Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/cda/stds/ccda/ImplementationGuide/hl7.cda.us.ccda | Version: 2.1.0-draft1 | |||
| Draft as of 2023-01-16 | Computable Name: CCDA | |||
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Note to Reviewers: This implementation guide is a prototype publication of the C-CDA R2.1 June 2019 with errata publication (Errata #5) using FHIR StructureDefinition (SD) tooling, to produce this SD replica of the June 2019 errata package. This publication is for community review prior to the next ballot of C-CDA (January 2024) which is intended to be produced using the FHIR StructureDefinition (SD) tooling. The C-CDA R2.1 June 2019 with errata pdf publication (Errata #5) has been superseded by the current official published version of C-CDA R2.1 September 2022 (errata #7) pdf publication, which should be used for new or updated implementations until superseded by a future version of C-CDA. Please document any questions or suggestions in Jira using the Propose a change link at the bottom of the page. |
This two-volume implementation guide (IG) contains an overview of Clinical Document Architecture (CDA) markup standards, design, and use (Volume 1) and a consolidated library of CDA templates for clinical notes applicable to the US Realm (Volume 2). These two volumes comprise a Draft Standard for Trial Use (DSTU). It has been adapted from the Release 2.0 version of the Consolidated CDA Templates for Clinical Notes to support backward compatibility “on the wire” with the 1.1 Release of the templates described in this guide. This will enable implementers of systems conforming to this guide to produce documents that can be understood by systems which only support the C-CDA Release 1.1 specification. The consolidated library incorporates previous efforts from Health Level Seven (HL7), Integrating the Healthcare Enterprise (IHE), the Health Information Technology Standards Panel (HITSP), the HL7 Health Story guides, HITSP C32, and related components of IHE Patient Care Coordination (IHE PCC). It has additional or enhanced document types for greater expressivity and decrease ambiguity (see Volume 2 Summary of Changes). Volume 1 adds new general guidance (see Summary of Changes). This guide, in conjunction with the HL7 CDA Release 2 (CDA R2) standard, is to be used for implementing the following CDA documents and header constraints for clinical notes.
The audience for this implementation guide includes architects and developers of healthcare information technology (HIT) systems in the US Realm that exchange patient clinical data. Business analysts and policy managers can also benefit from a basic understanding of the use of CDA templates across multiple implementation use cases.
This implementation guide is organized into two volumes. Volume 1 contains primarily narrative text describing the Consolidated CDA Release 2 (C-CDA R2) guide, whereas Volume 2 contains normative CDA template definitions.
This R2.1 guide was developed and produced through the efforts of Health Level Seven (HL7).
The editors appreciate the support and sponsorship of the HL7 Structured Documents Working Group (SDWG), the HL7 Patient Care Work Group, the HL7 Child Health Work Group, and all volunteers and staff associated with the creation of this document. This guide would not have been possible without the support of the Department of Defense/Department of Veterans Affairs Interagency Program Office (DoD/VA IPO).
This material contains content from SNOMED CT® (http://www.ihtsdo.org/snomed-ct/). SNOMED CT is a registered trademark of the International Health Terminology Standard Development Organisation (IHTSDO).
This material contains content from the Logical Observation Identifiers Names and Codes (LOINC) organization (http://loinc.org). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2014, Regenstrief Institute, Inc. and LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.
| Primary Editor / Co-Chair: | Rick Geimer Lantana Consulting Group rick.geimer@lantanagroup.com |
Co-Editor: | Benjamin Flessner Epic Benjamin@epic.com |
| Primary Editor / Co-Chair: | Brett Marquard River Rock Associates brett@riverrockassociates.com |
Co-Editor: | Larry Garber, MD Reliant Medical Group Lawrence.Garber@ReliantMedicalGroup.org |
| Co-Chair: | Calvin Beebe Mayo Clinic cbeebe@mayo.edu |
Co-Editor: | Jennie Harvell, M.Ed US Health and Human Services Jennie.harvell@hhs.gov |
| Co-Chair: | Diana Behling Iatric Systems Diana.Behling@iatric.com |
Co-Editor: | Laura Heermann Langford, RN, PhD Intermountain Healthcare Laura.Heermann@imail.org |
| Co-Chair: | Austin Kreisler SAIC Consultant to CDC/NHSN duz1@cdc.gov |
Co-Editor: | Emma Jones RN-BC, MSN Allscripts emma.jones@allscripts.com |
| Co-Chair: | Patrick Lloyd Icode Solutions patrick.e.loyd@gmail.com |
Co-Editor: | Josh Mandel, MD Harvard Medical School / Boston Children’s Hospital Joshua.Mandel@childrens.harvard.edu |
| Primary Editor / Co-Chair: | Gaye Dolin, MSN, RN Intelligent Medical Objects, Inc. gdolin@imo-online.com |
Co-Editor: | Susan Matney, MSN, RN 3M Health Information Systems samatney@mmm.com |
| Primary Editor: | Sarah Gaunt Lantana Consulting Group sarah.gaunt@lantanagroup.com |
Co-Editor: | Sean McIlvenna Lantana Consulting Group sean.mcilvenna@lantanagroup.com |
| Primary Editor: | Zabrina Gonzaga Lantana Consulting Group zabrina.gonzaga@lantanagroup.com |
Co-Editor: | Dale Nelson Lantana Consulting Group dale.nelson@lantanagroup.com |
| Co-Editor: | Liora Alschuler Lantana Consulting Group liora.alschuler@lantanagroup.com |
Co-Editor: | Lisa Nelson Life Over Time Solutions LisaRNelson@cox.net |
| Co-Editor: | Virinder Batra Intuit Health virinder.batra@gmail.com |
Co-Editor: | Terrence A. O’Malley, MD Partners Healthcare tomalley@partners.org |
| Co-Editor: | Keith W. Boone GE Healthcare keith.boone@ge.com |
Co-Editor: | Eric Parapini Lantana Consulting Group eric.parapini@lantanagroup.com |
| Co-Editor: | Stephen Chu, MD, PhD, FACS National E-Health Transition, Australia stephen.chu@nehta.gov.au |
Co-Editor: | David Tao, D.Sc. ICSA Labs dtao12@gmail.com |
| Co-Editor: | John D’Amore Lantana Consulting Group john.damore@lantanagroup.com |
Technical Editor: | Adrienne Giannone Lantana Consulting Group adrienne.giannone@lantanagroup.com |
| Co-Editor: | Robert H. Dolin, MD bobdolin@gmail.com |
Technical Editor: | Diana Wright Lantana Consulting Group diana.wright@lantanagroup.com |
| Co-Editor: | Susan Campbell, PhD, RN bostoncampbell@mindspring.com |
Technical Editor: | Veronica Kwok Deloitte vkwok@deloitte.com |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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