Great input, thanks! -- Kind regards, Eng. Pablo Pazos Guti?rrez http://cabolabs.com
Date: Tue, 20 Jan 2015 10:42:54 +0800 From: edwin_ue...@163.com To: openehr-technical at lists.openehr.org Subject: Re:C-CDA was created because they do not know openEHR? :) Dear sir, let me share a litttle thought of mine about this CCDA thing dating back to 2000, CDA is created and used in some places in USA and in 2005 it is evoved to Release 2, in that time ,there is not only one CDA for the clinical document representation in USA,for some continuity of care and specially for patient transfer between different facilities there is a standard named CCR, after some kinds of fighting,they all agreed to use CDA as the basic format or model to solve the continuity of care problem ,which became the most widely used across the whole world CCD(Continuity of Care Document) in 2007,in this CCD they defined different kinds of templates for vital signs and chief complaint and so on.after then IHE,HITSP and HL7 they create a bunch of other IG for different use cases, for example public health section .these all existing IGs contain a number of templates(section level and entry level ) inherit the constraints defined in the original CCD standards and inconsistency between these templates bring them a new level interoperability problem.in order to solve this mess they came to the idea to create a unified template library based on these efforts these SDO and agency have done. at last I want to say maybe CDA is not that widely used across the world,openEHR is definitely less. kind regards -- ???15901958021 At 2015-01-20 10:19:24, "pablo pazos" <pazospablo at hotmail.com> wrote: Just for the sake of discussion, See slides 22 and 23: http://www.healthit.gov/sites/default/files/c-cda_and_meaningfulusecertification.pdf "As disparate SDOs (HL7, IHE, HITSP, etc.) developed CDA IGs, multiple approaches for documenting template requirements began to diverge threatening interoperability?" IG = Implementation Guide So my wild guess is they created a new artifact with the same problems the current artifacts have, like the need for an IG, instead of doing a little research and find a better solution like using archetypes to model and "consolidate" CDA templates. Does anyone know more about CCDA? Do you think this is a good area of work for openEHR in the US? I mean, maybe we (as a community) can propose an openEHR-based solution or make some kind of statement, for documental consolidation than having another implementation guide + CDA templates. What do you think? -- Kind regards, Eng. Pablo Pazos Guti?rrez http://cabolabs.com _______________________________________________ openEHR-technical mailing list openEHR-technical at lists.openehr.org http://lists.openehr.org/mailman/listinfo/openehr-technical_lists.openehr.org -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/pipermail/openehr-technical_lists.openehr.org/attachments/20150120/738be8a0/attachment.html>