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...
| Κύριος συγγραφέας: | |
|---|---|
| Συγγραφή απο Οργανισμό/Αρχή: | |
| Μορφή: | Ηλεκτρονική πηγή Ηλ. βιβλίο |
| Γλώσσα: | English |
| Έκδοση: |
London :
Springer London : Imprint: Springer,
2011.
|
| Θέματα: | |
| Διαθέσιμο Online: | Full Text via HEAL-Link |
Πίνακας περιεχομένων:
- 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.
