Section 1a: Clinical Document Architecture (CDA®)

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R1 Companion Guide, Release 1 - US Realm

DESCRIPTION

The Companion Guide to Consolidated Clinical Document Architecture (C-CDA) provides supplemental guidance to the Health Level Seven (HL7) CDA® R2 IG: C-CDA Templates for Clinical Notes STU Release 2.1 in support of the ONC 2015 Edition Health IT Certification Criteria (2015 Edition) Certified Electronic Health Record Technology requirements.

This guide provides additional technical clarification and practical guidance to assist implementers to support best practice implementations of the 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification. The guide is intended to:

  • Explain basic CDA concepts that are important to understand, prior to implementing the 2015 Edition Health IT Certification Criteria.
  • Provide guidance on the 2015 Edition Health IT Certification Criteria and data representation in the C-CDA format, including the mapping of CCDS data definitions (170.102) and the “additional data” defined in 170.315(g)(6) CCDA creation performance to the CDA templates included in the C-CDA Implementation Guide.
  • Highlight that guidance where it is optional in context of the certification program.
  • Highlight additional guidance and resources relevant to the 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification.

 

ALTERNATIVE NAMES

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R1 Companion Guide, Release 1 - US Realm may also go by the following names or acronyms:

"CDAR2 IG:CCDA R1 Companion Guide, R1", , C-CDA 2.1 Companion Guide

TARGETS

The guide is intended to:

  • Explain basic CDA concepts that are important to understand, prior to implementing the 2015 Edition Health IT Certification Criteria.
  • Provide guidance on the 2015 Edition Health IT Certification Criteria and data representation in the C-CDA format, including the mapping of CCDS data definitions (170.102) and the “additional data” defined in 170.315(g)(6) CCDA creation performance to the CDA templates included in the C-CDA Implementation Guide.
  • Highlight that guidance where it is optional in context of the certification program.
  • Highlight additional guidance and resources relevant to the 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification.

 

RELATED DOCUMENTS

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R1 Companion Guide, Release 1 - US Realm

(Download) (3.25 MB)

BALLOT TYPE

  • Informative

STATUS DATE

2016-12-02

RESPONSIBLE WORK GROUP

Structured Documents

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • HIS Vendors
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • CDA

CURRENT STATE

  • Stable

REALM

  • US Realm