What Difference HL7 V3 and CDA, really until now I haven't got precise answer please help me
Thanks.
A CDA is self-contained and static while a HL7 message describes a dynamic action on a object ( A08 for example to update a visit's details or A05 to pre-admitt a patient.) HL7 V.x messages are purely event driven while the content (Such as an OBX-5 field) may contain a static value.
Clinical Document Architecture (CDA) is a popular, flexible markup standard developed by Health Level 7 International (HL7 ) that defines the structure of certain medical records, such as discharge summaries and progress notes, as a way to better exchange this information between providers and patients.
"While v2 provides a 'negotiated framework' for developers to easily use and adapt, v3 was targeted to be a stricter standard that aimed to eliminate variances, in an effort to improve interoperability between all users of the standard," he said.
The HL7 Standard is broadly divided into two categories – Version 2 (V2) and Version 3 (V3). The majority of HL7 messaging employs messages that use the 2.3 or 2.3. 1 versions of the standard.
HLv2.x
is messaging protocol which was mostly ascii/text based, and also had an xml support to it. The problem was that HL7v2.x
had boundaries for customization to about 20 percent That is why some times HL7
is also referred to as an open standard.
In order to scrap off customization, attain consistency and enable Plug N Play messaging, RIM - Reference Information Model
was created. That gave an Object oriented approach to HL7 messaging standard.
Based on RIM, CDA Clinical Document Architecture
was developed.If you say you using v3 or CDA both mean the same. v3 message is completely XML based allowing no region for customization unlike v2.7.
UPDATE: This question here also adds more information about the schemas used by v3 and CDA.
v3
<author>
<time value="200202150730"/>
<modeCode code="WRITTEN"/>
<signatureCode code="S"/>
<assignedEntity>
<id root="2.16.840.1.113883.19.1122.3" extension="444-444-4444"/>
<assignedPerson>
<name>
<given>Harold</given>
<given>H</given>
<family>Hippocrates</family>
<suffix qualifier="AC">MD</suffix>
</name>
</assignedPerson>
</assignedEntity>
v3 is under continous development. Even today, most of the healthcare applications, still continue to use v2.x.
CDA
are HL7
documents, while HL7 V.x
are messages. Long story short, the CDA aims for human readability AND machine processing while messages only aim for machine processing.
Here's a good link which describes both paradigms.
A CDA
is self-contained and static while a HL7
message describes a dynamic action on a object (A08
for example to update a visit's details or A05
to pre-admitt a patient.)
HL7 V.x messages are purely event driven while the content (Such as an OBX-5 field) may contain a static value. We for example used ORU messages to embedd x-ray results as binary stream.
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