Consolidated CDA (C-CDA)
4.0.0-ballot - 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-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

Terminology

This page lists all the ValueSets, CodeSystems, and ConceptMaps defined as part of the Consolidated CDA Implementation Guide

Value Sets

These value sets are used in this implementation guide:

Value Set Sources:

Value Set Templates Where Used Source
ADConditionsAndPrognosisScenarios TreatmentInterventionPreference VSAC
ADLResultType SelfCareActivitiesADLandIADL VSAC
Ability SelfCareActivitiesADLandIADL VSAC
ActCode ResultOrganizer THO
ActEncounterCodes USRealmHeader VSAC
ActPriority PatientReferralAct, ProcedureActivityProcedure VSAC
ActStatus CareTeamMemberAct, CareTeamOrganizer, DrugMonitoringAct, GoalObservation, ImmunizationActivity, MedicationSupplyOrder, NonMedicinalSupplyActivity, PatientReferralAct VSAC
AdministrationUnitDoseForm ImmunizationActivity, MedicationActivity, PlannedMedicationActivity VSAC
AdministrativeGenderHL7V3 FamilyHistoryOrganizer, USRealmHeader VSAC
AdvanceDirectivesCategories AdvanceDirectiveObservation VSAC
AgePQ_UCUM AgeObservation VSAC
AllLanguages USRealmHeaderforPatientGeneratedDocument FHIR
AllergyAndIntoleranceType SubstanceOrDeviceAllergyIntoleranceObservation VSAC
AllergyClinicalStatus AllergyStatusObservation VSAC
AnswerSetWithYesNoAndUnknowns AdvanceDirectiveExistenceObservation, InterpreterNeededObservation VSAC
BirthSex BirthSexObservation VSAC
BodySiteValueSet ImmunizationActivity, LongitudinalCareWoundObservation, MedicationActivity, PlannedImmunizationActivity, PlannedMedicationActivity, PlannedProcedure, ProcedureActivityProcedure, SpecimenCollectionProcedure VSAC
CDARoleClassAssociative DischargeSummary CDA
CDARoleCode ProvenanceAuthorParticipation CDA
CUBS_Disability DisabilityStatusObservation
CVXVaccinesAdministeredVaccineSet ImmunizationMedicationInformation VSAC
CareModel PatientReferralAct VSAC
CarePlanDocumentType CarePlan VSAC
CareTeamCategory CareTeamTypeObservation VSAC
CareTeamMemberFunction CareTeamMemberAct, CareTeamOrganizer, OperativeNote, USRealmHeader VSAC
ClinicalSubstance MedicationInformation VSAC
ClinicalTests PlannedProcedure, ResultObservation, ResultOrganizer VSAC
CommonLOINCLabCodes PlannedProcedure, ResultObservation, ResultOrganizer VSAC
CommonSubstancesForAllergyAndIntoleranceDocumentationIncludingRefutations AllergyIntoleranceObservation VSAC
CompletedOrNullifiedActStatus SmokingStatusMeaningfulUse VSAC
ConsultDocumentType ConsultationNote VSAC
Country2 USRealmAddress, USRealmHeader THO
CoverageRoleTypeValueSet PolicyActivity VSAC
CriticalityObservation CriticalityObservation VSAC
DetailedEthnicity USRealmHeader VSAC
DeviceLatexSafety LatexSafetyObservation VSAC
DeviceMagneticResonanceMRSafety MRISafetyObservation VSAC
DiagnosticServiceSectionCodes ResultOrganizer FHIR
DischargeSummaryDocumentTypeCode DischargeSummary VSAC
EncounterType EncounterActivity, PlannedEncounter VSAC
EntityPersonNamePartQualifier USRealmPatientNamePTNUSFIELDED VSAC
Ethnicity USRealmHeader VSAC
FamilyMemberValue FamilyHistoryOrganizer VSAC
FinanciallyResponsiblePartyTypeValueSet PolicyActivity VSAC
GenderIdentity GenderIdentityObservation VSAC
GoalAchievement ProgressTowardGoalObservation VSAC
HL7BasicConfidentialityKind USRealmHeader VSAC
HPDocumentType HistoryandPhysical VSAC
HealthStatus HealthStatusObservation VSAC
HealthcareAgentOrProxyChoices AdvanceDirectiveObservation VSAC
HealthcareProviderTaxonomy AdvanceDirectiveObservation, AuthorParticipation, CarePlan, EncounterActivity, HandoffCommunicationParticipants, OperativeNote, PatientReferralAct, ProcedureNote, ProvenanceAuthorParticipation, TransferSummary, USRealmHeader VSAC
HealthcareServiceLocation ServiceDeliveryLocation THO
INDRoleclassCodes CarePlan, DischargeSummary, ReferralNote, TransferSummary VSAC
ImplantableDeviceStatus ImplantableDeviceStatusObservation VSAC
InformationSourceForMedicationAdherence MedicationAdherence VSAC
LanguageAbilityMode USRealmHeader VSAC
LanguageAbilityProficiency USRealmHeader VSAC
LanguageCodesWithLanguageAndOptionallyARegionModifier USRealmHeader US CORE
MaritalStatus USRealmHeader VSAC
MedicationAdherence MedicationAdherence VSAC
MedicationClinicalDrug MedicationInformation VSAC
MedicationDispenseStatusCodes MedicationDispense FHIR
MedicationRoute ImmunizationActivity, MedicationActivity, PlannedImmunizationActivity, PlannedMedicationActivity VSAC
MedicationStatus MedicationActivity VSAC
MentalAndFunctionalStatusResponse SensoryStatus VSAC
MentalStatusObservation MentalStatusObservation VSAC
MoodCodeEvnInt ImmunizationActivity, MedicationActivity, MedicationFreeTextSig, NonMedicinalSupplyActivity VSAC
NoImmunizationReason ImmunizationNotGivenReason VSAC
NoteTypes NoteActivity, NotesSection VSAC
NutritionRecommendationGrouping NutritionRecommendation VSAC
NutritionalStatus NutritionalStatusObservation VSAC
ObservationType ResultObservation THO
PHVS_Industry_NAICS_Detail _ODH BasicIndustryObservation PHINVADS
PHVS_Occupation_ONETSOC_Detail_ODH BasicOccupationObservation PHINVADS
ParticipationFunction USRealmHeaderforPatientGeneratedDocument VSAC
PatientEducation InstructionActivity, InstructionObservation VSAC
PatientReferralActMoodCode PatientReferralAct VSAC
PayerType PlannedCoverage, PolicyActivity VSAC
PersonalAndLegalRelationshipRoleType AdvanceDirectiveObservation, AuthorParticipation, CarePlan, ProvenanceAuthorParticipation, RelatedPersonRelationshipAndNameParticipant, USRealmHeader, USRealmHeaderforPatientGeneratedDocument VSAC
PersonalPronouns IndividualPronounObservation THO
PhysicalExamType PhysicalExamSection VSAC
PlannedInterventionMoodCode PlannedInterventionAct VSAC
PlannedMoodCodeActEncounterProcedure NutritionRecommendation, PlannedEncounter, PlannedProcedure VSAC
PlannedMoodCodeSubstanceAdministrationSupply PlannedImmunizationActivity, PlannedMedicationActivity, PlannedSupply VSAC
PregnancyIntention PregnancyIntentionInNextYear VSAC
PregnancyStatusObservation PregnancyStatusObservation VSAC
PressureUlcerStage NumberofPressureUlcersObservation VSAC
PriorityLevel PriorityPreference VSAC
ProblemActStatusCode AllergyConcernAct, HealthConcernAct, ProblemConcernAct, RiskConcernAct VSAC
ProblemStatus ProblemStatus VSAC
ProblemType FamilyHistoryObservation, Indication, ProblemObservation VSAC
Procedure OperativeNote, ProcedureNote VSAC
ProcedureActStatusCode ProcedureActivityProcedure VSAC
ProcedureNoteDocumentTypeCodes ProcedureNote VSAC
ProgressNoteDocumentTypeCode ProgressNote VSAC
RaceCategoryExcludingNulls USRealmHeader VSAC
RaceValueSet USRealmHeader VSAC
RadiologyProceduresLOINC PlannedProcedure, ResultObservation, ResultOrganizer VSAC
ReferralDocumentType ReferralNote VSAC
ReferralTypes PatientReferralAct VSAC
ReligiousAffiliation USRealmHeader VSAC
ResidenceAndAccommodationType CharacteristicsofHomeEnvironment VSAC
ResultStatus MedicalEquipmentOrganizer, ResultObservation, ResultOrganizer VSAC
SPLDrugRouteOfAdministrationTerminology ImmunizationActivity, MedicationActivity, PlannedImmunizationActivity, PlannedMedicationActivity VSAC
ScreeningAndAssesmentSurveyCodes AssessmentScaleObservation VSAC
SensoryStatusProblemType SensoryStatus VSAC
Severity SeverityObservation VSAC
Sex SexObservation VSAC
SexParameterForClinicalUse SexParameterForClinicalUseObservation THO
SexualOrientationIncludingNullsAndDataAbsentReason SexualOrientationObservation VSAC
SmokingStatus SmokingStatusMeaningfulUse VSAC
SmokingStatusComprehensive SmokingStatus VSAC
SmokingStatusType SmokingStatus VSAC
SocialDeterminantsOfHealthConditions ProblemObservation, SocialHistoryObservation VSAC
SocialDeterminantsOfHealthGoals GoalObservation VSAC
SocialDeterminantsOfHealthProcedures ProcedureActivityProcedure VSAC
SocialDeterminantsOfHealthScreeningAssessmentsAndQuestions AssessmentScaleObservation VSAC
SocialDeterminantsOfHealthServiceRequests PlannedProcedure VSAC
SocialHistoryType SocialHistoryObservation VSAC
SpecimenType ResultOrganizer VSAC
SubstanceReactantForIntolerance SubstanceOrDeviceAllergyIntoleranceObservation VSAC
SupportedFileFormats NoteActivity, UnstructuredDocument VSAC
SurgicalOperationNoteDocumentTypeCode OperativeNote VSAC
TargetSiteQualifiers LongitudinalCareWoundObservation VSAC
TelecomUseUSRealmHeader USRealmHeader VSAC
TobaccoUse TobaccoUse VSAC
TransferDocumentType TransferSummary VSAC
TribalEntityUS TribalAffiliationObservation THO
USCoreConditionCodes FamilyHistoryObservation, Indication, PreconditionforSubstanceAdministration, ProblemObservation, ReactionObservation US CORE
USCoreProcedureCodes PlannedProcedure, ProcedureActivityProcedure US CORE
USCoreServiceRequestCategoryCodes PlannedProcedure US CORE
USCoreSpecimenCondition SpecimenConditionObservation US CORE
USEncounterDischargeDisposition DischargeSummary, EncounterActivity THO
UnitsOfMeasureCaseSensitive ImmunizationActivity, MedicationActivity, PlannedImmunizationActivity, PlannedMedicationActivity, ResultObservation, SocialHistoryObservation, VitalSignObservation THO
UspsTwoLetterAlphabeticCodes USRealmAddress US CORE
VitalSignResultType VitalSignObservation VSAC
WoundCharacteristic WoundCharacteristic VSAC
WoundMeasurements WoundMeasurementObservation VSAC
WoundType LongitudinalCareWoundObservation VSAC
X_ActRelationshipDocument CarePlan VSAC
X_ServiceEventPerformer USRealmHeader VSAC

Code Systems

These code systems are used in this implementation guide:

Code System Sources:

Code System Code System URI Value Sets Where Used Source
ActCode http://terminology.hl7.org/CodeSystem/v3-ActCode ActEncounterCodes
ObservationType
ActCode		 THO
ActMood http://terminology.hl7.org/CodeSystem/v3-ActMood PlannedInterventionMoodCode
PatientReferralActMoodCode
PlannedMoodCodeActEncounterProcedure
PlannedMoodCodeSubstanceAdministrationSupply
MoodCodeEvnInt		 THO
ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason NoImmunizationReason THO
ActRelationshipType http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType X_ActRelationshipDocument THO
ActStatus http://terminology.hl7.org/CodeSystem/v3-ActStatus MedicationStatus
ProcedureActStatusCode
CompletedOrNullifiedActStatus
ProblemActStatusCode
ResultStatus		 THO
AddressUse http://terminology.hl7.org/CodeSystem/v3-AddressUse TelecomUseUSRealmHeader THO
AdministrativeGender http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender X_ActRelationshipDocument THO
CDCREC urn:oid:2.16.840.1.113883.6.238 Ethnicity
RaceCategoryExcludingNulls
RaceValueSet
DetailedEthnicity		 PHINVADS
CDT http://www.ada.org/cdt USCoreProcedureCodes Other
CMSPlaceofServiceCodes https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set HealthcareServiceLocation Other
CPT http://www.ama-assn.org/go/cpt USCoreProcedureCodes Other
CVX http://hl7.org/fhir/sid/cvx CVXVaccinesAdministeredVaccineSet CDC
Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality HL7BasicConfidentialityKind THO
DataAbsentReason http://terminology.hl7.org/CodeSystem/data-absent-reason SexParameterForClinicalUse THO
DiagnosticServiceSectionId http://terminology.hl7.org/CodeSystem/v2-0074 DiagnosticServiceSectionCodes THO
EntityNamePartQualifier http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier EntityPersonNamePartQualifier THO
HCPCSLevelII https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets USCoreProcedureCodes Other
HSLOC https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html HealthcareServiceLocation Other
ISO3166Part1 urn:iso:std:iso:3166 Country2 ISO
Icd10CM http://hl7.org/fhir/sid/icd-10-cm USCoreConditionCodes CDC
Icd10PCS http://www.cms.gov/Medicare/Coding/ICD10 USCoreProcedureCodes Other
Icd9cm http://terminology.hl7.org/CodeSystem/icd9cm USCoreConditionCodes THO
Ietf3066 urn:ietf:bcp:47 AllLanguages
LanguageCodesWithLanguageAndOptionallyARegionModifier		 IETF
LOINC http://loinc.org SurgicalOperationNoteDocumentTypeCode
HPDocumentType
ProcedureNoteDocumentTypeCodes
CareTeamCategory
DischargeSummaryDocumentTypeCode
ADLResultType
VitalSignResultType
NoteTypes
CarePlanDocumentType
ADConditionsAndPrognosisScenarios
HealthcareAgentOrProxyChoices
PhysicalExamType
AdvanceDirectivesCategories
ConsultDocumentType
ReferralDocumentType
USCoreProcedureCodes
TransferDocumentType
ProgressNoteDocumentTypeCode
WoundMeasurements		 LOINC
LanguageAbilityMode http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode LanguageAbilityMode THO
LanguageAbilityProficiency http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityProficiency LanguageAbilityProficiency THO
MaritalStatus http://terminology.hl7.org/CodeSystem/v3-MaritalStatus MaritalStatus THO
MediaType http://terminology.hl7.org/CodeSystem/v3-mediaType SupportedFileFormats THO
MedicationDispenseStatusCodes http://hl7.org/fhir/CodeSystem/medicationdispense-status MedicationDispenseStatusCodes FHIR
NciThesaurus http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl AdministrationUnitDoseForm
SPLDrugRouteOfAdministrationTerminology
DeviceLatexSafety
ImplantableDeviceStatus
DeviceMagneticResonanceMRSafety		 Other
ObservationValue http://terminology.hl7.org/CodeSystem/v3-ObservationValue CriticalityObservation THO
PHOccupationalDataForHealthODH http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH PHVS_Industry_NAICS_Detail _ODH
PHVS_Occupation_ONETSOC_Detail_ODH		 THO
ParticipationFunction http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction ParticipationFunction THO
ParticipationType http://terminology.hl7.org/CodeSystem/v3-ParticipationType X_ServiceEventPerformer THO
ReligiousAffiliation http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation ReligiousAffiliation THO
RoleClass http://terminology.hl7.org/CodeSystem/v3-RoleClass CDARoleClassAssociative
INDRoleclassCodes
FinanciallyResponsiblePartyTypeValueSet		 THO
RoleCode http://terminology.hl7.org/CodeSystem/v3-RoleCode CoverageRoleTypeValueSet
CDARoleCode
PersonalAndLegalRelationshipRoleType
FamilyMemberValue		 THO
SOP https://nahdo.org/sopt PayerType Other
SexParameterForClinicalUseCS http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use SexParameterForClinicalUse THO
TribalEntityUS http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS TribalEntityUS THO
UCUM http://unitsofmeasure.org AgePQ_UCUM
UnitsOfMeasureCaseSensitive		 UCUM
​USCoreCategory http://hl7.org/fhir/us/core/CodeSystem/us-core-category USCoreServiceRequestCategoryCodes US CORE
icd9CMProcedureCodes http://hl7.org/fhir/sid/icd-9-cm USCoreConditionCodes CDC