Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot 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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:ClinicalDocument ;
fhir:nodeRole fhir:treeRoot ;
fhir:realmCode ( [
fhir:code [ fhir:v "US" ]
] ) ; #
fhir:typeId [
fhir:extension [ fhir:v "POCD_HD000040" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.1.3" ]
] ; #
fhir:templateId ( [
fhir:extension [ fhir:v "2024-05-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.1.1" ]
] ) ; # US Realm Header Template
fhir:id [
fhir:extension [ fhir:v "TT988" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19.5.99999.1" ]
] ; # Globally unique identifier for the document
fhir:code [
fhir:code [ fhir:v "34133-9" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Summarization of Episode Note" ]
] ; #
fhir:title [
fhir:xmlText [ fhir:v "Patient Chart Summary" ]
] ; # Title of the document
fhir:effectiveTime [
fhir:value [ fhir:v "2012-09-15T10:30:00-08:00"^^xsd:dateTime ]
] ; #
fhir:confidentialityCode [
fhir:code [ fhir:v "N" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.25" ] ;
fhir:codeSystemName [ fhir:v "Confidentiality" ] ;
fhir:displayName [ fhir:v "normal" ]
] ; #
fhir:languageCode [
fhir:code [ fhir:v "en-US" ]
] ; #
fhir:recordTarget ( [
fhir:patientRole [
( fhir:id [
fhir:extension [ fhir:v "444222222" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.1" ] ] ) ; # Example Social Security Number using the actual SSN OID.
( fhir:addr [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
( fhir:telecom [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
fhir:patient [
( fhir:name [
( fhir:use [ fhir:v "L" ] ) ;
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Eve" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Betterhalf" ] ] ) ] ) ] ) ;
fhir:administrativeGenderCode [
fhir:code [ fhir:v "F" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.1" ] ;
fhir:codeSystemName [ fhir:v "AdministrativeGender" ] ;
fhir:displayName [ fhir:v "Female" ] ] ;
fhir:birthTime [
fhir:value [ fhir:v "1975-05-01"^^xsd:date ] ] ; # Date of birth need only be precise to the day
fhir:maritalStatusCode [
fhir:code [ fhir:v "M" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.2" ] ;
fhir:codeSystemName [ fhir:v "MaritalStatusCode" ] ;
fhir:displayName [ fhir:v "Married" ] ] ;
fhir:raceCode [
fhir:code [ fhir:v "2106-3" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "White" ] ;
( fhir:translation [
fhir:code [ fhir:v "2113-9" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:displayName [ fhir:v "Irish" ] ] ) # To specify a detailed race and associated it with a category, use the translation element ] ; # One root element for each race; use translations to associate detailed race with categories in the root , CDC Race and Ethnicity code set contains the five minimum race and ethnicity categories defined by OMB Standards
( fhir:sdtcRaceCode [
fhir:code [ fhir:v "2076-8" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Native Hawaiian or Other Pacific Islander" ] ;
( fhir:translation [
fhir:code [ fhir:v "2079-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:displayName [ fhir:v "Native Hawaiian" ] ] ) ] ) ; # The raceCode extension is only used if raceCode is valued. It can be used to convey additional races or details.\n But when conveying details using translation elements, send only categories in the root node, and place the detail in a translation
fhir:ethnicGroupCode [
fhir:code [ fhir:v "2186-5" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Not Hispanic or Latino" ] ] ;
( fhir:languageCommunication [
fhir:languageCode [
fhir:code [ fhir:v "en" ] ] ;
fhir:modeCode [
fhir:code [ fhir:v "ESP" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.60" ] ;
fhir:codeSystemName [ fhir:v "LanguageAbilityMode" ] ;
fhir:displayName [ fhir:v "Expressed spoken" ] ] ; # \"en\" is ISO 639-1 alpha-2 code for \"English\"
fhir:proficiencyLevelCode [
fhir:code [ fhir:v "G" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.61" ] ;
fhir:codeSystemName [ fhir:v "LanguageAbilityProficiency" ] ;
fhir:displayName [ fhir:v "Good" ] ] ;
fhir:preferenceInd [
fhir:value [ fhir:v true ] ] # Patient's preferred language ] ) ] ]
] ) ; #
fhir:author ( [
fhir:time [
fhir:value [ fhir:v "2013-08-15T10:30:00-08:00"^^xsd:dateTime ] ] ;
fhir:assignedAuthor [
( fhir:id [
fhir:extension [ fhir:v "5555555555" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "207QA0505X" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ;
fhir:codeSystemName [ fhir:v "Healthcare Provider Taxonomy (HIPAA)" ] ;
fhir:displayName [ fhir:v "Adult Medicine Physician" ] ] ;
( fhir:addr [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
( fhir:telecom [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Patricia" ] ] ) ] [
( fhir:given [
fhir:xmlText [ fhir:v "Patty" ] ;
( fhir:qualifier [ fhir:v "CL" ] ) ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Primary" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ]
] ) ; #
fhir:custodian [
fhir:assignedCustodian [
fhir:representedCustodianOrganization [
( fhir:id [
fhir:extension [ fhir:v "321CX" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:name [
( fhir:item [
fhir:xmlText [ fhir:v "Good Health HIE" ] ] ) ] ;
fhir:telecom [
fhir:nullFlavor [ fhir:v "UNK" ] ] ;
fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1009 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ] ]
] ; #
fhir:legalAuthenticator [
fhir:time [
fhir:value [ fhir:v "2013-08-15T10:30:00-08:00"^^xsd:dateTime ] ] ;
fhir:signatureCode [
fhir:code [ fhir:v "S" ] ] ;
fhir:assignedEntity [
( fhir:id [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
( fhir:addr [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
( fhir:telecom [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ;
fhir:assignedPerson [
( fhir:name [
fhir:nullFlavor [ fhir:v "UNK" ] ] ) ] ]
] ; #
fhir:component [
fhir:structuredBody [
( fhir:component [
fhir:section [ ] ] ) ]
] . #
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#5.0.0-ballot based on FHIR 5.0.0. Generated 2025-12-12
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