Lantana Group Blog

Courtney Panaia-Rodi,
PMP, Director of PMO and
Meenaxi Gosai, Information Analyst

HIT Standards: CDA, FHIR, etc

Transitioning from CDA to FHIR

FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.

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Reduce Provider Burden by Rethinking the eCQM Development Process

I’ve looked at the feds, I’ve looked at the vendors,I’ve tried to find the keyto 50 million burdens.         (with apologies to The Who) The electronic health record promised a transformation in the quality and accessibility of health information. It also promised relief from tedious paper-based documentation chores. The results, so far, are sobering. The transformative benefits…

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Has the Clock Run Out on Electronic Claims Attachments?

With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.

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Electronic Attachments Tell a Comprehensive Health Story

  Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr. EDI Analyst at National Government Services, Inc., in presenting a HIMSS Health Story Project webinar on the attachment standards: their usage, the business case for…

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CDA in the Wild: Conclusion (Installment #8)

Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.

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Why Payers Should Play with FHIR

This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.

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Why Payers Should Play with FHIR – Part 2

This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group meeting. Plan to arrive the evening before to settle in. Attendees can register as observers or participants. Review the Connectathon 14 wiki page before arriving.…

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New Public CDA Stylesheet

Lantana is happy to announce the release of a new public CDA Stylesheet, an open-source renderer for CDA documents. The stylesheet transforms the XML of a CDA document into a webpage that can be viewed in a browser or other XSLT-compatible application.

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CDA in the Wild: Coded Data Issues (Installment #6)

  This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer, who spent the later part of his career dedicated to Wild CDA research.   Although he published many authoritative works on the species, Schneuer jealously…

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Comments on Standards for Claims Attachments

Co-author: Kanwarpreet Sethi   Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing on HIPAA and ACA Administrative Simplification — Phase IV Operating Rules and Attachment Standard (Part 2). We agree with the many comments urging a low…

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2017 Interoperability Standards Advisory

Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory). ONC’s consideration of public comments informs the development of the 2017 Advisory and prompts dialogue, debate, and consensus among industry stakeholders. Lantana’s response outlined suggestions…

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Conversation from the Sidelines: HL7 January 2016 in Orlando, FL

  “Conversation from the Sidelines” is a new series at Lantana’s blog. We’ll share experiences from conferences or events that gave us a different perspective on the industry.   First up, the HL7 January 2016 Working Group Meeting (WGM) in Orlando, FL. gave me an opportunity to fill-in for Crystal Kallem as an Interim Co-Chair…

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CDA in the Wild: Narrative Issues (Installment #5)

  A solitary Wild CDA has left its pride. We can only presume it is searching for a mate by its extravagantly complex header and the swish of its long tail of codes. However, research tells us that while a long code tail is nice to have, it is the mating call of the CDA,…

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Consolidated CDA: Pursuing Continuous Improvement

  Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a base standard, called HL7 Clinical Document Architecture (CDA), to meet the requirements for care plan information sharing. The CDA standard is a draft standard for…

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CDA in the Wild: Validation and Schematron (Installment #4)

  It has been weeks since our last episode. Frankly, the sight of that genetically mutated Wild-CDA/North-American-XHTML hybrid left my team so repulsed that many could not continue. But after discussing the importance of this work, and a few crew changes, we are back in the field.   And we are documenting something never seen…

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Quality C-CDAs can lead to Quality Reporting

As standards developers and data analysts, we rely on finding patterns in our day to day work. We apply our patented “pattern recognition algorithm” (note: not a real patent) to identify the questions our clients ask most often. “How can we leverage our healthcare data to perform quality reporting?” Closely followed by, “and can we use C-CDA to import that data into our analytics environment?” Although we’d prefer a simple “yes”, the solution is rarely simple.

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ASCO Augments Clinical Oncology Treatment Plan and Summary with Survivorship Care Plan

Co-authored by: Edward P. Ambinder, MD Jeremy L. Warner, MD The cancer journey, from diagnosis to treatment to survivorship, involves multiple interventions and stakeholders. Survivorship begins after completing a bulk of the definitive treatment, and addresses psychosocial developments, as well as late medical issues, resulting from treatment. In 2014, the American Society of Clinical Oncology…

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