HITSP C32 and C83 - Flattened
  Acknowledgments
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Patient Summary
    Referral Summary
    Unstructured Document
    Unstructured Or Scanned Document
  SECTION TEMPLATES
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Chief Complaint Section
    Diagnostic Results Section
    Discharge Diagnosis Section
    Encounters Section
    Family History Section
    Functional Status Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Immunizations Section
    Medical Equipment Section
    Medications Administered Section
    Medications Section
    Payers Section
    Physical Exam Section
    Plan Of Care Section
    Problem List Section
    Reason For Referral Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive
    Allergy Drug Sensitivity
    Comment
    Condition
    Condition Entry
    Encounter
    Family History
    Immunization
    Insurance Provider
    Medication
    Medication Combination Medication
    Medication Conditional Dose
    Medication Normal Dose
    Medication Order Information
    Medication Split Dose
    Medication Tapered Dose
    Medication Type
    Procedure
    Result
    Result Organizer
    Social History
    Vital Sign
  OTHER CLASSES
    Healthcare Provider
    Language Spoken
    Medication Information
    Support
    Support Guardian
    Support Participant
  VALUE SETS
  Acknowledgments
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Patient Summary
    Referral Summary
    Unstructured Document
    Unstructured Or Scanned Document
  SECTION TEMPLATES
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Chief Complaint Section
    Diagnostic Results Section
    Discharge Diagnosis Section
    Encounters Section
    Family History Section
    Functional Status Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Immunizations Section
    Medical Equipment Section
    Medications Administered Section
    Medications Section
    Payers Section
    Physical Exam Section
    Plan Of Care Section
    Problem List Section
    Reason For Referral Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive
    Allergy Drug Sensitivity
    Comment
    Condition
    Condition Entry
    Encounter
    Family History
    Immunization
    Insurance Provider
    Medication
    Medication Combination Medication
    Medication Conditional Dose
    Medication Normal Dose
    Medication Order Information
    Medication Split Dose
    Medication Tapered Dose
    Medication Type
    Procedure
    Result
    Result Organizer
    Social History
    Vital Sign
  OTHER CLASSES
    Healthcare Provider
    Language Spoken
    Medication Information
    Support
    Support Guardian
    Support Participant
  VALUE SETS
HL7 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1 CDA R2 and Privacy Metadata Reusable Content Profile January 2014 US Realm, HL7 Normative Ballot Sponsored by: Security Work Group
  Introduction: Data Segmentation for Privacy Implementation Guide
    Overview
    Approach
    Scope
    Audience
    Organization of DS4P IG
    Use of CDA Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    cda Privacy Segmented Document
  SECTION TEMPLATES
    cda Privacy Markings Section
    cda Privacy Segmented Section
  CLINICAL STATEMENT TEMPLATES
    cda Confidentiality Security Observation
    cda Obligation Policy Security Observation
    cda Privacy Annotation
    cda Protected Problem
    cda Purpose Of Use Security Observation
    cda Refrain Policy Security Observation
    cda Security Observation
    Privacy Building Block
    Privacy Building Block Confidentiality Level
    Privacy Building Block Obligation Policy
    Privacy Building Block Purpose Of Use
    Privacy Building Block Refrain Policy
  OTHER CLASSES
    cda Mandatory Document Assigned Author
    cda Mandatory Document Provenance
    cda Mandatory Entry Assigned Author
    cda Mandatory Entry Provenance
    cda Privacy Annotation Entry Relationship
    cda Privacy Markings Entry
  VALUE SETS
    Act Consent Type
    Act Privacy Law
    Consenter Participation Function
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Security Observation Type Code System
    Security Observation Value Code System
  DS4P IG REFERENCES
  Transport Implementation References
  Introduction: Data Segmentation for Privacy Implementation Guide
    Overview
    Approach
    Scope
    Audience
    Organization of DS4P IG
    Use of CDA Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    cda Privacy Segmented Document
  SECTION TEMPLATES
    cda Privacy Markings Section
    cda Privacy Segmented Section
  CLINICAL STATEMENT TEMPLATES
    cda Confidentiality Security Observation
    cda Obligation Policy Security Observation
    cda Privacy Annotation
    cda Protected Problem
    cda Purpose Of Use Security Observation
    cda Refrain Policy Security Observation
    cda Security Observation
    Privacy Building Block
    Privacy Building Block Confidentiality Level
    Privacy Building Block Obligation Policy
    Privacy Building Block Purpose Of Use
    Privacy Building Block Refrain Policy
  OTHER CLASSES
    cda Mandatory Document Assigned Author
    cda Mandatory Document Provenance
    cda Mandatory Entry Assigned Author
    cda Mandatory Entry Provenance
    cda Privacy Annotation Entry Relationship
    cda Privacy Markings Entry
  VALUE SETS
    Act Consent Type
    Act Privacy Law
    Consenter Participation Function
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Security Observation Type Code System
    Security Observation Value Code System
  DS4P IG REFERENCES
  Transport Implementation References
HL7 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1 Chapter 3: NwHIN Exchange Document Sharing (XDS) Metadata Content Profile September 2013 US Realm, HL7 Normative Ballot Sponsored by: Security Work Group
  Acknowledgments
  Revision History
  Introduction: Data Segmentation for Privacy Implementation Guide
    INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Organization of DS4P IG
    NwHIN Exchange Transport Specification Templates
  NwHIN Exchange Document Sharing Metadata Profile
    Exchange Profile
  Document Sharing Metadata Templates
    eb XML Registry Slot
    eb XML Registry Slot Intended Recipient
  VALUE SETS
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Restricted Healthcare Facility Type Code
    Restricted Practice Setting Code
    Restricted Type Code
  DS4P IG REFERENCES
  TRANSPORT VALIDATION REFERENCES
  Acknowledgments
  Revision History
  Introduction: Data Segmentation for Privacy Implementation Guide
    INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Organization of DS4P IG
    NwHIN Exchange Transport Specification Templates
  NwHIN Exchange Document Sharing Metadata Profile
    Exchange Profile
  Document Sharing Metadata Templates
    eb XML Registry Slot
    eb XML Registry Slot Intended Recipient
  VALUE SETS
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Restricted Healthcare Facility Type Code
    Restricted Practice Setting Code
    Restricted Type Code
  DS4P IG REFERENCES
  TRANSPORT VALIDATION REFERENCES
HL7 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1 NwHIN DIRECT Transport Profile September 2013 US Realm, HL7 Normative Ballot Sponsored by: Security Work Group
  Acknowledgments
  Revision History
  Introduction: Data Segmentation for Privacy Implementation Guide
    DS4P IG: Direct Transport Profile
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Organization of DS4P IG
    DIRECT Transport Specification Templates
  XDM Metadata Profile
    Direct Profile
  Document Sharing Metadata Templates
    ebXML Registry Classification
    ebXML Registry Classification Obligation Policy
    eb XML Registry Classification Practice Setting Code
    ebXML Registry Classification Purpose Of Use
    ebXML Registry Classification Refrain Policy
  VALUE SETS
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
  DS4P IG REFERENCES
  TRANSPORT VALIDATION REFERENCES
  Acknowledgments
  Revision History
  Introduction: Data Segmentation for Privacy Implementation Guide
    DS4P IG: Direct Transport Profile
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Organization of DS4P IG
    DIRECT Transport Specification Templates
  XDM Metadata Profile
    Direct Profile
  Document Sharing Metadata Templates
    ebXML Registry Classification
    ebXML Registry Classification Obligation Policy
    eb XML Registry Classification Practice Setting Code
    ebXML Registry Classification Purpose Of Use
    ebXML Registry Classification Refrain Policy
  VALUE SETS
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
  DS4P IG REFERENCES
  TRANSPORT VALIDATION REFERENCES
Implementation Guide for CDA R2 Consolidated CDA Templates
  Acknowledgments
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  GENERAL HEADER TEMPLATE
     General Header Constraints
  DOCUMENT-LEVEL TEMPLATES
     Consultation Note
     Continuity Of Care Document
     Diagnostic Imaging Report
     Discharge Summary
     History And Physical Note
     Operative Note
     Procedure Note
     Progress Note
     Unstructured Document
  SECTION-LEVEL TEMPLATES
    Advance Directives Section
      Advance Directives Section Table
      Advance Directives Section Sample
    Allergies Section
      Allergies Section Table
      Allergies Section Sample
     Anesthesia Section
      Anesthesia Section Table
      Anesthesia Section Sample
     Assessment And Plan Section
      Assessment And Plan Section Table
      Assessment And Plan Section Sample
     Assessment Section
      Assessment Section Table
      Assessment Section Sample
     Chief Complaint And Reason For Visit Section
      Chief Complaint And Reason For Visit Section Table
      Chief Complaint And Reason For Visit Section Sample
     Chief Complaint Section
      Chief Complaint Section Table
      Chief Complaint Section Sample
     Complications Section
      Complications Section Table
      Complications Section Sample
     DICOM Object Catalog Section
      DICOM Object Catalog Section Table
      DICOM Object Catalog Section Sample
     Discharge Diet Section
      Discharge Diet Section Table
      Discharge Diet Section Sample
    Encounters Section
      Encounters Section Table
      Encounters Section Sample
     Family History Section
      Family History Section Table
      Family History Section Sample
     Findings Section
      Findings Section Table
      Findings Section Sample
     Functional Status Section
      Functional Status Section Table
      Functional Status Section Sample
     General Status Section
      General Status Section Table
      General Status Section Sample
     History Of Past Illness Section
      History Of Past Illness Section Table
      History Of Past Illness Section Sample
     History Of Present Illness Section
      History Of Present Illness Section Table
      History Of Present Illness Section Sample
     Hospital Admission Diagnosis Section
      Hospital Admission Diagnosis Section Table
      Hospital Admission Diagnosis Section Sample
     Hospital Consultations Section
      Hospital Consultations Section Table
      Hospital Consultations Section Sample
     Hospital Course Section
      Hospital Course Section Table
      Hospital Course Section Sample
     Hospital Discharge Diagnosis Section
      Hospital Discharge Diagnosis Section Table
      Hospital Discharge Diagnosis Section Sample
     Hospital Discharge Instructions Section
      Hospital Discharge Instructions Section Table
      Hospital Discharge Instructions Section Sample
    Hospital Discharge Medications Section
      Hospital Discharge Medications Section Table
      Hospital Discharge Medications Section Sample
     Hospital Discharge Physical Section
      Hospital Discharge Physical Section Table
      Hospital Discharge Physical Section Sample
     Hospital Discharge Studies Summary Section
      Hospital Discharge Studies Summary Section Table
      Hospital Discharge Studies Summary Section Sample
    Immunizations Section
      Immunizations Section Table
      Immunizations Section Sample
     Instructions Section
      Instructions Section Table
      Instructions Section Sample
     Interventions Section
      Interventions Section Table
      Interventions Section Sample
     Medical Equipment Section
      Medical Equipment Section Table
      Medical Equipment Section Sample
     Medical History Section
      Medical History Section Table
      Medical History Section Sample
     Medications Administered Section
      Medications Administered Section Table
      Medications Administered Section Sample
    Medications Section
      Medications Section Table
      Medications Section Sample
     Objective Section
      Objective Section Table
      Objective Section Sample
     Operative Note Fluid Section
      Operative Note Fluid Section Table
      Operative Note Fluid Section Sample
     Operative Note Surgical Procedure Section
      Operative Note Surgical Procedure Section Table
      Operative Note Surgical Procedure Section Sample
     Payers Section
      Payers Section Table
      Payers Section Sample
     Physical Exam Section
      Physical Exam Section Table
      Physical Exam Section Sample
     Plan Of Care Section
      Plan Of Care Section Table
      Plan Of Care Section Sample
     Planned Procedure Section
      Planned Procedure Section Table
      Planned Procedure Section Sample
     Postoperative Diagnosis Section
      Postoperative Diagnosis Section Table
      Postoperative Diagnosis Section Sample
     Postprocedure Diagnosis Section
      Postprocedure Diagnosis Section Table
      Postprocedure Diagnosis Section Sample
     Preoperative Diagnosis Section
      Preoperative Diagnosis Section Table
      Preoperative Diagnosis Section Sample
    Problem Section
      Problem Section Table
      Problem Section Sample
     Procedure Description Section
      Procedure Description Section Table
      Procedure Description Section Sample
     Procedure Disposition Section
      Procedure Disposition Section Table
      Procedure Disposition Section Sample
     Procedure Estimated Blood Loss Section
      Procedure Estimated Blood Loss Section Table
      Procedure Estimated Blood Loss Section Sample
     Procedure Findings Section
      Procedure Findings Section Table
      Procedure Findings Section Sample
     Procedure Implants Section
      Procedure Implants Section Table
      Procedure Implants Section Sample
     Procedure Indications Section
      Procedure Indications Section Table
      Procedure Indications Section Sample
     Procedure Specimens Taken Section
      Procedure Specimens Taken Section Table
      Procedure Specimens Taken Section Sample
    Procedures Section
      Procedures Section Table
      Procedures Section Sample
     Reason For Referral Section
      Reason For Referral Section Table
      Reason For Referral Section Sample
     Reason For Visit Section
      Reason For Visit Section Table
      Reason For Visit Section Sample
    Results Section
      Results Section Table
      Results Section Sample
     Review Of Systems Section
      Review Of Systems Section Table
      Review Of Systems Section Sample
     Social History Section
      Social History Section Table
      Social History Section Sample
     Subjective Section
      Subjective Section Table
      Subjective Section Sample
     Surgical Drains Section
      Surgical Drains Section Table
      Surgical Drains Section Sample
    Vital Signs Section
      Vital Signs Section Table
      Vital Signs Section Sample
  ENTRY-LEVEL TEMPLATES
    Admission Medication
    Advance Directive Observation
    Age Observation
    Allergy Observation
    Allergy Problem Act
    Allergy Status Observation
    Authorization Activity
    Boundary Observation
    Code Observations
    Comment Activity
    Coverage Activity
    Discharge Medication
    Encounter Activities
    Estimated Date Of Delivery
    Family History Death Observation
    Family History Observation
    Family History Organizer
    Health Status Observation
    Hospital Admission Diagnosis
    Hospital Discharge Diagnosis
    Immunization Activity
    Immunization Refusal Reason
    Indication
    Instructions
    Medication Activity
    Medication Dispense
    Medication Supply Order
    Non Medicinal Supply Activity
    Plan Of Care Activity Act
    Plan Of Care Activity Encounter
    Plan Of Care Activity Observation
    Plan Of Care Activity Procedure
    Plan Of Care Activity Substance Administration
    Plan Of Care Activity Supply
    Policy Activity
    Postprocedure Diagnosis
    Pregnancy Observation
    Preoperative Diagnosis
    Problem Concern Act
    Problem Observation
    Problem Status
    Procedure Activity Act
    Procedure Activity Observation
    Procedure Activity Procedure
    Procedure Context
    Procedure Encounter
    Purposeof Reference Observation
    Quantity Measurement Observation
    Reaction Observation
    Referenced Frames Observation
    Result Observation
    Result Organizer
    SOP Instance Observation
    Series Act
    Severity Observation
    Social History Observation
    Study Act
    Text Observation
    Vital Sign Observation
    Vital Signs Organizer
  REFERENCES
    Act Priority
    Administrative Gender (HL7 V3)
    Advance Directive Type Code
    Age PQ UCUM
    Allergy/Adverse Event Type
    Body Site Value Set
    Consult Document Type
    Country Value Set
    Coverage Role Type Value Set
    DICOMPurposeOfReference
    DICOM Quantity Measurement Type Codes
    DIR Document Type Codes
    DIR Quantity Measurement Type Codes
    Discharge Summary Document Type Code
    Encounter Type Code
    Entity Name Use
    Entity Person Name Part Qualifier
    Family History Related Subject Code
    Financially Responsible Party Type
    HITSP Ethnicity Value Set
    HITSP Problem Status
    HITSP Vital Sign Result Type
    HL7 BasicConfidentialityKind
    HL7 LanguageAbilityMode
    HL7 Marital Status
    HL7 Religious Affiliation
    HP Document Type
    Health Insurance Type Value Set
    Healthcare Provider Taxonomy (NUCC - HIPAA)
    Healthcare Service Location
    IND Roleclass Codes
    Ingredient Name
    Language
    Language Ability Proficiency
    Medication Brand Name
    Medication Clinical Drug
    Medication Drug Class
    Medication Fill Status
    Medication Product Form
    Medication Route FDA Value Set
    Mood Code Evn Int
    NUBC UB-04 FL17-Patient Status
    No Immunization Reason Value Set
    Observation Interpretation (HL7)
    Patient Education
    Personal Relationship Role Type
    Plan of Care moodCode (Act/Encounter/Procedure)
    Plan of Care moodCode (Observation)
    Plan of Care moodCode (SubstanceAdministration/Supply)
    Postal Address Use
    Postal Code Value Set
    Problem
    Problem Act Status Code
    Problem Severity
    Problem Type
    Procedure Act Status Code
    Procedure Note Document Type Codes
    Progress Note Document Type Code
    Provider Type
    Race
    Social History Type Set Definition
    State Value Set
    Supported File Formats
    Surgical Operation Note Document Type Code
    Telecom Use (US Realm Header)
    UCUM Units of Measure (case sensitive)
    Vaccines Administered Value Set
  Acknowledgments
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  GENERAL HEADER TEMPLATE
     General Header Constraints
  DOCUMENT-LEVEL TEMPLATES
     Consultation Note
     Continuity Of Care Document
     Diagnostic Imaging Report
     Discharge Summary
     History And Physical Note
     Operative Note
     Procedure Note
     Progress Note
     Unstructured Document
  SECTION-LEVEL TEMPLATES
    Advance Directives Section
      Advance Directives Section Table
      Advance Directives Section Sample
    Allergies Section
      Allergies Section Table
      Allergies Section Sample
     Anesthesia Section
      Anesthesia Section Table
      Anesthesia Section Sample
     Assessment And Plan Section
      Assessment And Plan Section Table
      Assessment And Plan Section Sample
     Assessment Section
      Assessment Section Table
      Assessment Section Sample
     Chief Complaint And Reason For Visit Section
      Chief Complaint And Reason For Visit Section Table
      Chief Complaint And Reason For Visit Section Sample
     Chief Complaint Section
      Chief Complaint Section Table
      Chief Complaint Section Sample
     Complications Section
      Complications Section Table
      Complications Section Sample
     DICOM Object Catalog Section
      DICOM Object Catalog Section Table
      DICOM Object Catalog Section Sample
     Discharge Diet Section
      Discharge Diet Section Table
      Discharge Diet Section Sample
    Encounters Section
      Encounters Section Table
      Encounters Section Sample
     Family History Section
      Family History Section Table
      Family History Section Sample
     Findings Section
      Findings Section Table
      Findings Section Sample
     Functional Status Section
      Functional Status Section Table
      Functional Status Section Sample
     General Status Section
      General Status Section Table
      General Status Section Sample
     History Of Past Illness Section
      History Of Past Illness Section Table
      History Of Past Illness Section Sample
     History Of Present Illness Section
      History Of Present Illness Section Table
      History Of Present Illness Section Sample
     Hospital Admission Diagnosis Section
      Hospital Admission Diagnosis Section Table
      Hospital Admission Diagnosis Section Sample
     Hospital Consultations Section
      Hospital Consultations Section Table
      Hospital Consultations Section Sample
     Hospital Course Section
      Hospital Course Section Table
      Hospital Course Section Sample
     Hospital Discharge Diagnosis Section
      Hospital Discharge Diagnosis Section Table
      Hospital Discharge Diagnosis Section Sample
     Hospital Discharge Instructions Section
      Hospital Discharge Instructions Section Table
      Hospital Discharge Instructions Section Sample
    Hospital Discharge Medications Section
      Hospital Discharge Medications Section Table
      Hospital Discharge Medications Section Sample
     Hospital Discharge Physical Section
      Hospital Discharge Physical Section Table
      Hospital Discharge Physical Section Sample
     Hospital Discharge Studies Summary Section
      Hospital Discharge Studies Summary Section Table
      Hospital Discharge Studies Summary Section Sample
    Immunizations Section
      Immunizations Section Table
      Immunizations Section Sample
     Instructions Section
      Instructions Section Table
      Instructions Section Sample
     Interventions Section
      Interventions Section Table
      Interventions Section Sample
     Medical Equipment Section
      Medical Equipment Section Table
      Medical Equipment Section Sample
     Medical History Section
      Medical History Section Table
      Medical History Section Sample
     Medications Administered Section
      Medications Administered Section Table
      Medications Administered Section Sample
    Medications Section
      Medications Section Table
      Medications Section Sample
     Objective Section
      Objective Section Table
      Objective Section Sample
     Operative Note Fluid Section
      Operative Note Fluid Section Table
      Operative Note Fluid Section Sample
     Operative Note Surgical Procedure Section
      Operative Note Surgical Procedure Section Table
      Operative Note Surgical Procedure Section Sample
     Payers Section
      Payers Section Table
      Payers Section Sample
     Physical Exam Section
      Physical Exam Section Table
      Physical Exam Section Sample
     Plan Of Care Section
      Plan Of Care Section Table
      Plan Of Care Section Sample
     Planned Procedure Section
      Planned Procedure Section Table
      Planned Procedure Section Sample
     Postoperative Diagnosis Section
      Postoperative Diagnosis Section Table
      Postoperative Diagnosis Section Sample
     Postprocedure Diagnosis Section
      Postprocedure Diagnosis Section Table
      Postprocedure Diagnosis Section Sample
     Preoperative Diagnosis Section
      Preoperative Diagnosis Section Table
      Preoperative Diagnosis Section Sample
    Problem Section
      Problem Section Table
      Problem Section Sample
     Procedure Description Section
      Procedure Description Section Table
      Procedure Description Section Sample
     Procedure Disposition Section
      Procedure Disposition Section Table
      Procedure Disposition Section Sample
     Procedure Estimated Blood Loss Section
      Procedure Estimated Blood Loss Section Table
      Procedure Estimated Blood Loss Section Sample
     Procedure Findings Section
      Procedure Findings Section Table
      Procedure Findings Section Sample
     Procedure Implants Section
      Procedure Implants Section Table
      Procedure Implants Section Sample
     Procedure Indications Section
      Procedure Indications Section Table
      Procedure Indications Section Sample
     Procedure Specimens Taken Section
      Procedure Specimens Taken Section Table
      Procedure Specimens Taken Section Sample
    Procedures Section
      Procedures Section Table
      Procedures Section Sample
     Reason For Referral Section
      Reason For Referral Section Table
      Reason For Referral Section Sample
     Reason For Visit Section
      Reason For Visit Section Table
      Reason For Visit Section Sample
    Results Section
      Results Section Table
      Results Section Sample
     Review Of Systems Section
      Review Of Systems Section Table
      Review Of Systems Section Sample
     Social History Section
      Social History Section Table
      Social History Section Sample
     Subjective Section
      Subjective Section Table
      Subjective Section Sample
     Surgical Drains Section
      Surgical Drains Section Table
      Surgical Drains Section Sample
    Vital Signs Section
      Vital Signs Section Table
      Vital Signs Section Sample
  ENTRY-LEVEL TEMPLATES
    Admission Medication
    Advance Directive Observation
    Age Observation
    Allergy Observation
    Allergy Problem Act
    Allergy Status Observation
    Authorization Activity
    Boundary Observation
    Code Observations
    Comment Activity
    Coverage Activity
    Discharge Medication
    Encounter Activities
    Estimated Date Of Delivery
    Family History Death Observation
    Family History Observation
    Family History Organizer
    Health Status Observation
    Hospital Admission Diagnosis
    Hospital Discharge Diagnosis
    Immunization Activity
    Immunization Refusal Reason
    Indication
    Instructions
    Medication Activity
    Medication Dispense
    Medication Supply Order
    Non Medicinal Supply Activity
    Plan Of Care Activity Act
    Plan Of Care Activity Encounter
    Plan Of Care Activity Observation
    Plan Of Care Activity Procedure
    Plan Of Care Activity Substance Administration
    Plan Of Care Activity Supply
    Policy Activity
    Postprocedure Diagnosis
    Pregnancy Observation
    Preoperative Diagnosis
    Problem Concern Act
    Problem Observation
    Problem Status
    Procedure Activity Act
    Procedure Activity Observation
    Procedure Activity Procedure
    Procedure Context
    Procedure Encounter
    Purposeof Reference Observation
    Quantity Measurement Observation
    Reaction Observation
    Referenced Frames Observation
    Result Observation
    Result Organizer
    SOP Instance Observation
    Series Act
    Severity Observation
    Social History Observation
    Study Act
    Text Observation
    Vital Sign Observation
    Vital Signs Organizer
  REFERENCES
    Act Priority
    Administrative Gender (HL7 V3)
    Advance Directive Type Code
    Age PQ UCUM
    Allergy/Adverse Event Type
    Body Site Value Set
    Consult Document Type
    Country Value Set
    Coverage Role Type Value Set
    DICOMPurposeOfReference
    DICOM Quantity Measurement Type Codes
    DIR Document Type Codes
    DIR Quantity Measurement Type Codes
    Discharge Summary Document Type Code
    Encounter Type Code
    Entity Name Use
    Entity Person Name Part Qualifier
    Family History Related Subject Code
    Financially Responsible Party Type
    HITSP Ethnicity Value Set
    HITSP Problem Status
    HITSP Vital Sign Result Type
    HL7 BasicConfidentialityKind
    HL7 LanguageAbilityMode
    HL7 Marital Status
    HL7 Religious Affiliation
    HP Document Type
    Health Insurance Type Value Set
    Healthcare Provider Taxonomy (NUCC - HIPAA)
    Healthcare Service Location
    IND Roleclass Codes
    Ingredient Name
    Language
    Language Ability Proficiency
    Medication Brand Name
    Medication Clinical Drug
    Medication Drug Class
    Medication Fill Status
    Medication Product Form
    Medication Route FDA Value Set
    Mood Code Evn Int
    NUBC UB-04 FL17-Patient Status
    No Immunization Reason Value Set
    Observation Interpretation (HL7)
    Patient Education
    Personal Relationship Role Type
    Plan of Care moodCode (Act/Encounter/Procedure)
    Plan of Care moodCode (Observation)
    Plan of Care moodCode (SubstanceAdministration/Supply)
    Postal Address Use
    Postal Code Value Set
    Problem
    Problem Act Status Code
    Problem Severity
    Problem Type
    Procedure Act Status Code
    Procedure Note Document Type Codes
    Progress Note Document Type Code
    Provider Type
    Race
    Social History Type Set Definition
    State Value Set
    Supported File Formats
    Surgical Operation Note Document Type Code
    Telecom Use (US Realm Header)
    UCUM Units of Measure (case sensitive)
    Vaccines Administered Value Set
Implementation Guide for CDA R2 Continuity of Care Document (CCD)
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Continuity Of Care Document
  SECTION TEMPLATES
    Advance Directives Section
    Alerts Section
    Encounters Section
    Family History Section
    Functional Status Section
    Immunizations Section
    Medical Equipment Section
    Medications Section
    Payers Section
    Plan Of Care Section
    Problem Section
    Procedures Section
    Purpose Section
    Results Section
    Social History Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive Observation
    Advance Directive Status Observation
    Age Observation
    Alert Observation
    Alert Status Observation
    Authorization Activity
    Cause Of Death Observation
    Comment
    Coverage Activity
    Coverage Plan Description
    Encounters Activity
    Episode Observation
    Family History Cause Of Death Observation
    Family History Observation
    Family History Organizer
    Fulfillment Instruction
    Functional Status Observation
    Medication Activity
    Medication Series Number Observation
    Medication Status Observation
    Patient Instruction
    Plan Of Care Activity Act
    Plan Of Care Activity Encounter
    Plan Of Care Activity Observation
    Plan Of Care Activity Procedure
    Plan Of Care Activity Substance Administration
    Plan Of Care Activity Supply
    Policy Activity
    Problem Act
    Problem Health Status Observation
    Problem Observation
    Problem Status Observation
    Procedure Activity Act
    Procedure Activity Observation
    Procedure Activity Procedure
    Purpose Activity
    Reaction Observation
    Result Observation
    Result Organizer
    Severity Observation
    Social History Observation
    Social History Status Observation
    Status Observation
    Supply Activity
    Vital Signs Organizer
  OTHER CLASSES
    Advance Directive Reference
    Advance Directive Verification
    Covered Party
    Encounter Location
    Patient Awareness
    Payer Entity
    Plan Of Care Activity
    Policy Subscriber
    Procedure Activity
    Product
    Product Instance
    Support
    Support Guardian
    Support Participant
  VALUE SETS
  REFERENCES
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Continuity Of Care Document
  SECTION TEMPLATES
    Advance Directives Section
    Alerts Section
    Encounters Section
    Family History Section
    Functional Status Section
    Immunizations Section
    Medical Equipment Section
    Medications Section
    Payers Section
    Plan Of Care Section
    Problem Section
    Procedures Section
    Purpose Section
    Results Section
    Social History Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive Observation
    Advance Directive Status Observation
    Age Observation
    Alert Observation
    Alert Status Observation
    Authorization Activity
    Cause Of Death Observation
    Comment
    Coverage Activity
    Coverage Plan Description
    Encounters Activity
    Episode Observation
    Family History Cause Of Death Observation
    Family History Observation
    Family History Organizer
    Fulfillment Instruction
    Functional Status Observation
    Medication Activity
    Medication Series Number Observation
    Medication Status Observation
    Patient Instruction
    Plan Of Care Activity Act
    Plan Of Care Activity Encounter
    Plan Of Care Activity Observation
    Plan Of Care Activity Procedure
    Plan Of Care Activity Substance Administration
    Plan Of Care Activity Supply
    Policy Activity
    Problem Act
    Problem Health Status Observation
    Problem Observation
    Problem Status Observation
    Procedure Activity Act
    Procedure Activity Observation
    Procedure Activity Procedure
    Purpose Activity
    Reaction Observation
    Result Observation
    Result Organizer
    Severity Observation
    Social History Observation
    Social History Status Observation
    Status Observation
    Supply Activity
    Vital Signs Organizer
  OTHER CLASSES
    Advance Directive Reference
    Advance Directive Verification
    Covered Party
    Encounter Location
    Patient Awareness
    Payer Entity
    Plan Of Care Activity
    Policy Subscriber
    Procedure Activity
    Product
    Product Instance
    Support
    Support Guardian
    Support Participant
  VALUE SETS
  REFERENCES
Implementation Guide for CDA R2 Health Story - Common Document Types (CDT)
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Consultation Note
    General Header Constraints
    History And Physical
    Level One Conformance
    Level Three Conformance
    Level Two Conformance
    Progress Note
    Unstructured Document
  SECTION TEMPLATES
    Assessment And Plan Section
    Assessment And Plan Section Proc Note
    Assessment Section
    Assessment Section Proc Note
    Chief Complaint Section
    Chief Complaint Section Proc Note
    Diagnostic Findings
    General Status Section
    History Of Present Illness
    Hospital Discharge Studies Summary Section
    Objective Section
    Past Medical History Section
    Past Medical History Section Consult
    Physical Examination Section
    Plan Section
    Reason For Referral Section
    Reason For Visit And Chief Complaint Section
    Reason For Visit Section
    Reason For Visit Section Consult
    Review Of Systems Section
    Review Of Systems Section IHE
    Subjective Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
  OTHER CLASSES
  VALUE SETS
    Consult Document Type Codes
    Discharge Summary Document Type Code
    HP Document Type
    Personal Relationship Role Type
    Progress Note Document Type Code
  REFERENCES
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Consultation Note
    General Header Constraints
    History And Physical
    Level One Conformance
    Level Three Conformance
    Level Two Conformance
    Progress Note
    Unstructured Document
  SECTION TEMPLATES
    Assessment And Plan Section
    Assessment And Plan Section Proc Note
    Assessment Section
    Assessment Section Proc Note
    Chief Complaint Section
    Chief Complaint Section Proc Note
    Diagnostic Findings
    General Status Section
    History Of Present Illness
    Hospital Discharge Studies Summary Section
    Objective Section
    Past Medical History Section
    Past Medical History Section Consult
    Physical Examination Section
    Plan Section
    Reason For Referral Section
    Reason For Visit And Chief Complaint Section
    Reason For Visit Section
    Reason For Visit Section Consult
    Review Of Systems Section
    Review Of Systems Section IHE
    Subjective Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
  OTHER CLASSES
  VALUE SETS
    Consult Document Type Codes
    Discharge Summary Document Type Code
    HP Document Type
    Personal Relationship Role Type
    Progress Note Document Type Code
  REFERENCES
Implementation Guide for CDA R2 HITSP C32, C83, and C80 Summary Documents
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Patient Summary
    Referral Summary
    Unstructured Document
    Unstructured Or Scanned Document
  SECTION TEMPLATES
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Chief Complaint Section
    Diagnostic Results Section
    Discharge Diagnosis Section
    Encounters Section
    Family History Section
    Functional Status Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Immunizations Section
    Medical Equipment Section
    Medications Administered Section
    Medications Section
    Payers Section
    Physical Exam Section
    Plan Of Care Section
    Problem List Section
    Reason For Referral Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive
    Allergy Drug Sensitivity
    Comment
    Condition
    Condition Entry
    Encounter
    Family History
    Immunization
    Insurance Provider
    Medication
    Medication Combination Medication
    Medication Conditional Dose
    Medication Normal Dose
    Medication Order Information
    Medication Split Dose
    Medication Tapered Dose
    Medication Type
    Past Procedure
    Planned Procedure
    Procedure
    Result
    Result Organizer
    Social History
    Vital Sign
  OTHER CLASSES
    Healthcare Provider
    Language Spoken
    Medication Information
    Support
    Support Guardian
    Support Participant
  VALUE SETS
  REFERENCES
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Patient Summary
    Referral Summary
    Unstructured Document
    Unstructured Or Scanned Document
  SECTION TEMPLATES
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Chief Complaint Section
    Diagnostic Results Section
    Discharge Diagnosis Section
    Encounters Section
    Family History Section
    Functional Status Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Immunizations Section
    Medical Equipment Section
    Medications Administered Section
    Medications Section
    Payers Section
    Physical Exam Section
    Plan Of Care Section
    Problem List Section
    Reason For Referral Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive
    Allergy Drug Sensitivity
    Comment
    Condition
    Condition Entry
    Encounter
    Family History
    Immunization
    Insurance Provider
    Medication
    Medication Combination Medication
    Medication Conditional Dose
    Medication Normal Dose
    Medication Order Information
    Medication Split Dose
    Medication Tapered Dose
    Medication Type
    Past Procedure
    Planned Procedure
    Procedure
    Result
    Result Organizer
    Social History
    Vital Sign
  OTHER CLASSES
    Healthcare Provider
    Language Spoken
    Medication Information
    Support
    Support Guardian
    Support Participant
  VALUE SETS
  REFERENCES
Implementation Guide for CDA R2 IHE Patient Care Coordination (PCC)
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Medical Document
    Medical Summary
    PHR Extract
    PHR Update
    Scanned Document
  SECTION TEMPLATES
    Abdomen Section
    Active Problems Section
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Breast Section
    Care Plan Section
    Chest Wall Section
    Chief Complaint Section
    Coded Advance Directives Section
    Coded Family Medical History Section
    Coded Reason For Referral Section
    Coded Results Section
    Coded Surgeries Section
    Coded Vital Signs Section
    Discharge Diagnosis Section
    Discharge Diet
    Ears Nose Mouth Throat Section
    Ears Section
    Encounter History Section
    Endocrine System Section
    Extremities Section
    Eyes Section
    Family Medical History Section
    General Appearance Section
    Genitalia Section
    Head Section
    Heart Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Hospital Discharge Physical
    Immunizations Section
    Intake Output Section
    Integumentary System Section
    Lymphatic Section
    Medical Devices Section
    Medications Administered Section
    Medications Section
    Mouth Throat Teeth Section
    Musculoskeletal System Section
    Neck Section
    Neurologic System Section
    Nose Section
    Payers Section
    Physical Exam Narrative Section
    Physical Exam Section
    Pregnancy History Section
    Reason For Referral Section
    Rectum Section
    Respiratory System Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Thorax Lungs Section
    Vessels Section
    Visible Implanted Medical Devices Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive Observation
    Allergy Intolerance
    Allergy Intolerance Concern
    Combination Medication
    Comment
    Concern Entry
    Conditional Dose
    Coverage Entry
    Encounter Activity
    Encounter Entry
    Encounter Plan Of Care
    External Reference
    Family History Observation
    Family History Organizer
    Health Status Observation
    Immunization
    Internal Reference
    Medication
    Medication Fullfillment Instructions
    Normal Dose
    Observation Request Entry
    Patient Medical Instructions
    Payer Entry
    Pregnancy Observation
    Problem Concern Entry
    Problem Entry
    Problem Entry Reaction Observation Container
    Problem Status Observation
    Procedure Entry
    Procedure Entry Plan Of Care Activity Procedure
    Procedure Entry Procedure Activity Procedure
    Severity
    Simple Observation
    Social History Observation
    Split Dose
    Supply Entry
    Tapered Dose
    Vital Sign Observation
    Vital Signs Organizer
  OTHER CLASSES
    Healthcare Providers Pharmacies
    Language Communication
    Patient Contact
    Patient Contact Guardian
    Patient Contact Participant
    Product Entry
    Scan Data Enterer
    Scan Original Author
    Scanning Device
  VALUE SETS
    Concern Entry Status
    Health Status Value
    Problem Status Value
    Severity Observation
  REFERENCES
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Discharge Summary
    Medical Document
    Medical Summary
    PHR Extract
    PHR Update
    Scanned Document
  SECTION TEMPLATES
    Abdomen Section
    Active Problems Section
    Admission Medication History Section
    Advance Directives Section
    Allergies Reactions Section
    Assessment And Plan Section
    Breast Section
    Care Plan Section
    Chest Wall Section
    Chief Complaint Section
    Coded Advance Directives Section
    Coded Family Medical History Section
    Coded Reason For Referral Section
    Coded Results Section
    Coded Surgeries Section
    Coded Vital Signs Section
    Discharge Diagnosis Section
    Discharge Diet
    Ears Nose Mouth Throat Section
    Ears Section
    Encounter History Section
    Endocrine System Section
    Extremities Section
    Eyes Section
    Family Medical History Section
    General Appearance Section
    Genitalia Section
    Head Section
    Heart Section
    History Of Past Illness Section
    History Of Present Illness
    Hospital Admission Diagnosis Section
    Hospital Course Section
    Hospital Discharge Medications Section
    Hospital Discharge Physical
    Immunizations Section
    Intake Output Section
    Integumentary System Section
    Lymphatic Section
    Medical Devices Section
    Medications Administered Section
    Medications Section
    Mouth Throat Teeth Section
    Musculoskeletal System Section
    Neck Section
    Neurologic System Section
    Nose Section
    Payers Section
    Physical Exam Narrative Section
    Physical Exam Section
    Pregnancy History Section
    Reason For Referral Section
    Rectum Section
    Respiratory System Section
    Review Of Systems Section
    Social History Section
    Surgeries Section
    Thorax Lungs Section
    Vessels Section
    Visible Implanted Medical Devices Section
    Vital Signs Section
  CLINICAL STATEMENT TEMPLATES
    Advance Directive Observation
    Allergy Intolerance
    Allergy Intolerance Concern
    Combination Medication
    Comment
    Concern Entry
    Conditional Dose
    Coverage Entry
    Encounter Activity
    Encounter Entry
    Encounter Plan Of Care
    External Reference
    Family History Observation
    Family History Organizer
    Health Status Observation
    Immunization
    Internal Reference
    Medication
    Medication Fullfillment Instructions
    Normal Dose
    Observation Request Entry
    Patient Medical Instructions
    Payer Entry
    Pregnancy Observation
    Problem Concern Entry
    Problem Entry
    Problem Entry Reaction Observation Container
    Problem Status Observation
    Procedure Entry
    Procedure Entry Plan Of Care Activity Procedure
    Procedure Entry Procedure Activity Procedure
    Severity
    Simple Observation
    Social History Observation
    Split Dose
    Supply Entry
    Tapered Dose
    Vital Sign Observation
    Vital Signs Organizer
  OTHER CLASSES
    Healthcare Providers Pharmacies
    Language Communication
    Patient Contact
    Patient Contact Guardian
    Patient Contact Participant
    Product Entry
    Scan Data Enterer
    Scan Original Author
    Scanning Device
  VALUE SETS
    Concern Entry Status
    Health Status Value
    Problem Status Value
    Severity Observation
  REFERENCES
Implementation Guide for CDA R2 Meaningful Use, Stage 2
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Clinical Office Visit Summary
    General Header Constraints
    Summary Of Care Record
    Transition Of Care Ambulatory Summary
    Transition Of Care Inpatient Summary
    VDT Ambulatory Summary
    VDT Inpatient Summary
    View Download Transmit Summary
  SECTION TEMPLATES
    Functional Status Section
    Medications Administered Section
    Procedures Section
    Results Section
    Social History Section
  CLINICAL STATEMENT TEMPLATES
    Cognitive Status Result Observation
    Cognitive Status Result Organizer
    Functional Status Result Observation
    Functional Status Result Organizer
    Procedure Activity Procedure
    Result Observation
    Result Organizer
    Smoking Status Observation
  OTHER CLASSES
  VALUE SETS
    Ethnicity Category ValueSet
    Language Code
    Race Category ValueSet
    Smoking Status
  REFERENCES
  Acknowledgments
  Revision History
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Clinical Office Visit Summary
    General Header Constraints
    Summary Of Care Record
    Transition Of Care Ambulatory Summary
    Transition Of Care Inpatient Summary
    VDT Ambulatory Summary
    VDT Inpatient Summary
    View Download Transmit Summary
  SECTION TEMPLATES
    Functional Status Section
    Medications Administered Section
    Procedures Section
    Results Section
    Social History Section
  CLINICAL STATEMENT TEMPLATES
    Cognitive Status Result Observation
    Cognitive Status Result Organizer
    Functional Status Result Observation
    Functional Status Result Organizer
    Procedure Activity Procedure
    Result Observation
    Result Organizer
    Smoking Status Observation
  OTHER CLASSES
  VALUE SETS
    Ethnicity Category ValueSet
    Language Code
    Race Category ValueSet
    Smoking Status
  REFERENCES
Implementation Guide for CDA Release 2 Behavioral Health Summary, Release 1, US Realm May 2013 HL7 DSTU Ballot Sponsored by: Community Based Collaborative Care Work Group
  Acknowledgments
  Revision History
  Known Issues
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Behavioral Health Summary
  SECTION TEMPLATES
    Behavioral Health Assessment Section
    Behavioral Health Encounter Section
    Behavioral Health Problems Section
    Behavioral Health Social History Section
    Substances Of Abuse Section
  CLINICAL STATEMENT TEMPLATES
    Attention
    Attitude
    Axis I
    Axis II
    Axis IV
    Axis V Assessment
    Behavioral Health Assessment Question
    Behavioral Health Assessment Response Image
    Behavioral Health Assessment Score Result
    Behavioral Health Assessment Subscore Result
    Behavioral Health Category
    Behavioral Health Critical Flag
    Behavioral Health Problem
    Behavioral Health Referral
    Care Treatment Plan
    Client Concern Rating Index
    Criminal Justice Compliance Status
    Criminal Justice System Interaction Type
    Criminal Justice System Involvement Status
    Criminal Justice System Type
    Date Of Last Arrest
    Disability Status
    Domestic Violence Trauma
    Education Level Highest
    Education Status Current
    Educational Accommodation
    Educational Behavior
    Educational Level Current
    Employment Status
    Gender Identity
    HIV Test Administered
    Homeless Pogram Discharge Status
    Income
    Initiative
    Living Situation Stability Description
    Military Branch
    Military Discharge Status
    Military History Status
    Military Service Era
    Motivation
    Non Cash Benefit
    Number Of Dependent Children
    Number Of Recent Arrests
    Peer Group Involvement Details
    Pharmaceutical Substance Of Abuse
    Post Partum
    Primary Residence Setting
    Primay Problem Of Substance Abuse Disorder
    Program Coordination
    Reading Proficiency
    Residence Type Prior To Admission
    Self Control
    Sexual Orientation
    Substance Of Abuse
    Treatment Details
    Treatment Engagement Index
    Treatment Participation
  OTHER CLASSES
    Behavioral Health Encounter
    Serivces Provided
  VALUE SETS
    Axis- I
    Axis- II
    Axis- III
    Axis- IV
    Axis- V
    BH Assessment Section Type
    BH Assessment Type
    Behavioral Health Category
    Behavioral Health Critical Flag
    Behavioral Health Treatment Service
    Client Rating Scale
    CriminalJusticeComplianceStatus
    Criminal Justice System Interaction Type
    Criminal Justice System Involvement Status
    Criminal Justice System Type
    DS M- I V- TR
    Domestic Violence Trauma
    Educational Accommodation Program
    EducationalBehavior
    Employment Status
    content/../terminology/EpisodeOfCareCompletion.html
    content/../terminology/EpisodeOfCareType.html
    content/../terminology/FormalEducationalLevel.html
    Gender Self Identity
    HCPCS II Alpha
    Housing Post Homeless
    Housing Status
    IC D-10- CM
    IC D-10- PCS
    content/../terminology/ICD9CMDiagnosesVol12.html
    content/../terminology/ICD9CMProceduresVolume3.html
    Income Source
    content/../terminology/Language.html
    Military Service Branch
    Military Service Discharge Status
    Military Service Era
    Military Service History Status
    NUBC
    Non Cash Benefits
    content/../terminology/OMHDisabilityStatus.html
    Peer Group Type
    Pregnancy Puerperium
    content/../terminology/PrimaryResidence.html
    Problem
    content/../terminology/ProblemType.html
    Procedure Code
    Reading Proficiency
    content/../terminology/ReferralSource.html
    Residence Type
    Risk Behavior
    content/../terminology/RouteOfAdministration.html
    Severely Emotionally Disturbed
    Severely Mentally Ill
    Sexual Orientation
    State Program Code
    Submission Trigger
    Substance Abuse Disorder
    Substance Of Abuse
    Substance Of Abuse Delivery Method
    Substances Of Abuse Rx
    content/../terminology/TobaccoUseExposure.html
    content/../terminology/TreatmentModality.html
    Treatment Participation
    Treatment Service
  REFERENCES
  Acknowledgments
  Revision History
  Known Issues
  INTRODUCTION
    Overview
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
  DOCUMENT TEMPLATES
    Behavioral Health Summary
  SECTION TEMPLATES
    Behavioral Health Assessment Section
    Behavioral Health Encounter Section
    Behavioral Health Problems Section
    Behavioral Health Social History Section
    Substances Of Abuse Section
  CLINICAL STATEMENT TEMPLATES
    Attention
    Attitude
    Axis I
    Axis II
    Axis IV
    Axis V Assessment
    Behavioral Health Assessment Question
    Behavioral Health Assessment Response Image
    Behavioral Health Assessment Score Result
    Behavioral Health Assessment Subscore Result
    Behavioral Health Category
    Behavioral Health Critical Flag
    Behavioral Health Problem
    Behavioral Health Referral
    Care Treatment Plan
    Client Concern Rating Index
    Criminal Justice Compliance Status
    Criminal Justice System Interaction Type
    Criminal Justice System Involvement Status
    Criminal Justice System Type
    Date Of Last Arrest
    Disability Status
    Domestic Violence Trauma
    Education Level Highest
    Education Status Current
    Educational Accommodation
    Educational Behavior
    Educational Level Current
    Employment Status
    Gender Identity
    HIV Test Administered
    Homeless Pogram Discharge Status
    Income
    Initiative
    Living Situation Stability Description
    Military Branch
    Military Discharge Status
    Military History Status
    Military Service Era
    Motivation
    Non Cash Benefit
    Number Of Dependent Children
    Number Of Recent Arrests
    Peer Group Involvement Details
    Pharmaceutical Substance Of Abuse
    Post Partum
    Primary Residence Setting
    Primay Problem Of Substance Abuse Disorder
    Program Coordination
    Reading Proficiency
    Residence Type Prior To Admission
    Self Control
    Sexual Orientation
    Substance Of Abuse
    Treatment Details
    Treatment Engagement Index
    Treatment Participation
  OTHER CLASSES
    Behavioral Health Encounter
    Serivces Provided
  VALUE SETS
    Axis- I
    Axis- II
    Axis- III
    Axis- IV
    Axis- V
    BH Assessment Section Type
    BH Assessment Type
    Behavioral Health Category
    Behavioral Health Critical Flag
    Behavioral Health Treatment Service
    Client Rating Scale
    CriminalJusticeComplianceStatus
    Criminal Justice System Interaction Type
    Criminal Justice System Involvement Status
    Criminal Justice System Type
    DS M- I V- TR
    Domestic Violence Trauma
    Educational Accommodation Program
    EducationalBehavior
    Employment Status
    content/../terminology/EpisodeOfCareCompletion.html
    content/../terminology/EpisodeOfCareType.html
    content/../terminology/FormalEducationalLevel.html
    Gender Self Identity
    HCPCS II Alpha
    Housing Post Homeless
    Housing Status
    IC D-10- CM
    IC D-10- PCS
    content/../terminology/ICD9CMDiagnosesVol12.html
    content/../terminology/ICD9CMProceduresVolume3.html
    Income Source
    content/../terminology/Language.html
    Military Service Branch
    Military Service Discharge Status
    Military Service Era
    Military Service History Status
    NUBC
    Non Cash Benefits
    content/../terminology/OMHDisabilityStatus.html
    Peer Group Type
    Pregnancy Puerperium
    content/../terminology/PrimaryResidence.html
    Problem
    content/../terminology/ProblemType.html
    Procedure Code
    Reading Proficiency
    content/../terminology/ReferralSource.html
    Residence Type
    Risk Behavior
    content/../terminology/RouteOfAdministration.html
    Severely Emotionally Disturbed
    Severely Mentally Ill
    Sexual Orientation
    State Program Code
    Submission Trigger
    Substance Abuse Disorder
    Substance Of Abuse
    Substance Of Abuse Delivery Method
    Substances Of Abuse Rx
    content/../terminology/TobaccoUseExposure.html
    content/../terminology/TreatmentModality.html
    Treatment Participation
    Treatment Service
  REFERENCES
Implementation Guide for CDA Release 2 Privacy Consent Directives, Release 2 May 2014 HL7 Normative Ballot Sponsored by: Community Based Collaborative Care Work Group
  Acknowledgments
  Revision History
  DSTU Issues
  INTRODUCTION
    Overview
    Glossary
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
    Security Considerations
  DOCUMENT TEMPLATES
    Privacy Consent Directive Document
  SECTION TEMPLATES
    Privacy Consent Details Section
    Signatures Section
  CLINICAL STATEMENT TEMPLATES
    Computable Policy Consent
    Confidentiality Security Observation
    Consent Action
    Consent Directive Structured Definition
    Criterium Information Definition
    Criterium Related Protected Problem
    Information Criteria References Organizer
    Obligation Policy Security Observation
    Purpose Of Use Security Observation
    Refrain Policy Security Observation
    Scanned Privacy Consent
    content/../classes/SecurityLabel.html
    Security Observation
    Signature Image Observation
  OTHER CLASSES
    Consent Directive Entry
    IIHI Receiving Provider
    Privacy Consent Header Author
    Privacy Consent Header Documentation Of
    Privacy Consent Header Documentation Of Service Event
    Signature Image Entry
  VALUE SETS
    Act Consent Type
    Act Privacy Law
    content/../terminology/ConsenterParticipationFunction.html
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Security Observation Type Code System
    Security Observation Value Code System
  REFERENCES
  Acknowledgments
  Revision History
  DSTU Issues
  INTRODUCTION
    Overview
    Glossary
    Approach
    Scope
    Audience
    Organization of This Guide
    Use of Templates
    Conventions Used in This Guide
    Security Considerations
  DOCUMENT TEMPLATES
    Privacy Consent Directive Document
  SECTION TEMPLATES
    Privacy Consent Details Section
    Signatures Section
  CLINICAL STATEMENT TEMPLATES
    Computable Policy Consent
    Confidentiality Security Observation
    Consent Action
    Consent Directive Structured Definition
    Criterium Information Definition
    Criterium Related Protected Problem
    Information Criteria References Organizer
    Obligation Policy Security Observation
    Purpose Of Use Security Observation
    Refrain Policy Security Observation
    Scanned Privacy Consent
    content/../classes/SecurityLabel.html
    Security Observation
    Signature Image Observation
  OTHER CLASSES
    Consent Directive Entry
    IIHI Receiving Provider
    Privacy Consent Header Author
    Privacy Consent Header Documentation Of
    Privacy Consent Header Documentation Of Service Event
    Signature Image Entry
  VALUE SETS
    Act Consent Type
    Act Privacy Law
    content/../terminology/ConsenterParticipationFunction.html
    HL7 ObligationPolicyCode
    HL7 PurposeOfUse
    HL7 RefrainPolicy
    Security Observation Type Code System
    Security Observation Value Code System
  REFERENCES
MDHT CDA Tools User Guide
  Introduction
  Standards Developers and Users
    Review CDA templates
      Open a model
      Using the MDHT UML Editor
    Create a new template
    Add template constraints
      Change attribute list
      Attribute constraints
        Multiplicity constraint
        Data type constraint
        Fixed structural code value
        Vocabulary constraint
        Text value constraint
      Association constraints
        Create a new association
        Association type code constraint
      Other general constraints
        Analysis language constraint
        OCL language constraint
      Severity and message
    Publish an Implementation Guide
    Create a new Implementation Guide
  Standards Implementers
    Model-Driven Development Process Overview
    UML Profile for CDA
      CDA Template Stereotype
      Code Generation Support Stereotype
      Vocabulary Specification Stereotype
      Entry Stereotype
      Entry Relationship Stereotype
      Null Flavor Stereotype
      Text Value Stereotype
    Model-to-Model Transformation
      Invoke the Model-to-Model Transformation via Ant
      Generated OCL Constraints
        Generated Template Constraint
        Generated Property Constraints
        Generated Property Constraints
    Runtime API
      Code Generation
      Producing an XML instance (serialization)
      Consuming an XML instance (deserialization)
      Validation
  Introduction
  Standards Developers and Users
    Review CDA templates
      Open a model
      Using the MDHT UML Editor
    Create a new template
    Add template constraints
      Change attribute list
      Attribute constraints
        Multiplicity constraint
        Data type constraint
        Fixed structural code value
        Vocabulary constraint
        Text value constraint
      Association constraints
        Create a new association
        Association type code constraint
      Other general constraints
        Analysis language constraint
        OCL language constraint
      Severity and message
    Publish an Implementation Guide
    Create a new Implementation Guide
  Standards Implementers
    Model-Driven Development Process Overview
    UML Profile for CDA
      CDA Template Stereotype
      Code Generation Support Stereotype
      Vocabulary Specification Stereotype
      Entry Stereotype
      Entry Relationship Stereotype
      Null Flavor Stereotype
      Text Value Stereotype
    Model-to-Model Transformation
      Invoke the Model-to-Model Transformation via Ant
      Generated OCL Constraints
        Generated Template Constraint
        Generated Property Constraints
        Generated Property Constraints
    Runtime API
      Code Generation
      Producing an XML instance (serialization)
      Consuming an XML instance (deserialization)
      Validation