No Known Health Concerns

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 11/5/2015
  • SDWG: 11/12/2015
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

C-CDA 2.1 Example:

  • 2.16.840.1.113883.
  • 2.16.840.1.113883.

Reference to full CDA sample:

  • Empty CCD

Validation location


  • This is an example of how an author can record they have no health concerns for a patient.


  • Brett Marquard, (GitHub: brettmarquard)


  • no known




Example: download example view on GitHub

    <!-- No known health concerns is different than no information about health concerns --> 
    <!-- This example records assertion of no concerns -->
        <!-- Health Concerns Section (V2) (V1 was added as a NEW template in R2.0, V2 was updated in R2.1) -->
        <templateId root="2.16.840.1.113883." extension="2015-08-01"/>
        <code code="75310-3" displayName="Health Concerns Document"
            codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
        <title>Health Concerns</title>
        <!--Including ID at text element is allowed -->
        <text ID="HealthConcern_1">No Known Health Concerns on 11/15/2015</text>
        <entry typeCode="COMP">
            <!-- negationInd=true indicates no known health concerns at the stated time-->
            <act classCode="ACT" moodCode="EVN" negationInd="true">
                <templateId root="2.16.840.1.113883." extension="2015-08-01"/>
                <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/>
                <code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                    displayName="Health Concern"/>
                    <reference value="#HealthConcern_1"/>
                <!-- This Health Concern has a statusCode of concern because assertion is ongoing -->
                <statusCode code="active"/>
                <!-- The effective time is the date that the Health Concern started being followed - 
                    this does not necessarily correlate to the onset date of the contained health issues-->
                <effectiveTime value="20151115123506-0500"/>
                <!-- Time at which THIS “concern” began being tracked.-->
                <!-- Optional Author Element-->
                <!-- This is different then No Known Problems in that we aren't requiring declaration that no concerns
                for each of the potential 30+ choices available.-->
                    <time value="20151115"/>
                        <id extension="66666" root="2.16.840.1.113883.4.6"/>
                        <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101"
                            codeSystemName="NUCC" displayName="Allopathic &amp; Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"/>
                            <streetAddressLine>6666 StreetName St.</streetAddressLine>
                            <city>Silver Spring</city>
                        <telecom value="tel:+1(301)666-6666" use="WP"/>
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