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 , 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 , 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.

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 , 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.

Section Name	LOINCs	Alias	Narrative
Admission Diagnosis Section (V3)	46241-6	admission-diagnosis	✅
Advance Directives Section (entries optional) (V3)	42348-3	advance-directives	❌
Advance Directives Section (entries required) (V3)	42348-3	advance-directives	❌
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	❌
Chief Complaint Section	10154-3	chief-complaint	❌
Chief Complaint and Reason for Visit Section	46239-0	chief-complaint-and-reason-for-visit	❌
Complications Section (V3)	55109-3	complications	✅
Course of Care Section	8648-8	course-of-care	❌
DICOM Object Catalog Section - DCM 121181	121181	diagnostic-imaging-report	❌
Default Section Rules		default	❌
Discharge Diagnosis Section (V3)	11535-2	discharge-diagnosis	✅
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	❌
General Status Section	10210-3	general-status	❌
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 Consultations Section	18841-7	hospital-consultations	❌
Hospital Course Section	8648-8	N/A	❌
Hospital Discharge Instructions Section	8653-8	N/A	❌
Hospital Discharge Physical Section	10184-0	hospital-discharge-physical	❌
Hospital Discharge Studies Summary Section	11493-4	hospital-discharge-studies-summary	❌
Immunizations Section (entries optional) (V3)	11369-6	immunizations	✅
Immunizations Section (entries required) (V3)	11369-6	immunizations	✅
Medical (General) History Section	11329-0	medical-general-history	❌
Medical Equipment Section (V2)	46264-8	medical-equipment	✅
Medications Administered Section (V2)	29549-3	medications	✅
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	❌
Objective Section	61149-1	objective	❌
Operative Note Fluids Section	10216-0	operative-note-fluids	❌
Operative Note Surgical Procedure Section	10223-6	operative-note-surgical-procedure	❌
Past Medical History (V3)	11348-0	past-medical-history	✅
Payers Section (V3)	48768-6	payers	❌
Plan of Treatment Section (V2)	18776-5	plan-of-treatment	✅
Postprocedure Diagnosis Section (V3)	59769-0	postprocedure-diagnosis	✅
Preoperative Diagnosis Section (V3)	10219-4	preoperative-diagnosis	✅
Problem Section (entries optional) (V3)	11450-4	problems	✅
Problem Section (entries required) (V3)	11450-4	problems	✅
Procedure Description Section	29554-3	procedure-description	❌
Procedure Disposition Section	59775-7	procedure-disposition	❌
Procedure Estimated Blood Loss Section	59770-8	procedure-estimated-blood-loss	❌
Procedure Implants Section	59771-6	procedure-implants	❌
Procedure Specimens Taken Section	59773-2	procedure-specimens-taken	❌
Procedures Section (entries optional) (V2)	47519-4	procedures	✅
Procedures Section (entries required) (V2)	47519-4	procedures	✅
Reason for Visit Section	29299-5	reason-for-visit	❌
Results Section (entries optional) (V3)	30954-2	results	✅
Results Section (entries required) (V3)	30954-2	results	✅
Review of Systems Section	10187-3	review-of-systems	❌
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

Admission Diagnosis Section (V3)

46241-6

admission-diagnosis

✅

Advance Directives Section (entries optional) (V3)

42348-3

advance-directives

❌