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C-CDA on FHIR

Basics

C-CDA on FHIR

1122
Ballot - STU to Normative



Supplement to a Current Standard, Implementation Guide

Details

This principle scope of this project is to represent Consolidated C-CDA templates using FHIR profiles. This project has several different parts to develop all the FHIR C-CDA profiles. 1. Develop a set of profiles on relevant FHIR resources to represent the content and constraints found in select entry templates from release 1.1 of the Consolidated CDA specification. These profiles will be developed by the work groups that own the resources being profiled. These profiles are intended to be strict alignment with the equivalent C-CDA templates. SDWG role in this part is to assist in understanding the C-CDA templates and provide QA review of the resulting profiles. Individual work groups will likely take an iterative approach to development of these profiles. Subsequest interations of this part of the project will build out additional FHIR profiles as well as creating additional profiles that include design changes that actually make sense in the FHIR space. These design changes need to be coordinated with the SDWG as similar changes may need to be made to C-CDA templates to retain consistency between these two products., 2. SDWG will be developing FHIR Profiles based additional C-CDA templates, including header, section templates and possibly additional entry templates. 3. Final alignment of normative FHIR C-CDA profiles with normative version of the C-CDA specification At this point, we do not expect that new FHIR resources will be needed for this project, though resource profiles may include both constraints and extensions necessary to cover the existing C-CDA template content. Should new resources or modifications of existing resource be required, it is the expectation of this project that those changes would be carried out through existing work group FHIR resource development and maintenance projects. This project would identify gaps and provide requirements for further FHIR Resource development.


C-CDA is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the 'common/essential' elements of healthcare is closely aligned with FHIR's focus on the '80%'. There is significant interest in industry and government in the ability to interoperate between CDA and FHIR and C-CDA is a logical starting point. Implementers and regulators have both expressed an interest in the ability to map between FHIR and C-CDA. This project will also provide work groups with an opportunity to work on profiles where the content of those profiles is already defined.



Entry templates assigned to work groups - Target: June 15, 2014 C-CDA to FHIR mapping analysis complete - Target: March 30, 2015 Draft profiles developed and ready for QA - Target: May, 2015 STU 1 ballot (C-CDA Template Profiles) - Target: Jan 2017 ballot cycle STU update(s) (latest US Core and FHIR R4) - Target: May 2019 Normative Ballot - Target: 2020-2021


FHIR artifacts: http://gforge.hl7.org/svn/fhir/trunk Project related materials: http://gforge.hl7.org/svn/strucdoc/trunk/FHIR


At least one set of the FHIR profiles developed under this project SHALL conform to the CDA on FHIR set of profiles. Alternate profiles that do not strictly adhere to the CDA on FHIR se of profiles may also be developed. Eventually, this project is dependent on C-CDA becoming a normative standard.

Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors,Clinical and Public Health Laboratories; Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health),Pharmaceutical; EHR, PHR; Health Care IT; Clinical Decision Support Systems; Lab; HIS

1) Lantana Consulting Ltd, (Trifolia on FHIR) Sean McIlvenna 2) Health Intersections, Grahame Grieve





N/A

No

2021 Sept: TSC approved STU extension request for HL7 FHIR Profile: C-CDA, Release 1 for 2 years 2002 Sept: TSC approved Unballoted STU Update Publication Request for HL7 FHIR Implementation Guide: C-CDA on FHIR, Release 2 2019 Jan: RGeimer submitted an updated PSS with a few team member and date changes. 2018 March: TSC approved STU publication request for HL7 FHIR Profile: C-CDA, Release 1 at TSC Tracker 14417 thru Sept 17, 2020.
Organization & Realm

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

U.S.
People

Austin Kreisler, Grahame Grieve



Structured Documents Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

06/25/2014

05/15/2028

2028 May WGM/Ballot

05/15/2028

2028 May WGM/Ballot

2017 Jan Ballot Cycle Info: STU Ballot results: Did not meet basic vote requirements Document Name: HL7 FHIR Profile: C-CDA, Release 1 Submitter: Lynn Laakso MPA 2016 Sept Ballot Cycle Info: COMMENT ONLY Ballot results: Met basic vote requirements. 41 comments to consider Document Name: HL7 FHIR Profile: C-CDA, Release 1
Approvals

11/10/2014


Not Needed


All Received




System Info






05/07/2026

Anne Wizauer