Consolidated CDA (C-CDA)
4.0.0 - STU4
Consolidated CDA (C-CDA)
4.0.0 - STU4
This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
<!--
Title: Continuity of Care Document (CCD)
Taken from C-CDA 2.1 example in companion guide
Updated for C-CDA R3.0 with a focus on header elements
- required/suggested sections are populated with nullFlavor="NI"
to demonstrate WHICH sections should be included, but they
all contain "No information" as this is an example of the header
********************************************************
Disclaimer: The data in this sample file is not intended to represent real patients, people or clinical events. The file depicts a fictional character's health data.
Any resemblance to a real person is coincidental. To illustrate as many data elements as possible, the clinical scenario may not be plausible. Dates and times also may not coorelate well from a temporal perspective.
This sample is designed to be used in conjunction with the HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes Companion Guide, Release 4.
********************************************************
-->
<!-- *************** US REALM HEADER (V4) *************** -->
<ClinicalDocument xmlns="urn:hl7-org:v3">
<realmCode code="US"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<!-- CCD template ID -->
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2024-05-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2024-05-01"/>
<!-- Globally unique identifier for the document -->
<id root="2.16.840.1.113883.19.5.99999.1" extension="TT988"/>
<code displayName="Summarization of Episode Note" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="34133-9"/>
<!-- Title of this document -->
<title>Patient Summary</title>
<effectiveTime value="20230501114559-0500"/>
<confidentialityCode displayName="normal" codeSystemName="Confidentiality"
codeSystem="2.16.840.1.113883.5.25" code="N"/>
<languageCode code="en-US"/>
<setId root="2.16.840.1.113883.19.5.99999.19" extension="sTT988"/>
<!-- Version of this document -->
<versionNumber value="1"/>
<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>MD</state>
<postalCode>21014</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>Eve</given>
<!-- The "SP" is "Spouse" from HL7 Code System EntityNamePartQualifier 2.16.840.1.113883.5.43 -->
<family qualifier="SP">Betterhalf</family>
</name>
<administrativeGenderCode displayName="Female"
codeSystemName="AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"
code="F"/>
<!-- Date of birth need only be precise to the day -->
<birthTime value="19750501"/>
<maritalStatusCode displayName="Married"
codeSystemName="MaritalStatusCode" codeSystem="2.16.840.1.113883.5.2" code="M"/>
<religiousAffiliationCode
displayName="Christian (non-Catholic, non-specific)" codeSystemName="HL7 Religious Affiliation"
codeSystem="2.16.840.1.113883.5.1076" code="1013"/>
<!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity
categories defined by OMB Standards -->
<raceCode displayName="Native Hawaiian or Other Pacific Islander"
codeSystemName="Race & Ethnicity - CDC" codeSystem="2.16.840.1.113883.6.238" code="2076-8"/>
<sdtc:sdtcRaceCode xmlns:sdtc="urn:hl7-org:sdtc"
displayName="Native Hawaiian" codeSystemName="Race & Ethnicity - CDC"
codeSystem="2.16.840.1.113883.6.238" code="2079-2"/>
<sdtc:sdtcRaceCode xmlns:sdtc="urn:hl7-org:sdtc"
displayName="Spanish American Indian" codeSystemName="Race & Ethnicity - CDC"
codeSystem="2.16.840.1.113883.6.238" code="1074-4"/>
<ethnicGroupCode displayName="Hispanic or Latino"
codeSystemName="Race & Ethnicity - CDC" codeSystem="2.16.840.1.113883.6.238" code="2135-2"/>
<!-- If a patient has a guardian, the guardian's information would be included here. -->
<!-- <guardian>
<code code="POWATT" displayName="Power of Attorney" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode"/>
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2016" use="MC"/>
<guardianPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Betterhalf</family>
</name>
</guardianPerson>
</guardian> -->
<birthplace>
<place>
<addr>
<streetAddressLine>4444 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>MD</state>
<postalCode>21014</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>
<providerOrganization>
<id root="1.1.1.1.1.1.1.1.2" extension="219BX"/>
<name>The DoctorsTogether Physician Group</name>
<telecom value="tel:+(555)-555-5000" use="WP"/>
<addr>
<streetAddressLine>1007 Health Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
<!-- The author represents the person who provides the content in the document -->
<author>
<templateId root="2.16.840.1.113883.10.20.22.5.6" extension="2019-10-01"/>
<time value="20230501114559-0500"/>
<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>MD</state>
<postalCode>21014</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>Colon</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<id root="2.16.840.1.113883.4.6" extension="6555555556"/>
<id root="2.16.840.1.113883.4.2" extension="999-99-7777"/>
<name>Good Health Hospital System</name>
<telecom value="tel:+1(555)555-1000" use="WP"/>
<addr>
<streetAddressLine>101 Somewhere</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>USA</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<!-- This author represents an author that is a DEVICE. CCDs are often authored entirely by a device -->
<author>
<time value="20230501114559-0500"/>
<assignedAuthor>
<id root="1.2.840.114350.1.1" extension="8.3"/>
<addr use="WP">
<streetAddressLine>101 Somewhere</streetAddressLine>
<city>Madison</city>
<state>WI</state>
<postalCode>53558</postalCode>
<country>USA</country>
</addr>
<telecom nullFlavor="NA"/>
<assignedAuthoringDevice>
<manufacturerModelName>PMEHR - Version 8.3</manufacturerModelName>
<softwareName>PMEHR - Version 8.3</softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id root="1.2.840.114350.1.13.6289.1.7.2.688879" extension="6500"/>
<name>Good Health Hospital System</name>
<telecom value="tel:+1(555)555-1000" use="WP"/>
<addr>
<streetAddressLine>101 Somewhere</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>USA</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<!-- The dataEnterer transferred the content created by the author into the document -->
<dataEnterer>
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="333777777"/>
<addr use="WP">
<streetAddressLine>1007 Healthcare Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1050" use="WP"/>
<assignedPerson>
<name>
<given>Ellen</given>
<family>Enter</family>
</name>
</assignedPerson>
</assignedEntity>
</dataEnterer>
<!-- The informant represents any sources of information for document content. -->
<!-- A number of examples are included to show how to represent different possible types of informants
who may be involved with providing information used to create this documentation. -->
<informant>
<!-- A practitioner from another organization. -->
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="888888888"/>
<addr use="WP">
<streetAddressLine>1007 Healthcare Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1003" use="WP"/>
<assignedPerson>
<name>
<given>Harold</given>
<family>Hippocrates</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<name>The DoctorsApart Physician Group</name>
</representedOrganization>
</assignedEntity>
</informant>
<informant>
<!-- A practitioner from another organization. -->
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="222223333"/>
<addr use="WP">
<streetAddressLine>1025 Health Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1025" use="WP"/>
<assignedPerson>
<name>
<given>Ramsey</given>
<family>Reaction</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<name>The DoctorsApart Physician Group</name>
</representedOrganization>
</assignedEntity>
</informant>
<informant>
<!-- A practitioner from another organization. -->
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="333444444"/>
<addr use="WP">
<streetAddressLine>1017 Health Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1017" use="WP"/>
<assignedPerson>
<name>
<given>William</given>
<given qualifier="CL">Bill</given>
<family>Beaker</family>
</name>
</assignedPerson>
<representedOrganization>
<name>Good Health Laboratory</name>
</representedOrganization>
</assignedEntity>
</informant>
<informant>
<!-- A practitioner from another organization. -->
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="333222222"/>
<addr use="WP">
<streetAddressLine>1016 Health Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1016" use="WP"/>
<assignedPerson>
<name>
<given>Susan</given>
<family>Script</family>
<suffix qualifier="AC">Pharm.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<name>People's Pharmacy</name>
</representedOrganization>
</assignedEntity>
</informant>
<informant>
<!-- A practitioner from another organization. -->
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="222334444"/>
<addr use="WP">
<streetAddressLine>1027 Health Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1027" use="WP"/>
<assignedPerson>
<name>
<given>Patrick</given>
<family>Pump</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
<representedOrganization>
<name>The DoctorsApart Physician Group</name>
</representedOrganization>
</assignedEntity>
</informant>
<informant>
<!-- A related person. -->
<relatedEntity classCode="PRS">
<!-- classCode "PRS" represents a person with personal relationship with the patient -->
<code displayName="SPOUSE"
codeSystemName="Personal Relationship Role Type Value Set" codeSystem="2.16.840.1.113883.1.11.19563" code="SPS"/>
<relatedPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Betterhalf</family>
</name>
</relatedPerson>
</relatedEntity>
</informant>
<!-- The custodian represents the organization charged with maintaining the original source document -->
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id root="2.16.840.1.113883.4.6" extension="321CX"/>
<name>Good Health Hospital HIE</name>
<telecom value="tel:+1(555)555-1009" use="WP"/>
<addr use="WP">
<streetAddressLine>1009 Healthcare Drive</streetAddressLine>
<city>Portland</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<!-- The informationRecipient represents the intended recipient of the document -->
<informationRecipient>
<intendedRecipient>
<informationRecipient>
<name>
<given>Sara</given>
<family>Specialize</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</informationRecipient>
<receivedOrganization>
<name>The DoctorsApart Physician Group</name>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<!-- The legalAuthenticator represents the individual who is responsible for the document -->
<legalAuthenticator>
<time value="20150625150000-0500"/>
<signatureCode code="S"/>
<assignedEntity>
<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>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1004" use="WP"/>
<assignedPerson>
<name>
<given>Wilma</given>
<family>Colon</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedEntity>
</legalAuthenticator>
<!-- The authenticator represents the individual attesting to the accuracy of information in the document -->
<authenticator>
<time value="20150625150000-0500"/>
<signatureCode code="S"/>
<assignedEntity>
<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>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-1004" use="WP"/>
<assignedPerson>
<name>
<given>Wilma</given>
<family>Colon</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedEntity>
</authenticator>
<!-- The participant represents supporting entities -->
<participant typeCode="IND">
<!-- typeCode "IND" represents an individual -->
<associatedEntity classCode="NOK">
<!-- classCode "NOK" represents the patient's next of kin -->
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2016" use="MC"/>
<associatedPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Betterhalf</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<!-- Entities playing multiple roles are recorded in multiple participants -->
<participant typeCode="IND">
<associatedEntity classCode="ECON">
<!-- classCode "ECON" represents an emergency contact -->
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>MD</state>
<postalCode>21014</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2016" use="MC"/>
<associatedPerson>
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Betterhalf</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<!-- NEW TEMPLATED PARTICIPANT FOR USCDI RELATED PERSON RELATIONSHIP AND NAME
The participant represents a related person -->
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01"/>
<!-- This associatedEntity SHALL contain exactly one [1..1] @classCode="PRS" Person (CodeSystem: HL7RoleCode urn:oid:2.16.840.1.113883.5.111) (CONF:4537-33076). -->
<associatedEntity classCode="PRS">
<!-- This associatedEntity/code represents the person's relationship to the patient (Personal And Legal Relationship Role Type Value Set) -->
<code codeSystem="2.16.840.1.113883.5.111" code="MTH"/>
<!-- OPTIONAL ADDRESS -->
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<!-- OPTIONAL TELECOM -->
<telecom value="tel:+1(555)555-2008" use="MC"/>
<associatedPerson>
<!-- SHALL REQUIRED US Realm Person Name Format -->
<name>
<given>Boris</given>
<given qualifier="CL">Bo</given>
<family>Betterhalf</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<documentationOf>
<serviceEvent classCode="PCPR">
<!-- The effectiveTime reflects the provision of care summarized in the document.
In this scenario, the provision of care summarized is the lifetime for the patient -->
<!-- Note, that by limitting the scope of the document to only the most recent encounter
The providers listed as performing care services would only include providers involved
in that most recent encounter. -->
<!-- Best practive for including documentation of a patient's care team members is to
use the Care Teams Section. -->
<!-- The high value represents when the summarized provision of care being ended.
In this scenario, when chart summary was created -->
<effectiveTime>
<low value="19750501"/>
<!-- The low value represents when the summarized provision of care began.
In this scenario, the patient's date of birth -->
<high value="20160412"/>
</effectiveTime>
<performer typeCode="PRF">
<functionCode displayName="attending physician"
codeSystemName="ParticipationFunction" codeSystem="2.16.840.1.113883.5.88" code="ATTPHYS">
<originalText>Attending Physician</originalText>
</functionCode>
<assignedEntity classCode="ASSIGNED">
<id root="2.16.840.1.113883.4.6" extension="811111111"/>
<code displayName="Adult Medicine Physician"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.6.101" code="207QA0505X"/>
<addr>
<streetAddressLine>8333 Clairemont Mesa Blvd.</streetAddressLine>
<city>Bel Air</city>
<state>MD</state>
<postalCode>21014</postalCode>
</addr>
<telecom value="tel:+1-410-555-5544" use="WP"/>
<assignedPerson>
<name>
<given>Wilma</given>
<family>Colon</family>
</name>
</assignedPerson>
<representedOrganization classCode="ORG">
<name>Good Health Hospital</name>
<telecom value="tel:+1-410-555-5544" use="WP"/>
<addr>
<streetAddressLine>8333 Clairemont Mesa Blvd.</streetAddressLine>
<city>Bel Air</city>
<state>MD</state>
<postalCode>21014</postalCode>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<component>
<!-- All sections are set to nullFlavor / text = No information,
as this is a header example, not a complete body example -->
<structuredBody>
<!-- ******************** ENCOUNTERS ************************ -->
<component>
<section nullFlavor="NI">
<!-- *** Encounters section (entries required) (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.22.2.22.1"
extension="2015-08-01"/>
<code displayName="History of encounters" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="46240-8"/>
<title>ENCOUNTERS</title>
<text>No information</text>
</section>
</component>
<!-- ******************* SOCIAL HISTORY ********************* -->
<component>
<section nullFlavor="NI">
<!-- ** Social History Section (V3) ** -->
<templateId root="2.16.840.1.113883.10.20.22.2.17"
extension="2015-08-01"/>
<code displayName="Social History" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="29762-2"/>
<title>SOCIAL HISTORY</title>
<text>No information</text>
</section>
</component>
<!-- ******************** ALLERGIES ************************ -->
<component>
<section nullFlavor="NI">
<!-- *** Allergies and Intolerances Section (entries required) (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.22.2.6.1"
extension="2015-08-01"/>
<code codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
code="48765-2"/>
<title>ALLERGIES AND ADVERSE REACTIONS</title>
<text>No information</text>
</section>
</component>
<!-- ***************** PROBLEM LIST *********************** -->
<component>
<section nullFlavor="NI">
<!-- *** Problem Section (entries required) (V3) *** -->
<templateId root="2.16.840.1.113883.10.20.22.2.5.1"
extension="2015-08-01"/>
<code displayName="PROBLEM LIST" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="11450-4"/>
<title>PROBLEMS</title>
<text>No information</text>
</section>
</component>
<!-- ******************** MEDICATIONS ************************ -->
<component>
<section nullFlavor="NI">
<!-- *** Medications Section (entries required) (V2) *** -->
<templateId root="2.16.840.1.113883.10.20.22.2.1.1"
extension="2014-06-09"/>
<code displayName="HISTORY OF MEDICATION USE"
codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="10160-0"/>
<title>MEDICATIONS</title>
<text>No information</text>
</section>
</component>
<!-- ******************** RESULTS ************************ -->
<component>
<section nullFlavor="NI">
<!-- Results Section (entries required) (V3) -->
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"
extension="2015-08-01"/>
<code displayName="RESULTS" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="30954-2"/>
<title>RESULTS</title>
<text>No information</text>
</section>
</component>
<!-- ************* VITAL SIGNS *************** -->
<component>
<section nullFlavor="NI">
<!-- ** Vital Signs Section (entries required) (V3) ** -->
<templateId root="2.16.840.1.113883.10.20.22.2.4.1"
extension="2015-08-01"/>
<code displayName="VITAL SIGNS" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="8716-3"/>
<title>VITAL SIGNS</title>
<text>No information</text>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0 based on FHIR 5.0.0. Generated 2025-06-20
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