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CDA R3 simply external references

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Return to SDTC page; Return to CDA R3 Formal Proposals page.

See CDA R3 Formal Proposals for instructions on using this form. Failure to adhere to these instructions may result in delays. Editing of formal proposals is restricted to the submitter and SDTC co-chairs. Other changes will be undone. Comments can be captured in the associated discussion page.

(An announcement of this proposal must be submitted to the Structured Documents list to be formally submitted.)

Submitted by: <<Name>> Revision date: <<Revision Date>>
Submitted date: <<Submit Date>> Change request ID: <<Change Request ID>>


The current approach to linking graphics requires the use of observationMedia inside an entry. This makes it impossible to reference graphics in Level 1 CDA documents (which by definition contain no coded entries).


  • Allow renderMultiMedia to reference graphics directly by URL. An possible example is shown below:
  <renderMultiMedia mediaType="image/gif" value="lefthand.gif"/>

... or if we decide to allow XHTML in the body:

  <xhtml:img src="lefthand.gif"/>



Recommended Action Items


March 23, 2010: renderMultiMedia can be used in a CDA L1 document. It's important that it be used when referencing attested content, because the corresponding entry has additional details (such as ID, etc). Opposed: 0; Abstain: 0; In favor: 6.