HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm

DESCRIPTION

The Companion Guide to Consolidated Clinical Document Architecture (CDA) for Meaningful Use Stage 2 provides supplemental guidance to the “HL7 Implementation Guide for CDA Release 2: Integrating Health Enterprise (IHE) Health Story Consolidation, Draft Standard for Trial Use (DSTU) Release 1.1 - US Realm, July 2012” in the context of the 2014 Edition Certified Electronic Health Record Technology (CEHRT) requirements.

The summary types identified for Meaningful Use Stage 2 do not equate to a specific CDA document or purpose, but represent a collection of data requirements to be included for various MU2 objectives. The purpose of the guide is to supplement the Consolidated CDA implementation guide by providing additional clinical and functional context to assist implementers and offers practical guidance that is outside the scope of HL7 balloted standards.

ALTERNATIVE NAMES

HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm may also go by the following names or acronyms:

TARGETS

• EHR- PHR Vendors
• Health Care IT Vendors
• Emergency Services Providers
• Medical Imaging Service Providers
• Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

• Promote understanding of basic CDA concepts that are important to understand prior to implementing the 2014 Ed. CEHRT requirements
• Provide guidance on the 2014 Ed. CEHRT requirements and representations in the Consolidated CDA format, including alignment to the CDA document templates currently included in the Consolidated CDA implementation guide
• Recommend an approach that satisfies the 2014 Ed. CEHRT requirements and meets the needs of clinicians performing EHR Incentive Program, Stage 2 objectives
• Highlight additional resources for CDA, 2014 Ed. CEHRT requirements, vocabularies, and implementation tool

IMPLEMENTATIONS/CASE STUDIES

• Previously published by the S&I Transition of Care (“TOC”) Initiative, this informative document was balloted at HL7 and has been updated with minor revisions, corrections and additional references to better serve the implementation community

DEVELOPMENT BACKGROUND

As a companion, or a supplement, to the Consolidated CDA implementation guide, the Companion Guide is informative guidance and does not impose new constraints beyond those in the Consolidated CDA implementation guide or called for in the 2014 Ed. CEHRT requirements. The Standards & Interoperability (S&I) Framework, enabled by the Office of the National Coordinator (ONC) for Health Information Technology, Office of Science & Technology (OST) facilitated the development of the Companion Guide with leadership from the Implementation Guidance Sub-Workgroup (IG SWG), Transitions of Care (ToC) Initiative.

RELATED DOCUMENTS

HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm

(Download) (3.04 MB)

TOPICS

• Clinical Statement
• HHSFR
• Patient Care
• Patient Referral

BALLOT TYPE

• Informative

STATUS DATE

2014-10-20

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• Emergency Services Providers
• Health Care IT Vendors
• Healthcare Institutions
• Medical Imaging Service Providers

FAMILY

• CDA

CURRENT STATE

• Stable

REALM

• US Realm