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Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides

HL7 Implementation Guide for CDA® Release 2: Long-Term Post-Acute Care Summary, DSTU Release 1 (US Realm)

DESCRIPTION

This guide describes the requirements to create a Long-Term Post-Acute Care (LTPAC) Summary Clinical Document Architechture (CDA) document. It leverages the CDA templates in the HL7 Implementation Guide for CDA Release 2.0, Consolidation, Release 1 (US Realm) Draft Standard for Trial Use[1] (Consolidated CDA) and introduces new templates when existing templates did not exist for new requirements.

A LTPAC Summary is a subset of elements from an existing questionnaire assessment instrument that are expressed using a “model of meaning” representation aligned with other CDA patterns published under Meaningful Use. The elements included in this guide were selected by members of the ONC’s Standards and Interoperability (S&I) Framework, under the Patient Assessment Summary Sub-Workgroup (PAS SWG). The members of the PAS SWG selected clinically relevant elements from the Minimum Data Set (MDS) and the Outcome and Assessment Information Set (OASIS).

ALTERNATIVE NAMES

HL7 Implementation Guide for CDA® Release 2: Long-Term Post-Acute Care Summary, DSTU Release 1 (US Realm) may also go by the following names or acronyms:

"HL7 IG for CDAR2: Long-Term Post-Acute Care Summary, R1"

TARGETS

  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)
  • EHR and PHR Vendors
  • Health Care IT Vendors

BENEFITS

  • Creates a medical summary document to enable and support the transition of Long-Term and Post-Acute Care (LT-PAC) patients across providers, and settings

IMPLEMENTATIONS/CASE STUDIES

  • Geisinger Health Systems

DEVELOPMENT BACKGROUND

The scope of this project meets the criteria for inclusion in Consolidated CDA (C-CDA).  The document code used "Summarization of Episode Note", reflects this scope. This implementation guide (IG) will be incorporated into C-CDA at some time in the future.

RELATED DOCUMENTS

HL7 Implementation Guide for CDA® Release 2: Long-Term Post-Acute Care Summary, DSTU Release 1 (US Realm)

STU DOCUMENTS

HL7 Implementation Guide for CDA® Release 2: Long-Term Post-Acute Care Summary, DSTU Release 1 Expiration Mar 2015

(Download) (3.80 MB)

TOPICS

  • Care Provision
  • Decision Support
  • Patient Care
  • Public Health

BALLOT TYPE

  • DSTU

STATUS DATE

2021-09-09

RESPONSIBLE WORK GROUP

Structured Documents

STAKEHOLDERS

  • Health Care IT Vendors
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)

FAMILY

  • CDA

CURRENT STATE

  • Retired

REALM

  • US Realm