Benefits and Challenges of Consolidated Clinical Document Architecture (CCDA)

Benefits and Challenges of Consolidated Clinical Document Architecture (CCDA)


Consolidated Clinical Document Architecture is another name for CCDA. CCDA is a comprehensive architecture for creating medical documents and template methodologies. The CCDA’s primary function is to standardize the content and structure of clinical care summaries.

Benefits and Challenges of Consolidated Clinical Document Architecture (CCDA)

The Consolidated Clinical Document Architecture (CCDA) is a widely used CDA implementation guide that covers a wide range of clinical care. Both the government and the industry share a common goal, which is to integrate the FHIR and the CDA. As a result, the CCDA aids in the definition of a couple of FHIR profiles on the composition resource to recognize various types of documents. CCDA can be used in a variety of applications. The techniques for network documentation differ depending on the client’s and software designer’s preferences. The use of CCDA aids in the description of the patient’s history in a single file. According to Kernan, R. (2012), the method typically entails creating a master document with cross-references to provide additional information. The design of CCDA is readable to humans and machines. After the development of the application decision matrix, the client is presented with the CCDA to determine the functionality of each application level. It is also legally authenticated and installed with firewalls or efficient intrusion detection software that guarantee security.

Nonetheless, there are some issues with the CCDA messaging framework. CCDA is not completely compatible with Health Level 7 Version 2. (HL7 V2). The HL7 V2 standard has a strict procedure for improving forward and backward compatibility. Content is only added to the end of the existing fields, and applications are expected to ignore unspecified repetitions. Furthermore, CCDA can quickly fill in lines of extensible markup language. If the designer fails to specify the system or environment, the applications will define their own extensions. The validation process is usually incompatible with one another. The same source can be referenced multiple times in HL7 V2. For example, information about a patient’s diagnosis history is likely to come from sources similar to clinicians and clinics (Kernan, 2012).In case the data provided is incomplete, it becomes difficult to validate the messaging methods.



Kernan, R. (2012). Clinical Document Architecture (CDA), Consolidated-CDA (C-CDA) and

their Role in Meaningful Use (MU).



Research the consolidated clinical document architecture (CCDA) messaging framework and describe its benefits and challenges.

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