HIT Standards: CDA, FHIR
Brag Blog: HAIMS Nails it for Veterans
The great thing about a career in health IT is that we have so many problems to solve. The drag is that it occasionally feels as if we operate on a treadmill of ever-receding achievement. In this space, I want to recognize a solid achievement in health IT in which Lantana played a part. It…
Read MoreRest Secure
A security update for the long-standing CDA style sheet is available from Lantana Consulting Group here. This update addresses a potential vulnerability exposed by use of the style sheet in many current internet applications by preventing malicious insertion of executable code into the display instructions for non-XML clinical documents (allowed as the body in Consolidated…
Read MoreProposed Voluntary Certification for Long-term and Post-acute Care (LTPAC) Providers
The Health IT Policy Committee’s Certification and Adoption Workgroup recently held a virtual hearing on a proposed long-term and post-acute care (LTPAC) certification program.
Read MoreConformance Drift in Consolidated CDA R2; Part Three of Three
The C-CDA Implementation Guide development team settled on five heuristics in resolving ballot comments grouped as “tighten constraints.” Here are my thoughts on the applicability of those heuristics.
Read MoreConformance Drift in Consolidated CDA R2; Part Two of Three
The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Here are some arguments towards constraint tightening.
Read MoreConformance Drift in Consolidated CDA R2; Part One of Three
The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Although tightened constraints sometimes are necessary, they may also represent bad spec design in the form of a “conformance drift,” a situation in which increasingly restrictive conformance verbs are applied to truly optional elements thus idealizing one implementation of the spec to the exclusion of others.
Read MoreTemplate Versioning for Consolidated CDA (C-CDA)
The HL7 Structured Documents Working Group (SDWG) is discussing approaches to template versioning in Consolidated CDA (C-CDA). I suggest here a strategy that is consistent with current policy on identifiers.
Read MorePublic Webinar This Week: Role of Standards in Quality Measurement
Crystal Kallem, RHIA, CPHQ, will review the current state and vision for quality measurement and the role of foundational quality specifications that are requirements in Meaningful Use Stage 2.
Read MoreJoin the Ballot Pool for C-CDA (by Monday)
As part of the ongoing effort to enable more consistent and accurate clinical data exchange, the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2 continues to build on the library of CDA R2 templates consolidated within the first release.
Read MoreAccelerating Health Information Exchange: Highlight from ONC/CMS Webinar
I recently dialed in for a webinar on Accelerating Health Information Exchange hosted by both the Office of the National Coordinator for HHS (ONC) and the Centers for Medicare and Medicaid (CMS). The government had received over 200 public comment submissions on policies that can strengthen the business case for exchanging information across providers seamlessly and securely. Here are some takeaways from the webinar.
Read MoreAdministrative Simplification: Highlight from CMS eHealth Summit Webinar
We believe C-CDA can provide the requisite information to automate the pre-authorization process, providing immense efficiencies for both providers and payers.
Read MoreUpdated C-CDA and QRDA Specs Now Available
The updates address errata approved by the HL7 Structured Document Work Group. Both draft standards for trial use are referenced in the Certification Criteria for Meaningful Use Stage 2…
Read MoreJoin Us: New Quality Reporting Track for CDA Academy VIII
We are excited to announce a new two-day track on Implementing Quality Reporting at CDA Academy VIII…
Read MoreAre There Really Any Health IT Standards?
“What would you say to someone who says, ‘There are no standards [in health IT].’?” …
Read MoreOur Perspective on Updating Consolidated CDA
Several proposals have come forward to augment HL7 Consolidated CDA with additional templates. The Structured Documents Work Group has taken the position that new templates supporting long term care will be added in an addendum rather than integrated into a new release of the spec. I think this position needs to be reconsidered both as a general course and for the specific material. Here’s why.
Read MoreHow green is greenCDA?
The answer is, “potentially, pretty darn green.” I was invited to speak at the 2nd Annual Global Healthcare Conference where the topic is the greening of healthcare – reducing the environmental impact of care delivery in the US and around the world…
Read MoreAcademy V: Around the Corner and Out on the West Coast
Hard to believe that we are already going into our fifth edition of the CDA Academy, the premier place to learn, absorb, ponder and explore everything related to the core specification behind Meaningful Use of electronic health records and all types of clinical information exchange.
Read MoreNew Tool for Managing CDA Templates Now Available
Our beta release of a tool for capturing, storing and managing CDA templates is now available through HL7.
Read MoreAcademy IV: Almost here…
The source for comprehensive training in the core specifications required for Meaningful Use, the CDA Academy, comes around again in Academy IV, now enhanced with a track for policy makers and planners.
Read MoreDirection Needed
Health Story recently participated in an advocacy day on Capitol Hill. I helped prepare a broadsheet, and it came to mind when I was asked (again) yesterday about recognition for the Consolidation Project effort.
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