Direct Address

back to homepage

Approval Status

  • Approval Status: Approved
  • Example Task Force: 11/2/2017
  • SDWG: 11/30/2017

C-CDA 2.1 Example:

  • 2.16.840.1.113883.

Reference to full CDA sample:

  • Representation of Direct Trust Addresses for Patients and Covered Entities

Validation location



  • This demonstrates a patient with a Patient DirectTrust Address and a Provider Organization with a Covered Entity DirectTrust Address.


  • Lisa Nelson


  • recordTarget, patient, provider organization, identifiers, alternative patient identifier, alternate identifier




Example: download example view on GitHub

<?xml version="1.0"?><?xml-stylesheet type='text/xsl' href=''?>

<ClinicalDocument xmlns:xsi=""
 xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:mif="urn:hl7-org:v3/mif"
    <realmCode code="US"/>
    <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
    <templateId root="2.16.840.1.113883."/>
    <templateId root="2.16.840.1.113883."/>
    <id root="2.16.840.1.113883.3.109" extension="bf6b3a62-4293-47b4-9f14-c8829a156f4b"/>
    <code code="34133-9" displayName="Summary of episode note"
        codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
    <title>Continuity of Care Document (C-CDA)</title>
    <effectiveTime value="20170528150200-0400"/>
    <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25"
        codeSystemName="HL7 Confidentiality"/>
    <languageCode code="en-US"/>
            <!-- Here is a public id that has an external meaning based on a root OID that is publically identifiable. --> 
            <!-- root="" is the assigningAutorityName for 
                    Direct Trust's Patient/Consumer addresses " PATIENT" -->
            <id root="" extension="" assigningAuthorityName=" PATIENT"/>
            <!-- More ids may be used. -->
            <!-- Here is the patient's MRN at RVHS  -->
            <id root="2.16.840.1.113883.1.111.12345" extension="12345-0828" assigningAuthorityName="River Valley Health Services"/>
            <!-- Use the identifiedBy extention to indicate an identifier type. 
				If a coded concept is not available in the identifierType Code System, use originalText to describe the identifier type -->
            <sdtc:identifiedBy typeCode="REL">
                <sdtc:alternateIdentification classCode="IDENT">
                    <sdtc:id root="" extension="" />
                    <sdtc:code><originalText>DirectTrust Consumer Identity</originalText></sdtc:code>
            <!-- Available Direct Trust identitifier types include the following:
            <sdtc:identifiedBy typeCode="REL">
                <sdtc:alternateIdentification classCode="IDENT">
                    <sdtc:id root="" extension="" />
                    <sdtc:code><originalText>DirectTrust Practitioner Identity</originalText></sdtc:code>
            <sdtc:identifiedBy typeCode="REL">
                <sdtc:alternateIdentification classCode="IDENT">
                    <sdtc:id root="" extension="" />
                    <sdtc:code><originalText>DirectTrust Business Associate Identity</originalText></sdtc:code>
            <sdtc:identifiedBy typeCode="REL">
                <sdtc:alternateIdentification classCode="IDENT">
                    <sdtc:id root="" extension="" />
                    <sdtc:code><originalText>DirectTrust Covered Entity Identity</originalText></sdtc:code>
            <sdtc:identifiedBy typeCode="REL">
                <sdtc:alternateIdentification classCode="IDENT">
                    <sdtc:id root="2.16.840.1.113883.1.111.12345" extension="12345-0828" />
                    <sdtc:code code="MR" codeSystem="2.16.840.1.113883.18.108" codeSystemName="v2-0203" displayName="Medical record number"></sdtc:code>
                <streetAddressLine>1 Happy Valley Road</streetAddressLine>
                <country nullFlavor="UNK"/>
            <telecom use="WP" value="tel:+1-4013482345"/>
            <telecom use="HP" value="tel:+1-4016412345"/>
            <telecom value=""/>
            <telecom value=""/>
                <name use="L">
                    <given qualifier="CL">Lisa</given>
                <administrativeGenderCode code="F" displayName="Female"
                    codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
                <birthTime value="19620828"/>
                <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2"
                    codeSystemName="HL7 MaritalStatus"/>
                <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238"
                    codeSystemName="CDC Race and Ethnicity"/>
                <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
                    codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/>
                    <templateId root="2.16.840.1.113883."/>
                    <languageCode code="eng"/>
                    <preferenceInd value="true"/>
                <!-- This is a public id where the root is registered to indicate the National Provider ID -->
                <id root="2.16.840.1.113883.4.6" extension="1417947383"
                    assigningAuthorityName="National Provider ID"/>
                <!-- This is a public id where the root indicates this is a Provider Direct Address. -->
                <!-- root="" is the assigningAutorityName for 
                    Direct Trust's Covered Entity addresses " CE" -->
                <id root="" extension="" assigningAuthorityName=" CE (Covered Entity)"/>
                <!-- By including a root OID attribute for a healthcare organization, you can use this information to 
                indicate a patient's MRN id at that organization.-->
                <id root="2.16.840.1.113883.1.111.12345" 
                    assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
                <name>River Valley Health Services</name>
                <telecom use="WP" value="tel:+1-4015394321"/>
                <telecom use="WP" value=""/>
                    <streetAddressLine>823 Main Street</streetAddressLine>
                    <city>River Valley</city>
  1. C-CDA Example Search Help

    C-CDA Example Search Results
    This screen displays the results of executing the example search criteria against the existing examples recorded in the example database.

  2. Search Criteria Panel

    This panel allow you to further refine your queries and narrow the results

  3. Text Search Words

    Use this field to enter words related to your search. These words can appear in the title, the comments or as part of a special list of keywords associated with the example. The search words should be entered with spaces separating the items.

  4. Filter by example status

    By selecting the various statuses, the search results can be limited to only the example that are set to the selected status(es). By removing all status selections, the filtering is removed and examples from all statuses will be returned (based on any other filtering).

  5. Select only ONC Certified examples

    These are samples referenced in a government rule or certification companion guide.

  6. Execute the search based on the criteria entered (or retrieve all examples if no criteria specified).

  7. The number of results that match the query parameters can be found here.

  8. Use this link to jump back to the initial page of the application (that lists the sections).

  9. This columns list the names of the examples that match the criteria (and the comment for each example).

  10. This columns lists the area in the C-CDA specification (the specification is broken into distinct topics for the various exchangeable documents, the common header, and the sections that occur within the exchangeable documents) that the example demonstrates.

  11. This columns lists the state of the example in the example verification and approval process.

  12. You can select to download the examples directly or navigate to page with the full detailed description of the example.

  13. Tour Complete

    Return to the C-CDA Example Search Results page.