Posts Tagged ‘C-CDA’
Predictable Reporting: Community Pharmacists as Care Team Members within the Medical Neighborhood
Community Care of North Carolina (CCNC), the primary care case management program for NC Medicaid, found that it needed consistent, structured, and coded data from its community pharmacy partners in the Community Pharmacy Enhanced Services Network (CPESN) in order to support quality metrics. During the initial years of CPESN pharmacy partnerships, community pharmacy encounters with…
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 MoreTrifolia Release 3: New Functionalities
Co-author: Robin Williams, RN Trifolia (https://trifolia.lantanagroup.com/) is a web-based tool for standards development work. Trifolia produces HL7 Clinical Document Architecture (CDA) templates and Fast Healthcare Interoperability Resources (FHIR) profiles. Trifolia helps users rapidly develop standards-compliant electronic documents for cost-effective standards implementation. See https://www.lantanagroup.com/resources/trifolia/ for a full description of Trifolia and its existing features. …
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 MoreDevelopment, implementation, and initial evaluation of a foundational open interoperability standard for oncology treatment planning and summarization, JAMIA January 2015
Authors: Jeremy L. Warner, Suzanne E. Maddux, Kevin S. Hughes, John C. Krauss, Peter Paul Yu, Lawrence N. Shulman, Deborah K. Mayer, Mike Hogarth , Mark Shafarman , Allison Stover Fiscalini, Laura Esserman, Liora Alschuler , George Augustine Koromia, Zabrina Gonzaga, Edward P. Ambinder The objective of this article was to develop and evaluate a foundational oncology-specific standard for…
Read MoreAre Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative
Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal incentive program for EHR adoption, known as Meaningful Use, requires use of the Consolidated Clinical Document Architecture (C-CDA) for document exchange. In an effort to…
Read MoreSMARTPlatforms.org: “C-CDA Endoscopy, or Improving Clinical Document Exchange” by David Kreda and Joshua Mandel
In 2014, the industry will see wide-scale production and exchange of Consolidated CDA documents among healthcare providers. Indeed, live production of C-CDAs is already underway for anyone using a Meaningful Use 2014 certified EHR. C-CDA documents fuel several aspects of meaningful use, including transitions of care and patient-facing download and transmission. SMART Platforms Project is…
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 MoreNow Available: Write-Enabled Trifolia Workbench
The write-enabled version of the Trifolia Workbench: HL7 Web Edition is now available for HL7 members.
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 MoreReady for Write-Enabled Trifolia Workbench?
Lantana will soon release an enhanced, write-enabled version of the Trifolia Workbench: HL7 Web Edition for HL7 Members. Trifolia Workbench is a web-based standards development tool that supports designers, developers and implementers in capturing and managing HL7 RIM-based templates, such as the Clinical Document Architecture (CDA) and the Healthcare Quality Measure Format (HQMF/eMeasure).
Read MoreCDA Academy Hat Visits Machu Picchu
CDA Academy Alumnus, David Swiezy, Allscripts, took his CDA Academy hat along on several adventures—to Machu Picchu in Peru and to the Galapagos Islands.
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 MoreWhere’s Your Hat?
Each student who attends our CDA Academy workshop receives a super soft, unstructured, eco-friendly, bamboo and cotton blend, red hat with white CDA Academy logo. We’ve been handing out the same popular hat for the past eight workshops…
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 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.
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