CDA Transform – Legal Edition

If you do medical litigation, we can help you  find medical errors.

Here’s how.

In medical litigation, you must review medical records, both paper records and electronic records.

Electronic records are often sent to you in CDA format. CDA stands for Clinical Document Architecture. It’s the preferred format clinicians use to share healthcare information. Here is a sample CDA for an imaginary patient.

This is what you need to know about CDA’s.

The CDA is severely flawed, if not outright dangerous. The data you see is not always the data they get.

Here’s why.

The CDA consists of two components, the “human readable”part, and the “data” part. These two parts are almost totally disjoint. You only see the human readable part. You almost never see the “data” part. That is where errors might go undetected.

Here’s a “human readable” snippet from a CDA. We will call it the <text> component.

ENTRY

Here’s the “data” snippet for the above. We will call it the <entry> component.

TEST

Here’s the problem. The <text> component does NOT always display the exact same information contained in the <entry> component.

Let me share an example. Here is a <text> snippet from a CDA published on the internet.

CDA1

I ran this CDA through our software tool. Here is a snippet showing what was contained in the <entry> component of the CDA above.

DIDATA1

The “Status” displayed in the <text> component is NOT the same as the “Status” contained in the <entry> component. The clinician who prepared this CDA clearly saw that the Cervical biopsy was “Scheduled”. However, once this CDA was transmitted to the recipient, and the recipient’s computer imports the data, the recipient would see that the Cervical biopsy was “Completed”.

Please remember, interoperability depends upon the <entry> components. That’s what computers read. That’s what computers understand.

Don’t believe me yet?

Look at the <entry> component from the CDA, click here. The status clearly states“completed”, yet the human readable component shows something totally different.

This is not good. Admittedly, this may not happen often, but if it happens at all, YOU need to know. The software offered here will enable you to see the REAL data, the data that the target computer understands, the <entry> components.

Let us help you find medical errors. Click here to get started now.