List of supported templates

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

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 , Plan of Treatment , Medical Equipment , Functional Status , Social History , Family History , Mental Status , Immunizations , Vital Signs , Medications , Encounters , Procedures , Nutrition , Results , Problem , 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 , Assessment and Plan , Review of Systems , Plan of Treatment , Chief Complaint , Physical Exam , Interventions , Instructions , Vital Signs , Medications , Subjective , Assessment , Nutrition , Objective , Results , Problem

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.

History of Present Illness , Allergies and Intolerances , Admission Medications , Past Medical History , Admission Diagnosis , Assessment and Plan , Reason for Referral , Discharge Diagnosis , Advance Directives , Review of Systems , Plan of Treatment , Medical Equipment , Functional Status , Course of Care , General Status , Social History , Family History , Mental Status , Immunizations , Physical Exam , Vital Signs , Medications , Assessment , Procedures , Encounters , Nutrition , Results , Problem , Payers

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 , Past Medical History , Reason for Referral , Assessment and Plan , Advance Directives , Medical Equipment , Functional Status , Review of Systems , Plan of Treatment , General Status , Social History , Family History , Mental Status , Physical Exam , Immunizations , Medications , Vital Signs , Assessment , Procedures , Nutrition , Results , Problem

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 Status Evaluations and Outcome , Health Concerns , Interventions , Goals

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 , History of Present Illness , Allergies and Intolerances , Past Medical History , Assessment and Plan , Review of Systems , Plan of Treatment , Reason for Visit , Chief Complaint , Social History , General Status , Family History , Physical Exam , Immunizations , Instructions , Vital Signs , Medications , Procedures , Assessment , Results , Problem

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 , Past Medical History , Assessment and Plan , Advance Directives , Medical Equipment , Review of Systems , Functional Status , Plan of Treatment , Reason for Visit , Chief Complaint , Social History , General Status , Family History , Mental Status , Immunizations , Physical Exam , Vital Signs , Medications , Procedures , Assessment , Nutrition , Results , Problem

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 , History of Present Illness , Allergies and Intolerances , Procedure Specimens Taken , Medications Administered , 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 , Plan of Treatment , Reason for Visit , Chief Complaint , Social History , Family History , Physical Exam , Complications , Medications , Procedures , Anesthesia , Assessment

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 , Postoperative Diagnosis , Preoperative Diagnosis , Procedure Indications , Procedure Disposition , Operative Note Fluids , Procedure Description , Procedure Implants , Procedure Findings , Planned Procedure , Plan of Treatment , 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.

Chief Complaint and Reason for Visit , Hospital Discharge Studies Summary , Hospital Discharge Instructions , Hospital Discharge Physical , History of Present Illness , Allergies and Intolerances , Hospital Consultations , Admission Medications , Past Medical History , Admission Diagnosis , Discharge Diagnosis , Review of Systems , Functional Status , Plan of Treatment , Reason for Visit , Chief Complaint , Hospital Course , Discharge Meds , Social History , Family History , Discharge Meds , Immunizations , Vital Signs , Procedures , Nutrition , Problem

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.

Section Name	LOINCs	Alias	Narrative
Allergies and Intolerances Section (entries optional) (V3)	48765-2	allergies	✅
Allergies and Intolerances Section (entries required) (V3)	48765-2	allergies	✅
Assessment Section	51848-0	N/A	❌
Default Section Rules		default	❌
Document Header		header	❌
Encounters Section (entries optional) (V3)	46240-8	encounters	❌
Encounters Section (entries required) (V3)	46240-8	encounters	✅
Family History Section (V3)	10157-6	family-history	❌
Functional Status Section (V2)	47420-5	funcstatus	❌
Goals Section	61146-7	goals	✅
Health Concerns Section (V2)	75310-3	health-concerns	❌
History of Present Illness Section	10164-2	history-of-present-illness	✅
Hospital Course Section	8648-8	N/A	❌
Hospital Discharge Instructions Section	8653-8	N/A	❌
Immunizations Section (entries optional) (V3)	11369-6	immunizations	✅
Immunizations Section (entries required) (V3)	11369-6	immunizations	✅
Medical Equipment Section (V2)	46264-8	medical-equipment	✅
Medications Section (entries optional) (V2)	10160-0	medications	✅
Medications Section (entries required) (V2)	10160-0	medications	✅
Mental Status Section (V2)	10190-7	mental-status	❌
Notes	18748-4, 11488-4, 28570-0, 11502-2, 34117-2, 18842-5, 11506-3	N/A	✅
Nutrition Section	61144-2	nutrition	❌
Payers Section (V3)	48768-6	payers	❌
Plan of Treatment Section (V2)	18776-5	plan-of-treatment	✅
Problem Section (entries optional) (V3)	11450-4	problems	✅
Problem Section (entries required) (V3)	11450-4	problems	✅
Procedures Section (entries optional) (V2)	47519-4	procedures	✅
Procedures Section (entries required) (V2)	47519-4	procedures	✅
Results Section (entries optional) (V3)	30954-2	results	✅
Results Section (entries required) (V3)	30954-2	results	✅
Social History Section (V3)	29762-2	social-history	✅
Vital Signs Section (entries optional) (V3)	8716-3	vital-signs	✅
Vital Signs Section (entries required) (V3)	8716-3	vital-signs	✅

Section Name

LOINCs

Alias

Narrative

Allergies and Intolerances Section (entries optional) (V3)

48765-2

allergies

✅

Allergies and Intolerances Section (entries required) (V3)

48765-2

allergies

✅