Everyone understands today that standards for data, communication, and terminology are the lynch pins of health information exchange across clinical care. But who is doing something about it? Earlier this quarter, the Office of the National Coordinator (ONC) published a draft seeking feedback in three major areas: Vocabulary, Code Set, and Terminology Content and Structure…

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Earlier this quarter, CMS came out with a rule that establishes a new methodology for MIPS eligible providers and encourages eligible professionals to participate in APMs. Lantana supports several stages in the value-based purchasing information lifecycle, and we have a sharp interest in the success of these programs as a transformative agent for healthcare. Our…

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  During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast to uncover the cause of death. The immediate cause turned out to be a malformed end tag that resulted in catastrophic system failure.   Further…

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  Move in closer now…do you see that? It’s a wild CDA lying motionless in the grass. Surely it’s waiting for prey to…wait, it’s not moving – something’s wrong…   Ah, this one was dead when we got here.   A fair number of wild CDAs suffer from basic XML issues. This means they are…

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Shh…
…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).

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The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Collaborative held its 10th Annual Summit in Baltimore at the end of June. HIT leaders, policy makers, providers, and vendors, convened to discuss industry initiatives and priorities from the Collaborative’s latest Roadmap for Health IT in LTPAC. We participated in and attended several sessions on continuity of care and quality reporting.

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HIT Stakeholders at all levels benefit from understanding the template lifecycle. System engineers and clinical analysts who design templates, implementers who use templates, and participants who govern templates need this knowledge to do their jobs. Understanding the lifecycle of a template requires you have the following: Appreciation the relationship between a template and its versions.…

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A template’s inaugural design often doesn’t seem like a “version”. It is difficult for designers while working closely to solve a problem, to envision that someday, perhaps even in the not too distant future, the solution they are in the midst of creating will need to change. And so it is with templates.

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The most recent Trifolia update addresses requesting permissions, permissions notifications, default setting for exporting to MS Word and MS Word value set settings. Read our latest blog post for details of the full development log.

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Released on Thursday, Oct 23, 2014 Retired Template Status Trifolia now supports a “Retired” template status, representing a template that should no longer be used. The Retired status is only used on templates that have been versioned. The Retired status omits the template from the main body of the MS Word document and includes an…

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Discord is afoot. It has been for some time now. The cause is a little understood data element known as “Free Text Sig”.

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At Lantana, we are all pretty comfortable working with CDA. I think we are also pretty open to understanding its limitations. The current CDA, Release 2, was developed ten years ago. It was designed to meet a range of requirements from simple, transformed-from-dictation documents to fully coded, semantically interoperable reports. A key design consideration, a requirement for passing ballot within HL7 at that time, was full compatibility with Version 3 messaging and an explicit tie-in to the Reference Information Model (RIM).

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Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary together outlining the changes and how they may affect vendors and care providers. The full fact sheet can be found here. Why the change? CMS…

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The great thing about a career in health IT is that we have so many problems to solve. The drag is that it occasionally feels as if we operate on a treadmill of ever-receding achievement. In this space, I want to recognize a solid achievement in health IT in which Lantana played a part. It…

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A security update for the long-standing CDA style sheet is available from Lantana Consulting Group here. This update addresses a potential vulnerability exposed by use of the style sheet in many current internet applications by preventing malicious insertion of executable code into the display instructions for non-XML clinical documents (allowed as the body in Consolidated…

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