CDA Implementation Forum November 2012 Agenda 12:3012:40 Introduction -Survey Feedback -Future Forum topics -ISCF update 12:4013:00 CDA Attachments -Guidance on how to include attachments in CDA documents. 13:0013:15 CDA Validation -Guidance on how to use the CDA validation tools to validate a CDA XML document. 13:1513:30Questions & Answers 13:30Close -Request for Feedback -Date of Next Meeting

CDA Implementation Forum -Survey Feedback -Future Forum topics -ISCF update

Which topics would you like on the next CDA Implementation Forum? CDA Implementation Methods (GreenCDA, OpenSource)14 Sending CDA Documents (WS, DTS, )12 CDA Validation7 CDA Attachments7 Other (Sending a URL; NHS111 messaging; receiving from multiple sources) 3 CDA Coded Entries2

Which topics would you like on the next CDA Implementation Forum?

December CDA Forum A full day meeting jointly hosted by HL7 UK and DHID Date: Tuesday 4th December 2012: Location: NCVO,NCVO Regent's Wharf, 8 All Saints Street, London N1 9RL Meeting is free, but registration is required at :

Agenda December 4th 09:30 Registration & Refreshments 10:00CDA Forum: Implementation experiences with CDA in the UK Presentations from implementers sharing experiences and lessons learned. If you are interested in presenting, please contact Richard Kavanagh 11:00HL7 UK: Extraordinary General Meeting (to appoint a Chair-Elect) 11:15Tea & Coffee 11:40CDA Forum: Implementing Use of Templates Overview of the DHID template library and related resources (Richard Kavanagh & team) Change management using templates, for implementers (panel discussion) 13:00Lunch 13:30HL7 UK Technical Committee Living well with multiple standards and SDOs, and managing changes over standards' lifecycles. A practical view from international work, mainly with Pharmacy content (Hugh Glover) Benefits gained from conveying structured information into CDA. For the NHS in England using CDA for discharges and out-patient reports is a real benefit over other available options even if content is unstructured - but let's not lose sight of the bigger prize of conveying structures information. (Dipak Kalra, Andrew Hinchley) Feedback from the Dallas/ITK joint meeting on Telehealth Interoperability (Ann Wrightson, Richard Worden) So what are the requirements that CDA can meet? Reflections from HL7 UK University Outreach, on what to teach healthcare informatics students about CDA and other standards. (Dipak Kalra, Andrew Hinchley) 15:00Tea & Coffee 15:30Demonstrations of solutions and tools for implementing CDA Additional contributions to this session are welcome, please contact Ann cityEHR: an open source EHR based on CDA and CEN (John Chelsom) Practical support for managing a template library: examples, issues and insights(Robert Worden) 16:30Meeting Close From HL7 UK website as of 6 th November 2012

CDA Implementation Methods A series of topics being discussed over a number of different sessions : Implementation Feedback Presentations from recent CDA developers at the HL7/DHID meeting on December 4th GreenCDA – WebEx to be scheduled (November/December) GreenCDA is an implementation method for creating CDA by using a simpler XML schema and then using a transform to create the full “on the wire” CDA XML before transmission OpenSource – WebEx to be scheduled (November/December) CDAAPI is an Open Source project on github.com for creating CDA documents based on published profiles by CFH. The project is based on C# for a Microsoft technology stack. Other OpenSource projects are being sought and separate sessions will be hosted for any others that allow the creation of NHS CDA profiles. If you know of one get in touch.

Sending CDA Documents Currently the ITK supports sending CDA documents using Web Services or DTS. Separate WebEx sessions will be hosted to cover of these transport choices : Sending CDA using Web Services – WebEx to be scheduled ( Late November ) - Services included within the ITK - WSDL files - Distribution Envelope - Security Sending CDA using DTS – WebEx to be scheduled ( Late November ) - Registering for DTS - DTS costs and volumes - Distribution Envelope

ISCF Update Multiple applications have been successful in the ISCF process that propose to use CDA. These include : Numerous uses of the “Non Coded CDA Profile” Multiple “Discharge Summary Profile” implementations Multiple “PHMR Profile” implementations Many examples using structured text as opposed to embedded documents Examples using coded entries as well as structured text We will be working with the implementers to get fuller details of technical approaches and feedback during the ISCF process.

-END- Survey Feedback, Future Forum, topics, ISCF update