CDA generated from CMS is missing data

[rami-prilutsky]

The CDA is missing visits and procedures which exists in the CMS and are parsed to the CMS json model.

[kachok]

thanks! looking into it

[kachok]

@rami-prilutsky we reviewed what's going on with CMS and generating parsed data from it to CCDA.

Essentially visits/procedures information from CMS is under claims (so it is not clinical data but billing). Claims do not have a standard model and are not expressed in CCDA standard. So it is omitted from generated CCDA document.

Now that we described why we are not doing it, any ideas on what can be done? (essentially what is your use case?)

[rami-prilutsky]

Thanks @kachok,

We want to extract as much clinical data from CMS as possible. There's medications, visits, procedures and diagnosis information which is implicitly implied from the claim lines in the CMS. Although not in a standard model and not a trivial transformation, there are pieces of information there which can be assembled into a standard one. Example are the drug NDC codes and the Diagnosis ICD-9 codes which all can be placed in the relevant sections in the CCDA.