No Functional Impairment
.... 10.24 External Document Reference
.... 10.25 Narrative Reference - Act
.... 10.26 Narrative Reference - Encounter
.... 10.27 Narrative Reference - Observation
.... 10.28 Narrative Reference - Organizer
.... 10.29 Narrative Reference - Procedure
.... 10.30 Narrative Reference - SubstanceAdministration
.... 10.31 Narrative Reference - Supply
.... 10.32 No Section Information Problems
.... 10.33 Parent Document Replace Relationship
.... 10.34 Share With Patient or Proxy
.... 10.35 Goals Narrative Only
.... 10.36 SDOH Goal
.... 10.37 Care Team In Transition of Care Documents
.... 10.38 Direct Address
.... 10.39 Masked Social Security Number
.... 10.40 Multiple Patient Identifiers
.... 10.41 Patient Aliases
.... 10.42 Patient Birth Name
.... 10.43 Patient Deceased
.... 10.44 Patient Demographic Information
.... 10.45 Patient Previous Name
.... 10.46 Patient With Prior Addresses
.... 10.47 Person Name Formatting
.... 10.48 Health Concerns Link to Problems Section
.... 10.49 Health Concerns Link to Problems Section with linkHTML
.... 10.50 Health Concerns Narrative Only
.... 10.51 No Known Health Concerns
.... 10.52 Immunization not given Patient refused
.... 10.53 Influenza Vaccination
.... 10.54 Influenza Vaccination - Patient Reported
.... 10.55 Influenza Vaccination with NDC
.... 10.56 No Section Information Immunizations
.... 10.57 Unknown Immunization Status
.... 10.58 Intervention Counseling
.... 10.59 Implant UDI Organizer
.... 10.60 Implant UDI Unknown
.... 10.61 Implant Without Procedure
.... 10.62 Multiple Implants
.... 10.63 No Implanted Devices
.... 10.64 Non-Medicinal Supply - Cane and Eyeglasses
.... 10.65 Drug Mixture
.... 10.66 Free Text Medication SIG
.... 10.67 Med Relative Dose IV Drug
.... 10.68 Med at bedtime
.... 10.69 Med oral QID with PRN
.... 10.70 Med oral with indications and instructions
.... 10.71 Medication Refused
.... 10.72 Medication Every 4-6 Hours
.... 10.73 No Medications
.... 10.74 Single administration of medication
.... 10.75 Patient Health Questionnaire (PHQ-9)
.... 10.76 Memory Impairment
.... 10.77 No Cognitive Impairment
.... 10.78 Discharge Note in Hospital Course
.... 10.79 Note directly attached to a Procedure
.... 10.80 RTF Note
.... 10.81 Single Consultation Note
.... 10.82 Care Plan Goals and Instructions
.... 10.83 No Planned Tests
.... 10.84 Planned EKG
.... 10.85 Planned Encounter - Referral
.... 10.86 Active Problem
.... 10.87 Complete or Resolved Problem
.... 10.88 No Known Problems
.... 10.89 Patient Does Not Have Diabetes
.... 10.90 Pregnancy with Week Gestation
.... 10.91 Problem TargetSiteCode Qualifier
.... 10.92 Problem Value, Translation, Qualifier examples
.... 10.93 SDOH Problem
.... 10.94 Procedure Alternatives
.... 10.95 Procedure Refused
.... 10.96 Procedure Unsuccessful
.... 10.97 Procedures Section Act Entry
.... 10.98 Procedures Section Observation Entry
.... 10.99 Procedures Section Procedure Entry
.... 10.100 Procedures Section Procedure Entry - Colonoscopy
.... 10.101 Quality Care Compliance in C-CDA
.... 10.102 Close Referral with a Document
.... 10.103 Referral Request and Close Referral with a Note
.... 10.104 Result COVID Positive
.... 10.105 Result panel with coded values of negative-positive
.... 10.106 Result with Multiple Reference Ranges
.... 10.107 Result with an unstructured string as value (urine color)
.... 10.108 Result with greater than a specified value
.... 10.109 Result with lab location
.... 10.110 Result with non-numeric physical quantity and unit
.... 10.111 Results Radiology with Image Narrative
.... 10.112 Results Unit Non-UCUM
.... 10.113 Results of Basic Metabolic Panel and Troponin
.... 10.114 Results of CO2 Test
.... 10.115 Results panel with pending component
.... 10.116 Results with less than specific value
.... 10.117 Results with translation unit
.... 10.118 Birth Sex
.... 10.119 Current Smoking Status
.... 10.120 Electronic Cigarette
.... 10.121 Former Smoking Status
.... 10.122 Never Smoking Status
.... 10.123 Not Pregnant
.... 10.124 Sexual Orientation Gender Identity
.... 10.125 Unknown Smoking Status
.... 10.126 Unknown if Pregnant
.... 10.127 WE Care Assessment
.... 10.128 CDA reference PDF
.... 10.129 CDA with Embedded PDF 1
.... 10.130 CDA with Embedded PDF 2
.... 10.131 CDA with Embedded Text plain
.... 10.132 Growth Charts Examples
.... 10.133 Heart Rate Rhythm
.... 10.134 Panel of Vital Signs (Oxygen Concentration Included)
.... 10.135 Panel of Vital Signs in Metric Units
.... 10.136 Panel of Vital Signs in Mixed Metric-Imperial Units
.... 10.137 Example Approval Status
.... 10.138 Example Approval Status
.... 10.139 Example Approval Status