| 48765-2 | Allergies &or adverse reactions Doc | required |
| 8648-8 | Hospital course note | required |
| 11535-2 | Hospital dc px note | required |
| 10183-2 | Hospital discharge medications | required |
| 18776-5 | Plan of care note | required |
| 10154-3 | Chief complaint Reported | optional |
| 46239-0 | Chief complaint+Reason for visit | optional |
| 42344-2 | Discharge diet:Find:Pt:^Patient:Nar: | optional |
| 10157-6 | Hx of fam member ds note | optional |
| 47420-5 | Functional status note | optional |
| 10164-2 | Hx of Pres illness | optional |
| 46241-6 | Hospital admission Dx Reported | optional |
| 18841-7 | Hospital consultations Doc | optional |
| 8653-8 | Hosp Discharge instruct | optional |
| 10184-0 | Hospital discharge physical findings | optional |
| 11348-0 | Hx of Past illness note | optional |
| 47519-4 | Procedures Hx Doc | optional |
| 11369-6 | Hx of Immunization note | optional |
| 11450-4 | Problem list Reported | optional |
| 11493-4 | Hospital discharge studies summary | optional |
| 29299-5 | Reason for visit | optional |
| 10187-3 | Review of systems | optional |
| 29762-2 | Social hx note | optional |
| 8716-3 | Vital signs note | optional |
| 72229-8 | Discharge Sum C-CDA R1.1 Sections | |