C-CDA on FHIR
1.2.0-ballot - CI Build
C-CDA on FHIR
1.2.0-ballot - CI Build
This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
| Active as of 2023-03-27 |
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"lastUpdated" : "2020-08-19T06:35:09.726+00:00",
"source" : "#8awj3JDXaUCFNlQA"
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/11490-0/\">11490-0</a></td><td>Physician Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/18842-5/\">18842-5</a></td><td>Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/28655-9/\">28655-9</a></td><td>Attending Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/29761-4/\">29761-4</a></td><td>Dentistry Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/34105-7/\">34105-7</a></td><td>Hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/34106-5/\">34106-5</a></td><td>Physician Hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/34745-0/\">34745-0</a></td><td>Nurse Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/57058-0/\">57058-0</a></td><td>Maternal discharge summary note</td></tr><tr><td><a href=\"https://loinc.org/59258-4/\">59258-4</a></td><td>Emergency department Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/59259-2/\">59259-2</a></td><td>Psychiatry Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68558-6/\">68558-6</a></td><td>Obstetrics and Gynecology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68572-7/\">68572-7</a></td><td>Ophthalmology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68578-4/\">68578-4</a></td><td>Orthopaedic surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68591-7/\">68591-7</a></td><td>Plastic surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68612-1/\">68612-1</a></td><td>Adolescent medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68626-1/\">68626-1</a></td><td>Allergy and immunology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68642-8/\">68642-8</a></td><td>Child and adolescent psychiatry Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68653-5/\">68653-5</a></td><td>Clinical genetics Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68663-4/\">68663-4</a></td><td>Developmental-behavioral pediatrics Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68674-1/\">68674-1</a></td><td>Multi-specialty program Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68688-1/\">68688-1</a></td><td>Neurological surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68697-2/\">68697-2</a></td><td>Neurology with special qualifications in child neurology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68709-5/\">68709-5</a></td><td>Pain medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68719-4/\">68719-4</a></td><td>Pediatric cardiology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68733-5/\">68733-5</a></td><td>Pediatric endocrinology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68738-4/\">68738-4</a></td><td>Pediatric gastroenterology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68749-1/\">68749-1</a></td><td>Pediatric hematology-oncology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68768-1/\">68768-1</a></td><td>Pediatric nephrology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68773-1/\">68773-1</a></td><td>Pediatric otolaryngology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68779-8/\">68779-8</a></td><td>Pediatric pulmonology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68795-4/\">68795-4</a></td><td>Pediatric surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68805-1/\">68805-1</a></td><td>Pediatric urology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68815-0/\">68815-0</a></td><td>Pediatrics Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68823-4/\">68823-4</a></td><td>Pediatrics Hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68831-7/\">68831-7</a></td><td>Primary care Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68841-6/\">68841-6</a></td><td>Speech-language pathology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/68856-4/\">68856-4</a></td><td>Pediatric transplant hepatology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/77409-1/\">77409-1</a></td><td>Cardiology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/77417-4/\">77417-4</a></td><td>Critical care medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78263-1/\">78263-1</a></td><td>Mental health Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78264-9/\">78264-9</a></td><td>General medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78418-1/\">78418-1</a></td><td>Neonatal perinatal medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78419-9/\">78419-9</a></td><td>Nephrology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78420-7/\">78420-7</a></td><td>Neurology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78421-5/\">78421-5</a></td><td>Oncology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/78585-7/\">78585-7</a></td><td>Palliative care Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/80811-3/\">80811-3</a></td><td>Geriatric medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83523-1/\">83523-1</a></td><td>Cardiology Intensive care unit Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83551-2/\">83551-2</a></td><td>Nurse practitioner Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83712-0/\">83712-0</a></td><td>Physical medicine and rehab Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83810-2/\">83810-2</a></td><td>Physician assistant Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83898-7/\">83898-7</a></td><td>Psychology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83921-7/\">83921-7</a></td><td>Recreational therapy Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83932-4/\">83932-4</a></td><td>Research Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83956-3/\">83956-3</a></td><td>Social worker Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83961-3/\">83961-3</a></td><td>Social worker Patient's home Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83968-8/\">83968-8</a></td><td>Social worker Long term care facility Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/83993-6/\">83993-6</a></td><td>Spinal cord injury medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84013-2/\">84013-2</a></td><td>Surgery Intensive care unit Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84017-3/\">84017-3</a></td><td>Surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84018-1/\">84018-1</a></td><td>Surgery Outpatient Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84024-9/\">84024-9</a></td><td>Team Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84040-5/\">84040-5</a></td><td>Urology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84132-0/\">84132-0</a></td><td>Primary care Patient's home Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84139-5/\">84139-5</a></td><td>Hematology+Medical oncology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84179-1/\">84179-1</a></td><td>Kinesiotherapy Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84248-4/\">84248-4</a></td><td>Nurse Emergency department Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84254-2/\">84254-2</a></td><td>Nurse Hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84257-5/\">84257-5</a></td><td>Nurse Long term care facility Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84262-5/\">84262-5</a></td><td>Nurse Observation unit Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84278-1/\">84278-1</a></td><td>Nutrition and dietetics Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84310-2/\">84310-2</a></td><td>Vocational rehabilitation Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84321-9/\">84321-9</a></td><td>Physical therapy Outpatient Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84328-4/\">84328-4</a></td><td>Physical therapy Hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84331-8/\">84331-8</a></td><td>Physical therapy Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84367-2/\">84367-2</a></td><td>Otolaryngology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/84393-8/\">84393-8</a></td><td>Occupational therapy Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85154-3/\">85154-3</a></td><td>Pharmacology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85176-6/\">85176-6</a></td><td>Custodial care facility Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85192-3/\">85192-3</a></td><td>Long term care facility Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85200-4/\">85200-4</a></td><td>Observation unit Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85223-6/\">85223-6</a></td><td>Case manager Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85240-0/\">85240-0</a></td><td>Internal medicine Intensive care unit Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85243-4/\">85243-4</a></td><td>Internal medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85433-1/\">85433-1</a></td><td>Respiratory therapy Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85434-9/\">85434-9</a></td><td>Rheumatology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85440-6/\">85440-6</a></td><td>Vascular surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85442-2/\">85442-2</a></td><td>Hematology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85514-8/\">85514-8</a></td><td>Bariatric surgery Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85520-5/\">85520-5</a></td><td>Child and adolescent psychology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85849-8/\">85849-8</a></td><td>Anesthesiology Recovery room Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85875-3/\">85875-3</a></td><td>Nurse Recovery room Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/85878-7/\">85878-7</a></td><td>Neuropsychology Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/87235-8/\">87235-8</a></td><td>Dialysis Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/87256-4/\">87256-4</a></td><td>Addiction medicine Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/88641-6/\">88641-6</a></td><td>Community health care Adult day care center Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/88645-7/\">88645-7</a></td><td>Outpatient hospital Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/88693-7/\">88693-7</a></td><td>Patient's home Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/89214-1/\">89214-1</a></td><td>Obstetrics Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/89218-2/\">89218-2</a></td><td>Gynecology Discharge summary</td></tr></table></li></ul></div>"
},
"url" : "http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.11.20.4.1",
"version" : "1.2.0-ballot",
"name" : "DischargeSummaryDocumentTypeCode",
"title" : "DischargeSummaryDocumentTypeCode",
"status" : "active",
"experimental" : false,
"date" : "2023-03-27T20:45:24+00:00",
"publisher" : "HL7 Structured Documents Working Group",
"contact" : [
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"name" : "HL7 Structured Documents Working Group",
"telecom" : [
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"system" : "url",
"value" : "http://hl7.org/Special/committees/structure/index.cfm"
}
]
}
],
"description" : "(Clinical Focus: Kind of discharge summary document classified by author role),(Data Element Scope: ),(Inclusion Criteria: A list of LOINC terms, intended to identify Discharge Summary Notes where component contains \"Discharge Summary Note\", Timing = \"Patient\", Property = Find\" , scale = \"Doc\"),(Exclusion Criteria: )\n\nThis value set was imported on 6/24/2019 with a version of 20190425.",
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{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"copyright" : "This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc",
"compose" : {
"include" : [
{
"system" : "http://loinc.org",
"concept" : [
{
"code" : "11490-0",
"display" : "Physician Discharge summary"
},
{
"code" : "18842-5",
"display" : "Discharge summary"
},
{
"code" : "28655-9",
"display" : "Attending Discharge summary"
},
{
"code" : "29761-4",
"display" : "Dentistry Discharge summary"
},
{
"code" : "34105-7",
"display" : "Hospital Discharge summary"
},
{
"code" : "34106-5",
"display" : "Physician Hospital Discharge summary"
},
{
"code" : "34745-0",
"display" : "Nurse Discharge summary"
},
{
"code" : "57058-0",
"display" : "Maternal discharge summary note"
},
{
"code" : "59258-4",
"display" : "Emergency department Discharge summary"
},
{
"code" : "59259-2",
"display" : "Psychiatry Discharge summary"
},
{
"code" : "68558-6",
"display" : "Obstetrics and Gynecology Discharge summary"
},
{
"code" : "68572-7",
"display" : "Ophthalmology Discharge summary"
},
{
"code" : "68578-4",
"display" : "Orthopaedic surgery Discharge summary"
},
{
"code" : "68591-7",
"display" : "Plastic surgery Discharge summary"
},
{
"code" : "68612-1",
"display" : "Adolescent medicine Discharge summary"
},
{
"code" : "68626-1",
"display" : "Allergy and immunology Discharge summary"
},
{
"code" : "68642-8",
"display" : "Child and adolescent psychiatry Discharge summary"
},
{
"code" : "68653-5",
"display" : "Clinical genetics Discharge summary"
},
{
"code" : "68663-4",
"display" : "Developmental-behavioral pediatrics Discharge summary"
},
{
"code" : "68674-1",
"display" : "Multi-specialty program Discharge summary"
},
{
"code" : "68688-1",
"display" : "Neurological surgery Discharge summary"
},
{
"code" : "68697-2",
"display" : "Neurology with special qualifications in child neurology Discharge summary"
},
{
"code" : "68709-5",
"display" : "Pain medicine Discharge summary"
},
{
"code" : "68719-4",
"display" : "Pediatric cardiology Discharge summary"
},
{
"code" : "68733-5",
"display" : "Pediatric endocrinology Discharge summary"
},
{
"code" : "68738-4",
"display" : "Pediatric gastroenterology Discharge summary"
},
{
"code" : "68749-1",
"display" : "Pediatric hematology-oncology Discharge summary"
},
{
"code" : "68768-1",
"display" : "Pediatric nephrology Discharge summary"
},
{
"code" : "68773-1",
"display" : "Pediatric otolaryngology Discharge summary"
},
{
"code" : "68779-8",
"display" : "Pediatric pulmonology Discharge summary"
},
{
"code" : "68795-4",
"display" : "Pediatric surgery Discharge summary"
},
{
"code" : "68805-1",
"display" : "Pediatric urology Discharge summary"
},
{
"code" : "68815-0",
"display" : "Pediatrics Discharge summary"
},
{
"code" : "68823-4",
"display" : "Pediatrics Hospital Discharge summary"
},
{
"code" : "68831-7",
"display" : "Primary care Discharge summary"
},
{
"code" : "68841-6",
"display" : "Speech-language pathology Discharge summary"
},
{
"code" : "68856-4",
"display" : "Pediatric transplant hepatology Discharge summary"
},
{
"code" : "77409-1",
"display" : "Cardiology Discharge summary"
},
{
"code" : "77417-4",
"display" : "Critical care medicine Discharge summary"
},
{
"code" : "78263-1",
"display" : "Mental health Discharge summary"
},
{
"code" : "78264-9",
"display" : "General medicine Discharge summary"
},
{
"code" : "78418-1",
"display" : "Neonatal perinatal medicine Discharge summary"
},
{
"code" : "78419-9",
"display" : "Nephrology Discharge summary"
},
{
"code" : "78420-7",
"display" : "Neurology Discharge summary"
},
{
"code" : "78421-5",
"display" : "Oncology Discharge summary"
},
{
"code" : "78585-7",
"display" : "Palliative care Discharge summary"
},
{
"code" : "80811-3",
"display" : "Geriatric medicine Discharge summary"
},
{
"code" : "83523-1",
"display" : "Cardiology Intensive care unit Discharge summary"
},
{
"code" : "83551-2",
"display" : "Nurse practitioner Discharge summary"
},
{
"code" : "83712-0",
"display" : "Physical medicine and rehab Discharge summary"
},
{
"code" : "83810-2",
"display" : "Physician assistant Discharge summary"
},
{
"code" : "83898-7",
"display" : "Psychology Discharge summary"
},
{
"code" : "83921-7",
"display" : "Recreational therapy Discharge summary"
},
{
"code" : "83932-4",
"display" : "Research Discharge summary"
},
{
"code" : "83956-3",
"display" : "Social worker Discharge summary"
},
{
"code" : "83961-3",
"display" : "Social worker Patient's home Discharge summary"
},
{
"code" : "83968-8",
"display" : "Social worker Long term care facility Discharge summary"
},
{
"code" : "83993-6",
"display" : "Spinal cord injury medicine Discharge summary"
},
{
"code" : "84013-2",
"display" : "Surgery Intensive care unit Discharge summary"
},
{
"code" : "84017-3",
"display" : "Surgery Discharge summary"
},
{
"code" : "84018-1",
"display" : "Surgery Outpatient Discharge summary"
},
{
"code" : "84024-9",
"display" : "Team Discharge summary"
},
{
"code" : "84040-5",
"display" : "Urology Discharge summary"
},
{
"code" : "84132-0",
"display" : "Primary care Patient's home Discharge summary"
},
{
"code" : "84139-5",
"display" : "Hematology+Medical oncology Discharge summary"
},
{
"code" : "84179-1",
"display" : "Kinesiotherapy Discharge summary"
},
{
"code" : "84248-4",
"display" : "Nurse Emergency department Discharge summary"
},
{
"code" : "84254-2",
"display" : "Nurse Hospital Discharge summary"
},
{
"code" : "84257-5",
"display" : "Nurse Long term care facility Discharge summary"
},
{
"code" : "84262-5",
"display" : "Nurse Observation unit Discharge summary"
},
{
"code" : "84278-1",
"display" : "Nutrition and dietetics Discharge summary"
},
{
"code" : "84310-2",
"display" : "Vocational rehabilitation Discharge summary"
},
{
"code" : "84321-9",
"display" : "Physical therapy Outpatient Discharge summary"
},
{
"code" : "84328-4",
"display" : "Physical therapy Hospital Discharge summary"
},
{
"code" : "84331-8",
"display" : "Physical therapy Discharge summary"
},
{
"code" : "84367-2",
"display" : "Otolaryngology Discharge summary"
},
{
"code" : "84393-8",
"display" : "Occupational therapy Discharge summary"
},
{
"code" : "85154-3",
"display" : "Pharmacology Discharge summary"
},
{
"code" : "85176-6",
"display" : "Custodial care facility Discharge summary"
},
{
"code" : "85192-3",
"display" : "Long term care facility Discharge summary"
},
{
"code" : "85200-4",
"display" : "Observation unit Discharge summary"
},
{
"code" : "85223-6",
"display" : "Case manager Discharge summary"
},
{
"code" : "85240-0",
"display" : "Internal medicine Intensive care unit Discharge summary"
},
{
"code" : "85243-4",
"display" : "Internal medicine Discharge summary"
},
{
"code" : "85433-1",
"display" : "Respiratory therapy Discharge summary"
},
{
"code" : "85434-9",
"display" : "Rheumatology Discharge summary"
},
{
"code" : "85440-6",
"display" : "Vascular surgery Discharge summary"
},
{
"code" : "85442-2",
"display" : "Hematology Discharge summary"
},
{
"code" : "85514-8",
"display" : "Bariatric surgery Discharge summary"
},
{
"code" : "85520-5",
"display" : "Child and adolescent psychology Discharge summary"
},
{
"code" : "85849-8",
"display" : "Anesthesiology Recovery room Discharge summary"
},
{
"code" : "85875-3",
"display" : "Nurse Recovery room Discharge summary"
},
{
"code" : "85878-7",
"display" : "Neuropsychology Discharge summary"
},
{
"code" : "87235-8",
"display" : "Dialysis Discharge summary"
},
{
"code" : "87256-4",
"display" : "Addiction medicine Discharge summary"
},
{
"code" : "88641-6",
"display" : "Community health care Adult day care center Discharge summary"
},
{
"code" : "88645-7",
"display" : "Outpatient hospital Discharge summary"
},
{
"code" : "88693-7",
"display" : "Patient's home Discharge summary"
},
{
"code" : "89214-1",
"display" : "Obstetrics Discharge summary"
},
{
"code" : "89218-2",
"display" : "Gynecology Discharge summary"
}
]
}
]
}
}
IG © 2020+ HL7 Structured Documents Working Group. Package hl7.fhir.us.ccda#1.2.0-ballot based on FHIR 4.0.1. Generated 2023-03-27
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