HL7 FHIR® Implementation Guide: C-CDA on FHIR, Release 1

DESCRIPTION

Consolidated CDA (C-CDA) is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the ‘common/essential’ elements of healthcare is closely aligned with FHIR’s focus on the ‘80%’. There is significant interest in industry and government in the ability to interoperate between CDA and FHIR and C-CDA is a logical starting point. Implementers and regulators have both expressed an interest in the ability to map between FHIR and C-CDA.

This Implementation Guide (IG) defines a series of FHIR profiles on the Composition resource to represent the various document types in C-CDA. This release does not directly map every C-CDA template to FHIR profiles, rather tries to accomplish the C-CDA use case using Composition resource profiles created under this project (the equivalent of Level 2 CDA documents), and begins by linking to the profiles created under the US Core project for any coded entries that would normally be included in C-CDA sections. To have a simpler, more streamlined standard that reuses existing work and focuses on the 80% that implementers actually need in production systems, the resources of US Core represents a portion of the 80% needed for coded entries for coded entries of CCD, Care Plan & Discharge Summary).

 

See the specification at http://hl7.org/fhir/us/ccda/STU1.1

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: C-CDA on FHIR, Release 1 may also go by the following names or acronyms:

TARGETS

• Clinical and Public Health Laboratories
• Immunization Registries
• Quality Reporting Agencies
•  Standards Development Organizations (SDOs)
• Regulatory Agency
• Payors
• Pharmaceutical Vendors
• EHR, PHR Vendors
• Health Care IT Vendors
• Clinical Decision Support Systems Vendors
• Lab Vendors
• HIS Vendors
• Emergency Services Providers
• Local and State Departments of Health
• Medical Imaging Service Providers
• Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

• Creates FHIR profiles for C-CDA document types and templates
• Enables implementers to create FHIR documents that meet the C-CDA use case
• Supports the transition of clinical documents from CDA/HL7-V3 methodology to FHIR methodology.

IMPLEMENTATIONS/CASE STUDIES

• Lantana Consulting Group
• ONC-HIP participants (care plan documents created by Community Care of North Carolina, PioneerRx, QS/1, etc.)

DEVELOPMENT BACKGROUND

Consolidated CDA (C-CDA) is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the ‘common/essential’ elements of healthcare is closely aligned with FHIR’s focus on the ‘80%’. There is significant interest in industry and government in the ability to interoperate between CDA and FHIR and C-CDA is a logical starting point. Implementers and regulators have both expressed an interest in the ability to map between FHIR and C-CDA.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: C-CDA on FHIR, Release 1

STU DOCUMENTS

HL7 FHIR® Profile: C-CDA, Release 1 - US Realm Please see the resource detail for link and download instructions.

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TOPICS

• Cardiology
• Care Provision
• Clinical Quality
• Clinical Statement
• Community-Based Health
• Decision Support
• Emergency Management
• Financial Management
• Laboratory
• Medical Records
• Nutrition
• Patient Administration
• Patient Care
• Patient Referral
• Pharmacy
• Public Health

BALLOT TYPE

• STU

STATUS DATE

2018-09-17

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Services

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Emergency Services Providers
• Health Care IT Vendors
• Healthcare Institutions
• HIS Vendors
• Immunization Registries
• Lab Vendors
• Local and State Departments of Health
• Medical Imaging Service Providers
• Payors
• Pharmaceutical Vendors
• Quality Reporting Agencies
• Regulatory Agency
• Standards Development Organizations (SDOs)

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• Universal