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This page documents the history of all produced Value Set Expansion Packages (and errata/updates to those Expansion Packages) for the C-CDA R2.1 specification.

The Structured Documents Work Group supports the evolution of C-CDA value sets by doing an annual release and value set errata updates between the annual releases.  This Confluence page lists the releases of the Value Set Release Package and all Value Set errata that need to been applied to the annually released package.

VSAC is the source of truth for C-CDA R2.1 Value Set Expansion Packages.  The Expansion Packages include documentation of all C-CDA value sets contained in the Package as well as those that are not available via the VSAC.

The Version column contains the label assigned to the Expansion Package. The Version label indicates the date when a Expansion Package is officially published. The Type column indicates if the linked resource is a value set errata/update or an expansion package. The Description column provides a link to the package value set expansion. 

Current Version
2020-07-13Expansion Package

C-CDA R2.1 Value Sets Available in VSAC, Publication Date: July 13, 2020


Updated Advance Directive Content Type SCT urn:oid: 2.16.840.1.113762.1.4.1115.5 

Expanded to include two additional terms: Organ donation (procedure), Healthcare decision making

Published on 2020-10-16


Updated Substance Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1

Added initial SNOMED CT drug classes to replace NDF-RT in response to C-CDA STU Comment #2034

Ongoing issues and discussion on confluence page for this value set here: C-CDA Value Set - Substance Reactant for Intolerance

Published on 2020-10-XX

Next Version
Next annual update.
Prior Versions

Updated Note Type Value Set (2.16.840.1.113883.

Expanded set of LOINC codes for section- and entry-level clinical notes.


Updated Value Set for Care Team Member Function (2.16.840.1.113762.1.4.1099.30)

Removed the code for Primary Care Physician from the SNOMED CT member value set to remove conflict with the PCP code for Primary Care Physician in the Participation Function member value set.


Updated Value Set AgePQ_UCUM (2.16.840.1.113883.

Removed two erroneous codes H (Henry) and A (ampere).


Updated Value Set for DIRSectionTypeCodes (2.16.840.1.113883.


2019-06-28Expansion Package

C-CDA R2.1 Value Sets Available in VSAC, Publication Date: June 28, 2019


errata Value Set Expansions

ExtendedPregnancyStatus.xlsx urn:oid:2.16.840.1.113762.1.4.1099.24

PatientEducation.xlsx urn:oid:2.16.840.1.113883.
SocialHistoryType.xlsx urn:oid:2.16.840.1.113883.
SPLDrugRouteOfAdministrationTerminology.xlsx urn:oid:2.16.840.1.113883.
SubstanceReactantForIntolerance.xlsx urn:oid:2.16.840.1.113762.1.4.1010.1
VitalSignResultType.xlsx urn:oid:2.16.840.1.113883.


errata Value Set Expansion

Care Plan Document Type urn.oid:2.16.840.1.113762.1.4.1099.10

2018-06-15Expansion Package

C-CDA R2.1 Value Sets Available in VSAC, Publication Date: June 15, 2018


C-CDA R2.1 Value Sets Available in VSAC, Publication Date: February 01, 2018


C-CDA R2.1 Value Sets Available in VSAC, Publication Date: June 09, 2017


C-CDA R1.1 Value Sets Available in VSAC, Publication Date: June 23, 2016

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