The initial load of this repository in January 2021 includes all examples (figures) from the June 2019 Errata published PDF of C-CDA 2.1 and 2019 release of C-CDA Companion Guide.
These examples were reviewed through the HL7 ballot process. They have not been formally reviewed/approved by the examples task force.
Note Activity
2.16.840.1.113883.10.20.22.4.202
Example: RTF Example.xml download example view on GitHub
<section>
<text>
<list>
<item ID="note1">
<caption>Nursing Note written by Nick Nurse</caption>
<paragraph>Completed rounds; no incident</paragraph>
</item>
</list>
</text>
<!-- Note Activity (extra markup removed to focus on <text>) -->
<entry>
<act>
<code>...</code>
<text mediaType="text/rtf" representation="B64">e1xydGYxXGFuc2lcYW5zaWNwZzEyNTJcZGVmZjBcbm91aWNvbXBhdFxkZWZsYW5nMTAzM3tcZm9udHRibHtcZjBcZm5pbFxmY2hhcnNldDAgQ2FsaWJyaTt9fQ0Ke1wqXGdlbmVyYXRvciBSaWNoZWQyMCA2LjMuOTYwMH1cdmlld2tpbmQ0XHVjMSANClxwYXJkXHNhMjAwXHNsMjc2XHNsbXVsdDFcZjBcZnMyMlxsYW5nOSBDb21wbGV0ZWQgcm91bmRzOyBubyBpbmNpZGVudFxwYXINCn0NCiA=
<reference value="#note1"/>
</text>
<!--...-->
</act>
</entry>
</section>
Example: Note Activity as entryRelationship to C-CDA Entry.xml download example view on GitHub
<?xml version="1.0" encoding="UTF-8"?>
<section>
<!-- C-CDA 2.1 Procedures Section -->
<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
<title>Procedures</title>
<text>
<table>
<thead>
<tr>
<th>Description</th>
<th>Date and Time (Range)</th>
<th>Status</th>
<th>Notes</th>
</tr>
</thead>
<tbody>
<tr ID="Procedure1">
<td ID="ProcedureDesc1">Laparoscopic appendectomy</td>
<td>(03 Feb 2014 09:22am- 03 Feb 2014 11:15am)</td>
<td>Completed</td>
<td ID="ProcedureNote1">
<paragraph>Dr. Physician - 03 Feb 2014</paragraph>
<paragraph>Free-text note about the procedure.</paragraph>
</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- Procedures should be used for care that directly changes the patient's physical state.-->
<procedure moodCode="EVN" classCode="PROC">
<templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
<id root="64af26d5-88ef-4169-ba16-c6ef16a1824f"/>
<code code="6025007" displayName="Laparoscopic appendectomy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<originalText>
<reference value="#ProcedureDesc1" />
</originalText>
</code>
<text>
<reference value="#Procedure1" />
</text>
<statusCode code="completed" />
<effectiveTime>
<low value="20140203092205-0700" />
<high value="20140203111514-0700" />
</effectiveTime>
<!-- Note Activity entry -->
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
<translation code="28570-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedure note" />
</code>
<text>
<reference value="#ProcedureNote1" />
</text>
<statusCode code="completed"/>
<!-- Clinically-relevant time of the note -->
<effectiveTime value="20140203" />
<!-- Author Participation -->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<!-- Time note was actually written -->
<time value="20140204083215-0500" />
<assignedAuthor>
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
<assignedPerson>
<name>Dr. Physician</name>
</assignedPerson>
</assignedAuthor>
</author>
<!-- Reference to encounter -->
<entryRelationship typeCode="COMP" inversionInd="true">
<encounter classCode="ENC" moodCode="EVN">
<!-- Encounter ID matches an encounter in the Encounters Section -->
<id root="1.2.3.4" />
</encounter>
</entryRelationship>
</act>
</entryRelationship>
</procedure>
</entry>
</section>
Example: Note Activity as Standalone Entry.xml download example view on GitHub
<section>
<!-- C-CDA 2.1 Procedures Section, entries optional -->
<templateId root="2.16.840.1.113883.10.20.22.2.7"/>
<templateId root="2.16.840.1.113883.10.20.22.2.7" extension="2014-06-09"/>
<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
<title>Procedures</title>
<text>
<list>
<item ID="ProcedureNote1">
<paragraph>Dr. Physician - 03 Feb 2014</paragraph>
<paragraph>Free-text note about procedures which have occurred during this visit.</paragraph>
</item>
</list>
</text>
<!-- If section were entries required, an additional <entry nullFlavor="NI"> would be required for a Procedure Activity -->
<!-- Note Activity entry -->
<entry>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
<translation code="28570-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedure note" />
</code>
<text>
<reference value="#ProcedureNote1" />
</text>
<statusCode code="completed"/>
<!-- Clinically-relevant time of the note -->
<effectiveTime value="20140203" />
<!-- Author Participation -->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<!-- Time note was actually written -->
<time value="20140204083215-0500" />
<assignedAuthor>
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
<assignedPerson>
<name>Dr. Physician</name>
</assignedPerson>
</assignedAuthor>
</author>
<!-- Reference to encounter -->
<entryRelationship typeCode="COMP" inversionInd="true">
<encounter classCode="ENC" moodCode="EVN">
<!-- Encounter ID matches an encounter in the Encounters Section -->
<id root="1.2.3.4" />
</encounter>
</entryRelationship>
</act>
</entry>
</section>
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