The composite triage and nursing note is a CDA document that may be submitted to an ED Folder in order to record the act of both triage and nursing care delivered to a patient in the emergency department. The ED nursing note is designed to support documentation sufficient to support transfer of care. It is recognized that the specification is not sufficient to document all medicolegal facets of care, and conversely that providers may not capture the entire list of sections, owing to patient presentation, acuity or time constraints. 