Business Views
Class Diagram 9. Communicate Clinical Document

Description

This View is an abstraction of the HL7 Clinical Document Architecture (CDA) and is intended to support sharing of persistent documents as well as messages.

An interaction that communicates a clinical document.

Rationale

A clinical document is authored by a clinician for a particular purpose at a particular point in time. The document can be digitally signed to authenticate the attestation. Different levels of structured content supports a migration strategy that permits legacy system to participate in the EHRi even if they are not able to support documents with detailed coded entries.

Implementation Considerations

Implementation Guides for specific types of documents designed as Templates based on the HL7 CDA is likely to get clinicians engaged in defining useful documents to be shared for particular purposes. Current initiatives in Canada and around the world are already early adopters of the HL7 CDA even before the specification is declared an ANSI standard.

Source Models

HL7 V3 Clinical Document Architecture from the most current ballot.

Pos System Entity Document
Custodian Patient Delivery
Organization Assigned
Author Authorized
Information
Recipient Role Organisation Person Clinical
Document Parent
Document Document
Section Document
Body Consent Encompassing
Encounter Order Service
Event Entry
Choice Encounter Organizer Procedure Supply Observation Other
Clinical Activity Substance
Administration Activity
Reference Entry
Relationship Has Component Has Component Has Entry Has Entry Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Contains Component Of Component Of Related
To Related
To Documents Documents In Fulfillment Of In Fulfillment Of Authorized By Authorized By Has Component
Has Component
Transmits Transmits Intended
Recipient Intended
Recipient Author Author Played By Played By Played By Played By Record
Target Record
Target Represented
Organization Represented
Organization Played By Played By Played By Played By Has
Custodian Has
Custodian Participates Participates Played By Played By Connects
among Connects
among Assigns Assigns

General Info
Name 9. Communicate Clinical Document
Type Class Diagram