NotesSection

Notes Section

draftC-CDA Templates4.0.0logical10 key elements

The Notes Section allow for inclusion of clinical documentation which does not fit precisely within any other C-CDA section. Multiple Notes sections may be included in a document provided they each include different types of note content as indicated by a different section.code. The Notes Section SHOULD NOT be used in place of a more specific C-CDA section. For example, notes about procedure should be placed within the Procedures Section, not a Notes Section. When a Notes Section is present, Note Activity entries contain structured information about the note information allowing it to be more machine processable.

#### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Required Entries: NoteActivity

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/NotesSection
ID
NotesSection
Type
Base Definition
Section
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:section1..1
1+
templateId.root
1+
templateId.extension
1+
code
1+
code.code
1+
code.codeSystem
1+
title
1+
This title should reflect the kind of notes included in this section, corresponding to the code.
text
1+
The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread.
entry.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+