Introducing the SMART C-CDA Collaborative

Overview

With support from ONC, the SMART Platforms team is working with Lantana Consulting Group to simplify and improve data exchange based on the HL7 Consolidated Clinical Document Architecture (C-CDA) standard for health summary data. We are working to ensure that real-world Health IT software can consistently produce and consume C-CDA documents, which will be a Meaningful Use Stage 2 (MU2) requirement for transitions of care between providers and for patients’ access to their own data. To this end, we’re formulating clear, “fill-in-the-gaps” implementation guidance for MU2 certification and beyond.

We’ve assembled a team of Health IT organizations for lightweight participation in a pioneering interoperability collaboration. We will identify and address “grey areas” in at least seven key domains of the C-CDA specification: demographics, medications, problems, allergies, vital signs, lab results, smoking status.
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CCD: Show me the codes!

In my 7/24/2012 post, I observed that exchanging uncoded lab results is the state of the art.

Why worry? SMART is pushing to enable third-party apps on disparate health IT systems, and codes are the glue holding meaning together. Without coded data, apps can’t tell a Hemoglobin A1c measurement from a monocyte percentage!

In the USA we have substantial infrastructure to promote the flow of coded data. So where do things break down?

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