|Scope:||This section describes the contents of this specification and provides a high level definition of this Component and background information about the underlying standards that the Component is based on. |
The purpose of the HITSP CDA and CCD Content Modules Component is to define the Content Modules for document based HITSP constructs utilizing clinical information. These Content Modules are based on IHE PCC Technical Framework Volume II, Release 4. That Technical Framework contains specifications for document sections that are consistent with all implementation guides for clinical documents currently selected for HITSP constructs.
Each HITSP Interoperability Specification (IS) is comprised of a suite of constructs that, taken as a whole, define how to integrate and constrain existing standards and specifications that will satisfy the requirements imposed by a given Use Case. The IS groups specific actions and actors to describe the relevant contexts using HITSP constructs that further identify and constrain standards where necessary. There are four types of HITSP constructs called Interoperability Specifications (IS), Transaction Packages (TP), Transactions (T), and Components (C). The current HITSP CDA and CCD Content Modules Component specification is used with other constructs to meet the requirements of one or more ISs. Review Section 1.2 Interoperability Specification Document Map from the relevant IS to better understand the context, dependenciesTwo types of Content Modules are specified, they are:
1.Entry Content Modules - a collection of Data Elements pertaining to a single instance of the specified concept. For example, the Allergy/Drug Sensitivity Entry Module describes all the Data Elements for one allergy.
2.Section Content Modules - a collection Entries pertaining to a single specified concept. For example, the Allergies and Other Adverse Reactions Section can contain a list of allergies (multiple Entry Content Modules). Section Content Modules are typically selected from specifications created by SDOs, such as CCD, HL7 Implementation Guides, and IHE Integration Profiles. In order to synchronize the sections, certain template IDs have changed from the previous IDs specified in HITSP/C32. Template ID changes also may have been needed in order to harmonize previously existing HITSP CDA based constructs.
This new Component harmonizes the requirements for document sections that previously existed in the HITSP/C28 Emergency Care Summary Document Using IHE Emergency Department Encounter Summary (EDES), HITSP/C32 - Summary Documents Using HL7 Continuity of Care Document (CCD), HITSP/C38 - Patient Level Quality Data Document Using IHE Medical Summary (XDS-MS) and HITSP/C48 Encounter Document constructs, and in new constructs such as HITSP/C84 Consult and History & Physical Note Document and HITSP/C78 Immunization Document..