| Organization of This Book | p. 1 |
| Introduction | p. 1 |
| Data Types | p. 2 |
| CDA Modeling | p. 4 |
| Implementing CDA | p. 5 |
| References | p. 7 |
| Clinical Documentation | p. 9 |
| Properties of Clinical Documents | p. 9 |
| The Six Characteristics of Clinical Documents | p. 10 |
| Questions | p. 15 |
| Research Questions | p. 15 |
| References | p. 15 |
| The HL7 Clinical Document Architecture | p. 17 |
| History of the Clinical Document Architecture | p. 17 |
| CDA is Based on XML | p. 18 |
| Structure of a CDA Document | p. 19 |
| Levels of CD A | p. 20 |
| Summary | p. 20 |
| Questions | p. 21 |
| Extensible Markup Language | p. 23 |
| The XML Declaration | p. 25 |
| Namespaces | p. 27 |
| XML Schema Language | p. 28 |
| Parsing the CDA XML | p. 31 |
| Summary | p. 33 |
| Questions | p. 33 |
| Research Questions | p. 34 |
| References | p. 34 |
| Basic Data Types | p. 35 |
| ANY | p. 35 |
| Booleans | p. 38 |
| Quantities | p. 39 |
| Summary | p. 46 |
| Questions | p. 47 |
| Research Questions | p. 47 |
| References | p. 47 |
| Text and Multimedia | p. 49 |
| BIN Binary | p. 49 |
| ED Encapsulated Data | p. 49 |
| ST String | p. 58 |
| Summary | p. 59 |
| Questions | p. 59 |
| Research Questions | p. 60 |
| Demographic Data | p. 61 |
| ADXP Address Part | p. 61 |
| AD Address | p. 63 |
| Name Part | p. 66 |
| EN Entity Name | p. 67 |
| ON Organization Name | p. 69 |
| PN Person Name | p. 69 |
| TN Trivial Name | p. 69 |
| II Instance Identifier | p. 72 |
| TEL Telecommunications Address | p. 75 |
| Summary | p. 79 |
| Questions | p. 79 |
| Research Questions | p. 79 |
| References | p. 80 |
| Codes and Vocabularies | p. 81 |
| Concepts | p. 81 |
| Codes | p. 82 |
| Coding Systems | p. 82 |
| Pre- and Post-coordination | p. 83 |
| Value Sets | p. 83 |
| Summary | p. 84 |
| Questions | p. 84 |
| Research Questions | p. 84 |
| Codes | p. 85 |
| CD Concept Descriptor | p. 86 |
| CE Coded with Equivalents | p. 90 |
| CV Coded Value | p. 91 |
| CO Coded Ordinal | p. 91 |
| CS Coded Simple | p. 91 |
| Summary | p. 92 |
| Questions | p. 92 |
| Research Questions | p. 93 |
| Dates and Times | p. 95 |
| TS Time Stamp | p. 95 |
| IV_ TS Interval of Time | p. 99 |
| PIVL_TS Periodic Interval of Time | p. 100 |
| EIVL_TS Event-Related Periodic Interval ofTime | p. 101 |
| GTS Generic Timing Specification | p. 103 |
| Use of Time Data Types with Medications | p. 103 |
| Summary | p. 105 |
| Questions | p. 106 |
| Research Questions | p. 106 |
| Collections | p. 107 |
| BAG Bag | p. 107 |
| SET Set | p. 108 |
| IVL Interval | p. 109 |
| LIST List | p. 109 |
| Summary | p. 110 |
| Questions | p. 110 |
| Research Questions | p. 110 |
| HL7 Version 3 Modeling | p. 111 |
| The RIM Backbone Classes | p. 111 |
| HL7 Modeling and UML | p. 114 |
| Summary | p. 125 |
| Questions | p. 125 |
| Research Questions | p. 125 |
| Reference | p. 125 |
| Clinical Document Infrastructure | p. 127 |
| <Clinical Document> | p. 128 |
| Infrastructure Elements | p. 129 |
| Summary | p. 130 |
| Questions | p. 130 |
| Research Questions | p. 131 |
| The CDA™ Header | p. 133 |
| Clinical Document RIM Attributes | p. 134 |
| Acts | p. 138 |
| Participations and Roles in the Document Context | p. 148 |
| People, Organizations and Devices | p. 160 |
| Summary | p. 167 |
| Questions | p. 168 |
| Research Questions | p. 168 |
| References | p. 168 |
| The CDA™ Body | p. 171 |
| Unstructured Narrative | p. 172 |
| Structured Narrative | p. 174 |
| The Narrative Block | p. 177 |
| Subject Participation | p. 184 |
| Other Rendering Options | p. 186 |
| Summary | p. 187 |
| Questions | p. 187 |
| Research Questions | p. 187 |
| Clinical Statements in the CDA™ | p. 189 |
| Act Classes in the CDA Clinical Statement Model | p. 189 |
| EntryRelationship | p. 204 |
| Participants | p. 206 |
| Summary | p. 210 |
| Questions | p. 211 |
| Research Questions | p. 212 |
| HL7 Version 2 to CDA™ Release 2 | p. 213 |
| HL7 Version 2 Data Type Mappings | p. 216 |
| Converting Codes and Assigning Authorities | p. 221 |
| Observation (OBX) | p. 222 |
| Transcription Document Header (TXA) | p. 231 |
| Patient Identifier (PID) | p. 236 |
| Patient Visit Information (PV1) | p. 240 |
| Additional Patient Visit Information (PV2) | p. 243 |
| Next of Kin (NK1) | p. 243 |
| Message Header (MSH) and Event (EVN) Segments | p. 246 |
| Common Order Segment (ORC) | p. 247 |
| Observation Request Segment (OBR) | p. 249 |
| Note (NTE) | p. 255 |
| Specimens (SPM) | p. 256 |
| Summary | p. 259 |
| Questions | p. 260 |
| Research Questions | p. 260 |
| Extracting Data from a CDA™ Document | p. 261 |
| Data Extraction | p. 261 |
| XPath Searching Through Context | p. 261 |
| Summary | p. 262 |
| Questions | p. 262 |
| Research Questions | p. 262 |
| Templates | p. 263 |
| Building Implementation Guides Using Templates | p. 265 |
| CDA Extensions | p. 270 |
| Summary | p. 273 |
| Questions | p. 273 |
| Research Questions | p. 274 |
| Validating the Content of a CDA™ Document | p. 275 |
| Using the CDA Schemas | p. 276 |
| ISO Schematron | p. 276 |
| Model Based Validation | p. 278 |
| Validating When CDA Extensions Are Used | p. 279 |
| Validating Narrative | p. 280 |
| Summary | p. 280 |
| Questions | p. 281 |
| Research Questions | p. 281 |
| Implementation Guides on CDA™ | p. 283 |
| Claims Attachments (HL7) | p. 284 |
| Electronic Medical Summary (British Columbia/Vancouver Island Health Authority) | p. 284 |
| Care Record Summary (HL7) | p. 285 |
| Volet Medical (DMP) | p. 286 |
| Cross Enterprise Sharing of Medical Summaries (1HE) | p. 286 |
| The Continuity of Care Document | p. 287 |
| Exchange of Personal Health Records | p. 288 |
| The ANSI/HITSP C32 Summary Documents Using the CCD | p. 289 |
| Laboratory Reports | p. 290 |
| Smart Open Services for European Patients | p. 291 |
| Unstructured Documents | p. 292 |
| Summary | p. 292 |
| Questions | p. 293 |
| Research Questions | p. 293 |
| Afterword | p. 295 |
| About the Author | p. 297 |
| Index | p. 299 |
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