Recent Articles

Organizer required even if only one observation

August 29th, 2014|0 Comments

The article The organizer element, describes the usage and XML syntax of the clinical act statement named organizer, which is used in CDA documents to group together other, related clinical act statements, such as observation […]

“Condition” vs. “Disease” in Problem Type code values

August 22nd, 2014|0 Comments

There are four C-CDA entry templates which are designed for expressing observations of “problems” (the OID for the template identifier is show in parenthesis, following the template name):

Cognitive Status Problem Observation (2.16.840.1.113883.10.20.22.4.73)
Family History Observation (2.16.840.1.113883.10.20.22.4.46)
Indication […]

The Discharge Medications entry template

June 12th, 2014|0 Comments

Entry Templates
The article What is a CDA Template?, introduces the template concept in CDA. C-CDA entry templates, in particular, define the rules for clinical act statements (or particular sub-parts of a clinical act statement) in […]

The substanceAdministration element

June 12th, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document. Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise […]

The consumable element

June 12th, 2014|0 Comments

consumable is a Participation Element Under substanceAdministration
The consumable XML element in CDA documents, is one of several “participation” elements that connect roles/entities to clinical act statements. The following articles overview the relevant concepts for such […]

The manufacturedProduct element

June 12th, 2014|0 Comments

manufacturedProduct is the Role Element Under consumable
The article The substanceAdministration element, describes the substanceAdministration clinical act statement that is used in CDA documents – as well as its XML syntax. The substanceAdministration clinical act statement […]

The manufacturedMaterial element

June 12th, 2014|0 Comments

manufacturedMaterial is the Entity Element Under manufacturedProduct
The article The substanceAdministration element, describes the substanceAdministration clinical act statement that is used in CDA documents – as well as its XML syntax. The substanceAdministration clinical act statement […]

The manufacturedLabeledDrug element

June 12th, 2014|0 Comments

manufacturedLabeledDrug vs. manufacturedMaterial
In CDA, the manufacturedLabeledDrug XML element is almost identical in syntax and substance to the manufacturedMaterial element.

Conceptually, the manufacturedMaterial is intended to be more generic and cover all kinds of manufactured materials (medications, […]

The manufacturerOrganization element

June 12th, 2014|0 Comments

manufacturerOrganization is an Organization Element Under manufacturedProduct
The article The substanceAdministration element, describes the substanceAdministration clinical act statement that is used in CDA documents – as well as its XML syntax. The substanceAdministration clinical act statement […]

The maxDoseQuantity element

June 11th, 2014|0 Comments

maxDoseQuantity is a Sub-Element of substanceAdministration
The article The substanceAdministration element, describes the substanceAdministration clinical act statement that is used in CDA documents – as well as its XML syntax. The substanceAdministration clinical act statement represents […]

Procedures vs. acts vs. observations

May 1st, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document.

Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]

The observation element

May 1st, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document.

Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]

The procedure element

April 30th, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document. Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise […]

Why is “observation” under “entry”, “entryRelationship”, and “component”?

March 25th, 2014|0 Comments

The observation clinical act statement appears as an XML sub-element of three different parent elements in C-CDA documents:

entry
entryRelationship
component

why is this the case?

Clinical Act Statements
The article Clinical act statements, provides an overview of the clinical statements that […]

Act relationship elements

March 24th, 2014|0 Comments

The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document.

Clinical statements begin with an XML element of: act, encounter, procedure, observation, substanceAdministration, supply, or organizer.

Clinical act statements can […]

The organizer element

March 24th, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document.

Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]

The encounter element

February 28th, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document. Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]

The entryRelationship element

February 6th, 2014|0 Comments

In CDA documents, the entryRelationship element is used to connect clinical act statements to each other. It is one of several elements that connect clinical act statements – refer to the article, Act relationship elements, […]

The act element

February 6th, 2014|0 Comments

Clinical Statements
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document.

Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]

The classCode attribute

February 6th, 2014|0 Comments

Many CDA elements have a classCode attribute, including clinical statements in the CDA Body entries, as well as entities (people, places, things, organizations, roles, etc.) in the CDA Header and Body.

Those CDA elements that don’t have a […]

The moodCode attribute

February 6th, 2014|0 Comments

Many XML elements in CDA represent clinical act statements. The moodCode attribute in a clinical act statement qualifies the timing and intent of the clinical act.

The moodCode attribute values include:

“EVN”: The clinical statement/event already happened
This […]

The negationInd attribute

February 6th, 2014|0 Comments

The article Clinical act statements overviews the different XML elements contained withing entry elements, that express the core clinical statements in a CDA document.

Those clinical statement XML element are in turn contained within section elements, which in […]

Clinical act statements

February 6th, 2014|0 Comments

As noted in the article What is the high-level CDA document syntax?, clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the structured CDA Body.

A clinical […]

What XML elements and attributes are typically inside a clinical statement?

February 6th, 2014|0 Comments

Clinical Statement XML Entries
The article Clinical act statements, provides an overview of the clinical statements that form the “core” of a CDA document. Clinical statements are contained within entry elements, which in turn are contained within section elements, which in turn comprise the […]