We are proud of Lantana’s record of innovation. Some of the “firsts” we led or took leadership roles in are:

  • Extensible Markup Language (XML) as the exchange syntax for HL7, making it the first standards development organization to adopt XML in healthcare
  • Clinical Document Architecture (CDA), from concept to implementation
  • Schematron for CDA validation
  • Online CDA Validator, the first public tool for automated validation of clinical notes and the prototype for similar tools that followed
  • The concept of "greenCDA", developing a ballot, initial samples, and transforms that contributed to Grahame Grieve’s concept of simplified exchange in the Fast Healthcare Interoperability Resources (FHIR) specification
  • The first application of CDA for public health reporting for the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network
  • A series of implementation guides reusing Continuity of Care Document (CCD) templates in the Health Story Project, which later led the effort to “consolidate” these into Consolidated CDA (C-CDA)
  • Exchange of the C-CDA “Care Plan” through the Health Story Project at Healthcare Information and Management Systems Society (HIMSS)
  • Trifolia Workbench, an open source authoring and management tool for CDA templates and FHIR Profiles used by CDC, National Cancer Institute (NCI), and over 1,100 users
  • The first approach to standards-based quality reporting from an electronic health record (EHR) in the Quality Reporting Document Architecture (QRDA)
  • The standard Healthcare Quality Measure Format (HQMF or eMeasure) under the auspices of the National Quality Forum (NQF) and in conjunction with American Medical Association (AMA) and other measure development stakeholders
  • Modular CDA Extensible Stylesheet Language (XSL) Stylesheets