CDA Validation

NextGen® Enterprise EHR Help

Viewing CDA Documents

The CDA Viewer enables you to view CDA documents in a human-readable format. The Viewer also enables you to easily Filter the display to selected sections within the document. Change the order that sections are displayed in. Perform CDA validation on the document. Save view options as user preferences. The CDA Viewer complies with the Validate and Display clause of Meaningful Use Stage 3 (MU3) requirement 170.315(b)(1), "Transitions of Care." The CDA Viewer can be launched from multiple NextGen applications and gives a standardized view of CDA documents for users of all applications. Conventions Conventions for the term CDA. Parent topic: CDA Viewer

NextGen® Enterprise EHR Help

View CCRs

Continuity of Care Record (CCR) is an old standard for patient summary records. The CCR standard preceded the creation of the Continuity of Care Document (CCD) standard. The CDA Viewer can display CCR documents, but some CDA Viewer features are not available when viewing CCRs: Only the Full View is supported, so the document is opened in Full View. Continuity of Care Record in Full View If you select Custom View, the tab displays a message explaining that CCRs are not available in Custom View. Warning for CCR in Custom View Filters are not available. The complete document is displayed. CDA Validation does not apply to CCRs. The CDA Validation tab displays the message "Document does not appear to be a CDA document. No validation was performed." Parent topic: CDA Viewer

NextGen® Enterprise EHR Help

Viewing CDA Documents in Custom View

Clinical Document Architecture (CDA) documents can contain hundreds of sections. To help you focus on the most important sections for your daily work, the Custom View tab supports the following subset of CDA sections that contain the most critical information: Demographics Header Medications Meds Administered Allergies Problems Immunizations Results Encounters Vital Signs Procedures Family History Social History Advanced Directives Medical Equipment Payers Reason for Referral Discharge Summary Note Consultation Note History And Physical Note Progress Note To see any of the sections not supported in the Custom View tab, refer to the Full View tab. Features of the Custom View You can use the Custom View tab to go to a specific section; reorder, filter, or sign off sections; send a section as a task; or open the Clinical Reconciliation module. Configure General Options for Custom View You can use general options to control the appearance and behavior for all documents, not just the curren

NextGen® Enterprise EHR Help

Viewing CDA Documents in Full View

The Full View enables you to view the complete human-readable text of a CDA document, formatted as it would appear in a web browser. Full View To navigate within the CDA document, you can do any of the following: Use the vertical scroll bar to scroll through the document continuously. Scroll to the Table of Contents links after the header section, then select a link to jump straight to the corresponding section. Table of Contents Links Select the underlined header at the start of any section to jump back to the Table of Contents. Underlined Headers that Link to Table of Contents Select Search Search or select CTRL-F. When the Find bar appears, enter a search term. The number of Found Matches is displayed on the Find bar. Use the Previous and Next buttons to step through the document to each place the search team appears. Previous and Next Buttons Select Comments to enter internal notes . Filtering the Full View You can create filters to specify which Consolidated Clinical Document Arch

NextGen® Enterprise EHR Help

CDA Validation

The CDA Validation feature displays a detailed report of items in a CDA that violate CDA standards. This feature is available in both Custom View and Full View. Enable Automatic Validation You can specify whether the CDA Viewer automatically performs validation when you open a document. Manually Initiate Validation You can display a CDA validation report for any document that is open in the CDA Viewer. Parent topic: CDA Viewer

NextGen® Enterprise EHR Help

Manually Initiate Validation

To display the CDA Validation Report for the currently open document, Select the CDA Validation button in the left margin of the CDA Viewer. CDA Validation Button If the CDA was previous validated, then the validation report appears. If the CDA was never previously validated, then a message appears stating that validation is turned off. In this case, select Validate Now and the validation report opens. Validation Report The validation report lists the total number of errors and warnings. Specific text for each error and warning also appears in the display. You may need to resize the window and/or scroll to see all messages. If you update the schematron files for the HIE Gateway NextGen Validation service, you should revalidate the CDA to test changes in the service. To revalidate the CDA, select Revalidate. You can export the validation report to a file by clicking the Export button at the bottom of the CDA Validation pane. Parent topic: CDA Validation

CDA Validation

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