Interoperability
Certification Frequency and Requirements
Earlier this quarter, ONC and CMS requested information on program requirements for certification frequency for reporting quality measures. Lantana Consulting Group supports eMeasure development and has a sharp interest…
Read MoreCDA in the Wild: Validation and Schematron (Installment #4)
It has been weeks since our last episode. Frankly, the sight of that genetically mutated Wild-CDA/North-American-XHTML hybrid left my team so repulsed that many could not continue. But after…
Read MoreQuality C-CDAs can lead to Quality Reporting
As standards developers and data analysts, we rely on finding patterns in our day to day work. We apply our patented “pattern recognition algorithm” (note: not a real patent) to identify the questions our clients ask most often. “How can we leverage our healthcare data to perform quality reporting?” Closely followed by, “and can we use C-CDA to import that data into our analytics environment?” Although we’d prefer a simple “yes”, the solution is rarely simple.
Read MoreASCO Augments Clinical Oncology Treatment Plan and Summary with Survivorship Care Plan
Co-authored by: Edward P. Ambinder, MD Jeremy L. Warner, MD The cancer journey, from diagnosis to treatment to survivorship, involves multiple interventions and stakeholders. Survivorship begins after completing a bulk…
Read MoreDraft 2016 Interoperability Standards Advisory: Lantana Response
Everyone understands today that standards for data, communication, and terminology are the lynch pins of health information exchange across clinical care. But who is doing something about it? Earlier this…
Read MoreCDA in the Wild: Validation – XML Schema (Installment #3)
During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast…
Read MoreCDA In The Wild: Basic XML Issues (Installment #2)
Move in closer now…do you see that? It’s a wild CDA lying motionless in the grass. Surely it’s waiting for prey to…wait, it’s not moving – something’s wrong… …
Read MoreCDA in the Wild – Introduction
Shh…
…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).
We go greenLantana
greenLantana is the name of our collective effort to measure, evaluate, and improve the corporate, social, and environmental impacts of our Lantana way of doing business. As the name suggests, our initiative emphasizes environmental responsibility and includes support for “corporate social responsibility”[1] and the “triple bottom line”.[2]
Read MoreWhat Does LTPAC Want – for Interoperability?
The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Collaborative held its 10th Annual Summit in Baltimore at the end of June. HIT leaders, policy makers, providers, and vendors, convened to discuss industry initiatives and priorities from the Collaborative’s latest Roadmap for Health IT in LTPAC. We participated in and attended several sessions on continuity of care and quality reporting.
Read MoreThe Lifecycle of a Template – Part 1: Stability and Progress
A template’s inaugural design often doesn’t seem like a “version”. It is difficult for designers while working closely to solve a problem, to envision that someday, perhaps even in the not too distant future, the solution they are in the midst of creating will need to change. And so it is with templates.
Read MoreWash, rinse, and repeat (Part 2)
My last blog post detailed some of the features of Trifolia that help make my life as an information analyst easier. In this post, I discuss the part of the…
Read MoreTrifolia, how do I love thee? Let Me Count the Ways (Part 1)
I’ve worked with various incarnations of HL7 Implementation Guides (IG) for roughly 8 years. My first exposure was in the UK with the NHS Connecting for Health’s Message Implementation Manual (MIM) for V3 messages. I wasn’t involved in building this specification, but I did use it for coding. Later, I was responsible for creating the Clinical Document Architecture (CDA) IGs for Australia’s national eHealth program. Back then, these were manually created Word documents that evolved into partially automated DocBook created PDF documents.
Read MoreHIT on Parade at the 2015 American Society of Clinical Oncology (ASCO) Annual Meeting
HIT vendors eager to advance the cause of shareable clinical information – and their products – can do so this Spring in a first-of-a-kind interoperability demonstration. ASCO is not primarily a trade or HIT show. It is the central venue for 25,000+ cancer clinicians, researchers, and other stakeholders from around the world.
Read MoreFree Text Sig
Discord is afoot. It has been for some time now. The cause is a little understood data element known as “Free Text Sig”.
Read MoreCDA Experts on FHIR
At Lantana, we are all pretty comfortable working with CDA. I think we are also pretty open to understanding its limitations. The current CDA, Release 2, was developed ten years ago. It was designed to meet a range of requirements from simple, transformed-from-dictation documents to fully coded, semantically interoperable reports. A key design consideration, a requirement for passing ballot within HL7 at that time, was full compatibility with Version 3 messaging and an explicit tie-in to the Reference Information Model (RIM).
Read MoreAre Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative
Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal…
Read MoreProposed Delays to 2014 Meaningful Use Timeline & and Changes to Certified Electronic Health Care Technology (CEHRT). How will you be affected?
Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary…
Read MoreBrag Blog: HAIMS Nails it for Veterans
The great thing about a career in health IT is that we have so many problems to solve. The drag is that it occasionally feels as if we operate on…
Read MoreHIMSS Health Story Project: Our Successful Demonstration of the SEE Tool in a Patient-Centric Use Case
Lantana demonstrated the SEE Tool as part of HIMSS Health Story showed how physicians without an EHR can still access the HIE & update a patients record.
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