Opinion
Comments 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 MoreConsolidated 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 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 MoreAre There Really Any Health IT Standards?
“What would you say to someone who says, ‘There are no standards [in health IT].’?” …
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