Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Logical Model: Medication Information

A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).

The dose (doseQuantity) represents how many of the consumables are to be administered at each administration event. As a result, the dose is always relative to the consumable and the interval of administration. Thus, a patient consuming a single “metoprolol 25mg tablet” per administration will have a doseQuantity of “1”, whereas a patient consuming “metoprolol Oral Product” (RxCUI 1163523) will have a dose of “25 mg”.

Usage:

• Use this Logical Model: Medication Activity, Medication Dispense, Medication Supply Order, Planned Medication Activity and Planned Supply

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ManufacturedProduct

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct			ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct	C	1..1	ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ManufacturedProduct.classCode	required	Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
product-choice	error	ManufacturedProduct	manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct	C	1..1	ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
(Choice of one)		1..1
manufacturedLabeledDrug		0..1	LabeledDrug
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT
@determinerCode		0..1	cs	Binding: EntityDeterminerDetermined (required) Fixed Value: KIND
code		1..1	CE	Binding: Medication Clinical Drug (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
name		0..1	EN
lotNumberText		0..1	ST
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ManufacturedProduct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.templateId:med-information.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.classCode	required	Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCode	required	Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial
ManufacturedProduct.manufacturedMaterial.determinerCode	required	Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
product-choice	error	ManufacturedProduct	manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ManufacturedProduct.templateId

Differential View

This structure is derived from ManufacturedProduct

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct			ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct	C	1..1	ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
id		0..*	II
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
code		1..1	CE	Binding: Medication Clinical Drug (required)
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ManufacturedProduct.classCode	required	Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
product-choice	error	ManufacturedProduct	manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ManufacturedProduct	C	1..1	ManufacturedProduct	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) product-choice: manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:med-information		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.23
@extension		1..1	st	Required Pattern: 2014-06-09
@classCode		1..1	cs	Binding: RoleClassManufacturedProduct (required) Fixed Value: MANU
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
(Choice of one)		1..1
manufacturedLabeledDrug		0..1	LabeledDrug
manufacturedMaterial		1..1	Material	A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassManufacturedMaterial (required) Fixed Value: MMAT
@determinerCode		0..1	cs	Binding: EntityDeterminerDetermined (required) Fixed Value: KIND
code		1..1	CE	Binding: Medication Clinical Drug (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD	Translations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69). Binding: Clinical Substance (preferred)
name		0..1	EN
lotNumberText		0..1	ST
manufacturerOrganization		0..1	Organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ManufacturedProduct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.templateId:med-information.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.classCode	required	Fixed Value: MANU http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct
ManufacturedProduct.manufacturedMaterial.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCode	required	Fixed Value: MMAT http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial
ManufacturedProduct.manufacturedMaterial.determinerCode	required	Fixed Value: KIND http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined
ManufacturedProduct.manufacturedMaterial.code	required	MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 from https://vsac.nlm.nih.gov
ManufacturedProduct.manufacturedMaterial.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ManufacturedProduct.manufacturedMaterial.code.translation	preferred	ClinicalSubstance http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
product-choice	error	ManufacturedProduct	manufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present) : (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of ManufacturedProduct.templateId

Other representations of profile: CSV, Excel