Community Care of North Carolina (CCNC), the primary care case management program for NC Medicaid, found that it needed consistent, structured, and coded data from its community pharmacy partners in the Community Pharmacy Enhanced Services Network (CPESN) in order to support quality metrics. During the initial years of CPESN pharmacy partnerships, community pharmacy encounters with…

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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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Co-author: Robin Williams, RN   Trifolia (https://trifolia.lantanagroup.com/) is a web-based tool for standards development work. Trifolia produces HL7 Clinical Document Architecture (CDA) templates and Fast Healthcare Interoperability Resources (FHIR) profiles. Trifolia helps users rapidly develop standards-compliant electronic documents for cost-effective standards implementation. See http://www.lantanagroup.com/resources/trifolia/ for a full description of Trifolia and its existing features.  …

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  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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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…

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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…

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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…

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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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Lantana will soon release an enhanced, write-enabled version of the Trifolia Workbench: HL7 Web Edition for HL7 Members. Trifolia Workbench is a web-based standards development tool that supports designers, developers and implementers in capturing and managing HL7 RIM-based templates, such as the Clinical Document Architecture (CDA) and the Healthcare Quality Measure Format (HQMF/eMeasure).

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As part of the ongoing effort to enable more consistent and accurate clinical data exchange, the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2 continues to build on the library of CDA R2 templates consolidated within the first release.

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Each student who attends our CDA Academy workshop receives a super soft, unstructured, eco-friendly, bamboo and cotton blend, red hat with white CDA Academy logo. We’ve been handing out the same popular hat for the past eight workshops…

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Several proposals have come forward to augment HL7 Consolidated CDA with additional templates. The Structured Documents Work Group has taken the position that new templates supporting long term care will be added in an addendum rather than integrated into a new release of the spec. I think this position needs to be reconsidered both as a general course and for the specific material. Here’s why.

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