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CDA Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries

Basics

CDA Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries

1069
Ballot - STU to Normative


V3 Documents-Knowledge

Implementation Guide

Details

Project Purpose Statement The purpose of this project is to create a new HL7 IG based on the existing CDC IG for Ambulatory Healthcare Provider Reporting to Central Cancer Registries and update it to: align with C-CDA; add new identified data elements, vocabularies, and other requirements; update/clarify conformance statements; and other changes that may be identified. The IG will define a new 'Ambulatory Healthcare Provider Cancer Event Report' document-level template, which would leverage a new section-level template for 'Cancer Diagnosis';. IG Scope and Background This IG facilitates the development of systems that allow for automated transmission of patient-centric cancer case data from ambulatory healthcare providers' EHRs to public health central cancer registries. It contains the specifications for identifying reportable cancers, describes the standard HL7 CDA R2 format and structure of the data elements to be retrieved from the EHR to produce the cancer event report, and indicates when a cancer event report must be transmitted. Methods for public health central cancer registries to process cancer event reports from ambulatory healthcare providers and transport mechanisms between EHRs and public health central cancer registries are NOT included in the scope of this IG.

Co-Chair Sponsor: Laura Rappleye

Last Reviewed: 2/1/18


The project is needed to (i) update the format for electronic reporting from ambulatory healthcare provider EHR systems to public health central cancer registries using HL7 and CDA based standards initiative (ii) prepare for possible MU Stage 3 cancer reporting requirements.



Submit for DSTU Ballot - Target: 2014 Aug DSTU ballot reconciliation - Target: 2014 Sep - 2014 Nov Approval of revised DSTU and publication - Target: 2014 Dec DSTU period - 24 months - Target: 2014 Dec - 2016 Dec Submit for Normative ballot - Target: 2016 Jul Complete Normative Reconciliation - Target: 2016 Sep - 2016 Dec Project End Date (all objectives have been met) - Target: 2016 Dec


https://confluence.hl7.org/display/PHWG/Public+Health+Registries+Reporting http://www.hl7.org/Special/committees/structure/projects.cfm

This project was originally developed by the Centers for Disease Control and Prevention (CDC) Organization. CDC will work as co-Sponsor and collaboration will be coordinated between CDC Members and ONC Standards and Interoperability Framework to achieve the goals stated in the successful criteria. The original CDC Cancer IG references the PRPH-Ca IHE profile. IHE has an additional profile that is related to submission of cancer information to public health, ARPH-Ca - Anatomic Pathology Reporting to Public health Repositories - Cancer Registries. It encompasses the requirements for transmitting the text-based anatomic pathology report and CAP electronic cancer checklist (eCC). This project is focused on developing a new Cancer Registry IG within HL7 based on C-CDA. The HL7 specification will not reference the IHE PRPH-Ca profile or any other IHE profiles. However, there may be a section in the HL7 IG, titled 'History'. This 'History' section will briefly describe the origins of this project and its prior w

This IG is based on Clinical Document Architecture (CDA) and therefore is dependent on any ongoing changes being made to this standard. This project needs to align with C-CDA, which is currently under ballot reconciliation for R2.0.

Standards Development Organizations (SDOs),Emergency Services; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Health Care IT

1) Receiver: Kentucky 2) Receiver: Tennessee 3) Sender: TBD (Wendy Blumenthal to confirm) 4) Sender: TBD (Wendy Blumenthal to confirm)





Don't Know

No

2026 January: TSC approved an STU Extension Request for HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm 2023 December: TSC approved STU Extension Request for HL7 CDA R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm 2021 Dec: TSC approved STU extension request for HL7 CDA R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm for 2 years. 2021 Sept: TSC approve STU publication request for HL7 CDA R2 Implementation Guide: Ambulatory and Hospital Healthcare Provider Reporting to Birth Defect Registries Release 1 STU 2.1 - US Realm 2019 March: TSC approved STU Extension Request ?by the Public Health WG of the Clinical SD for HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm through March 5, 2020 2018 March: TSC approved STU Extension Request for HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm at TSC Tracker 14352 for 1 year. 2016: TSC approved STU Extension Request for HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm at TSC Tracker 12458 through 2018-01-20. HL7 Implementation Guide for CDA® Release 2: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1 - US Realm in DSTU through December 17, 2016 July 2014: J Roberts: added Mark Roche as a Modeling Facilitator; included Clinical Genomics as an interested party, at their request. section 5 intent; supplement to current standard: Revising the US CDA standard (CDA R2 C-CDA-R1.1)
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Sean Porter



Public Health Work Group

Clinical Quality Information Work Group; Structured Documents Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

02/03/2014

09/01/2029

2029 Sept WGM/Ballot

09/15/2028

2028 Sept WGM/Ballot

2014 Sept Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 12 Negatives to reconcile Document Name: HL7 Implementation Guide for CDA; Release 2: Ambulatory Healthcare Provider Reporting to Central Cancer Registries, Release 1 Submitted By: Rob Savage
Approvals

07/28/2014








System Info






04/09/2026

Anne Wizauer