ARCHIVED Testing References

C-CDA Content Testing Documentation (Approved/Effective January 11, 2017)

This page provides the documentation package for use with the enhanced content testing program for the eHealth Exchange and includes the content test procedures and associated test data. The testing documentation provides guidance from five Health Level 7 (HL7) publications and shall be used for conformance testing requirements and procedures later in 2017 when the tooling for testing is made available. Please provide comments or questions to testing@sequoiaproject.org

2017_Content_Testing_Documentation.zip

Watch the eHealth Exchange Enhanced Content Testing Program Demo(07/20/2017)
On July 20, 2017, Didi Davis, Director of Testing, reviewed the new Enhanced Content Testing requirements for eHealth Exchange product vendors and participants. This demonstration included an overview of the testing methodology and requirements for interoperability testing and exchange of clinical document content between eHealth Exchange participants. Watch Now

Click here to access a recording of the Content Testing Webinar held on December 2, 2016.
This is the presentation that was reviewed.

Please note that the following HL7 documentation is subject to HL7 licensing requirements. The HL7 documents referenced in the Content Testing Documentation are:
HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 (US Realm) Draft Standard for Trial Use
HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm
HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 – Volume 1 – Introductory Material(August 2015)
HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1- Volume 2 – Templates and SupportingMaterials(August 2015)
Companion Guide to HL7 Consolidated CDA R2.1 for ONC 2015 Health IT Certification Criteria
HL7 Implementation Guide for CDA Release 2: Clinical Guidance on Relevant and Pertinent Data to Include Automatically Generated Patient Summaries
HL7 Example Task Force Library
Best Practices and Quantitative Scoring Criteria (Scorecard)




ARCHIVED Public Comment Documentation:


ARCHIVED: C-CDA CCD Content Testing Pilot Documentation (published April 11, 2016) - updated documentation published 11/15/2016




There are three documents that are published for use with the planned testing pilot and include the content test procedures drafted for public comment. Currently, the testing workgroup is focused on content testing and these documents have been published as of April 11. The word document provides guidance from four Health Level 7 (HL7) publications and shall be used with the spreadsheet and pdf that will be developed into a requirements document for conformance to the agreed upon requirements to be further defined during the pilot testing phase. Please provide comments, edits or questions to testing@sequoiaproject.org for review by the Testing Workgroup during the pilot phase scheduled through June 30, 2016.





Content Testing Pilot Documentation





Please note that the following HL7 documentation is subject to HL7 licensing requirements. The two HL7 documents referenced in the testing pilot are:



HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 (US Realm) Draft Standard for Trial Use



HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm



HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 – Volume 1 – Introductory Material(August 2015)



HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1- Volume 2 – Templates and Supporting Materials(August 2015)





The timeline for the Content Testing Pilot that will inform these documents can be found below:



Pilot Timeline Plan implementation (please see the communications & calendar page for the latest roadmap spreadsheet)



  • Publish Content Testing Documentation for Pilot 04/11/2016
  • Pilot Trial period – 3 months – April 2016 - June 2016.
  • Mandatory content testing – Consideration by Coordinating Committee after Pilot concludes – Date TBD.





ARCHIVED: C-CDA CCD Draft Documentation for Comment (published November 5, 2015) - updated documentation published 3/29/2016




There are two documents that are published for use with the planned testing pilot and include the content test procedures drafted for public comment. Currently, the testing workgroup is focused on content testing and two documents have been published as of November 5, 2015. The word document provides guidance from two Health Level 7 (HL7) publications and shall be used with the spreadsheet that will be developed into a requirements document for conformance to the agreed upon requirements to be further defined during the pilot testing phase. Please provide comments, edits or questions to testing@sequoiaproject.org for review by the Testing Workgroup during the pilot phase.



  1. C-CDA_Test_Cases Word Document
  2. CCD_C-CDA_MU_eHEX_Content_Checklist





Please note that the following HL7 documentation is subject to HL7 licensing requirements. The two HL7 documents referenced are:



HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 (US Realm) Draft Standard for Trial Use



HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm





The timeline for the Content Testing Pilot that will inform these documents can be found below:



Pilot Timeline Plan implementation (please see the communications & calendar page for the latest roadmap spreadsheet)



  • Publish Content Testing Documentation Available for public comment 11/05/2015 (Testing Workgroup and Specification Factory).
  • Tooling assessment – 3 months – December 2015 – February 2016 - this will include determination of testing tools to be used and manual testing requirements that may not be met by automated tooling. It is expected feedback from pilot will help prioritize tooling improvements for use by the program in production.
  • Pilot Trial period – 3 months – April 2016 - June 2016.
  • Mandatory content testing – Consideration by Coordinating Committee after Pilot concludes – Date TBD.