| 51847-2 | Eval+Plan note | required |
| 51848-0 | Eval note | required |
| 18776-5 | Plan of care note | required |
| 48765-2 | Allergies &or adverse reactions Doc | optional |
| 10154-3 | Chief complaint Reported | optional |
| 69730-0 | Instructions | optional |
| 62387-6 | Interventions | optional |
| 10160-0 | Hx of Medication use | optional |
| 61149-1 | Objective | optional |
| 29545-1 | Physical findings note | optional |
| 11450-4 | Problem list Reported | optional |
| 30954-2 | Relevant dx tests/lab data note | optional |
| 10187-3 | Review of systems | optional |
| 61150-9 | Subjective | optional |
| 8716-3 | Vital signs note | optional |
| 72225-6 | Progress Nte C-CDA R1.1 Sections | |