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VA Technical Reference Model v 24.4

Health Level Seven (HL7) Clinical Document Architecture (CDA) Release Two (R2) Implementation Guide: National Health Care Surveys (NHCS)
Health Level Seven (HL7) Clinical Document Architecture (CDA) Release Two (R2) Implementation Guide: National Health Care Surveys (NHCS) Standard or Specification

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Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: This standard is an HL7 Clinical Document Architecture (CDA) Implementation Guide for representing data extracted from provider systems as required by the Centers for Disease Control and Prevention`s National Center for Health Statistics (CDC/NCHS) for the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Care Survey (NHCS).

Standard(s) and implementation specification(s) are approved by the National Coordinator to meet the ONC Health IT Certification Program (Certification Program). For questions, please contact the VHA Office of Standards & Interoperability (Mailgroup: vhas&
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v23.10
Decision Date: 10/17/2023 at 15:01:15 UTC
Introduced By: TRM Request
Standards Body: HL7
- The information contained on this page is accurate as of the Decision Date (10/17/2023 at 15:01:15 UTC).