Overview

The Clinical Documentation Solution Accelerator (CDSA) for the Microsoft Office system is a Connected Health Platform resource that enables you or your customer to define and create clinically encoded documents. Documents can be created based upon ready-made templates (for example, for a Discharge Summary or a Referral) retrieved using the Microsoft Office System.

Key Benefits for Your Organization

  • Improve productivity and reduce training costs

    Users employ the already familiar Microsoft Office Word interface to complete documents that are yet readable by both people and systems

  • Quickly design and create clinical documents

    CDSA supports rapid development of a range of clinical documents that readily match those currently in use by clinicians and end-users

  • Directly link to external data sources

    Look up, verify and encode your data (such as clinical terms or medications) by background reference to online services

  • Easily share encoded documents

    Use existing e-mail and middleware systems to send documents, sharing data between primary care and hospital and acute care clinicians and communicating with the patient

Uses MSCUI Controls to Encode Clinical Information

CDSA promotes the safety and consistency of clinical documentation by utilizing Microsoft Health Common User Interface software toolkit components. Those components support the embedding of structured, machine-readable clinical information in a human-readable Microsoft Office document shareable across care boundaries. The encoding of clinical information is to industry standard formats (such as the Health Level 7 (HL7) Clinical Document Architecture (CDA)).

Built for External Data Sources

This resource demonstrates the direct utilization of external clinical data (perhaps from a cloud platform or Windows Azure source) in a document. Example external data sources include Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) encoding services or drug reference data. This enables a powerful editing experience, specific to the healthcare domain but easy to use because it offers familiar, industry-leading authoring tools, such as Microsoft Office Word 2007 or Microsoft Office Word 2010.

Integrate with Your Existing IT Systems

You can use CDSA as the foundation for clinical document workflows (for example, in combination with Microsoft Office SharePoint Server 2010). Tailor those to the specific Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems in your own or your customer's healthcare environment. In addition, CDSA will enable you to create clinical documents suitable for upload to a Personal Health Record (PHR) system (such as Microsoft HealthVault) or to other external storage.

Easily Create Clinical Templates

Template designers can create Office Word templates, allowing the data entered in the document to be mapped to a machine-readable representation using clinical encoding taxonomies (such as SNOMED CT®). This is in addition to providing a human-readable version of the document.

Easily Create Clinical Documents

Clinicians can complete clinical forms created from a CDSA-enabled Office Word template. The Office Word (.docx) file contains both human-readable and machine-readable clinical information (such as a HL7 CDA representation).

Share Clinical Documents Across Care Boundaries

Even without the need for the CDSA add-in, a recipient can read the clinical document. The document .docx file still contains the machine-readable clinical information and this can be extracted and uploaded to an external clinical system. It is easy to share clinical documents created using the CDSA, passing them across care boundaries whilst retaining the clinically encoded data.

Resources for developers
The CDSA add-in extends Microsoft Word to provide easy to use features for designing and configuring clinical document templates that use CDSA controls. You can also use Visual Studio 2008 to enhance and extend your clinical document templates and implement complex mappings to machine readable storage formats (such as HL7 CDA format). Two sample clinical document templates are provided to illustrate how the CDSA add-in can be applied to create interoperable, encoded clinical documents. Two sample web services are provided to show how data from external clinical data sources, such as encoding services or drugs catalogues, can be included to populate the document with data.
CDSA Overview

This video provides an introduction to CDSA.
Download .wmv file
What's included?

Clinical Documentation Solution Accelerator Source Package (Zip file) including

  • Word Add-in source code
  • Worked Example Discharge Summary Template (CDA format)
  • Worked Example Cardiology Referral Template
  • Sample Web service Clinical Encoding Service
  • Sample Web service Drug Catalogue Service

System Requirements

One of the following operating systems:

  • Windows 7
  • Windows Vista (Service Pack 1)
  • Windows XP (Service Pack 3)

The following applications:

  • Microsoft Office Word 2010 or Microsoft Office Word 2007
  • Microsoft Visual Studio 2008 Service Pack 1 (for template customization)