Publications
Nurse Informaticist Consultants are Nurses Too!
EHR-Compatible Pharmacist Care Plan Standard Opens the Door to Cross-Setting Data Exchange
Lantana Consulting Group and Community Care of North Carolina (CCNC) developed an electronic document standard for pharmacist care plans—the HL7 Pharmacist Care Plan (PhCP). The project was launched by a High Impact Pilot (HIP) grant to Lantana from the Office of the National Coordinator for Health Information Technology (ONC). Click the link above to learn…
Read MoreTrifolia 4.0.0 Release Notes
This is the second major open source release of Trifolia. The update simplifies the installation process for users who wish to install Trifolia on their own systems, and improves support for the latest release of FHIR. It also includes an upgrade so that users in China can log in without using Google Captcha . Finally, it…
Read MoreInteroperability Standards Enabling Cross-border Patient Summary Exchange
FHIR CDA Position Statement and Roadmap
This position statement addresses the relationship between HL7’s Clinical Document Architecture (CDA) product line and the Fast Health Interoperability Resource (FHIR) product line. It was prepared jointly by Lantana Consulting Group—a recognized leader in the CDA community—and Grahame Grieve, Health Intersections, the FHIR project lead. This statement is not official policy. It is our hope…
Read MoreDevelopment, implementation, and initial evaluation of a foundational open interoperability standard for oncology treatment planning and summarization, JAMIA January 2015
Authors: Jeremy L. Warner, Suzanne E. Maddux, Kevin S. Hughes, John C. Krauss, Peter Paul Yu, Lawrence N. Shulman, Deborah K. Mayer, Mike Hogarth , Mark Shafarman , Allison Stover Fiscalini, Laura Esserman, Liora Alschuler , George Augustine Koromia, Zabrina Gonzaga, Edward P. Ambinder The objective of this article was to develop and evaluate a foundational oncology-specific standard for…
Read MoreAre Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative
Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal incentive program for EHR adoption, known as Meaningful Use, requires use of the Consolidated Clinical Document Architecture (C-CDA) for document exchange. In an effort to…
Read MoreSetting the Standard: EHR Quality Reporting Rises in Prominence Due to Meaningful Use
In this article, published in the January 2014 Journal of AHIMA, thought leaders from Lantana Consulting Group and HHS’s Centers for Medicaid & Medicare (CMS) discuss the industry mandate to measure the quality of care provided to patients. The ability to measure healthcare relies upon standard data and data formats for electronic health records (EHRs) under the…
Read MoreSMARTPlatforms.org: “C-CDA Endoscopy, or Improving Clinical Document Exchange” by David Kreda and Joshua Mandel
In 2014, the industry will see wide-scale production and exchange of Consolidated CDA documents among healthcare providers. Indeed, live production of C-CDAs is already underway for anyone using a Meaningful Use 2014 certified EHR. C-CDA documents fuel several aspects of meaningful use, including transitions of care and patient-facing download and transmission. SMART Platforms Project is…
Read More2013 WEDI Report
Lantana President & CEO, Liora Alschuler contributed to the 2013 WEDI Report as a Work Group Co Chair. The objective is to provide a roadmap for industry action by focusing attention on identifying business model attributes in the following four areas: Enabling patient engagement through improved access to pertinent dataEvaluating alternative payment models and requisite…
Read MoregreenData BIG Data
Lantana Group published this white paper for HIMSS12, highlighting how the Lantana Trifolia Toolkit uses the greenCDA methodology to open up the flow of Big Data within the enterprise and onto our health information networks. The Trifolia Toolkit was used in the HIMSS12 Health Story Showcase demonstration to enrich source data provided through dictated and a semi-structured notes and created…
Read MoreMaking use of electronic data: The National Healthcare Safety Network eSurveillance Initiative
The Center for Disease Control and Prevention (CDC), as part of National Healthcare Safety Network (NHSN), is developing a standard framework to support the electronic submission of health care-associated infections (HAIs) and antimicrobial use and resistance (AUR). The article outlines three key challenges to collecting this data electronically and shares background and success stories on…
Read MoreMt. Washington Revisited
This paper examines changes in the health care industry since a contrarian proposal was submitted to CMS in January 2005. That proposal focused on CMS exercising its commercial power as the market master in the purchase of healthcare in the U.S. to catalyze the emergence of a commercial heath record banking industry as an alternative…
Read MoreAn Electronic Health Record Based on Structured Narrative
A JAMIA article on work done at New York Presbyterian/Columbia University Medical Center on structured narrative. We think this article really speaks to the value of the full patient record and how narrative documents complement the EHR. A great read!
Read MoreAPIC Announces New CDC Approach to HAI Reporting using CDA
The Centers for Disease Control and Prevention (CDC)…is developing a standards-based solution for transmission of health care-associated infection (HAI) data from existing commercial software systems to the agency’s National Healthcare Safety Network (NHSN). … CDC’s pilot project of the new solution in July and August, 2007 was the first field test of the Health Level…
Read MoreQuality Reporting Document Architecture (QRDA) Initiative Phase I Final Report
The Quality Reporting Document Architecture (QRDA) initiative results from a private collaboration sponsored by the Alliance for Pediatric Quality (Alliance), a joint effort of the American Academy of Pediatrics, The American Board of Pediatrics, Child Health Corporation of America, and the National Association of Children’s Hospitals and Related Institutions. Its goal is to develop an…
Read MoreCDA Quick Start Guide (v1.5)
A Quick Start Guide for implementers working with simple CDA documents. This guide covers requirements in the CDA header and body and explains fundamental concepts, e.g., the approach to identifiers, vocabulary, and data types.
Read MoreImplementing Single Source: The STARBRITE Proof-of-Concept Study
The “Single Source” concept applies the write-once, use-many principle to data gathering for clinical trials using CDA as the key to interoperability in this case study. The article reports on a pilot implementation done at the Duke Clinical Research Institute that radically streamlined the data-gathering process by eliminating redundant data entry. On a side note,…
Read MoreHealthcare Informatics: “Guidelines Will Standardize Dictated Documents” by Brian Albright
“Dictated medical notes and other types of transcribed patient records are usually available in electronic form, but have traditionally not been very useful in the context of an electronic medical record (EMR) system. Transcribed records follow a variety of formats depending on the clinical setting and type of transcription service used, making them difficult to…
Read MoreModernHealthcare.com: “HL7’s first ballot in expected series under way” by Joe Conn
“Implementation guides for documents containing ‘history and physical reports’ were submitted Monday to Ann Arbor, Mich.-based HL7. It is the first ballot in what is expected to be a series of interoperability specifications under a project called Clinical Document Architecture for Common Document Types, or CDA4CDT. Standards development expert Liora Alschuler, the CDA4CDT project leader,…
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