Clinical Document Architecture (CDA)
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6 Reasons To Plan Architecture For Interoperability
Nearly $26 billion spent, and the U.S. healthcare industry is still asking why information doesn’t move more easily between electronic health records. That’s a loaded question, of course, and suggesting a ten-year timeframe or arguing that there is progress if you look hard enough just doesn’t answer it...
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Amida Releases Enhanced Blue Button Software Component
Amida is pleased to announce the second release of its Data Reconciliation Engine (DRE). The DRE is a Blue Button-branded software component that supports the aims of the Blue Button Initiative, a nationwide public-private effort that enables patients and consumers to gain easy access to their own health information...
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Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection
A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.
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Collaborative Creates Model For Reporting To State Cancer Surveillance Registry
...The collaborative effort by the Kentucky state public health department, the University of Kentucky, and the Kentucky Regional Extension Center (REC) used the Centers for Disease Control and Prevention's Replicating Effective Programs model to disseminate cancer therapy data from oncology practices in the state to a cancer surveillance registry. The project's work plan included recruiting practices and vendors, clinical management and staffing....
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HL7 to Offer its Standards for Free
In what is being touted as one of the most important breakthroughs in interoperability in a decade, the global healthcare standards-making body said it will spend the next few months planning for the move with the policy expected to take effect early next year.
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J P Systems Expands Clinical Data Quality and Interoperability Improvement Services
Doctors are increasingly demanding more context to frame the clinical data they see in EHRs. This context must come from having more complete patient records. When multiple external providers are involved in patient care, data often arrives in the form of clinical documents called CDAs (Clinical Document Architecture). Typically, much of the data in these CDA files is miscoded, misplaced or missing. The danger of bad data is a clear risk to hospitals. These CDA files are generated automatically and in many cases no one is looking at the contents. J P Systems can help reduce risk by increasing the data quality in CDAs exported by the hospital's EHR system.
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ONC HTI-1 NPRM Through Public Health Eyes
On April 18, 2023, the Office of the National Coordinator for Health Information Technology (ONC) published for comment the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). Weighing in at over 500 pages (the pre-release version), this proposed rule provides some refinements to existing ONC programs, corrections to others, and extensions to yet other provisions. ONC provides additional materials about this proposed rule, including fact sheets, blog posts, and records from topical webinars on their website. Note especially the information provided about a joint ONC-CDC sponsored informational webinar which took place on May 24, 2023, and is available for playback on the site.
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Open Source Solutions For Public Health Case Reporting and COVID-19
The United States is continuing its slow emergence from a nation-wide shut down imposed to slow down the spread of COVID-19. Most states have started to reopen, with bars, restaurants, and many workplaces starting to fill. As people begin to spend more time together again, it is critically important that public health agencies do everything they can to help prevent further spread of the infection and continue to monitor the level of infection within the population. Data is an important tool that public health has to understand what is going on in the country. Years of limited government investment and neglect of current systems has limited public health's ability to meet the challenges of managing both localized outbreaks and pandemics.
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The Strengths and Weaknesses of the HL7 FHIR Messaging Standard
It has been several years since we reviewed the progress of the HL7 FHIR standards adoption rate. Health Level Seven's (HL7) Fast Healthcare Interoperability Resources (FHIR) is an emerging standard that has rapidly captured the mind-share of the Health Information Technology (HIT) standards community. FHIR is a standard that enables healthcare data sharing between systems in a manner that is more easily implemented and more expressive than previous HL7 standards such as HL7 Version 2, 3 and Clinical Document Architecture (CDA). Regardless of the version of HL7 standard used, the purpose of these standards is to send clinical data in messages, whether to a party inside or outside your organization. HL7 devises flexible message formats so the receiver of the message can open it up, know who sent it and why, and break it down into understandable segments and data fields.
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Where's The Plan For Interoperability?
Six reasons we will not have health IT interoperability without an architecture...
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