Posts by George Koromia, MD
Conformance Drift in Consolidated CDA R2; Part Three of Three
The C-CDA Implementation Guide development team settled on five heuristics in resolving ballot comments grouped as “tighten constraints.” Here are my thoughts on the applicability of those heuristics.
Read MoreConformance Drift in Consolidated CDA R2; Part Two of Three
The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Here are some arguments towards constraint tightening.
Read MoreConformance Drift in Consolidated CDA R2; Part One of Three
The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Although tightened constraints sometimes are necessary, they may also represent bad spec design in the form of a “conformance drift,” a situation in which increasingly restrictive conformance verbs are applied to truly optional elements thus idealizing one implementation of the spec to the exclusion of others.
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