Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Example Binary: Payers Section Example


<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2015-08-01"/>
  <!--   ******** Payers section template  ********  -->
  <code displayName="Payers" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="48768-6"/>
  <title>Insurance Providers</title>
  <text>
        . . . 
    </text>
  <entry typeCode="DRIV">
    <act moodCode="EVN" classCode="ACT">
      <templateId root="2.16.840.1.113883.10.20.22.4.60"
                  extension="2024-05-01"/>
      <id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>
      <code displayName="Payment sources" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="52556-8"/>
      <text/>
      <statusCode code="completed"/>
      <effectiveTime value="20230501"/>
      <entryRelationship typeCode="COMP">
        <sequenceNumber value="2"/>
        <act moodCode="EVN" classCode="ACT">
          <!--  Policy Activity  -->
          <templateId root="2.16.840.1.113883.10.20.22.4.61"
                      extension="2024-05-01"/>
          <id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>
          <code displayName="MEDICARE" codeSystemName="SOP"
                codeSystem="2.16.840.1.113883.3.221.5" code="1"/>
          <text/>
          <statusCode code="completed"/>
          <performer typeCode="PRF">
            <templateId root="2.16.840.1.113883.10.20.22.4.87"/>
            <assignedEntity>
              <id root="2.16.840.1.113883.19"/>
              <code codeSystemName="HL7 RoleCode"
                    codeSystem="2.16.840.1.113883.5.110" code="PAYOR"/>
              <!--  US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1  -->
              <addr use="WP">
                <streetAddressLine>123 Insurance Road</streetAddressLine>
                <city>Blue Bell</city>
                <state>MA</state>
                <postalCode>02368</postalCode>
                <country>US</country>
              </addr>
              <telecom value="tel:+(555)555-1515" use="WP"/>
              <representedOrganization>
                <name>Good Health Insurance</name>
                <telecom value="tel:+(555)555-1515" use="WP"/>
                <addr use="WP">
                  <streetAddressLine>123 Insurance Road</streetAddressLine>
                  <city>Blue Bell</city>
                  <state>MA</state>
                  <postalCode>02368</postalCode>
                  <country>US</country>
                </addr>
              </representedOrganization>
            </assignedEntity>
          </performer>
          <participant typeCode="COV">
            <!--  Coverage Target  -->
            <templateId root="2.16.840.1.113883.10.20.22.4.89"/>
            <time>
              <low value="20130905"/>
              <high value="20150905"/>
            </time>
            <participantRole>
              <id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>
              <code displayName="self" codeSystemName="RoleCode"
                    codeSystem="2.16.840.1.113883.5.111" code="SELF"/>
              <addr use="HP">
                <streetAddressLine>17 Daws Rd.</streetAddressLine>
                <city>Blue Bell</city>
                <state>MA</state>
                <postalCode>02368</postalCode>
                <country>US</country>
              </addr>
              <playingEntity>
                <name>
                  <!--  Name is needed if different than name on health plan.  -->
                  <prefix>Mr.</prefix>
                  <given>Frank</given>
                  <given>A.</given>
                  <family>Everyman</family>
                </name>
                <sdtc:sdtcBirthTime xmlns:sdtc="urn:hl7-org:sdtc"
                                    value="19620206"/>
              </playingEntity>
            </participantRole>
          </participant>
        </act>
      </entryRelationship>
    </act>
  </entry>
</section>