HIT Standards: CDA, FHIR
Consolidated CDA: Pursuing Continuous Improvement
Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a base standard, called HL7 Clinical Document Architecture (CDA), to meet the requirements for care plan information sharing. The CDA standard is a draft standard for…
Read MoreCDA in the Wild: Validation and Schematron (Installment #4)
It has been weeks since our last episode. Frankly, the sight of that genetically mutated Wild-CDA/North-American-XHTML hybrid left my team so repulsed that many could not continue. But after discussing the importance of this work, and a few crew changes, we are back in the field. And we are documenting something never seen…
Read MoreQuality C-CDAs can lead to Quality Reporting
As standards developers and data analysts, we rely on finding patterns in our day to day work. We apply our patented “pattern recognition algorithm” (note: not a real patent) to identify the questions our clients ask most often. “How can we leverage our healthcare data to perform quality reporting?” Closely followed by, “and can we use C-CDA to import that data into our analytics environment?” Although we’d prefer a simple “yes”, the solution is rarely simple.
Read MoreASCO Augments Clinical Oncology Treatment Plan and Summary with Survivorship Care Plan
Co-authored by: Edward P. Ambinder, MD Jeremy L. Warner, MD The cancer journey, from diagnosis to treatment to survivorship, involves multiple interventions and stakeholders. Survivorship begins after completing a bulk of the definitive treatment, and addresses psychosocial developments, as well as late medical issues, resulting from treatment. In 2014, the American Society of Clinical Oncology…
Read MoreDraft 2016 Interoperability Standards Advisory: Lantana Response
Everyone understands today that standards for data, communication, and terminology are the lynch pins of health information exchange across clinical care. But who is doing something about it? Earlier this quarter, the Office of the National Coordinator (ONC) published a draft seeking feedback in three major areas: Vocabulary, Code Set, and Terminology Content and Structure…
Read MoreMIPS
Earlier this quarter, CMS came out with a rule that establishes a new methodology for MIPS eligible providers and encourages eligible professionals to participate in APMs. Lantana supports several stages in the value-based purchasing information lifecycle, and we have a sharp interest in the success of these programs as a transformative agent for healthcare. Our…
Read MoreCDA in the Wild: Validation – XML Schema (Installment #3)
During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast to uncover the cause of death. The immediate cause turned out to be a malformed end tag that resulted in catastrophic system failure. Further…
Read MoreCDA In The Wild: Basic XML Issues (Installment #2)
Move in closer now…do you see that? It’s a wild CDA lying motionless in the grass. Surely it’s waiting for prey to…wait, it’s not moving – something’s wrong… Ah, this one was dead when we got here. A fair number of wild CDAs suffer from basic XML issues. This means they are…
Read MoreCDA in the Wild – Introduction
Shh…
…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).
What Does LTPAC Want – for Interoperability?
The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Collaborative held its 10th Annual Summit in Baltimore at the end of June. HIT leaders, policy makers, providers, and vendors, convened to discuss industry initiatives and priorities from the Collaborative’s latest Roadmap for Health IT in LTPAC. We participated in and attended several sessions on continuity of care and quality reporting.
Read MoreThe Lifecycle of a Template – Part 2: Template Characteristics and Lifecycle
HIT Stakeholders at all levels benefit from understanding the template lifecycle. System engineers and clinical analysts who design templates, implementers who use templates, and participants who govern templates need this knowledge to do their jobs. Understanding the lifecycle of a template requires you have the following: Appreciation the relationship between a template and its versions.…
Read MoreThe Lifecycle of a Template – Part 1: Stability and Progress
A template’s inaugural design often doesn’t seem like a “version”. It is difficult for designers while working closely to solve a problem, to envision that someday, perhaps even in the not too distant future, the solution they are in the midst of creating will need to change. And so it is with templates.
Read MoreWhat’s New in Trifolia 2.17
The most recent Trifolia update addresses requesting permissions, permissions notifications, default setting for exporting to MS Word and MS Word value set settings. Read our latest blog post for details of the full development log.
Read MoreHIT on Parade at the 2015 American Society of Clinical Oncology (ASCO) Annual Meeting
HIT vendors eager to advance the cause of shareable clinical information – and their products – can do so this Spring in a first-of-a-kind interoperability demonstration. ASCO is not primarily a trade or HIT show. It is the central venue for 25,000+ cancer clinicians, researchers, and other stakeholders from around the world.
Read MoreWhat’s New in Trifolia 2.16?
Released on Thursday, Oct 23, 2014 Retired Template Status Trifolia now supports a “Retired” template status, representing a template that should no longer be used. The Retired status is only used on templates that have been versioned. The Retired status omits the template from the main body of the MS Word document and includes an…
Read MoreFree Text Sig
Discord is afoot. It has been for some time now. The cause is a little understood data element known as “Free Text Sig”.
Read MoreCDA Experts on FHIR
At Lantana, we are all pretty comfortable working with CDA. I think we are also pretty open to understanding its limitations. The current CDA, Release 2, was developed ten years ago. It was designed to meet a range of requirements from simple, transformed-from-dictation documents to fully coded, semantically interoperable reports. A key design consideration, a requirement for passing ballot within HL7 at that time, was full compatibility with Version 3 messaging and an explicit tie-in to the Reference Information Model (RIM).
Read MoreWhat’s New in Trifolia 2.15
The latest release of Trifolia is available. Check out what is new in Trifolia 2.15.
Read MoreWhat’s new in Trifolia 2.14
Trifolia version 2.14 is now available. Several updates have been made to the user interface, template editor, template viewer and browsing functions to improve user experience.
Read MoreProposed Delays to 2014 Meaningful Use Timeline & and Changes to Certified Electronic Health Care Technology (CEHRT). How will you be affected?
Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary together outlining the changes and how they may affect vendors and care providers. The full fact sheet can be found here. Why the change? CMS…
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