Id2.16.840.1.113883.10.20.22.2.65Effective Date2016‑11‑01
Statusactive ActiveVersion Label2017
NameNotesSectionDisplay NameNotes Section
Description
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 a 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.65
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.202Containmentactive Note Activity (2017)2016‑11‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Example
Example
<section>
  <templateId extension="2016-11-01" root="2.16.840.1.113883.10.20.22.2.65"/>  <code code="11506-3" displayName="Progress note " codeSystem="2.16.840.1.113883.6.1"/>  <title/>  <text/>  <entry>
    <!-- template 2.16.840.1.113883.10.20.22.4.202 'Note Activity' (2016-11-01T00:00:00) -->
  </entry></section>
ItemDTCardConfDescriptionLabel
cda:section
Notedotstion
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:3250-16935) such that itCONFdots6935
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.65CONFdots6936
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.65" (CONF:3250-16936).
@extension
st1 … 1F2016-11-01CONFdots6938
 SHALL contain exactly one [1..1] @extension="2016-11-01" (CONF:3250-16938).
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 (CONF:3250-16892).CONFdots6892
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.68 Note Types (DYNAMIC)
cda:title
1 … 1SHALL contain exactly one [1..1] title (CONF:3250-16891).

This title should reflect the kind of notes included in this section, corresponding to the code.		CONFdots6891
cda:text
1 … 1SHALL contain exactly one [1..1] text (CONF:3250-16894).

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.		CONFdots6894
cda:entry
1 … *Contains 2.16.840.1.113883.10.20.22.4.202 Note Activity (2016‑11‑01)CONFdots6904