Consolidated CDA (C-CDA)
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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-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

: Patient Generated Document informationRecipient Example - XML Representation

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<ClinicalDocument xmlns="urn:hl7-org:v3">
  <realmCode code="US"/>
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
  <templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2024-05-01"/>
  <templateId root="2.16.840.1.113883.10.20.29.1" extension="2024-05-01"/>
  <id root="2c1e0e12-b0ae-4456-a526-c11d5e69e77c"/>
  <code displayName="Discharge summary note" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="68831-7"/>
  <title>Patient Discharge Summary</title>
  <effectiveTime value="20130815103000-0800"/>
  <confidentialityCode displayName="normal" codeSystemName="Confidentiality"
                       codeSystem="2.16.840.1.113883.5.25" code="N"/>
  <languageCode code="en-US"/>
  <recordTarget>
    <patientRole>
      <id root="2.16.840.1.113883.4.1" extension="444222222"/>
      <!--  Example Social Security Number using the actual SSN OID.  -->
      <!--  US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1  -->
      <addr use="HP">
        <!--  HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119  -->
        <streetAddressLine>2222 Home Street</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97867</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)555-2003" use="HP"/>
      <!--  HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119  -->
      <patient>
        <name use="L">
          <given>Adam</given>
          <family>Everyman</family>
        </name>
        <administrativeGenderCode displayName="Male"
                                  codeSystemName="AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"
                                  code="M"/>
        <birthTime value="19750501"/>
        <religiousAffiliationCode
                                  displayName="Christian (non-Catholic, non-specific)" codeSystemName="HL7 Religious Affiliation"
                                  codeSystem="2.16.840.1.113883.5.1076" code="1013"/>
        <raceCode displayName="White"
                  codeSystemName="Race &amp; Ethnicity - CDC" codeSystem="2.16.840.1.113883.6.238" code="2106-3"/>
        <ethnicGroupCode displayName="Not Hispanic or Latino"
                         codeSystemName="Race &amp; Ethnicity - CDC" codeSystem="2.16.840.1.113883.6.238" code="2186-5"/>
        <birthplace>
          <place>
            <addr use="H">
              <streetAddressLine>4444 Home Street</streetAddressLine>
              <city>Beaverton</city>
              <state>OR</state>
              <postalCode>97867</postalCode>
              <country>US</country>
            </addr>
          </place>
        </birthplace>
        <languageCommunication>
          <languageCode code="en"/>
          <!--  "en" is ISO 639-1 alpha-2 code for "English"  -->
          <modeCode displayName="Expressed spoken"
                    codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60" code="ESP"/>
          <proficiencyLevelCode displayName="Good"
                                codeSystemName="LanguageAbilityProficiency" codeSystem="2.16.840.1.113883.5.61" code="G"/>
          <!--  Patient's preferred language  -->
          <preferenceInd value="true"/>
        </languageCommunication>
      </patient>
    </patientRole>
  </recordTarget>
  <author>
    <time value="20130815103000-0800"/>
    <assignedAuthor>
      <id root="2.16.840.1.113883.4.6" extension="5555555555"/>
      <code displayName="Adult Medicine Physician"
            codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
      <addr use="WP">
        <streetAddressLine>1004 Healthcare Drive</streetAddressLine>
        <city>Portland</city>
        <state>OR</state>
        <postalCode>99123</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)555-1004" use="WP"/>
      <assignedPerson>
        <name>
          <given>Patricia</given>
          <given qualifier="CL">Patty</given>
          <family>Primary</family>
          <suffix qualifier="AC">M.D.</suffix>
        </name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <custodian>
    <assignedCustodian>
      <representedCustodianOrganization>
        <id root="2.16.840.1.113883.4.6" extension="321CX"/>
        <name>Good Health HIE</name>
        <telecom value="tel:+1(555)555-1009" use="WP"/>
        <addr use="WP">
          <streetAddressLine>1009 Healthcare Drive</streetAddressLine>
          <city>Portland</city>
          <state>OR</state>
          <postalCode>99123</postalCode>
          <country>US</country>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <!--  The document is intended for multiple recipients, Adam himself and his PCP physician.  -->
  <informationRecipient>
    <intendedRecipient>
      <!--  Identifier based on the person's Direct Address which is a secure and trusted mechanism for identifying 
          a person discretely. The root of the id is the OID of the HISP Assigning Authority for the Direct Address -->
      <id root="2.16.123.123.12345.1234"
          extension="adameveryman@direct.sampleHISP.com"/>
      <informationRecipient>
        <name>
          <given>Adam</given>
          <family>Everyman</family>
        </name>
      </informationRecipient>
      <receivedOrganization>
        <!--  id using HL7 example OID.  -->
        <id root="2.16.840.1.113883.19" extension="999.3"/>
        <name>MyPersonalHealthRecord.Com</name>
      </receivedOrganization>
    </intendedRecipient>
  </informationRecipient>
  <informationRecipient>
    <intendedRecipient>
      <!--  Unique/Trusted id using HL7 example OID.  -->
      <id root="2.16.840.1.113883.19" extension="999.4"/>
      <!--  The physician's NPI number  -->
      <id root="2.16.840.1.113883.4.6" extension="1122334455"/>
      <!--  The physician's Direct Address  -->
      <!--  Identifier based on the person's Direct Address which is a secure and trusted mechanism for identifying 
          a person discretely. The root of the id is the OID of the HISP Assigning Authority for the Direct Address -->
      <id root="2.16.123.123.12345.4321"
          extension="DrP@direct.sampleHISP2.com"/>
      <telecom value="tel:(781)555-1212" use="WP"/>
      <telecom value="mailto:DrP@direct.sampleHISP2.com" use="WP"/>
      <informationRecipient>
        <name>
          <prefix>Dr.</prefix>
          <given>Patricia</given>
          <family>Primary</family>
        </name>
      </informationRecipient>
      <receivedOrganization>
        <!--  Unique/Trusted id using HL7 example OID.  -->
        <id root="2.16.840.1.113883.19" extension="999.2"/>
        <!--  NPI for the organization  -->
        <id root="2.16.840.1.113883.4.6" extension="1234567890"/>
        <name>Good Health Internal Medicine</name>
        <telecom value="tel:(781)555-1212" use="WP"/>
        <addr>
          <streetAddressLine>100 Health Drive</streetAddressLine>
          <city>Boston</city>
          <state>MA</state>
          <postalCode>02368</postalCode>
          <country>USA</country>
        </addr>
      </receivedOrganization>
    </intendedRecipient>
  </informationRecipient>
  <legalAuthenticator>
    <time value="20130801223615-0800"/>
    <signatureCode code="S"/>
    <assignedEntity>
      <id root="2.16.840.1.113883.4.6" extension="555555555"/>
      <code displayName="Adult Medicine Physician"
            codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
      <addr>
        <streetAddressLine>1004 Healthcare Drive</streetAddressLine>
        <city>Portland</city>
        <state>OR</state>
        <postalCode>99123</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)-1004" use="WP"/>
      <assignedPerson>
        <name>
          <given>Patricia</given>
          <given qualifier="CL">Patty</given>
          <family>Primary</family>
          <suffix qualifier="AC">M.D.</suffix>
        </name>
      </assignedPerson>
    </assignedEntity>
  </legalAuthenticator>
  <component>
    <structuredBody>
      <component>
        <section/>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>