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CCDA & CCDA on FHIR 2021, Au 3-5

Every ONC-certified EHR must support Consolidated Clinical Document Architecture (C-CDA). C-CDA is a document standard for communicating patient summaries between providers and patients. It is a foundational component for US Meaningful Use (MU) Stage 3 and Merit-Based Incentive Payment System (MIPS) interoperability.
C-CDA on FHIR is an HL7 implementation guide that expresses the core C-CDA use case using HL7® FHIR® resources.

This online class provides a detailed background on the specification, explains how C-CDA builds on CDA® to provide highly structured patient summaries and discusses implementation challenges and choices. It will also give an overview of FHIR documents in general, the C-CDA on FHIR profiles in particular and discuss migration strategies when moving from CDA to FHIR and vice-versa.

Target Audience

  • Software vendor stakeholders building and supporting C-CDA functionality in HIT products
  • Payers interested in visit summaries
  • Providers implementing and supporting C-CDA based health information exchange and patient engagement interoperability functionality
  • Others interested in capitalizing on the widespread availability of C-CDA capabilities in electronic health records
  • Stakeholders interested in structured document standards development
  • CDA implementers wishing to move to FHIR
  • FHIR implementers wanting to learn about FHIR documents


  • Effectively navigate the specification
  • Identify and explain the key document types and sections
  • List the latest enhancements to the standard and supporting documentation and tools
  • Use CDA templates to streamline implementation
  • Locate C-CDA validation tools
  • Explain the structure of FHIR documents
  • Find and explain the C-CDA on FHIR profiles
  • Strategize ways to move content between CDA and FHIR formats


  • A basic knowledge of CDA
  • Introduction to HL7 FHIR or equivalent experience (i.e. Connectathon participation etc.)


Rick Geimer:
  • Member of the CDA Management Group
  • HL7 CDA R2 Certified Specialist, Co-Editor
  • CDA Consolidation and many other implementation guides, 
  • Lead C-CDA on FHIR project
  • Chief Innovation Officer, Lantana Consulting Group