List of Supported 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 , Review of Systems , Results , Problem , Chief Complaint , Assessment , Nutrition , Objective , Assessment and Plan , Physical Exam , Interventions , Instructions , Subjective |
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 , Admission Diagnosis , Discharge Diagnosis , Medications , Encounters , Vital Signs , Procedures , Medical Equipment , Functional Status , Plan of Treatment , Past Medical History , Review of Systems , Results , Problem , Social History , Family History , General Status , Mental Status , Course of Care , Assessment , Nutrition , Payers , Admission Medications , Assessment and Plan , Reason for Referral , 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 , Past Medical History , Review of Systems , Results , Problem , Social History , Family History , General Status , Mental Status , Assessment , Nutrition , Reason for Referral , Assessment and Plan , 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. | Chief Complaint and Reason for Visit , Allergies and Intolerances , History of Present Illness , Immunizations , Procedures , Medications , Vital Signs , Plan of Treatment , Past Medical History , Review of Systems , Results , Problem , Reason for Visit , Social History , Family History , Chief Complaint , General Status , Assessment , Assessment and Plan , 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. | Chief Complaint and Reason for Visit , Allergies and Intolerances , History of Present Illness , Advance Directives , Immunizations , Procedures , Medications , Vital Signs , Medical Equipment , Functional Status , Plan of Treatment , Past Medical History , Review of Systems , Results , Problem , Reason for Visit , Social History , Family History , Chief Complaint , Mental Status , General Status , Assessment , Nutrition , Assessment and Plan , 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. | Chief Complaint and Reason for Visit , Procedure Estimated Blood Loss , Allergies and Intolerances , Medications Administered , History of Present Illness , Procedure Specimens Taken , Postprocedure Diagnosis , Medical (General) History , Procedure Disposition , Procedure Description , Procedures , Medications , Procedure Implants , Plan of Treatment , Past Medical History , Review of Systems , Reason for Visit , Social History , Family History , Chief Complaint , Complications , Assessment , Procedure Indications , Assessment and Plan , Procedure Findings , Planned Procedure , Physical Exam , 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. | Operative Note Surgical Procedure , Procedure Estimated Blood Loss , Procedure Specimens Taken , Preoperative Diagnosis , Procedure Disposition , Procedure Description , Operative Note Fluids , Procedure Implants , Plan of Treatment , Complications , Postoperative Diagnosis , Procedure Indications , Procedure Findings , Planned Procedure , Surgical Drains , 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 Studies Summary , Chief Complaint and Reason for Visit , Hospital Discharge Instructions , Hospital Discharge Physical , Allergies and Intolerances , History of Present Illness , Hospital Consultations , Immunizations , Admission Diagnosis , Discharge Diagnosis , Procedures , Vital Signs , Functional Status , Plan of Treatment , Past Medical History , Review of Systems , Problem , Reason for Visit , Social History , Family History , Chief Complaint , Hospital Course , Nutrition , Admission Medications , 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. |