Product CDA

Clinical Document Architecture (CDA)

Product Brief - Clinical Document Architecture (CDA)

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Product Name

Clinical Document Architecture (CDA)

Standard Category

Health Information Exchange Standards

Integration Paradigm

Documents

Type

Normative, ANSI Standard

Releases

• CDA R1: ANSI/HL7 CDA, R1-2000
• CDA R2: ANSI/HL7 CDA, R2-2005
• ISO/HL7 27932:2008; HL7 Clinical Document Architecture, Release 2; 4/21/2005
• CDA R3: in-progress see Project # 477

CDA R2 Implementation Guides

A growing number of implementation guides have passed the HL7 balloting process and were approved in Draft Standard for Trial Use (DSTU) status. They include:

• Healthcare Associated Infection Reports, Release 1; DSTU ending March 2010
• Consult Notes, Release 1; DSTU ending August 2010
• History and Physical (H&P) Notes, Release 1; DSTU ending August 2010
• Reference Profile for EHR Interoperability, Release 1; DSTU ending Sep 2010
• Personal Healthcare Monitoring Report, Release 1; DSTU ending Nov 2010
• Operative Notes, Release 1; DSTU ending Mar 2011
• CDA Framework for Questionnaire Assessments, Release 1; DSTU ends Apr 2011
• Quality Reporting Document Architecture (QRDA), Release 1; DSTU ends Apr 2011

Another type of HL7 balloting process was used for the Informative Document release of

• HL7 Implementation Guide for CDA Release 2: Diagnostic Imaging Reports, Release 1
• HL7 Implementation Guide for CDA Release 2: HL7/ASTM Continuity of Care Document
• HL7 Implementation Guide for CDA Release 2: Level 1 and 2 Care Record Summary (US Realm)
• Claims Attachments
• HL7 Implementation Guide for CDA Release 2: Public Health Case Reports, Release 1 (US Realm) published October 2009

Summary

The HL7 Clinical Document Architecture (CDA) is a document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange between healthcare providers and patients.

Description

See the article at http://www.hl7.org/documentcenter/public/faq/cda.cfm.
See also the CDA Standard page at the HL7.org web site.

Business Case (Intended Use, Customers)

• Healthcare Providers,
• Healthcare IT Vendors,
• EHR Systems,
• PHR Systems,
• Departmental Systems
• Dictation/transcription vendors;

Benefits

• CDA supports the exchange of clinical documents between those involved in the care of a patient. In addition CDA support the re-use of clinical data for public health reporting, quality monitoring, patient safety and clinical trials.
• Stewardship,
• Potential for authentication,
• Context
• and Wholeness

Implementations/ Case Studies (Actual Users)

• see http://www.showmeyourcda.net
• see HL7 CDA Products and Services Guide

Resources

• Link to FAQ
• members-only database for entering and tracking suggestions and corrections to the CDA standard here

Work Groups

• Structured Documents WG - HL7.org Web page
• Structured Documents WG - Wiki page

Education

• See more at http://www.hl7.org/implement/training.cfm
• Clinical Document Architecture (CDA) Introductory Tutorial
• Clinical Document Architecture (CDA) Advanced Tutorial
• Continuity of Care Document (CCD) Tutorial
• CDA Certification Test Preparation

Certification Available

• CDA Certified Specialist

Presentations

Quick Start Guide

From HIMSS 2009

• CDA presentation
• What's new with CDA?

Relationship to/ Dependencies on, other standards

• RIM,
• Vocabulary,
• Datatypes,
• XML ITS

Links to current projects in development

• CDA R3: in-progress see Project # 477
• There are more CDA, Release 2 Implementation Guides are currently in the

balloting process. They include the Plan-to-plan Personal Health Record (PHR) Data Transfer, Release 1 (Project # 208).