Definition
The Clinical Document Architecture (CDA) is a document markup standard that specifies the structure and semantics of clinical documents for the purpose of exchange and share of patient data. The standard is developed by Health Level Seven (HL7) – a Standards Development Organization [2] focused on the area of healthcare. At the time of writing this entry, two releases of CDA were approved: CDA R1 was approved in 2000 and CDA R2 in 2005. Both releases are part of the HL7 new generation of standards (V3), all derived from a core reference information model (RIM) that assures semantic consistency across the various standards such as laboratory, medications, care provision and so forth. The RIM is based on common data types and vocabularies, and together these components constitute the HL7 V3 Foundation that is an inherent part of the CDA standard specification.
Key Points
Clinical documents such as discharge summaries, operative notes and referral...
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Recommended Reading
Dolin R.H., Alschuler L, Boyer S, Beebe C, Behlen FM, Biron PV, Shabo A. HL7 Clinical Document Architecture, Release 2. J. Am. Med. Inform. Assoc., 13(1):30–39, 2006.
Health Level Seven (HL7) – http://www.hl7.org.
Shabo A. Synopsis of the Patient Records Section: Structuring the Medical Narrative in Patient Records – A Further Step towards a Multi-Accessible EHR. The IMIA 2004 Yearbook of Medical Informatics: Towards Clinical Bioinformatics, 2004.
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Shabo (Shvo), A. (2009). Clinical Document Architecture. In: LIU, L., ÖZSU, M.T. (eds) Encyclopedia of Database Systems. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-39940-9_59
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DOI: https://doi.org/10.1007/978-0-387-39940-9_59
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