Consider generating the C-CDA Discharge Summary for hospital discharges Avoid detail from prior hospitalizations, and include only the relevant data from the current hospitalization Consider specific preferences for amount of data in each section, , including whether or not to include information from prior hospitalizations or visits Strongly consider including all invasive procedures performed during the hospitalization Consider specific preferences for data from hospitalizations Consider including historical procedures relevant to the treatment given now Keep in mind the intended purpose and recipients of the document, e.g., , specialty, in the context of the clinical use case of which the ToC is a part, and understand what is most important to them Include Discharge Medications; also consider Admission Medications and Medications Administered, each in its own section Ensure that med lists include all active medications, newly prescribed, and discontinued, each distinctly labeled and identified Include reason for discontinuation of medications Provide better tools, such as flexible rendering, filtering, and incorporation, features for receivers of CDA documents, so that they are not totally dependent on the decisions of senders. See also the discussion in 5.2, Using Relevance to Improve User Experience Recommendations to ONC Section more C-CDA document types than CCD and Referral Note to be used for ambulatory ToC Stimulate and incent innovative research and development of new rendering, filtering, and incorporation features (related to Recommendation #12 Consider recommendations of Interoperability Experience Task regarding incorporation of clinical data Using Relevance to Improve User Experience Relevance improves user experience when it is used to improve the visibility of relevant information. are several ways to accomplish this: Make relevant content more visible. Presenting more relevant data before less relevant data. Highlighting relevant data Hide irrelevant content from the user’s view. A clinical document, persistent, will have many viewers, and thus many judges of relevance. An automated system producing clinical documents would be greatly challenged to produce a satistfactory experience among all possible future users of that document with regard to the relevance of the data. For any classification of relevance, we recommend that any assessment of relevance be focused on the current or intended viewer of the document, or if unknown the intended purpose of the document (i.e., the use case for it). We recommend a four step process in using relevance to improve user experience:
Consider generating the C-CDA Discharge Summary for hospital discharges Avoid detail from prior hospitalizations, and include only the relevant data from the current hospitalization Consider specific preferences for amount of data in each section, including whether or not to include information from prior hospitalizations or visits , Strongly consider including all invasive procedures performed during the hospitalization Consider specific preferences for data from hospitalizations Consider including historical procedures relevant to the treatment given now Keep in mind the intended purpose and recipients of the document, e.g., specialty, in the context of the clinical use case of which the ToC is a part, and understand what is most important to them , Include Discharge Medications; also consider Admission Medications and Medications Administered, each in its own section Ensure that med lists include all active medications, newly prescribed, and discontinued, each distinctly labeled and identified Include reason for discontinuation of medications Provide better tools, such as flexible rendering, filtering, and incorporation, features for receivers of CDA documents, so that they are not totally dependent on the decisions of senders. See also the discussion in 5.2, Using Relevance to Improve User Experience Recommendations to ONC Section more C-CDA document types than CCD and Referral Note to be used for ambulatory ToC Stimulate and incent innovative research and development of new rendering, filtering, and incorporation features (related to Recommendation #12 Consider recommendations of Interoperability Experience Task regarding incorporation of clinical data Using Relevance to Improve User Experience Relevance improves user experience when it is used to improve the visibility of relevant information. are several ways to accomplish this: Make relevant content more visible. Presenting more relevant data before less relevant data. Highlighting relevant data Hide irrelevant content from the user’s view. A clinical document, persistent, will have many viewers, and thus many judges of relevance. An automated system producing clinical documents would be greatly challenged to produce a satistfactory experience among all possible future users of that document with regard to the relevance of the data. For any classification of relevance, we recommend that any assessment of relevance be focused on the current or intended viewer of the document, or if unknown the intended purpose of the document (i.e., the use case for it). We recommend a four step process in using relevance to improve user experience: