Consolidated Clinical Document Architecture

C-CDA

clinical

Updated 5/15/2026

Definition

An HL7 standard XML-based document framework used in EHR and HIE interoperability workflows to structure clinical documents including CCDs, discharge summaries, and progress notes. C-CDA documents are exchanged via Direct messaging and FHIR pipelines to support care transitions and regulatory reporting requirements.

Standard Abbreviation

C-CDA

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  c-cda VARCHAR(100),  -- Consolidated Clinical Document Architecture (max 100 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  c-cda as consolidated_clinical_document_architecture
FROM claims;

Common uses in healthcare data

Risk stratification and population health analytics
CMS-HCC risk adjustment and RAF score calculation
Quality measure attribution and HEDIS reporting
Clinical data warehouse schema design
Value-based care contract performance tracking

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
c_cda

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  c_cda        VARCHAR(100),  -- Consolidated Clinical Document Architecture (max 100 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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