Discharge Note in Hospital Course

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 6/14/2018
  • SDWG: 7/12/2018

C-CDA 2.1 Example:

  • 2.16.840.1.113883.
  • 2.16.840.1.113883.

Reference to full CDA sample:

  • Validated in an empty CCD

Validation location


  • This is an example of how to record a single Discharge Note in a Hospital Course Section.


  • Brett Marquard, brett@waveoneassociates.com (GitHub: brettmarquard)


  • Note, Note Activity, Notes


Example: download example view on GitHub

<?xml version="1.0" encoding="UTF-8"?>
    <!-- Note is in an appropriate section -->
    <!-- C-CDA Hospital Course Section -->    
    <templateId root=""/>
    <code code="8648-8" displayName="HOSPITAL COURSE"
        codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
    <title>Hospital Course</title>
        <list styleCode="TOC">
            <item ID="DischargeNote">
                <caption>Dr. Physician - 09/13/2016 2:46 PM EDT</caption>
                <paragraph>The patient was admitted and started on Lovenox and 
                    nitroglycerin paste...     
        <!-- Note Activity Entry -->
        <act classCode="ACT" moodCode="EVN">
            <templateId root="2.16.840.1.113883." 
            <code code="34109-9" codeSystem="2.16.840.1.113883.6.1" 
                <translation code="8648-8" codeSystem="2.16.840.1.113883.6.1" 
                    displayName="Discharge Summary" />
            <text><reference value="#DischargeNote" /></text>
            <statusCode code="completed"/>
            <!-- Clinically-relevant time of the note -->
            <effectiveTime value="201609131446-0500"/>
            <!-- Author Participation -->
                <templateId root="2.16.840.1.113883."/>
                <!-- Time note was actually written -->
                <time value="201609131446-0500"/>
                    <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
                    <name>Dr. Physician</name>
            <!-- Reference to encounter -->
            <!-- When a Note is in an Encounter Specific Document this may not be needed -->
            <entryRelationship typeCode="COMP" inversionInd="true">
                    <!-- Encounter ID matches an encounter in the Encounters Section or encompassingEncounter -->
                    <id root=""/>
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