{"id":132,"date":"2010-09-24T00:22:45","date_gmt":"2010-09-23T14:52:45","guid":{"rendered":"http:\/\/blog.healthbase.info\/?p=132"},"modified":"2010-09-30T09:38:25","modified_gmt":"2010-09-30T00:08:25","slug":"global-hl7-cda-challenge","status":"publish","type":"post","link":"http:\/\/healthbase.info\/blog\/?p=132","title":{"rendered":"Global Hl7 CDA Challenge"},"content":{"rendered":"<p>In my previous <a href=\"http:\/\/blog.healthbase.info\/?p=124\">posting<\/a> on this blog, I cited hospital discharge summaries as a potential barometer of broader e-health capability. I&#8217;m sure there are significant organisational and &#8220;change management&#8221; factors that have impeded the deployment \u00a0of information sharing typified by electronic discharge summaries. Many commentators dismiss technological obstacles as a minor distraction in some vast sea of change management issues besetting the healthcare community. I beg to differ. I believe that lack of good technical solutions and standards are a significant, if not the major reason for the endemic inability to share clinical information between systems easily and effectively.<\/p>\n<p>The current standard being promoted by NEHTA, by the NHS in England, by various bodies in the USA, and within a number of other countries for packaging electronic discharge and other health summaries, is HL7&#8217;s Clinical Document Architecture, Release 2. CDA is an XML-based format that provides for both a human-readable view (via a web browser) and a purportedly computer-processable part based on HL7&#8217;s Reference Information Model.<\/p>\n<p>It is relatively trivial to encode a discharge summary for viewing in a browser. It is a major challenge to produce the standardised computer-processable components upon which e-health depends, let alone for the array of GP and other systems to reliably and safely digest them.<\/p>\n<p>Such a challenge is it, I believe, that I have today established the <a href=\"http:\/\/www.healthbase.info\/cda_challenge\/\">Global HL7 CDA Challenge<\/a> to test if HL7 CDA is indeed the appropriate technology for this important and fundamental role. I encourage all of you to support this initiative so we can make some real progress towards a viable infrastructure for exchanging health information and fostering potentially useful decision support.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In my previous posting on this blog, I cited hospital discharge summaries as a potential barometer of broader e-health capability. I&#8217;m sure there are significant organisational and &#8220;change management&#8221; factors that have impeded the deployment \u00a0of information sharing typified by electronic discharge summaries. Many commentators dismiss technological obstacles as a minor distraction in some vast [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[21,22,20,63,60],"class_list":["post-132","post","type-post","status-publish","format-standard","hentry","category-announcements","tag-cda","tag-discharge-summary","tag-hl7","tag-information","tag-terminology"],"_links":{"self":[{"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/posts\/132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=132"}],"version-history":[{"count":6,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/posts\/132\/revisions"}],"predecessor-version":[{"id":140,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=\/wp\/v2\/posts\/132\/revisions\/140"}],"wp:attachment":[{"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=132"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthbase.info\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}