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The CDA TM book

Clinical documentation is used throughout healthcare to describe care provided to a patient, communicate essential information between healthcare providers and maintain medical records. The CDA Book describes the HL7 Clinical Document Architecture Release 2.0 standard, a standard format for clinica...

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Detalles Bibliográficos
Clasificación:	Libro Electrónico
Autor principal:	Boone, Keith W. (Autor)
Autor Corporativo:	SpringerLink (Online service)
Formato:	Electrónico eBook
Idioma:	Inglés
Publicado:	London : Springer London : Imprint: Springer, 2011.
Edición:	1st ed. 2011.
Temas:	Medical informatics. Medical sciences. Health Informatics. Health Sciences.
Acceso en línea:	Texto Completo

Tabla de Contenidos:

Introduction
Acknowledgements
Acronyms and Abbreviations.-Preface
Organization of this Book
Section I: Introduction
Section II: Data Types
Section III: CDA Modeling Section IV: Implementing CDA
1. Clinical Documentation
1.1 Properties of Clinical Documents
1.2 The 6 Characteristics of Clinical Documents
2. The HL7 Clinical Document Architecture2.1 History of the Clinical Document Architecture
2.2 CDA is based on XML
2.3 Structure of a CDA Document
2.4 Levels of CDA
Summary
3. Extensible Markup Language
3.1 The XML Declaration
3.2 Namespaces
3.3 XML Schema Language
3.4 Parsing the CDA XML
Summary
4 Basic Data Types
4.1 ANY
4.2 Booleans
4.3 Quantities
Summary
5 Text and Multimedia
5.1 BIN Binary
5.2 ED Encapsulated Data
5.3 ST String
Summary
6 Demographic Data
6.1 ADXP Address Part
6.2 AD Address Mixed Content Models
6.3 ENXP Entity Name Part
6.4 EN Entity Name
6.5 ON Organization Name
6.6 PN Person Name
6.7 TN Trivial Name
6.8 II Instance Identifier
Stupid Geek Tricks
6.9 TEL Telecommunications Address
Summary
7 Codes and Vocabularies
7.1 Concepts
7.2 Codes
7.3 Coding Systems
7.4 Pre- and Post-Coordination
7.5 Value Sets
Summary
8 Codes
8.1 CD Concept Descriptor
8.2 CE Coded With Equivalents
8.3 CV Coded Value
8.4 CO Coded Ordinal
8.5 CS Coded Simple
Summary
9 Dates and Times
9.1 TS Time Stamp
9.2 IVL_TS
Interval of Time
9.3 PIVL_TS Periodic Interval of Time
9.4 EIVL_TS Event-Related Periodic Interval of Time
9.5 GTS Generic Timing Specification
9.6 Use of Time Data Types with Medications
Summary
10 Collections
10.1 BAG Bag
10.2 SET Set
10.3 IVL Interval
10.4 LIST List
Summary
11 HL7 Version 3 Modeling
11.1 The RIM Backbone Classes
11.2 HL7 Modeling and UML
Summary
12 Clinical Document Infrastructure
12.1 <ClinicalDocument>
12.2 Infrastructure Elements
Summary
13 The CDA Header
13.1 Clinical Document RIM Attributes
13.2 Acts
13.3 Participations and Roles in the Document Context Co-occurrence
13.4 People, Organizations and Devices
Summary
14 The CDA Body.-14.1 Unstructured Narrative
14.2 Structured Narrative
14.3 The Narrative Block
14.4 Subject Participation
14.5 Other Rendering Options
Summary
15 Clinical Statements in the CDA
15.1 Act classes in the CDA Clinical Statement Model.-15.2 EntryRelationship
15.3 Participants
Summary
16 HL7 Version 2 to CDA Release 2
16.1 HL7 Version 2 Data Type Mappings
16.2 Converting Codes and Assigning Authorities
16.3 Observation (OBX)
16.4 Transcription Document Header (TXA)
16.5 Patient Identifier (PID)
16.6 Patient Visit Information (PV1)
16.7 Additional Patient Visit Information (PV2)
16.8 Next of Kin (NK1)
16.9 Message Header (MSH) and Event (EVN) Segments
16.10 Common Order Segment (ORC)
16.11 Observation Request Segment (OBR)
16.12 Note (NTE)
16.13 Specimens (SPM)
Summary
17 Extracting Data from a CDA Document
17.1 Data Extraction
17.2 XPath Searching through Context
Summary
18 Templates
18.1 Building Implementation Guides using Templates
18.2 CDA Extensions
Summary
19 Validating the Content of a CDA Document
19.1 Using the CDA Schemas
19.2 ISO Schematron
19.3 Model Based Validation
19.4 Validating when CDA Extensions are Used
19.5 Validating Narrative
Summary
20 Implementation Guides on CDA
20.1 Claims Attachments (HL7)
20.2 Electronic Medical Summary (British Columbia / Vancouver Island Health Authority)
20.3 Care Record Summary (HL7)
20.4 Volet Médical (DMP)
20.5 Cross Enterprise Sharing of Medical Summaries (IHE)
20.6 The Continuity of Care Document
20.7 Exchange of Personal Health Records
20.8 Laboratory Reports
20.9 Smart Open Services for European Patients
20.10 Unstructured Documents
Summary.

The CDA TM book

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