Rob Brull, Corepoint Health's product manager and instructor of our CDA & CCD First Steps training course, recently wrote a new white paper on everyone's favorite healthcare standard to hate – Consolidated Clinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down the document in generic, unnamed, and non-templated sections. Documents can include discharge summaries, progress notes, history and physical reports,... (C-CDA).
Rob, who is an HL7 CDA-certified instructor, wanted to offer a deeper dive into the Meaningful Use-mandated standard because there is so much speculation about the standard throughout the industry due to a lack of real-world testing and multiple variations of C-CDAs produced by EHR vendors. Rob's deep dive into C-CDA, titled, "Untangling Consolidated CDA in Meaningful Use Stage 2," takes a historical approach to answer the three following questions:
- How is Consolidated CDA different from CDA?
- How is Continuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between clinical applications. Furthermore, it responds to the need to organize and make transportable a set of basic information about a patient’s health ... related to Continuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR)... and CDA?
- Summary of Care, Patient Summary, Clinical Summary and Export Summary: What are they?
Meaningful Use requires eligible hospitals and professionals to meet objectives that utlilize C-CDA to pass Meaningful Use. Rob provides a full overview of the core objectives, which are required, and the list of menu objectives that both groups can chose from. The objectives include transfer of care (summary of care); view, download and transmit (patient summary); and clinical summary.
The key takeaway I took from the paper was that C-CDA is a huge improvement over the standards required in Meaningful Use Stage 1, but there is still much work that needs to be done to make this a true standard that can be more easily integrated and produced in a consistent format by all Electronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform... systems.Healthcare Interoperability, HL7, Meaningful Use HiTech