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


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)

Formal Change Process Milestones
Approval Milestones
Target Dates
Present to CC for Review (Draft):
11/15/16 - Completed
CC Approval:
11/15/16 - Completed
Participant Input (Post draft to eHealth Exchange Wiki):
11/15/16 - Completed
Participant Input (Webinar to review):
12/2/16 - Completed
30 day notice to Participants:
12/2/16 - Completed
Objection Period Ends:
1/10/17 - Completed
New Content Testing Program Effective Date:
Comment Resolution
In Process/no negative commenter were received. However, clarification and/or editorial changes will be published with the Testing Program launch.
Testing Workgroup Feedback Loop to HL7/ONC
Production Content Testing Program Launch
February 5, 2018
eHealth Exchange Informational Call - Announcing Launch
February 5, 2018