Common - Clinical Document v1.4.4

Specifications, guidance and associated collateral applicable to all types of clinical documents.

End products superseded by

A new version has been released for this end product

Please refer to Common - Clinical Document v1.5 or refer to the Release History for all releases of this End Product.

Identifier: 
EP-2395:2016
Date: 
16-06-2017
Type: 
application/zip
SHA256 Checksum: 
057e202acc78103adeca39ce2c6c446cb10a57a708e50322d1ef65a1e0f7197b
Size: 
7.36 MB

Product Components

Product component
Identifier: 
NEHTA-1097:2011

This document provides advice for implementers with respect to coding common clinical concepts in Agency CDA documents, including e-Referral, Discharge Summary, Event Summary, Shared Health Summary, and Specialist Letter.

Product component
Identifier: 
NEHTA-1199:2012

This document:

Product component
Identifier: 
NEHTA-1226:2011

This specification defines a clinical package as a logical model of the data it contains. This model can be profiled to create data models for specific clinical data.

Product component
Identifier: 
NEHTA-1229:2011

This specification defines three logical models for clinical data that consists of a single CDA XML document and related byte streams. This specification also defines a possible serialised representation for those logical models.

Product component
Identifier: 
NEHTA-1255:2012

This FAQ answers the question: What is the appropriate use of date and date-time values in clinical documents?

Product component
Identifier: 
NEHTA-1270:2013

This FAQ describes an extension to these eDischarge Summary, eReferral and Specialist Letter that involves encapsulating the CDA package within an HL7 v2 MDM^T02 message (which covers the delivery of a document).

Product component
Identifier: 
NEHTA-1274:2013

A global exclusion statement is common in CDA clinical documents and has three possible values:

  • None known
  • Not asked
  • None supplied

This FAQ answers the question: What is the proper use of none known in global exclusion statements?

Product component
Identifier: 
NEHTA-1273:2013

The FAQs are guidance material for implementation. They should be used for clarification purposes and to support existing documentation.

This FAQ answers the question: What are the nullable fields in clinical documents conformant to the CDA implementation guides?

Product component
Identifier: 
NEHTA-1276:2013

The FAQs are guidance material for implementation. They should be used for clarification purposes and to support existing documentation.

Product component
Identifier: 
NEHTA-1328:2013

This document recommends a set of presentation guidelines for CDA® document authors. It complements the CDA® Rendering Specification and the CDA® implementation guides by describing:

Product component
Identifier: 
NEHTA-1329:2012

Conformance test specification for clinical documents

Product component
Identifier: 
NEHTA-1459:2013

The CDA implementation guides that include diagnostic service reports (eReferral, Specialist Letter, Event Summary, and Discharge Summary) divide the reports into pathology and radiology.

Product component
Identifier: 
NEHTA-2063:2015

The conformance test specification contains test cases for assessing clinical information systems for conformance with the following PCEHR usability recommendations (published as part of the Clinical Usability Programme (CUP) Release 3):

Product component
Identifier: 
NEHTA-1850:2015

This document provides conformance requirements applicable to all types of clinical documents. This includes references to other documents containing additional normative content.

Product component
Identifier: 
NEHTA-2065:2015

Specifies test cases for the assessment of conformance of clinical information systems with requirements related to CDA packaging.

Product component
Identifier: 
NEHTA-2189:2015

This conformance test specification supports the currently published My Health Record views specifications and their conformance requirements. It provides a targeted set of test cases, managed using a Microsoft Excel workbook.
This document mentions the NPDR.

Product component
Identifier: 
NEHTA-2064:2016

This version of Conformance Test Specification provides clarifications for many of the test cases, improves the readability of the document, and adds a number of test cases to support recently published Pathology Report and Diagnostic Imaging Report conformance profiles.

Product component
Identifier: 
NEHTA-2336:2016

The FAQs are guidance material for implementation. They are to be used for clarification purposes and to support existing documentation.

Product component
Identifier: 
DH-2396:2017

This incremental release of the Common - Clinical Document end product provides a new Conformance Test Specification for Authoring Systems and updates to the My Health Record Usability Recommendations.

Product component
Identifier: 
DH-2267:2017

This document provides usability recommendations for clinical information systems authoring or rendering information contained in clinical documents and views exchanged with the My Health Record system.

Product component
Identifier: 
DH-2462:2017

This incremental release of the Clinical Documents – Template Package Directory includes updated references to the following product components:

Product component
Identifier: 
DH-2209:2017

Conformance Test Specification for Authoring Systems provides a significant expansion of the authoring test cases previously available to developers in Clinical Documents - Conformance Test Specification for CDA Rendering v1.3 which contained test cases for authoring and rendering.  This previous

Release history

By operation of the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016, on 1 July 2016, all the assets and liabilities of NEHTA will vest in the Australian Digital Health Agency. In this website, on and from 1 July 2016, all references to "National E-Health Transition Authority" or "NEHTA" will be deemed to be references to the Australian Digital Health Agency. PCEHR means the My Health Record, formerly the "Personally Controlled Electronic Health Record", within the meaning of the My Health Records Act 2012 (Cth), formerly called the Personally Controlled Electronic Health Records Act 2012 (Cth).

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