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This page contains the list of supported C-CDA documents and sections level templates. |
The C-CDA to FHIR Converter comes with pre-built scripts for converting C-CDA documents to FHIR Bundles.
These scripts can be extended or modified to suit specific conversion needs. The flexibility of the conversion script enables the inclusion of extra entry or section level templates (e.g., open templates) to adhere to any changes in C-CDA specifications or to accommodate other specifications based on the HL7 CDA domain.
Below is a list of the most commonly used C-CDA document templates and their corresponding section templates.
Note that sections can be reused in multiple document templates, making it easier to cover documents not listed in the table.
If you have specific document or section-level requirements, feel free to contact us for more details.
| C-CDA document templates | Supported sections |
|---|---|
Continuity of Care The Continuity of Care Document (CCD) is a core set of important administrative, demographic, and clinical information about a patient's healthcare. It allows healthcare providers or systems to gather and share patient data to support continuous care. |
Allergies and Intolerances , Advance Directives , Immunizations , Encounters , Medications , Vital Signs , Procedures , Medical Equipment , Functional Status , Plan of Treatment , Results , Problem , Social History , Family History , Mental Status , Nutrition , Payers |
Progress Note A Progress Note is a record of a patient's current status and progress during a particular episode of care. It includes information about the patient's symptoms, vital signs, treatments administered, and response to treatment. |
Allergies and Intolerances , Medications , Vital Signs , Plan of Treatment , Results , Problem , Assessment , Nutrition , Assessment and Plan , Review of Systems , Chief Complaint , Physical Exam , Interventions , Instructions , Subjective , Objective |
Transfer Summary A Transfer Summary is a document that provides a summary of a patient's medical history, current condition, and treatment received when transferring care from one healthcare provider or facility to another. |
Allergies and Intolerances , History of Present Illness , Advance Directives , Immunizations , Medications , Encounters , Vital Signs , Procedures , Medical Equipment , Functional Status , Plan of Treatment , Results , Problem , Social History , Family History , Mental Status , Assessment , Nutrition , Payers , Admission Medications , Past Medical History , Admission Diagnosis , Assessment and Plan , Reason for Referral , Discharge Diagnosis , Review of Systems , Course of Care , General Status , Physical Exam |
Referral Note A Referral Note is a document generated by a healthcare provider to refer a patient to another healthcare professional or specialist for further evaluation, diagnosis, or treatment. |
Allergies and Intolerances , History of Present Illness , Advance Directives , Immunizations , Medications , Procedures , Vital Signs , Medical Equipment , Functional Status , Plan of Treatment , Results , Problem , Social History , Family History , Mental Status , Assessment , Nutrition , Past Medical History , Reason for Referral , Assessment and Plan , Review of Systems , General Status , Physical Exam |
Care Plan A Care Plan is a personalized plan developed by healthcare providers to outline the goals, interventions, and treatments for managing a patient's health condition or multiple health issues. |
Health Concerns , Goals , Health Status Evaluations and Outcome , Interventions |
History and Physical A History and Physical is a comprehensive documentation of a patient's medical history, including past illnesses, surgeries, medications, allergies, and a physical examination. It serves as a baseline for further medical assessments and treatment planning. |
Allergies and Intolerances , History of Present Illness , Immunizations , Procedures , Medications , Vital Signs , Plan of Treatment , Results , Problem , Social History , Family History , Assessment , Chief Complaint and Reason for Visit , Past Medical History , Assessment and Plan , Review of Systems , Reason for Visit , Chief Complaint , General Status , Physical Exam , Instructions |
Consultation Note A Consultation Note is a document generated by a healthcare provider who seeks the expertise or opinion of another healthcare professional regarding the diagnosis or management of a patient's condition. |
Allergies and Intolerances , History of Present Illness , Advance Directives , Immunizations , Procedures , Medications , Vital Signs , Medical Equipment , Functional Status , Plan of Treatment , Results , Problem , Social History , Family History , Mental Status , Assessment , Nutrition , Chief Complaint and Reason for Visit , Past Medical History , Assessment and Plan , Review of Systems , Reason for Visit , Chief Complaint , General Status , Physical Exam |
Diagnostic Imaging Report A Diagnostic Imaging Report is a document generated by a radiologist or other healthcare provider interpreting the findings of diagnostic imaging tests, such as X-rays, CT scans, MRIs, or ultrasounds. It includes descriptions of abnormalities or findings relevant to the patient's health. |
DICOM Object Catalog , Findings |
Procedure Note A Procedure Note is a detailed documentation of a medical procedure performed on a patient. It outlines the steps of the procedure, any complications encountered, and post-procedure care instructions. |
Allergies and Intolerances , Medications Administered , History of Present Illness , Procedures , Medications , Plan of Treatment , Social History , Family History , Assessment , Chief Complaint and Reason for Visit , Procedure Estimated Blood Loss , Procedure Specimens Taken , Medical General History , Postprocedure Diagnosis , Procedure Disposition , Procedure Indications , Procedure Description , Past Medical History , Assessment and Plan , Procedure Implants , Procedure Findings , Review of Systems , Planned Procedure , Reason for Visit , Chief Complaint , Physical Exam , Complications , Anesthesia |
Operative Note An Operative Note is a documentation of the details regarding a surgical procedure performed on a patient. It includes information about the procedure, findings, complications, and post-operative care instructions. |
Plan of Treatment , Operative Note Surgical Procedure , Procedure Estimated Blood Loss , Procedure Specimens Taken , Postoperative Diagnosis , Preoperative Diagnosis , Procedure Indications , Procedure Disposition , Operative Note Fluids , Procedure Description , Procedure Implants , Procedure Findings , Planned Procedure , Surgical Drains , Complications , Anesthesia |
Discharge Summary A Discharge Summary is a document prepared when a patient is discharged from a healthcare facility, summarizing the patient's hospital stay, diagnoses, treatments, and discharge instructions. |
Hospital Discharge Instructions , Allergies and Intolerances , History of Present Illness , Immunizations , Procedures , Vital Signs , Functional Status , Plan of Treatment , Problem , Social History , Family History , Hospital Course , Nutrition , Chief Complaint and Reason for Visit , Hospital Discharge Studies Summary , Hospital Discharge Physical , Hospital Consultations , Admission Medications , Past Medical History , Admission Diagnosis , Discharge Diagnosis , Review of Systems , Reason for Visit , Chief Complaint , Discharge Meds , Discharge Meds |
Unstructured Document An Unstructured Document refers to any document or report that does not follow a specific format or template. It could include free-text notes, letters, or other forms of narrative documentation. |