Difference between revisions of "Clinical Document Architecture"

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[[File:FHIR.png|right|140px|Temporary FHIR logo]]
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Fast Healthcare Interoperability Resources (FHIR, pronounced "Fire") defines a set of "[[Resource]]s" that represent granular clinical concepts. The resources can be managed in isolation, or aggregated into complex documents. Technically, FHIR is designed for the web; the resources are based on simple XML or JSON structures, with an http-based RESTful protocol where each resource has predictable URL. Where possible, open internet standards are used for data representation.  
The Clinical  Document Architecture (CDA) is a document standard that's supports sharing the patient's story. CDA is content standards used in variety of exchange mechanisms.  
Community Participation Rules: [[FHIR Code of Conduct]], [[FHIR Intellectual Property Rules]]
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*The current specification: [http://www.hl7.org/documentcenter/private/standards/cda/r2/cda_r2_normativewebedition2010.zip CDA R2.0] (from the [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7 Product Page])
*The current specification: [http://www.hl7.org/documentcenter/private/standards/cda/r2/cda_r2_normativewebedition2010.zip CDA R2.0 (download zip)], [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7 HL7 Product Brief]
** [[FHIR Specification Feedback (DSTU 2)]]
** [http://wiki.hl7.org/index.php?title=CDA_R2_Errata CDA R2.0 Errata wiki]
** [[FHIR Profiles from other Organizations]]
* Contact Information
* Contact Information
** [[FHIR Support Page]]
** [http://www.hl7.org/special/committees/cdamg/leadership.cfm CDA Management Group Leadership]
** Implementation help: [[http://stackoverflow.com/questions/tagged/hl7_fhir ask questions about FHIR]]
** [http://www.hl7.org/Special/committees/structure/leadership.cfm Structured Documents WG Leadership]
** Formal Contact point for the project: [[mailto:fmgcontact@hl7.org fmgcontact@hl7.org]]
** [http://www.hl7.org/myhl7/managelistservs.cfm?ref=nav HL7 listservs]
**[https://chat.fhir.org/ FHIR Chat (Zulip)] [[chat.fhir.org community expectations]]
*** Select Structured Documents > Primary List for Structured Documents
**[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677 FHIR gForge Tracker] for change requests/corrections
*** Select Structured Documents > Continuity of Care Document
** FHIR Project Team Leads (FHIR Core Team): [[mailto:grahame@healthintersections.com.au Grahame Grieve]], [[mailto:e.kramer@furore.com Ewout Kramer]], [[mailto:lloyd@lmckenzie.com Lloyd Mckenzie]]
** [[FHIR_email_list_subscription_instructions|List server]] - project email list
* Help / Getting Started
* Help / Getting Started
**[[FHIR Starter]] - tutorial for FHIR newbies
** [https://www.amazon.com/CDA-TM-book-Keith-Boone/dp/0857293354/ref=as_li_ss_tl?s=books&ie=UTF8&qid=1484240572&sr=1-1&keywords=the+cda+book+by+keith+boone&linkCode=sl1&tag=amghl7-20&linkId=dd3ef3cbc6d42e853a9af75d4adaf8b5 The CDA Book]
**[[FHIR Teaching]] - sources of FHIR teaching, training, and tutorials
** [https://www.pathlms.com/hl7/categories/427/courses Online CDA Training]
**[http://fhir.furore.com/Content/Docs/cheatsheet-dstu1.pdf FHIR Cheat Sheet] (DSTU 1)
** [http://www.hl7.org/events/workgroupmeetings.cfm?ref=nav Come to Working Group!]
**[http://fhir.furore.com/Content/Docs/cheatsheet.pdf FHIR Cheat Sheet] (DSTU 2)
** [http://cdasearch.hl7.org/ CDA Examples]
**[http://tinyurl.com/stu3cheatsheet FHIR Cheat Sheet] (DSTU 3)
** [http://www.hl7.org/events/webinars.cfm?ref=nav Online CDA Training]
**[https://healthlevelseven.desk.com/ Help desk FAQs & knowledge-base articles] (HL7 members only)
<!--**[[FHIR FAQ]] - business and technical perspectives-->
* CDA Implementation Guides
**[[FHIR Tools Registry]] - a list of useful tools for FHIR implementers
** [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=408 Consolidated CDA (C-CDA)]
** [[FHIR for Clinical Users]] - an introduction to FHIR for non-technical people that will migrate to the specification in the future
** [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=447 C-CDA Companion Guide]
**[[FHIR User Group]]
**[[FHIR for Consumers]]
* Viewing
**[[FHIR for Clinical Research]]
**[https://gforge.hl7.org/gf/project/strucdoc/frs/?action=FrsReleaseBrowse&frs_package_id=239 CDA example stylesheet]
* Social Media on FHIR
**FHIR blogs [http://fhirblog.com/ David Hay], [http://thefhirplace.com/ Ewout Kramer], [http://www.healthintersections.com.au/ Grahame Grieve], [http://motorcycleguy.blogspot.com/search/label/FHIR Keith Boone], [https://brianpos.com/ Brian Postlethwaite], [https://healthcaresecprivacy.blogspot.com/p/fhir.html John Moehrke], [http://blog.heliossoftware.com Steve Munini], [http://lightmyfhir.com/ MITRE (Mark Kramer and colleagues)]
**FHIR News on Twitter [http://www.twitter.com/FHIRnews FHIR News]
**FHIR Videos [https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=556675&PCAT=8341&CAT=8341&Review=true HIMSS FHIR Session], [http://www.hl7.tv/FHIR.html HL7.tv] and [https://vimeo.com/channels/hl7fhir Ringholm].
**[[Publicly Available FHIR Servers for testing]]
**[https://sitenv.org/sandbox-ccda/ccda-validator C-CDA Validator]
**[[Open Source FHIR implementations]]
**[https://sitenv.org/scorecard/ C-CDA Scorecard]
**[[Organizations interested in FHIR]]
**[[Profile Tooling]]
**[http://clinfhir.com/ ClinFHIR] - web-based generic FHIR client
**[[FHIR Testing Platforms]]
* [[FHIR Implementations]]
* [[FHIR R2/R3 Transformation page]]
**[http://wiki.hl7.org/index.php?title=C-CDA:_Enhancing_Implementation_(ONC_Grant_Project) C-CDA Implementation-a-thons]
**Connectathon Process
***[[FHIR Connectathon Track Process]]
***[[:Category:201801_FHIR_Connectathon_Track_Proposals|Proposed connectathon tracks for New Orleans, USA - Jan 2018]]
**Upcoming Connectathons
***[[FHIR Connectathon 17|Connectathon 17]] (Jan 27-28, 2017, New Orleans, Louisiana, US)
*Previous Connectathons and other events
**[[:Category:FHIR_Connectathons|Historical Connectathons]] (list)
* How to
* Implementation Guide Creation
** [[FHIR DSTU monitoring]] - how to monitor DSTU feedback
** [http://wiki.hl7.org/index.php?title=CDA_Implementation_Guide_Quality_sub_group CDA IG Quality Criteria] - how to create a quality CDA IG
** [[FHIR Ballot Prep]] - tasks for the next ballot and milestone dates
** [[FHIR Build Process]] - Setting up and running the FHIR build process
** [[FHIR Guide to Authoring Resources|How to create resources]] (and [[FHIR Guide to Authoring Types|How to create types]])
** Materials: [http://gforge.hl7.org/gf/project/fhir/ gForge], [http://gforge.hl7.org/svn/fhir/trunk SVN Trunk]
*** For read-only SVN access, use "anonymous" and your email as a password.
*** For Commit privileges, send a request to lloyd@lmckenzie.com
**[[:Category:FHIR_Resource_Proposal|FHIR resource and profile proposals]] - proposals for new resources & profiles
** [[FHIR Profile authoring]] - Creating and maintaining FHIR profiles (see also [[Profile Tooling]])
** [[FHIR Change requests]] - Process for managing and resolving
** [[FHIR_gForge_Tracker]] - Guidance for using the gForge tracker, including for ballot reconciliation
* Implementation Guides
** [[FHIR Implementation Guides]] - General considerations for implementation guides
** [[IG Publisher Documentation]] - Guidelines for setting up a new guide
** [[FHIR Implementation Guide Authoring|Old IG Publishing Method]] - Guidelines for setting up a new guide under old (deprecated, being phased out rapidly) IG infrastructure
** [[FHIR: Enhancing Implementation (ONC Grant Project)]]
* Guidelines
** [[FHIR Trademark Policy]]
** [[FHIR Maturity Model]]
** [https://docs.google.com/spreadsheets/d/1COTmtlXgGWuFpoSr1ZQQK30S7ReCpVsk_NZI6xIeSHI FHIR FMM/QA Tracking Spreadsheet]
** [[FHIR_Conformance_QA_Criteria | FHIR Conformance QA Criteria]]
** [[FHIR Management Policies]]
** [[Fundamental Principles of FHIR]]
** [[FHIR Methodology Process]] - how the methodology is developed and maintained
** [[FHIR Repository Process]] - Repository governance process and requirements
** [[FHIR Guide to Designing Resources|Methodology Guidelines]] - Content and quality guidelines
** [[FHIR Design Patterns|Design Patterns]]
** [[FHIR Comparison to other RESTful API specifications]]
** [[SDC FHIR Document Profiles]]
** [[FHIR_email_list_subscription_instructions|List server]] - discussions
** [[FHIR_email_list_subscription_instructions|List server]] - Structured Documents discussions
** Discussion pages: [[:Category:Active FHIR Discussion|Active Discussions]], [[:Category:FHIR Discussion|All]]
** Template Repositories
** [[FHIR Design Requirements Sources]]
*** [https://art-decor.org/mediawiki/index.php/Main_Page ART-DECOR]
** [[FHIR Resource Types]]
*** [https://trifolia.lantanagroup.com/ Trifolia]
** [[FHIR and GraphQL]]
*** [http://cdatools.org/ MDHT]
** [[FHIR and the Direct Project]]
** [https://vsac.nlm.nih.gov/download/ccda?rel=20180201 Value Set Authority Center (VSAC)]
** [[FHIR Resource Considerations]]
** [http://www.hl7.org/permalink/?HelpDesk CDA/C-CDA Help Desk]
** [[FHIR Governance| (old)]] - governance discussion with bits of methodology mixed in (to migrate to other pages)
** [https://www.amazon.com/CDA-TM-book-Keith-Boone/dp/0857293354/ref=as_li_ss_tl?s=books&ie=UTF8&qid=1484240572&sr=1-1&keywords=the+cda+book+by+keith+boone&linkCode=sl1&tag=amghl7-20&linkId=dd3ef3cbc6d42e853a9af75d4adaf8b5 The CDA Book]
** [[FHIR Tooling Eco-system]]
** [http://amzn.to/2jAyIP6 Principles of Health Interoperability] includes Chapter on CDA
** [[FHIR Digital Signature Working Page]]
*Project and asset tracking
** [[FHIR Subscription Working Page]]
** HL7 Project Database - [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm Project Insight]
** [[FHIR Extensions Working Page]]
** HL7 Standards Master Grid - [http://www.hl7.org/implement/standards/product_matrix.cfm?ref=nav HL7.org]
** HL7 Project Report from [https://gforge.hl7.org/gf/project/tsc/frs/?action=FrsReleaseBrowse&frs_package_id=98 gForge]
* WG FHIR pages
** Full CDA MG work in progress [https://docs.google.com/spreadsheets/d/1gNCi0m8w-DHAiruYbOtABtCrGqMrZOzMPHtx6InyQcg/edit#gid=1833390650 CDA IG Inventory]
**[[Patient Administration Resource development]]
**[[CDA to FHIR Samples Group]]
**[[https://drive.google.com/folderview?id=0B44mVoChqHDtaEl4ZGtvclhtRGs&usp=sharing C-CDA on FHIR Mapping]]
**[[https://docs.google.com/spreadsheets/d/1KctdexG3oB2QBiBQNH1Rbt2uJ6DxQFROyIFKo5q95WU/edit?usp=drive_web CDA on FHIR Mapping]]
**[[Devices on FHIR]]
**[[FHIR and Heart/UMA]] joint work
* [[FHIR Infrastructure]] Work Group
** [[FHIR Workflow]] Project
** [[FHIR Governance Process]]
** [[CDA Management Group]] (CDAMG)
** [[FHIR Governance Board]] (FGB)
** [http://wiki.hl7.org/index.php?title=Structured_Documents Modeling and Methodology] (SDWG)
** [[FHIR Management Group]] (FMG)
** [[Modeling and Methodology]] (MnM)
** [[FHIR Work Groups|Work Groups]]
** [[FHIR Escalation Processes]]
** [[FHIR Ballot Process]]
** [[FHIR Web Server Hosting Record]]
** [[FHIR Product Director Page]]
** [[https://docs.google.com/spreadsheets/d/16Mn6TUVQu1nspX_tYKSGVkRVDfLg6vlQXVBmIOOfYF8/edit#gid=699167827 FMG Tracking Sheet]]
**'''[[FHIR Agenda 201709 WGM|San Diego WGM]]''' (next meeting, Sept. 2017)
**[[:Category:FHIR Meeting|Past Working Group Meetings]] (list of agendas/notes)
**[http://wiki.hl7.org/index.php?title=MnM_Schedule MnM agendas]
**[http://wiki.hl7.org/index.php?title=FHIR_Governance_Board#Meeting_Information FGB Agendas & Minutes]
**[http://wiki.hl7.org/index.php?title=FHIR_Management_Group#Meeting_Information FMG Agendas & Minutes]
*Issue Tracking with CDA Management Group
** [http://jira.hl7.org/projects/CDAMG/summary CDA Management Group JIRA Queue]

Latest revision as of 10:04, 14 May 2018

Temporary CDA logo

The Clinical Document Architecture (CDA) is a document standard that's supports sharing the patient's story. CDA is content standards used in variety of exchange mechanisms.

CDA Implementation CDA Standards Development Organizational