CDA stands for Clinical Document Architecture, which is specified in the HL7 domain. It functions as a longitudinal patient record.

Diagnostic report applications are mostly encoded and exchanged in the HL7 domain. A mapping of DICOM to HL7, V3.0 (which uses XML as an encoding) and into the clinical document architecture (CDA) of HL7 is very appropriate. In addition, there is a need to cross reference DICOM and CDA documents. 

CDA is now a formally adopted method in the U.S. for encoding claims attachments, including radiology and other imaging clinical reports attached to HIPAA EDI transactions. Furthermore, CDA is also emerging as a key element for a persistent-object-based Electronic Healthcare Record (EHR) integrating the entire healthcare enterprise.


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