ArticleJournal of the American Medical Informatics Association : JAMIA
HL7 Clinical Document Architecture, Release 2.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 153 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
153 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Current approaches to identify sections within clinical narratives from electronic health records: a systematic review.BMC medical research methodology · 2019Pooled it
- Clinical information modeling processes for semantic interoperability of electronic health records: systematic review and inductive analysis.Journal of the American Medical Informatics Association : JAMIA · 2015Pooled it
- Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review.Journal of biomedical informatics · 2011Pooled it
- Deconstructing the Interoperability Stack: A Comparative Technical Analysis of HL7 v2, CDA, and the FHIR Resource Framework.Computational and structural biotechnology journal · 2026Review
- Diagnosis Documentation Done Right: Cross-Specialty Standard for the Diagnosis Section in German Discharge Summaries - A Mixed-Methods Study.Journal of general internal medicine · 2025Article
- Large-Scale Evaluation and Liver Disease Risk Prediction in Finland's National Electronic Health Record System: Feasibility Study Using Real-World Data.JMIR medical informatics · 2025Article
- Article
- Reusing data from HL7 CDA-based shared EHR systems for clinical trial conduct: a method for analyzing feasibility.BMC medical informatics and decision making · 2025Article
- A scalable platform for acquisition of high-fidelity human intracranial EEG with minimal clinical burden.PloS one · 2024Article
- Interoperability of health data using FHIR Mapping Language: transforming HL7 CDA to FHIR with reusable visual components.Frontiers in digital health · 2024Article
- Automated approach for quality assessment of RDF resources.BMC medical informatics and decision making · 2023Article
- Secure Collaborative Platform for Health Care Research in an Open Environment: Perspective on Accountability in Access Control.Journal of medical Internet research · 2022Article
- Data capture and sharing in the COVID-19 pandemic: a cause for concern.The Lancet. Digital health · 2022Review
- Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards.Applied clinical informatics · 2022Article
- ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review.International journal of environmental research and public health · 2022Article
- Digital Health Profile of South Korea: A Cross Sectional Study.International journal of environmental research and public health · 2022Article
- Standard Document Development for Health Information Exchange in Korea.Applied clinical informatics · 2022Article
- Electronic Health Record Data in Cancer Learning Health Systems: Challenges and Opportunities.JCO clinical cancer informatics · 2022Review
- Unbox the black-box for the medical explainable AI via multi-modal and multi-centre data fusion: A mini-review, two showcases and beyond.An international journal on information fusion · 2022Article
- Prediction of Myoelectric Biomarkers in Post-Stroke Gait.Sensors (Basel, Switzerland) · 2021Article
93 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical Document Architecture, Release One (CDA R1), became an American National Standards Institute (ANSI)-approved HL7 Standard in November 2000, representing the first specification derived from the Health Level 7 (HL7) Reference Information Model (RIM). CDA, Release Two (CDA R2), became an ANSI-approved HL7 Standard in May 2005 and is the subject of this article, where the focus is primarily on how the standard has evolved since CDA R1, particularly in the area of semantic representation of clinical events. CDA is a document markup standard that specifies the structure and semantics of a clinical document (such as a discharge summary or progress note) for the purpose of exchange. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. It can be transferred within a message and can exist independently, outside the transferring message. CDA documents are encoded in Extensible Markup Language (XML), and they derive their machine processable meaning from the RIM, coupled with terminology. The CDA R2 model is richly expressive, enabling the formal representation of clinical statements (such as observations, medication administrations, and adverse events) such that they can be interpreted and acted upon by a computer. On the other hand, CDA R2 offers a low bar for adoption, providing a mechanism for simply wrapping a non-XML document with the CDA header or for creating a document with a structured header and sections containing only narrative content. The intent is to facilitate widespread adoption, while providing a mechanism for incremental semantic interoperability.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.