clinical document architecture


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clinical document architecture

A specification for the structure and semantics of clinical documents for the purpose of electronic data exchange.
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The latest Continuity of Care Document (CCD), based on the Consolidated Clinical Document Architecture (C-CDA), is still taking shape.
The HL7 Clinical Document Architecture. Journal of the American Medical Informatics Association, 8(6), 552-569.
It brings together two previously accepted, but incompatible electronic data exchange formats: the West Conshohocken, Penn.-based ASTM International's Continuity of Care Record (CCR, ASTM 2369) and the Health Level Seven (HL7) Clinical Document Architecture (CDA).
Doctors can easily Direct Message unstructured and structured patient information as a Continuity of Care Document (CCD) or Clinical Document Architecture (CDA) to the AMR Patient Portal, whether they are using an EHR system, a paper-based system or a hybrid system.
In addition, a network approach can provide additional value to care teams by enabling the bi-directional semantic interoperability of consent management capabilities, and electronic order and result processing through the delivery of Clinical Document Architecture (CDA) and Continuity of Care Documents (CCDs).
Parker says, however, that from a technical standpoint, the standards are there through the consolidated care document (CCD), an HL7 clinical document architecture (CDA) standard that enables connectivity between the two sources.
With EHR integration technology, providers have the ability to quickly scan hard-copy patient records through the use of connectors or transmit metadata directly into EHR systems as a standardized HL7 Clinical Document Architecture (CDA) message.
The hybrid nature of XML documents compliant with Health Level Seven's (HL7) clinical document architecture (CDA) provides the missing link between HIM and EMR domains, improving the processes of coding and abstracting, and boosting the accuracy of fully compliant claims that maximize reimbursement.
HL7's Clinical Document Architecture (CDA) and Internet e-mail provide the mechanisms to do just that.
He added that while people talk a lot about document standards such as the Health Level Seven International (HL7) standard, as well as complete, widely accepted document formats, such as continuity of care documents (CCDs) and the HL7 consolidated clinical document architectures (C-CDAs), the problem is that while a human who is looking at the document can find something with relative ease, getting it from an electronic medical record (EMR) via XML format can be "an impossible task" as it can't "screen-scrape" the information out of free text-based areas in a CCD.

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