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
The following templateIds are used by this Implementation Guide:
| TemplateId | Template |
|---|---|
| 2.16.840.1.113883.10.20.22.1.1:2024-05-01 | USRealmHeader |
| 2.16.840.1.113883.10.20.22.1.2:2024-05-01 | ContinuityofCareDocumentCCD |
| 2.16.840.1.113883.10.20.22.1.3:2024-05-01 | HistoryandPhysical |
| 2.16.840.1.113883.10.20.22.1.4:2024-05-01 | ConsultationNote |
| 2.16.840.1.113883.10.20.22.1.6:2024-05-01 | ProcedureNote |
| 2.16.840.1.113883.10.20.22.1.7:2024-05-01 | OperativeNote |
| 2.16.840.1.113883.10.20.22.1.8:2024-05-01 | DischargeSummary |
| 2.16.840.1.113883.10.20.22.1.9:2024-05-01 | ProgressNote |
| 2.16.840.1.113883.10.20.22.1.10:2024-05-01 | UnstructuredDocument |
| 2.16.840.1.113883.10.20.22.1.13:2024-05-01 | TransferSummary |
| 2.16.840.1.113883.10.20.22.1.14:2024-05-01 | ReferralNote |
| 2.16.840.1.113883.10.20.22.1.15:2024-05-01 | CarePlan |
| 2.16.840.1.113883.10.20.29.1:2024-05-01 | USRealmHeaderforPatientGeneratedDocument |
| TemplateId | Template |
|---|---|
| 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 | ChiefComplaintSection |
| 1.3.6.1.4.1.19376.1.5.3.1.3.1:2014-06-09 | ReasonforReferralSection |
| 1.3.6.1.4.1.19376.1.5.3.1.3.4 | HistoryofPresentIllnessSection |
| 1.3.6.1.4.1.19376.1.5.3.1.3.5 | HospitalCourseSection |
| 1.3.6.1.4.1.19376.1.5.3.1.3.18 | ReviewofSystemsSection |
| 1.3.6.1.4.1.19376.1.5.3.1.3.26 | HospitalDischargePhysicalSection |
| 2.16.840.1.113883.10.20.2.5 | GeneralStatusSection |
| 2.16.840.1.113883.10.20.2.10:2015-08-01 | PhysicalExamSection |
| 2.16.840.1.113883.10.20.7.12 | OperativeNoteFluidsSection |
| 2.16.840.1.113883.10.20.7.13 | SurgicalDrainsSection |
| 2.16.840.1.113883.10.20.7.14 | OperativeNoteSurgicalProcedureSection |
| 2.16.840.1.113883.10.20.18.2.9 | ProcedureEstimatedBloodLossSection |
| 2.16.840.1.113883.10.20.18.2.12 | ProcedureDispositionSection |
| 2.16.840.1.113883.10.20.21.2.1 | ObjectiveSection |
| 2.16.840.1.113883.10.20.21.2.2 | SubjectiveSection |
| 2.16.840.1.113883.10.20.21.2.3:2015-08-01 | ActivitiesSection |
| 2.16.840.1.113883.10.20.22.2.1.1:2014-06-09 | MedicationsSection |
| 2.16.840.1.113883.10.20.22.2.2.1:2015-08-01 | ImmunizationsSection |
| 2.16.840.1.113883.10.20.22.2.3.1:2015-08-01 | ResultsSection |
| 2.16.840.1.113883.10.20.22.2.4.1:2015-08-01 | VitalSignsSection |
| 2.16.840.1.113883.10.20.22.2.5.1:2015-08-01 | ProblemSection |
| 2.16.840.1.113883.10.20.22.2.6.1:2015-08-01 | AllergiesAndIntolerancesSection |
| 2.16.840.1.113883.10.20.22.2.7.1:2014-06-09 | ProceduresSection |
| 2.16.840.1.113883.10.20.22.2.8 | AssessmentSection |
| 2.16.840.1.113883.10.20.22.2.9:2014-06-09 | AssessmentandPlanSection |
| 2.16.840.1.113883.10.20.22.2.10:2014-06-09 | PlanofTreatmentSection |
| 2.16.840.1.113883.10.20.22.2.11.1:2015-08-01 | DischargeMedicationsSection |
| 2.16.840.1.113883.10.20.22.2.12 | ReasonforVisitSection |
| 2.16.840.1.113883.10.20.22.2.13 | ChiefComplaintandReasonforVisitSection |
| 2.16.840.1.113883.10.20.22.2.14:2014-06-09 | FunctionalStatusSection |
| 2.16.840.1.113883.10.20.22.2.15:2015-08-01 | FamilyHistorySection |
| 2.16.840.1.113883.10.20.22.2.16 | HospitalDischargeStudiesSummarySection |
| 2.16.840.1.113883.10.20.22.2.17:2015-08-01 | SocialHistorySection |
| 2.16.840.1.113883.10.20.22.2.18:2015-08-01 | PayersSection |
| 2.16.840.1.113883.10.20.22.2.20:2015-08-01 | PastMedicalHistory |
| 2.16.840.1.113883.10.20.22.2.21.1:2022-02-14 | AdvanceDirectivesSection |
| 2.16.840.1.113883.10.20.22.2.22.1:2015-08-01 | EncountersSection |
| 2.16.840.1.113883.10.20.22.2.23:2014-06-09 | MedicalEquipmentSection |
| 2.16.840.1.113883.10.20.22.2.24:2015-08-01 | DischargeDiagnosisSection |
| 2.16.840.1.113883.10.20.22.2.25:2014-06-09 | AnesthesiaSection |
| 2.16.840.1.113883.10.20.22.2.27 | ProcedureDescriptionSection |
| 2.16.840.1.113883.10.20.22.2.28:2015-08-01 | ProcedureFindingsSection |
| 2.16.840.1.113883.10.20.22.2.29:2014-06-09 | ProcedureIndicationsSection |
| 2.16.840.1.113883.10.20.22.2.30:2014-06-09 | PlannedProcedureSection |
| 2.16.840.1.113883.10.20.22.2.31 | ProcedureSpecimensTakenSection |
| 2.16.840.1.113883.10.20.22.2.34:2015-08-01 | PreoperativeDiagnosisSection |
| 2.16.840.1.113883.10.20.22.2.35 | PostoperativeDiagnosisSection |
| 2.16.840.1.113883.10.20.22.2.36:2015-08-01 | PostprocedureDiagnosisSection |
| 2.16.840.1.113883.10.20.22.2.37:2015-08-01 | ComplicationsSection |
| 2.16.840.1.113883.10.20.22.2.38:2014-06-09 | MedicationsAdministeredSection |
| 2.16.840.1.113883.10.20.22.2.39 | MedicalGeneralHistorySection |
| 2.16.840.1.113883.10.20.22.2.40 | ProcedureImplantsSection |
| 2.16.840.1.113883.10.20.22.2.41 | HospitalDischargeInstructionsSection |
| 2.16.840.1.113883.10.20.22.2.42 | HospitalConsultationsSection |
| 2.16.840.1.113883.10.20.22.2.43:2015-08-01 | AdmissionDiagnosisSection |
| 2.16.840.1.113883.10.20.22.2.44:2015-08-01 | AdmissionMedicationsSectionEntriesOptional |
| 2.16.840.1.113883.10.20.22.2.45:2014-06-09 | InstructionsSection |
| 2.16.840.1.113883.10.20.22.2.56:2015-08-01 | MentalStatusSection |
| 2.16.840.1.113883.10.20.22.2.57 | NutritionSection |
| 2.16.840.1.113883.10.20.22.2.58:2015-08-01 | HealthConcernsSection |
| 2.16.840.1.113883.10.20.22.2.60 | GoalsSection |
| 2.16.840.1.113883.10.20.22.2.61 | OutcomesSection |
| 2.16.840.1.113883.10.20.22.2.64 | CourseofCareSection |
| 2.16.840.1.113883.10.20.22.2.65:2016-11-01 | NotesSection |
| 2.16.840.1.113883.10.20.22.2.500:2022-06-01 | CareTeamsSection |
| TemplateId | Template |
|---|---|
| 2.16.840.1.113883.10.15.2:2025-05-01 | IndividualPronounObservation |
| 2.16.840.1.113883.10.20.1.19 | AuthorizationActivity |
| 2.16.840.1.113883.10.20.1.58 | AdvanceDirectiveObservation |
| 2.16.840.1.113883.10.20.15.3.1 | EstimatedDateofDelivery |
| 2.16.840.1.113883.10.20.15.3.8 | PregnancyStatusObservation |
| 2.16.840.1.113883.10.20.22.4.1:2023-05-01 | ResultOrganizer |
| 2.16.840.1.113883.10.20.22.4.2:2023-05-01 | ResultObservation |
| 2.16.840.1.113883.10.20.22.4.3:2024-05-01 | ProblemConcernAct |
| 2.16.840.1.113883.10.20.22.4.4:2024-05-01 | ProblemObservation |
| 2.16.840.1.113883.10.20.22.4.5:2014-06-09 | HealthStatusObservation |
| 2.16.840.1.113883.10.20.22.4.6:2019-06-20 | ProblemStatus |
| 2.16.840.1.113883.10.20.22.4.7:2014-06-09 | AllergyIntoleranceObservation |
| 2.16.840.1.113883.10.20.22.4.8:2014-06-09 | SeverityObservation |
| 2.16.840.1.113883.10.20.22.4.9:2014-06-09 | ReactionObservation |
| 2.16.840.1.113883.10.20.22.4.14:2024-05-01 | ProcedureActivityProcedure |
| 2.16.840.1.113883.10.20.22.4.16:2014-06-09 | MedicationActivity |
| 2.16.840.1.113883.10.20.22.4.17:2014-06-09 | MedicationSupplyOrder |
| 2.16.840.1.113883.10.20.22.4.18:2023-05-01 | MedicationDispense |
| 2.16.840.1.113883.10.20.22.4.19:2023-05-01 | Indication |
| 2.16.840.1.113883.10.20.22.4.23:2014-06-09 | MedicationInformation |
| 2.16.840.1.113883.10.20.22.4.24 | DrugVehicle |
| 2.16.840.1.113883.10.20.22.4.25:2014-06-09 | PreconditionforSubstanceAdministration |
| 2.16.840.1.113883.10.20.22.4.26:2015-08-01 | VitalSignsOrganizer |
| 2.16.840.1.113883.10.20.22.4.27:2014-06-09 | VitalSignObservation |
| 2.16.840.1.113883.10.20.22.4.28:2019-06-20 | AllergyStatusObservation |
| 2.16.840.1.113883.10.20.22.4.30:2015-08-01 | AllergyConcernAct |
| 2.16.840.1.113883.10.20.22.4.31 | AgeRangeObservation |
| 2.16.840.1.113883.10.20.22.4.32 | ServiceDeliveryLocation |
| 2.16.840.1.113883.10.20.22.4.33:2015-08-01 | HospitalDischargeDiagnosis |
| 2.16.840.1.113883.10.20.22.4.34:2015-08-01 | HospitalAdmissionDiagnosis |
| 2.16.840.1.113883.10.20.22.4.35:2016-03-01 | DischargeMedication |
| 2.16.840.1.113883.10.20.22.4.36:2014-06-09 | AdmissionMedication |
| 2.16.840.1.113883.10.20.22.4.37 | ProductInstance |
| 2.16.840.1.113883.10.20.22.4.38:2022-06-01 | SocialHistoryObservation |
| 2.16.840.1.113883.10.20.22.4.40:2014-06-09 | PlannedEncounter |
| 2.16.840.1.113883.10.20.22.4.41:2022-06-01 | PlannedProcedure |
| 2.16.840.1.113883.10.20.22.4.42:2014-06-09 | PlannedMedicationActivity |
| 2.16.840.1.113883.10.20.22.4.43:2024-05-01 | PlannedSupply |
| 2.16.840.1.113883.10.20.22.4.45:2015-08-01 | FamilyHistoryOrganizer |
| 2.16.840.1.113883.10.20.22.4.46:2015-08-01 | FamilyHistoryObservation |
| 2.16.840.1.113883.10.20.22.4.47 | FamilyHistoryDeathObservation |
| 2.16.840.1.113883.10.20.22.4.48:2025-05-01 | AdvanceDirectiveObservation |
| 2.16.840.1.113883.10.20.22.4.49:2015-08-01 | EncounterActivity |
| 2.16.840.1.113883.10.20.22.4.50:2014-06-09 | NonMedicinalSupplyActivity |
| 2.16.840.1.113883.10.20.22.4.51:2015-08-01 | PostprocedureDiagnosis |
| 2.16.840.1.113883.10.20.22.4.52:2015-08-01 | ImmunizationActivity |
| 2.16.840.1.113883.10.20.22.4.53:2024-05-01 | ImmunizationNotGivenReason |
| 2.16.840.1.113883.10.20.22.4.54:2014-06-09 | ImmunizationMedicationInformation |
| 2.16.840.1.113883.10.20.22.4.60:2024-05-01 | CoverageActivity |
| 2.16.840.1.113883.10.20.22.4.61:2024-05-01 | PolicyActivity |
| 2.16.840.1.113883.10.20.22.4.64 | CommentActivity |
| 2.16.840.1.113883.10.20.22.4.65:2015-08-01 | PreoperativeDiagnosis |
| 2.16.840.1.113883.10.20.22.4.66:2014-06-09 | FunctionalStatusOrganizer |
| 2.16.840.1.113883.10.20.22.4.67:2014-06-09 | FunctionalStatusObservation |
| 2.16.840.1.113883.10.20.22.4.69:2022-06-01 | AssessmentScaleObservation |
| 2.16.840.1.113883.10.20.22.4.72 | CaregiverCharacteristics |
| 2.16.840.1.113883.10.20.22.4.74:2024-05-01 | MentalStatusObservation |
| 2.16.840.1.113883.10.20.22.4.75:2015-08-01 | MentalStatusOrganizer |
| 2.16.840.1.113883.10.20.22.4.76:2024-05-01 | NumberofPressureUlcersObservation |
| 2.16.840.1.113883.10.20.22.4.77 | HighestPressureUlcerStage |
| 2.16.840.1.113883.10.20.22.4.79:2015-08-01 | DeceasedObservation |
| 2.16.840.1.113883.10.20.22.4.80:2024-05-01 | EncounterDiagnosis |
| 2.16.840.1.113883.10.20.22.4.86:2022-06-01 | AssessmentScaleSupportingObservation |
| 2.16.840.1.113883.10.20.22.4.87 | PolicyActivity |
| 2.16.840.1.113883.10.20.22.4.88 | PolicyActivity |
| 2.16.840.1.113883.10.20.22.4.89 | PolicyActivity |
| 2.16.840.1.113883.10.20.22.4.90 | PolicyActivity |
| 2.16.840.1.113883.10.20.22.4.109 | CharacteristicsofHomeEnvironment |
| 2.16.840.1.113883.10.20.22.4.110 | ProgressTowardGoalObservation |
| 2.16.840.1.113883.10.20.22.4.111 | CulturalandReligiousObservation |
| 2.16.840.1.113883.10.20.22.4.113 | PrognosisObservation |
| 2.16.840.1.113883.10.20.22.4.114:2015-08-01 | LongitudinalCareWoundObservation |
| 2.16.840.1.113883.10.20.22.4.115:2014-06-09 | ExternalDocumentReference |
| 2.16.840.1.113883.10.20.22.4.118 | SubstanceAdministeredAct |
| 2.16.840.1.113883.10.20.22.4.120 | PlannedImmunizationActivity |
| 2.16.840.1.113883.10.20.22.4.121:2022-06-01 | GoalObservation |
| 2.16.840.1.113883.10.20.22.4.122 | EntryReference |
| 2.16.840.1.113883.10.20.22.4.123 | DrugMonitoringAct |
| 2.16.840.1.113883.10.20.22.4.124 | NutritionalStatusObservation |
| 2.16.840.1.113883.10.20.22.4.127 | SensoryStatus |
| 2.16.840.1.113883.10.20.22.4.128 | SelfCareActivitiesADLandIADL |
| 2.16.840.1.113883.10.20.22.4.129:2024-05-01 | PlannedCoverage |
| 2.16.840.1.113883.10.20.22.4.130 | NutritionRecommendation |
| 2.16.840.1.113883.10.20.22.4.131:2015-08-01 | InterventionAct |
| 2.16.840.1.113883.10.20.22.4.132:2022-06-01 | HealthConcernAct |
| 2.16.840.1.113883.10.20.22.4.133 | WoundMeasurementObservation |
| 2.16.840.1.113883.10.20.22.4.134 | WoundCharacteristic |
| 2.16.840.1.113883.10.20.22.4.135 | MedicalEquipmentOrganizer |
| 2.16.840.1.113883.10.20.22.4.136:2015-08-01 | RiskConcernAct |
| 2.16.840.1.113883.10.20.22.4.138 | NutritionAssessment |
| 2.16.840.1.113883.10.20.22.4.140 | ReferralAct |
| 2.16.840.1.113883.10.20.22.4.141 | HandoffCommunicationParticipants |
| 2.16.840.1.113883.10.20.22.4.143 | PriorityPreference |
| 2.16.840.1.113883.10.20.22.4.144 | OutcomeObservation |
| 2.16.840.1.113883.10.20.22.4.145 | CriticalityObservation |
| 2.16.840.1.113883.10.20.22.4.146:2015-08-01 | PlannedInterventionAct |
| 2.16.840.1.113883.10.20.22.4.147 | MedicationFreeTextSig |
| 2.16.840.1.113883.10.20.22.4.200:2024-05-01 | BirthSexObservation |
| 2.16.840.1.113883.10.20.22.4.201:2016-06-01 | SectionTimeRangeObservation |
| 2.16.840.1.113883.10.20.22.4.202:2016-11-01 | NoteActivity |
| 2.16.840.1.113883.10.20.22.4.281:2023-05-01 | PregnancyIntentionInNextYear |
| 2.16.840.1.113883.10.20.22.4.301:2019-06-21 | BrandNameObservation |
| 2.16.840.1.113883.10.20.22.4.302:2019-06-21 | CatalogNumberObservation |
| 2.16.840.1.113883.10.20.22.4.303:2019-06-21 | CompanyNameObservation |
| 2.16.840.1.113883.10.20.22.4.304:2022-06-01 | DeviceIdentifierObservation |
| 2.16.840.1.113883.10.20.22.4.305:2019-06-21 | ImplantableDeviceStatusObservation |
| 2.16.840.1.113883.10.20.22.4.308:2019-06-21 | DistinctIdentificationCodeObservation |
| 2.16.840.1.113883.10.20.22.4.309:2019-06-21 | ExpirationDateObservation |
| 2.16.840.1.113883.10.20.22.4.311:2019-06-21 | UDIOrganizer |
| 2.16.840.1.113883.10.20.22.4.314:2019-06-21 | LatexSafetyObservation |
| 2.16.840.1.113883.10.20.22.4.315:2019-06-21 | LotOrBatchNumberObservation |
| 2.16.840.1.113883.10.20.22.4.316:2019-06-21 | ManufacturingDateObservation |
| 2.16.840.1.113883.10.20.22.4.317:2019-06-21 | ModelNumberObservation |
| 2.16.840.1.113883.10.20.22.4.318:2019-06-21 | MRISafetyObservation |
| 2.16.840.1.113883.10.20.22.4.319:2019-06-21 | SerialNumberObservation |
| 2.16.840.1.113883.10.20.22.4.415:2018-09-01 | SpecimenCollectionProcedure |
| 2.16.840.1.113883.10.20.22.4.421:2018-06-12 | SpecimenConditionObservation |
| 2.16.840.1.113883.10.20.22.4.500:2022-06-01 | CareTeamOrganizer |
| 2.16.840.1.113883.10.20.22.4.500.1:2024-05-01 | CareTeamMemberAct |
| 2.16.840.1.113883.10.20.22.4.500.2:2019-07-01 | CareTeamTypeObservation |
| 2.16.840.1.113883.10.20.22.4.500.3:2022-06-01 | CareTeamMemberScheduleObservation |
| 2.16.840.1.113883.10.20.22.4.501:2023-05-01 | SexualOrientationObservation |
| 2.16.840.1.113883.10.20.22.4.502:2022-06-01 | DateOfDiagnosisAct |
| 2.16.840.1.113883.10.20.22.4.503:2023-05-01 | BasicOccupationObservation |
| 2.16.840.1.113883.10.20.22.4.504:2023-05-01 | BasicIndustryObservation |
| 2.16.840.1.113883.10.20.22.4.505:2023-05-01 | DisabilityStatusObservation |
| 2.16.840.1.113883.10.20.22.4.506:2023-05-01 | TribalAffiliationObservation |
| 2.16.840.1.113883.10.20.22.4.507:2023-06-28 | SexObservation |
| 2.16.840.1.113883.10.20.22.4.508:2023-05-01 | MedicationAdherence |
| 2.16.840.1.113883.10.20.22.4.509:2024-05-01 | CareExperiencePreference |
| 2.16.840.1.113883.10.20.22.4.510:2024-05-01 | TreatmentInterventionPreference |
| 2.16.840.1.113883.10.20.22.4.511:2024-05-01 | SmokingStatus |
| 2.16.840.1.113883.10.20.22.4.512:2024-05-01 | AverageBloodPressureOrganizer |
| 2.16.840.1.113883.10.20.22.4.513:2025-05-01 | SexParameterForClinicalUseObservation |
| 2.16.840.1.113883.10.20.22.4.515:2025-05-01 | InterpreterNeededObservation |
| 2.16.840.1.113883.10.20.24.3.88:2023-05-01 | Reason |
| 2.16.840.1.113883.10.20.24.3.90:2014-06-09 | SubstanceOrDeviceAllergyIntoleranceObservation |
| 2.16.840.1.113883.10.20.34.3.45:2023-05-01 | GenderIdentityObservation |
| TemplateId | Template |
|---|---|
| 2.16.840.1.113883.10.20.22.4.119 | AuthorParticipation |
| 2.16.840.1.113883.10.20.22.5.1 | USRealmPatientNamePTNUSFIELDED |
| 2.16.840.1.113883.10.20.22.5.1.1 | USRealmPersonNamePNUSFIELDED |
| 2.16.840.1.113883.10.20.22.5.2 | USRealmAddress |
| 2.16.840.1.113883.10.20.22.5.3 | USRealmDateTimeInterval |
| 2.16.840.1.113883.10.20.22.5.4 | USRealmDateTime |
| 2.16.840.1.113883.10.20.22.5.6:2019-10-01 | ProvenanceAuthorParticipation |
| 2.16.840.1.113883.10.20.22.5.7:2020-05-19 | ProvenanceAssemblerParticipation |
| 2.16.840.1.113883.10.20.22.5.8:2023-05-01 | RelatedPersonRelationshipAndNameParticipant |
| TemplateId | Template |
|---|---|
| 2.16.840.1.113883.10.20.22.4.20:2014-06-09 | InstructionActivity |
| 2.16.840.1.113883.10.20.22.4.78:2024-05-01 | SmokingStatusMeaningfulUse |
| 2.16.840.1.113883.10.20.22.4.85:2014-06-09 | TobaccoUse |
| 2.16.840.1.113883.10.20.22.4.108:2022-02-14 | AdvanceDirectiveOrganizer |
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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