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Clinical Document Architecture (CDA)

NIST’s suite of CDA-based validation tools supports the conformance testing of standards and implementation guides based on HL7’s Clinical Document Architecture (CDA). 

The testing tools are designed to be used by HIT developers and implementers during the development of software that implements CDA-based specifications. These tools can be used for self-testing to determine if an XML instance document is correct with respect to the specifications identified.

The NIST CDA Guideline Validation tools are used by:

  • Implementers for self-testing,
  • The ONC Health IT certification in support of CMS Meaningful Use,
  • IHE Connect-a-thon testing events,
  • And other stakeholders

 

The document types validated by these tools include, but are not limited to:

  • HITSP C32: HITSP Summary Documents Using HL7 CCD
  • HL7 National Health Care Surveys document
  • HL7 Lab CDA
  • Cancer Registry submissions
  • Encounter Document (Referral and Discharge)
  • A range of document types under the IHE Patient Care Coordination (PCC) umbrella
  • Basic Patient Privacy Consent
  • And others
     

Downloads:

  • HITSP_C32_v_2_5_C83_v2_0_TestPackage_20171212.tar.gz – This test package contains the complete set of Schematron rules for the identified HITSP/C32 version (and the rules it points to in HITSP/C83 v2.0, IHE PCC and HL7 CDA4CDT) and an extended version of the CDA R2 schema defined by HITSP.
  • MeaningfulUse_Examples_Jan2011.tar.gz -- This package contains some example HITSP/C32 v2.5 (HITSP/C83 v2.0) documents. Please see the included README file for more information. Note that this package was designed for use with Meaningful Use, but can also be used with standard C32 implementations.
  • muValidation20101013.tar.gz -- This release contains the schema and schematron rules for HITSP/C32 v2.5 HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component (and all associated and referenced specifications) as referenced in Meaningful Use. Please read the included README.txt file for more information. See the included changelog.txt for a list of changes.
  • nhcsValidation12-1.2-20191218.tar.gz -- This release contains the schematron rules for National Health Care Surveys Release 1.2, DSTU Validation Tool version 1.2. It also includes the .war file download for location installation and a command-line version. Please read the included README.txt for more information.
  • muNchsValidation-1.1.3-20191219.tar.gz -- This release contains the schematron fules for National Health Care Surveys Release 1.0, DSTU Validation Tool. It also includes the .war file download for location installation and a command-line version. Please read the included README.txt for more information.
  • muCrValidation20130206.tar.gz -- This release contains the schematron rules for IG for Ambulatory Healthcare Provider Reporting to Central Cancer Registries (and all associated and referenced specifications) as referenced in Meaningful Use. It also includes a simple command-line utility for running schema/schematron validation and the .war file of this tool for local installation. Please read the included README.txt file for more information. See the included changelog.txt for a list of changes. This release is NOT the validation tool created by the CDC called the Cancer Report Validator (CRV).
Created March 7, 2025, Updated September 2, 2026
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