fbpx
Wikipedia

Clinical Document Architecture

The HL7 Clinical Document Architecture (CDA) is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange. In November 2000, HL7 published Release 1.0. The organization published Release 2.0 with its "2005 Normative Edition".[1]

Clinical Document Architecture
AbbreviationCDA
StatusPublished
Year started1996 (1996)
First publishedNovember 2000 (2000-11)
Latest version2.0
2005
OrganizationHealth Level Seven International
CommitteeStructured Documents Group
Base standards
Related standards
DomainElectronic health records
WebsiteCDA® Release 2

Content edit

CDA specifies the syntax and supplies a framework for specifying the full semantics of a clinical document, defined by six characteristics:[2]

  1. Persistence
  2. Stewardship
  3. Potential for authentication
  4. Context
  5. Wholeness
  6. Human readability

CDA can hold any kind of clinical information that would be included in a patient's medical record; examples include:[1]

An XML element in a CDA supports unstructured text, as well as links to composite documents encoded in pdf, docx, or rtf, as well as image formats like jpg and png.[3]

It was developed using the HL7 Development Framework (HDF) and it is based on the HL7 Reference Information Model (RIM) and the HL7 Version 3 Data Types.[citation needed]

The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing). The structured part relies on coding systems (such as from SNOMED and LOINC) to represent concepts.[citation needed]

Consolidated Clinical Document Architecture edit

In 2012, in response to conflicting CDAs in use by the healthcare industry, the Office of the National Coordinator for Health Information Technology (ONC) streamlined commonly used templates to create the Consolidated-CDA (C-CDA).

Transport edit

The CDA standard doesn't specify how the documents should be transported. CDA documents can be transported using HL7 version 2 messages, HL7 version 3 messages, IHE protocols such as XDS, as well as by other mechanisms including: DICOM, MIME attachments to email, http or ftp.

Standard certification and adoption edit

The standard is certified by ANSI.[1]

CDA Release 2 has been adopted as an ISO standard, ISO/HL7 27932:2009.[4]

Country-specific implementations edit

Australia edit

Australia's Personally Controlled Electronic Health Record (PCEHR), known as "My Health Record", uses a specialized implementation of HL7 CDA Release 2.[5]

United Kingdom edit

In the UK the Interoperability Toolkit (ITK) utilises the "CDA R2 from HL7 V3 – for CDA profiles" for the Correspondence pack.[6][7]

United States edit

In the U.S. the CDA standard is probably best known as the basis for the Continuity of Care Document (CCD) specification, based on the data model as specified by ASTM's Continuity of Care Record. The U.S. Healthcare Information Technology Standards Panel has selected the CCD as one of its standards.[citation needed]

See also edit

References edit

  1. ^ a b c "FAQs". Health Level Seven International. Retrieved 10 August 2017.
  2. ^ "CDA® Release 2". Health Level Seven International. Retrieved 10 August 2017.
  3. ^ "HL7 Attachment Supplement Specification Release 2 Version 3.5".
  4. ^ "ISO/HL7 27932:2009 - Data Exchange Standards -- HL7 Clinical Document Architecture, Release 2".
  5. ^ . Australian Digital Health Agency. 27 September 2013. Archived from the original on 1 April 2018. Retrieved 10 August 2017.
  6. ^ "The Interoperability Toolkit". NHS Digital.
  7. ^ . Health and Social Care Information Centre. NHS CFH. Archived from the original on 17 May 2016. See 'What standards does ITK utilise?'

Further reading edit

  • Spronk, René (13 November 2007). HL7 version 3: message or document? (Whitepaper). Ringholm bv.
  • Boone, Keith W. (2011). The CDA Book. Springer Science & Business Media. ISBN 978-0-85729-336-7.

External links edit

  • "Structured Documents Group". Health Level Seven International. from the original on 26 February 2017.
  • . Hl7book. Archived from the original on 26 October 2008.
  • "What is HL7® CDA™?". iEHR.eu.
  • "C-CDA to SQL app and API". cda2sql.com.

clinical, document, architecture, this, article, multiple, issues, please, help, improve, discuss, these, issues, talk, page, learn, when, remove, these, template, messages, this, article, includes, list, general, references, lacks, sufficient, corresponding, . This article has multiple issues Please help improve it or discuss these issues on the talk page Learn how and when to remove these template messages This article includes a list of general references but it lacks sufficient corresponding inline citations Please help to improve this article by introducing more precise citations August 2017 Learn how and when to remove this message The examples and perspective in this article may not represent a worldwide view of the subject You may improve this article discuss the issue on the talk page or create a new article as appropriate August 2017 Learn how and when to remove this message Learn how and when to remove this message The HL7 Clinical Document Architecture CDA is an XML based markup standard intended to specify the encoding structure and semantics of clinical documents for exchange In November 2000 HL7 published Release 1 0 The organization published Release 2 0 with its 2005 Normative Edition 1 Clinical Document ArchitectureAbbreviationCDAStatusPublishedYear started1996 1996 First publishedNovember 2000 2000 11 Latest version2 02005OrganizationHealth Level Seven InternationalCommitteeStructured Documents GroupBase standardsXMLHL7 RIMRelated standardsCCDC CDADomainElectronic health recordsWebsiteCDA Release 2 Contents 1 Content 2 Consolidated Clinical Document Architecture 3 Transport 4 Standard certification and adoption 5 Country specific implementations 5 1 Australia 5 2 United Kingdom 5 3 United States 6 See also 7 References 8 Further reading 9 External linksContent editCDA specifies the syntax and supplies a framework for specifying the full semantics of a clinical document defined by six characteristics 2 Persistence Stewardship Potential for authentication Context Wholeness Human readability CDA can hold any kind of clinical information that would be included in a patient s medical record examples include 1 Discharge summary following inpatient care History amp physical Specialist reports such as those for medical imaging or pathology An XML element in a CDA supports unstructured text as well as links to composite documents encoded in pdf docx or rtf as well as image formats like jpg and png 3 It was developed using the HL7 Development Framework HDF and it is based on the HL7 Reference Information Model RIM and the HL7 Version 3 Data Types citation needed The CDA specifies that the content of the document consists of a mandatory textual part which ensures human interpretation of the document contents and optional structured parts for software processing The structured part relies on coding systems such as from SNOMED and LOINC to represent concepts citation needed Consolidated Clinical Document Architecture editIn 2012 in response to conflicting CDAs in use by the healthcare industry the Office of the National Coordinator for Health Information Technology ONC streamlined commonly used templates to create the Consolidated CDA C CDA Transport editThis section does not cite any sources Please help improve this section by adding citations to reliable sources Unsourced material may be challenged and removed August 2017 Learn how and when to remove this message The CDA standard doesn t specify how the documents should be transported CDA documents can be transported using HL7 version 2 messages HL7 version 3 messages IHE protocols such as XDS as well as by other mechanisms including DICOM MIME attachments to email http or ftp Standard certification and adoption editThe standard is certified by ANSI 1 CDA Release 2 has been adopted as an ISO standard ISO HL7 27932 2009 4 Country specific implementations editAustralia edit Australia s Personally Controlled Electronic Health Record PCEHR known as My Health Record uses a specialized implementation of HL7 CDA Release 2 5 United Kingdom edit In the UK the Interoperability Toolkit ITK utilises the CDA R2 from HL7 V3 for CDA profiles for the Correspondence pack 6 7 United States edit In the U S the CDA standard is probably best known as the basis for the Continuity of Care Document CCD specification based on the data model as specified by ASTM s Continuity of Care Record The U S Healthcare Information Technology Standards Panel has selected the CCD as one of its standards citation needed See also editEHRcom Health Informatics Service Architecture HISA Gello Expression Language Fast Healthcare Interoperability ResourcesReferences edit a b c FAQs Health Level Seven International Retrieved 10 August 2017 CDA Release 2 Health Level Seven International Retrieved 10 August 2017 HL7 Attachment Supplement Specification Release 2 Version 3 5 ISO HL7 27932 2009 Data Exchange Standards HL7 Clinical Document Architecture Release 2 PCEHR Medicare Overview CDA Implementation Guide v1 1 Australian Digital Health Agency 27 September 2013 Archived from the original on 1 April 2018 Retrieved 10 August 2017 The Interoperability Toolkit NHS Digital ITK FAQs Health and Social Care Information Centre NHS CFH Archived from the original on 17 May 2016 See What standards does ITK utilise Further reading editSpronk Rene 13 November 2007 HL7 version 3 message or document Whitepaper Ringholm bv Boone Keith W 2011 The CDA Book Springer Science amp Business Media ISBN 978 0 85729 336 7 External links edit Structured Documents Group Health Level Seven International Archived from the original on 26 February 2017 CDA Hl7book Archived from the original on 26 October 2008 What is HL7 CDA iEHR eu C CDA to SQL app and API cda2sql com Retrieved from https en wikipedia org w index php title Clinical Document Architecture amp oldid 1213179992, wikipedia, wiki, book, books, library,

article

, read, download, free, free download, mp3, video, mp4, 3gp, jpg, jpeg, gif, png, picture, music, song, movie, book, game, games.