The purpose of this project is to:
Develop a Health Level Seven International (HL7) Clinical Document Architecture (CDA) framework for the federally mandated Minimum Data Set 3.0 (MDS3.0) for nursing homes. HL7 CDA Release 2 (CDA R2) is a document markup standard that specifies the structure and semantics of clinical documents for the purpose of electronic health information exchange. CDA provides a mechanism for incremental semantic interoperability. Application of this recognized standard to the MDS 3.0 and the home health Outcome and Assessment Information Set (OASIS-C) assessments will allow health care facilities to communicate assessment content in an interoperable, industry-standard format.
Map the federally mandated MDS3.0 and OASIS-C assessment instruments to the Systematized Nomenclature of Medicine -- Clinical Terms (SNOMED CT) and other health IT vocabularies.
Present the SNOMED CT mapped data in a format that supports:
- Inbound receipt of semantically interoperable EHR content applicable to completion of the MDS3.0 or OASIS-C; and
- Outbound movement of semantically interoperable assessment content to an HL7 CDA Questionnaire Assessment or Patient Summary Document using the adopted Continuity of Care Document (CCD) standard.
The MDS CDA Implementation Guide (IG):
The HL7 Implementation Guide for CDA R2: CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (U.S. Realm), Draft Standard for Trial Use (DSTU), Release 1 was published April 2009. This Implementation Guide specifies a standard for electronic submission of CDA questionnaire assessments that allows health care facilities to communicate assessment documents in an interoperable, industry-standard format.
While not yet published through HL7, a preliminary DSTU Update Release for this implementation guide, based on the CMS MDS3.0 data specifications v1.00.0, October 2009, has been created in conjunction with this study. All references in this heuristics document are to the Implementation Guide for CDA R2: CDA Framework for Questionnaire Assessments (Universal Realm) and CDA Representation of the Minimum Data Set Questionnaire Assessment (U.S. Realm) Draft Standard for Trial Use, Update Release 2 (hereafter referred to as the MDS CDA implementation guide (IG)). In the future, we expect this Guide to be further refined.
"StratEng.pdf" (pdf, 1.74Mb)
"StratEng-A.pdf" (pdf, 198.14Kb)
"StratEng-B.pdf" (pdf, 534.93Kb)
"StratEng-C.pdf" (pdf, 214.97Kb)
"StratEng-D.pdf" (pdf, 4.65Mb)
"StratEng-D1.pdf" (pdf, 12.32Mb)
"StratEng-D2a.pdf" (pdf, 3.62Mb)
"StratEng-D2b.pdf" (pdf, 3.58Mb)
"StratEng-E.pdf" (pdf, 3.66Mb)
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"StratEng-K.pdf" (pdf, 4Mb)
"StratEng-L.pdf" (pdf, 2.33Mb)