HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 4.1 - US Realm

DESCRIPTION

C-CDA Online: A navigation website for C-CDA 2.1

The Companion Guide to Consolidated Clinical Document Architecture (C-CDA) R2, provides essential implementer guidance to continuously expand interoperability for clinical information shared via structured clinical notes. The guidance supplements specifications established in the Health Level Seven (HL7) CDA® R2.1 IG: C-CDA Templates for Clinical Notes. This additional guidance is intended to make implementers aware of emerging expectations and best practices for C-CDA document exchange. The objective is to increase consistency and expand interoperability across the community of data sharing partners who utilize C-CDA for information exchange.

Additionally, the Companion Guide includes explicit guidance and modelling for the implementation of USCDI v3 data classes and data elements within C-CDA documents.

ALTERNATIVE NAMES

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 4.1 - US Realm may also go by the following names or acronyms:

TARGETS

• Regulatory Agency
• Standards Development Organizations (SDOs)
• EHR, PHR Vendors
• Health Care IT Vendors
• Clinical Decision Support Systems Vendors
• HIS Vendors
• Office of the National Coordinator for Health Information Technology (ONC)

BENEFITS

• Provides additional technical clarification and practical guidance for implementers interested in supporting current best practices for interoperability and for those who wish to explore advancing guidance from stakeholders throughout the C-CDA implementer community.
• Supports a larger strategy to expand the level of interoperability within the healthcare ecosystem over time. The strategy involves regularly balloting a Companion Guide via the HL7 ballot process to document rising expectations for interoperability being driven from within the C-CDA implementer community.
• Enables consensus conformance expectations into the base C-CDA specification through the HL7 STU Update process and raises the qualit bar for C-CDA document exchange.

 

IMPLEMENTATIONS/CASE STUDIES

• The nation currently exchanges over 5 Million C-CDA documents daily (per National Coordinator - 2021)
• The HL7 CDA Standard is in production use throughout the world to enable health record exchange.

DEVELOPMENT BACKGROUND

Consolidated CDA has experienced widespread support of the industry since 2005 and continues to mature and improve as a standard devoted to sharing the patient’s story of his or her health and care in a digital document format.

 

RELATED DOCUMENTS

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 4.1 - US Realm

STU DOCUMENTS

	HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes Companion Guide, Release 4.1 STU - US Realm	(Submit Feedback on STU)	(Download)
	HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes Companion Guide, Release 4.0 STU - US Realm	Expiration May 2025	(Download)
	HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes Companion Guide, Release 3 STU - US Realm	Expiration May 2024	(Download)
	HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes Companion Guide, Release 2 STU - US Realm	Expiration Oct 2023	(Download)

TOPICS

• Patient Care
• Terminology

BALLOT TYPES

• STU

STATUS DATE

2023-05-03

RESPONSIBLE WORK GROUP

PRODUCT TYPES

• Implementation Guide
• Structures

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Health Care IT Vendors
• HIS Vendors
• Payors
• Quality Reporting Agencies
• Standards Development Organizations (SDOs)

FAMILY

• CDA

CURRENT STATE

• Active

REALM

• US Realm