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Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative.

D'Amore JD, Mandel JC, Kreda DA, Swain A, Koromia GA, Sundareswaran S, Alschuler L, Dolin RH, Mandl KD, Kohane IS, Ramoni RB - J Am Med Inform Assoc (2014)

Bottom Line: Based upon our analysis and vendor discussions, we identified 11 specific areas that represent relevant barriers to the interoperability of C-CDA documents.We identified errors and permissible heterogeneity in C-CDA documents that will limit semantic interoperability.Our findings also point to several practical opportunities to improve C-CDA document quality and exchange in the coming years.

View Article: PubMed Central - PubMed

Affiliation: Lantana Consulting Group, LLC, East Thetford, Vermont, USA Diameter Health, Inc., Newton, Massachusetts, USA.

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SMART C-CDA Scorecard histogram for C-CDA samples (N=21). C-CDA, Consolidated Clinical Document Architecture; SMART, Substitutable Medical Applications and Reusable Technology.
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Related In: Results  -  Collection

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AMIAJNL2014002883F2: SMART C-CDA Scorecard histogram for C-CDA samples (N=21). C-CDA, Consolidated Clinical Document Architecture; SMART, Substitutable Medical Applications and Reusable Technology.

Mentions: We submitted the same samples for scoring by the SMART C-CDA Scorecard, obtaining an average score of 63% (range 23–100%; figure 2). As expected, no correlation (R2<0.01) was observed between TTT results and SMART C-CDA Scorecard scores because they examine wholly different aspects of C-CDA document correctness. De-identified group results were presented publically and identified results were shared during individual vendor sessions.


Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative.

D'Amore JD, Mandel JC, Kreda DA, Swain A, Koromia GA, Sundareswaran S, Alschuler L, Dolin RH, Mandl KD, Kohane IS, Ramoni RB - J Am Med Inform Assoc (2014)

SMART C-CDA Scorecard histogram for C-CDA samples (N=21). C-CDA, Consolidated Clinical Document Architecture; SMART, Substitutable Medical Applications and Reusable Technology.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215060&req=5

AMIAJNL2014002883F2: SMART C-CDA Scorecard histogram for C-CDA samples (N=21). C-CDA, Consolidated Clinical Document Architecture; SMART, Substitutable Medical Applications and Reusable Technology.
Mentions: We submitted the same samples for scoring by the SMART C-CDA Scorecard, obtaining an average score of 63% (range 23–100%; figure 2). As expected, no correlation (R2<0.01) was observed between TTT results and SMART C-CDA Scorecard scores because they examine wholly different aspects of C-CDA document correctness. De-identified group results were presented publically and identified results were shared during individual vendor sessions.

Bottom Line: Based upon our analysis and vendor discussions, we identified 11 specific areas that represent relevant barriers to the interoperability of C-CDA documents.We identified errors and permissible heterogeneity in C-CDA documents that will limit semantic interoperability.Our findings also point to several practical opportunities to improve C-CDA document quality and exchange in the coming years.

View Article: PubMed Central - PubMed

Affiliation: Lantana Consulting Group, LLC, East Thetford, Vermont, USA Diameter Health, Inc., Newton, Massachusetts, USA.

Show MeSH