HIT Standards: CDA, FHIR
HIMSS 2025
HIMSS 2025 was a great success for Lantana. We were thrilled to partner with other FHIRBall members in the exhibit hall again this year. The FHIR Business Alliance (FHIRBall) is a global partnership of organizations using the HL7® FHIR® standard to drive major changes in health IT. FHIRBall’s purpose is to expand FHIR knowledge, spread…
Read MoreThe NHSN’s Digital Quality Measures: CDC’s Automated Surveillance for Patient Safety
Lantana is proud to announce a new publication: “The NHSN’s digital quality measures: CDC’s automated surveillance for patient safety,” in the Journal of the American Medical Informatics Association (JAMIA). This article provides a comprehensive overview of our contributions to National Healthcare Safety Network (NHSN), highlighting our longstanding commitment to improving patient safety.
Read MoreToward Health Equity in Transfusion Medicine
Maternal Health Day of Action: Getting the Information Needed to Drive Change
Women in the United States die before, during, and after childbirth at a higher rate than any other developed nation in the world—a sobering fact highlighted by Vice President Kamala Harris on December 7, 2021 for the first-ever Maternal Health Call to Action Summit. In her opening remarks, Harris stated we know Black and Native…
Read MoreTransitioning from CDA to FHIR
FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.
Read MoreReduce Provider Burden by Rethinking the eCQM Development Process
I’ve looked at the feds, I’ve looked at the vendors,I’ve tried to find the keyto 50 million burdens. (with apologies to The Who) The electronic health record promised a transformation in the quality and accessibility of health information. It also promised relief from tedious paper-based documentation chores. The results, so far, are sobering. The transformative benefits…
Read MoreHas the Clock Run Out on Electronic Claims Attachments?
With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.
Read MoreElectronic Attachments Tell a Comprehensive Health Story
Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr. EDI Analyst at National Government Services, Inc., in presenting a HIMSS Health Story Project webinar on the attachment standards: their usage, the business case for…
Read MoreReporting Into the Antimicrobial Use and Resistance (AUR) Module
Hospitals report and analyze AUR data via the AUR Module. The AUR Module covers two reporting options, one for antimicrobial use (AU) and one for antimicrobial resistance (AR). Facilities can participate in one (just AU or just AR) or both (AU and AR) at any given time.
Read MoreCDA in the Wild: Conclusion (Installment #8)
Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.
Read MoreWhy Payers Should Play with FHIR
This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.
Read MoreWhy Payers Should Play with FHIR – Part 2
This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group meeting. Plan to arrive the evening before to settle in. Attendees can register as observers or participants. Review the Connectathon 14 wiki page before arriving.…
Read MoreNew Public CDA Stylesheet
Lantana is happy to announce the release of a new public CDA Stylesheet, an open-source renderer for CDA documents. The stylesheet transforms the XML of a CDA document into a webpage that can be viewed in a browser or other XSLT-compatible application.
Read MoreCDA in the Wild: Timing is Everything (Installment #7)
Will time be cruel to CDA? Some think so, we think it is still alive and kicking. The hard part of CDA has always been its HL7 V3 heritage, and it is HL7 V3, not CDA that needs to join the dinosaurs, buried in shale and crushed into carbon.
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Conversations from the SideFrontlines: Get Ready for CQL to Change the Game
The Clinical Quality Language is a new expression language that defines logic for quality artifacts. With its introduction into eCQMs, the industry has taken the first step towards a harmonized standards landscape.
Read MoreCDA in the Wild: Coded Data Issues (Installment #6)
This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer, who spent the later part of his career dedicated to Wild CDA research. Although he published many authoritative works on the species, Schneuer jealously…
Read MoreComments on Standards for Claims Attachments
Co-author: Kanwarpreet Sethi Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing on HIPAA and ACA Administrative Simplification — Phase IV Operating Rules and Attachment Standard (Part 2). We agree with the many comments urging a low…
Read More2017 Interoperability Standards Advisory
Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory). ONC’s consideration of public comments informs the development of the 2017 Advisory and prompts dialogue, debate, and consensus among industry stakeholders. Lantana’s response outlined suggestions…
Read MoreConversation from the Sidelines: HL7 January 2016 in Orlando, FL
“Conversation from the Sidelines” is a new series at Lantana’s blog. We’ll share experiences from conferences or events that gave us a different perspective on the industry. First up, the HL7 January 2016 Working Group Meeting (WGM) in Orlando, FL. gave me an opportunity to fill-in for Crystal Kallem as an Interim Co-Chair…
Read MoreCDA in the Wild: Narrative Issues (Installment #5)
A solitary Wild CDA has left its pride. We can only presume it is searching for a mate by its extravagantly complex header and the swish of its long tail of codes. However, research tells us that while a long code tail is nice to have, it is the mating call of the CDA,…
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