Consolidated CDA STU 2019 Update (Jira PSS-1834)

Description

This project will migrate the C-CDA R2.1 templates supporting proposed USCDI v1 to a new web publication framework.

In Scope:

As part of the migration, the following will be included:

- Document Header templates:

- US Realm Header and US Realm Header for Patient Generated Document.

- Document templates will include: (1) Discharge Summary note; (2) History and Physical; (3) Progress Note; (4) Consultation Note; (5) Referral Note, (6) CCD and (7)Unstructured Document. The project will include guidance to clarify the relationship between these C-CDA document templates and the USCDI v1 Clinical Notes data class.

- Section templates required and optional in these document types will be included. Entry templates used in included Section templates and supporting proposed USCDI v1 also will be included.

- C-CDA R2.1 Companion Guide guidance and templates and supplemental templates will be considered for inclusion (may or may not be selected for inclusion)

- STU comments affecting USCDI v1 and relevant STU comments approved for future release will be considered for inclusion (may or may not be selected for inclusion)

- The publication will include use of the value sets in June 2019 VSAC update and approved value set binding updates for included templates

- New design work associated with addressing USCDI v1 requirements.

- New design beyond USCDI may be considered only If an implementation community, such as Carequality, CommonWell, eHealth exchange, HL7 Implementation-a-thon identifies a critical gap that is supported by existing vendors

Out of Scope:

- New design work not associated with addressing USCDI v1 requirements, or critical to existing implementation, is out of scope.

- STU comments not affecting USCDI v1

Other Considerations:

The C-CDA R2.1 Update (Proposed to be called C-CDA R2.2) web publication will be backwards compatible with C-CDA R2.1.

The C-CDA R2.1 Update templates will remain open so systems may still use templates not included in the new web publication. An index in the web publication framework will include a list of templates only available in the prior C-CDA R2.1 PDF publication.

Misc Notes
2025 June: TSC approved an STU publication request for HL7 CDA® R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes, Edition 4 - US Realm for 2 years 2024 May: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes, Edition 3 - US Realm. 2019 September: TSC approved STU Extension Request for C-CDA (HL7 CDA® R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes - US Realm) STU Release 2.1 with Errata #5 External vocabularies: HCPCS, SNOMED, CPT, ICD, RxNorm, LOINC (A full list of Code Systems used by C-CDA is available here https://vsac.nlm.nih.gov/download/ccda Other Stakeholders: Federal Healthcare Agencies (e.g. CMS), Providers (e.g. Physicians)