"Show Me Your CDA!” HL7 CDA Detailed Case Report

“Show me Your CDA”: HL7 CDA Case Study Template

Authors

Organization, Email

Address, Country

Summary-

Please provide a summary of the highlights of your HL7 CDA case study. Explain briefly the objective, the methodology, and results.     

  I.        Introduction – Business Case

Please provide some introduction on the national/regional context of you case study, providing information on related work. Please discuss the problem you set out to solve, explaining the user community, the business need, and the reasons why you considered CDA. 

Main Points for this section:

Ÿ  national/regional context

Ÿ  health information exchange network

Ÿ  interoperability problem

Ÿ  reasons for adopting CDA

Ÿ  describe users

    II.        Implementation, Methodology and Tools

Please provide some implementation details. You may describe the architecture of your implementation if possible with a figure. You could also explain the design process you followed for your CDAs, modeling methodology, document types, and use of implementation guides. Please present your approach to coding & terminology, management of identifiers, security & confidentiality, as well as use of complementary standards. You could also provide information on software tools you build or bought as well as your approach to conformance testing. Also relevant is any secondary use of CDA for information reuse such as for public health or quality assurance if applicable. 

Main Points for this section:

Ÿ  implementation architecture

o   authoring/document creation

o   document management

o   document exchange

Ÿ  design methodology/ paper documents

Ÿ  use of implementation guides

Ÿ  implementation of document types

Ÿ  correspondence with paper documents/forms

Ÿ  use of terminology and terminology infrastructure

Ÿ  management of identifiers

Ÿ  information reuse

Ÿ  complementary standards

Ÿ  security and confidentiality issues

Ÿ  software tools

Ÿ  conformance testing

   III.        CDA in Use

Please discuss the nature/phase of the project e.g. exploratory, pilot, or deployment, providing information on the CDA workflow. You are encouraged to include information on the different sites and users that are involved in the actual clinical document exchange. It would be nice if you could provide volume information on the number of CDA exchanged and the number of users that are involved knowingly or not. Please discuss interaction (import/export to) Personal or Electronic Health Records if applicable. Please refer to any educational activities associated with the project. 

Main Points for this section:

Nature of the project

Project type:

Ÿ  exploratory, pilot, large scale deployment

CDA workflow:

Ÿ  sites where CDA is in use

Ÿ  number of users

Ÿ  volume of documents exchanged

Ÿ  training and education for users, implementers

Ÿ  CDA import/export in the electronic health record or as applicable

  IV.        Evaluation/Assessment

Please comment on evaluation / assessment aspects of your effort. You may also discuss user acceptance, and sustainability. In the context of the pending CDA release 3, discuss the extent to which CDA fulfilled your integration/interoperability needs, and the possible extensions or assumptions you had to make. 

Main Points for this section:

Ÿ  definition of “success”

Ÿ  method of evaluation

Ÿ  results

Ÿ  feedback to next CDA release 3

     V.        Future Plans

Please comment on your future plans and prospects for this project.  

Main Points for this section:

Ÿ  changes/ extensions to CDA design

Ÿ  planned changes/ extensions to overall exchange architecture

Ÿ  next steps

 VI.        Conclusions and Lessons Learned

Please refer to main conclusions and lessons learned. 

Main Points for this section:

Ÿ  conclusions

Ÿ  lessons learned

Ÿ  summary of primary business drivers, challenges ahead

 References

Please provide citations to published work, numbering citations consecutively in square brackets [1].