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Clinical Documentation Architecture (CDA) S&I Framework One-Pager Series, Side 1.
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S&I Framework: ONC brought together providers, health IT vendors, states, federal partners, government agencies, the standards community and the research community to examine how to improve the exchange of clinical information among providers, patients and other authorized entities electronically in support of meaningful use and IOM-identified needs for improvement in the quality of care.
CDA Objectives and Progress
There were several charter objectives identified during the launch of the CDA Consolidation project, under the S&I Framework, focusing on the rapid development of a Consolidated CDA Implementation Guide:
Consolidate the HL7/Health Story clinical document type IGs and HITSP/C32, and HL7 and IHE templates into a single library of CDA Templates using model-driven tools to re-publish them from this library
Resolve the ‘peel the onion’ problem: deliver a single, implementation-ready, implementer-friendly package, which includes both textual and computable
Rapid demonstration of templated CDA for health information exchange, according to PCAST recommendations
Development of a testing solution to enable implementers to validate their output
Provide a real world demonstration of model-driven standards development using MDHT and the CDC/NCI Template Database (Tdb)
CDA Tooling Process
The approach for CDA consolidation is a three step process that begins by identifying the source CDA standards to be consolidated, consolidates the identified guides, and generates critical published outputs to provide to implementers.
CDA Adoption Approach
The CDA project utilizes the following approach to enable an organization to transition to the Consolidated CDA Standard. The project considers the following stakeholders: State HIE, Beacon Communities, LTPAC, VLER, the ToC Initiative, and healthcare vendors:
S&I Framework Wiki
CDA Wiki Overview
Health Story IGs
Step 1: Identify Current Standards Used by an organization to determine the level of fit and gaps between their current state and the Consolidated CDA IG.
Step 2: Define Constrained CDA byrecommending optional and required data fields that organizations need to be supported.
Health Level 7 (HL7)
Step 3: Adopt Constrained CDA toprovide an incremental milestone towards transitioning to the full CDA standard. Vendors should be engaged to support the implementation of constrained CDA.
Step 4: Transition to Consolidated CDA IGby identifying the gaps that need to be bridged between the current state and full standard. Vendors will need to expand their involvement to also support the implementation of the Consolidated CDA IG.