Section 3: Clinical and Administrative Domains
Section 5: Implementation Guides
Section 7: Education & Awareness
HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, Release 1.1 - US Realm
The Consolidated Templated implementation guide contains a library of CDA templates, incorporating and harmonizing previous efforts from Health Level Seven (HL7), Integrating the Healthcare Enterprise (IHE), and Health Information Technology Standards Panel (HITSP). It represents harmonization of the HL7 Health Story guides, HITSP C32, related components of IHE Patient Care Coordination (IHE PCC), and Continuity of Care (CCD), and it includes all required CDA templates in Final Rules for Stage 1 Meaningful Use and 45 CFR Part 170 – Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule. It is commonly referred to as "Consolidated CDA" abbreviated C-CDA or CCDA.
- Architects and developers of healthcare information technology (HIT) systems in the US Realm that exchange patient clinical data
- Health Information Exchanges that comply to the Health Information Technology for Economic and Clinical Health (HITECH) provisions of the American Recovery And Reinvestment Act of 2009, the Final Rules for Stage 1 Meaningful Use, and the 45 CFR Part 170 – Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule.
- Immunization registries
- Standards Development Organizations (SDOs)
- EHR and PHR Vendors
- HIS Vendors
- Healthcare Institutions (hospitals, long term care, home care, mental health)
- Provides a single source for implementers to find CDA templates for nine different document types
- Business analysts and policy managers can gain a basic understanding of the use of Clinical Document Architecture (CDA) templates across multiple implementation use cases
- Provides guidance for transfer of care in the Continuity of Care Document (CCD)
- M*Modal Corporation
The Consolidated CDA was produced and developed through the joint efforts of Health Level Seven (HL7), Integrating the Healthcare Environment (IHE), the Health Story Project, and the Office of the National Coordinator (ONC) within the US Department of Health and Human Services (HSS).
The project was carried out within the ONC’s Standards and Interoperability (S&I) Framework as the Clinical Document Architecture (CDA) Consolidation Project with a number of goals, one of which is providing a set of harmonized CDA templates for the US Realm.
In the development of the Consolidated Templates specification, the Consolidation Project team reviewed the eight existing HL7 Health Story guides, CCD, and the additional constraints from IHE, HITSP and Stage 1 Meaningful Use.
The Consolidation Project team members completed the analysis by creating a fully compliant CCD document, then layering in the additional HITSP, IHE and Stage 1 Meaningful Use constraints. When a new constraint introduced an issue, conflict or ambiguity, the item was flagged for review with the full consolidation team. The full analysis covered the CDA Header, section-level and entry-level requirements sufficient for Stage 1 Meaningful Use. The Project also reviewed document and section-level requirements for the full set of document types.