This informative implementation guide contains rubric criteria created through an ongoing project in the HL7 Structured Documents Work Group (SDWG), originating in 2016. Throughout 2018 a group of HL7 members created a new set of rubrics to add to the original rubric. This project identified key problem areas in real system-generated C-CDA documents where similar data was consistently misrepresented or incomplete. Variably constructed data removes the ability to share and compare data reliably, adversely impacting interoperability. The rubric criteria indicate where the implementation community, using the C-CDA standard, has agreed the constraints need to be improved in order to support a greater degree of interoperability. The guide describes the rubrics in prose that facilitate the encoding of testable rules in tooling.
These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:
Regulatory Agency, Payors
EHR, PHR, Health Care IT, HIS
The goal is to promote the expansion of nationwide interoperability by allowing providers and health IT developers to identify inconsistencies in data representation in C-CDA documents and proactively adopt tighter constraints to eliminate the variability using these rubric.
C-CDA quality assessment tooling built based on these criteria will support the expansion of useful nationwide interoperability.