The HL7 Clinical Document Architecture
Identifieur interne : 000170 ( Pmc/Corpus ); précédent : 000169; suivant : 000171The HL7 Clinical Document Architecture
Auteurs : Robert H. Dolin ; Liora Alschuler ; Calvin Beebe ; Paul V. Biron ; Sandra Lee Boyer ; Daniel Essin ; Elliot Kimber ; Tom Lincoln ; John E. MattisonSource :
- Journal of the American Medical Informatics Association : JAMIA [ 1067-5027 ] ; 2001.
Abstract
Many people know of Health Level 7 (HL7) as an organization that creates health care messaging standards. Health Level 7 is also developing standards for the representation of clinical documents (such as discharge summaries and progress notes). These document standards make up the HL7 Clinical Document Architecture (CDA). The HL7 CDA Framework, release 1.0, became an ANSI-approved HL7 standard in November 2000. This article presents the approach and objectives of the CDA, along with a technical overview of the standard.
The CDA is a document markup standard that specifies the structure and semantics of clinical documents. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. The document can be sent inside an HL7 message and can exist independently, outside a transferring message. The first release of the standard has attempted to fill an important gap by addressing common and largely narrative clinical notes. It deliberately leaves out certain advanced and complex semantics, both to foster broad implementation and to give time for these complex semantics to be fleshed out within HL7.
Being a part of the emerging HL7 version 3 family of standards, the CDA derives its semantic content from the shared HL7 Reference Information Model and is implemented in Extensible Markup Language. The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision.
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PubMed: 11687563
PubMed Central: 130066
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PMC:130066Le document en format XML
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<author><name sortKey="Dolin, Robert H" sort="Dolin, Robert H" uniqKey="Dolin R" first="Robert H." last="Dolin">Robert H. Dolin</name>
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<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Beebe, Calvin" sort="Beebe, Calvin" uniqKey="Beebe C" first="Calvin" last="Beebe">Calvin Beebe</name>
<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Biron, Paul V" sort="Biron, Paul V" uniqKey="Biron P" first="Paul V." last="Biron">Paul V. Biron</name>
<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Boyer, Sandra Lee" sort="Boyer, Sandra Lee" uniqKey="Boyer S" first="Sandra Lee" last="Boyer">Sandra Lee Boyer</name>
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<author><name sortKey="Essin, Daniel" sort="Essin, Daniel" uniqKey="Essin D" first="Daniel" last="Essin">Daniel Essin</name>
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<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Lincoln, Tom" sort="Lincoln, Tom" uniqKey="Lincoln T" first="Tom" last="Lincoln">Tom Lincoln</name>
<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Mattison, John E" sort="Mattison, John E" uniqKey="Mattison J" first="John E." last="Mattison">John E. Mattison</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The HL7 Clinical Document Architecture</title>
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<author><name sortKey="Alschuler, Liora" sort="Alschuler, Liora" uniqKey="Alschuler L" first="Liora" last="Alschuler">Liora Alschuler</name>
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<author><name sortKey="Beebe, Calvin" sort="Beebe, Calvin" uniqKey="Beebe C" first="Calvin" last="Beebe">Calvin Beebe</name>
<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Biron, Paul V" sort="Biron, Paul V" uniqKey="Biron P" first="Paul V." last="Biron">Paul V. Biron</name>
<affiliation><nlm:aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</nlm:aff>
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<author><name sortKey="Boyer, Sandra Lee" sort="Boyer, Sandra Lee" uniqKey="Boyer S" first="Sandra Lee" last="Boyer">Sandra Lee Boyer</name>
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<author><name sortKey="Kimber, Elliot" sort="Kimber, Elliot" uniqKey="Kimber E" first="Elliot" last="Kimber">Elliot Kimber</name>
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<author><name sortKey="Lincoln, Tom" sort="Lincoln, Tom" uniqKey="Lincoln T" first="Tom" last="Lincoln">Tom Lincoln</name>
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<author><name sortKey="Mattison, John E" sort="Mattison, John E" uniqKey="Mattison J" first="John E." last="Mattison">John E. Mattison</name>
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<series><title level="j">Journal of the American Medical Informatics Association : JAMIA</title>
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<front><div type="abstract" xml:lang="en"><p>Many people know of Health Level 7 (HL7) as an organization that creates health care messaging standards. Health Level 7 is also developing standards for the representation of clinical documents (such as discharge summaries and progress notes). These document standards make up the HL7 Clinical Document Architecture (CDA). The HL7 CDA Framework, release 1.0, became an ANSI-approved HL7 standard in November 2000. This article presents the approach and objectives of the CDA, along with a technical overview of the standard.</p>
<p>The CDA is a document markup standard that specifies the structure and semantics of clinical documents. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. The document can be sent inside an HL7 message and can exist independently, outside a transferring message. The first release of the standard has attempted to fill an important gap by addressing common and largely narrative clinical notes. It deliberately leaves out certain advanced and complex semantics, both to foster broad implementation and to give time for these complex semantics to be fleshed out within HL7.</p>
<p>Being a part of the emerging HL7 version 3 family of standards, the CDA derives its semantic content from the shared HL7 Reference Information Model and is implemented in Extensible Markup Language. The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision.</p>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Am Med Inform Assoc</journal-id>
<journal-id journal-id-type="publisher-id">jamia</journal-id>
<journal-title-group><journal-title>Journal of the American Medical Informatics Association : JAMIA</journal-title>
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<issn pub-type="ppub">1067-5027</issn>
<issn pub-type="epub">1527-974X</issn>
<publisher><publisher-name>American Medical Informatics Association</publisher-name>
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<article-meta><article-id pub-id-type="pmid">11687563</article-id>
<article-id pub-id-type="pmc">130066</article-id>
<article-id pub-id-type="publisher-id">0080552</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>The Practice of Informatics</subject>
</subj-group>
</article-categories>
<title-group><article-title>The HL7 Clinical Document Architecture</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Dolin</surname>
<given-names>Robert H.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Alschuler</surname>
<given-names>Liora</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Beebe</surname>
<given-names>Calvin</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Biron</surname>
<given-names>Paul V.</given-names>
</name>
<degrees>Mlis</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Boyer</surname>
<given-names>Sandra Lee</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Essin</surname>
<given-names>Daniel</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kimber</surname>
<given-names>Elliot</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lincoln</surname>
<given-names>Tom</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mattison</surname>
<given-names>John E.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Affiliations of the authors: Kaiser Permanente, La Palma, California (RHD, PVB, JEM); alschuler.spinosa, East Thetford, Vermont (LA); Mayo Clinic, Rochester, Minnesota (CB); University of Southern California, Los Angeles (SLB, DE); Isogen International, Dallas, Texas (EK); University of Southern California, Santa Monica (TL).</aff>
<author-notes><corresp>Correspondence and reprints: Robert H. Dolin, MD, Kaiser Permanente, 5 Centerpointe Drive, La Palma, California 90623; e-mail: <<email>Robert.H.Dolin@kp.org</email>
>.</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Nov-Dec</season>
<year>2001</year>
</pub-date>
<volume>8</volume>
<issue>6</issue>
<fpage>552</fpage>
<lpage>569</lpage>
<history><date date-type="received"><day>2</day>
<month>1</month>
<year>2001</year>
</date>
<date date-type="accepted"><day>23</day>
<month>5</month>
<year>2001</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2001, American Medical Informatics Association</copyright-statement>
<copyright-year>2001</copyright-year>
</permissions>
<abstract><p>Many people know of Health Level 7 (HL7) as an organization that creates health care messaging standards. Health Level 7 is also developing standards for the representation of clinical documents (such as discharge summaries and progress notes). These document standards make up the HL7 Clinical Document Architecture (CDA). The HL7 CDA Framework, release 1.0, became an ANSI-approved HL7 standard in November 2000. This article presents the approach and objectives of the CDA, along with a technical overview of the standard.</p>
<p>The CDA is a document markup standard that specifies the structure and semantics of clinical documents. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. The document can be sent inside an HL7 message and can exist independently, outside a transferring message. The first release of the standard has attempted to fill an important gap by addressing common and largely narrative clinical notes. It deliberately leaves out certain advanced and complex semantics, both to foster broad implementation and to give time for these complex semantics to be fleshed out within HL7.</p>
<p>Being a part of the emerging HL7 version 3 family of standards, the CDA derives its semantic content from the shared HL7 Reference Information Model and is implemented in Extensible Markup Language. The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision.</p>
</abstract>
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