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Companion Guide to Consolidated CDA for Meaningful Use Stage 2

This wiki page contains the Companion Guide to Consolidated CDA for Meaningful Use Stage 2 and development artifacts. The purpose of the document is to provide clear guidance to the healthcare community for the implementation of 2014 Ed. CEHRT criteria requiring HL7 Consolidated CDA.


Below is a brief presentation explaining the ToC Companion Guide to Consolidated CDA for Meaningful Use Stage 2:

Introduction to the ToC Companion Guide to Consolidated CDA for Meaningful Use Stage 2


Initial Release of the Companion Guide

Consensus on the Companion Guide to Consolidated CDA for Meaningful Use Stage 2 was achieved on Monday, October 22, 2012. The initial release of the Companion Guide and accompanying artifacts are available below.

Resource
Release Date
Companion Guide to Consolidated CDA for Meaningful Use Stage 2
11-19-2012
Companion Guide Requirements Mapping Spreadsheet
11-21-2012
Companion Guide Section-level XML Examples
11-19-2012
Companion Guide CCD XML Example
NOTE: CCD example updated on 1-3-2013 to version 1a to be more clinically accurate. The old version can be found here
12-7-2012
Complete Companion Guide package
12-7-2012


"Parking Lot" Topics for future Companion Guide releases


Several important topics have come up during the development of the Companion Guide that will not be able to be addressed at this time for a variety of reasons. Each of these topics are tracked on the following page for resolution and inclusion in future versions of the Companion Guide.




Draft Versions of the Companion Guide

Links to the various versions of the Companion Guide are listed below.
Draft Version
Release Date
Feedback Due
Status
Draft 1
08-24-2012
September 10, 2012
Complete
Draft 2
09-11-2012
September 19, 2012
Complete
Draft 3 for Consensus
10-01-2012
October 5, 2012
Complete
Draft 4 with consensus revisions
10-22-2012

Complete
Draft 5
11-19-2012

Draft
Historical Links to feedback pages:


MU2 Reference Materials

ONC & CMS Meaningful Use Stage Final Rule published. Resources available on HealthIT.gov.
Name of Artifact
Content Summary
Owner
Date Posted
MU2 Data Requirements
Document containing tables for Common MU Data Set and additional data requirements for each summary type.
Ashley Swain & David Tao
08-27-2012
MU2 Data Requirements (Final)
Mappings of MU2 Data Requirements for the Final Rule. Contains summary types and data sets.
Ashley Swain
10-25-2012


Companion Guide Outline

To download a copy of the complete outline, click here.
Section
Section Title
Overview
Status
1
Introduction
  • Overview of the Transitions of Care Initiative
  • Purpose of the Consolidated CDA Companion Guide
  • Overview of the Audience & Requisite Knowledge Required
  • Summary of Meaningful Use Stage 2 Analysis
  • Summary of the Companion Guide Contents
Draft Complete
2
Understanding Consolidated CDA
  • Navigating the Companion Guide
  • Key Concepts for Implementing MU2 Requirements
  • Migration Strategies
  • Inclusion of Clinically-Relevant Data
Draft Complete
3
Implementing MU2 Requirements
  • MU2 Summary of Care Record
  • Patient Information
  • Care Planning
  • Conditions or Concerns
  • Medications and Immunizations
  • Observations
  • Procedures and Surgeries
  • Encounter and Hospitalization Information
Draft Complete
4
Consolidated CDA Document Alignment
  • Goodness of Fit Assessment Discussion
  • Summary of Findings
Draft Complete
5
ToC Recommended Approach
  • Initiative Recommendations
  • Implementation for Eligible Providers
  • Implementation for Eligible Hospitals
Draft Complete
6
Additional Guidance
  • Key Concepts for Implementing Initiative Recommendations
  • Additional tools and educational resources
Draft Complete
7
Appendix A- Clinical Best Practices
  • Clinical Considerations
  • Clinical Workflow
  • Additional Initiative Recommendations
Draft Complete
8
Appendix B- Additional Information on Consolidated CDA Documents
  • Body Constraints of Structured Consolidated CDA Documents
  • 'Goodness of Fit' Assessments
Draft Complete
9
Appendix C- Moving from HITSP C32 to CCD 1.1
  • Details Migration from HITSP C32 for MU1 to CCD 1.1 for MU2
Draft Complete

Key Activities

The following are descriptions of the key activities that were completed to inform the development of the Companion Guide.
Type
Activity
Description & Purpose of the Activity
Current Status
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Clinical Scenarios
This wiki page facilitates the development of clinical scenarios to provide real-world examples of the clinical workflow to convey contextual guidance for business analysts and implementers. Clinical scenarios will drive the implementation guidance contained in the ToC Companion Guide.
Complete
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Document Recommendations
This activity expands on the initial MU2 analysis work to align MU2 requirements with Consolidated CDA documents and assesses the "goodness of fit" of Consolidated CDA documents to provide a best practice recommendation for the MU2 exchange requirements in the ToC Companion Guide. The goal of the activity is to complete the alignment of requirements to all C-CDA documents, including a "goodness of fit" assessment for the MU2 exchange requirements.
Complete
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Implementation Guidance Fact Finding
This activity aims to identify topics to include in the ToC Companion Guide. Specific content to be analyzed include:
  • Current Meaningful Use implementation challenges
  • Barriers to interoperability
  • Ambiguity and/or issues around Meaningful Use requirements
Complete