Table 3.
Categorized observations (N=615) across 21 C-CDA samples examined
| Examined domains from MU common data set | ||||||||
|---|---|---|---|---|---|---|---|---|
| Demographics | Allergies | Medications | Problems | Results | Smoking status | Vital signs | Total | |
| Incorrect data within XML elements | 10 | 12 | 27 | 24 | 5 | 14 | 5 | 97 |
| Terminology misuse or omission | 9 | 40 | 29 | 12 | 31 | 2 | 19 | 142 |
| Inappropriate or variable XML organization or identifiers | 7 | 20 | 13 | 17 | 23 | 10 | 20 | 110 |
| Element optionality through inclusion or omission | 49 | 20 | 40 | 16 | 22 | 1 | 13 | 161 |
| Problematic reference to narrative text from structured body | 0 | 6 | 10 | 11 | 3 | 6 | 9 | 45 |
| Inconsistent data representation | 23 | 7 | 4 | 4 | 12 | 0 | 2 | 52 |
| Not elsewhere classified | 1 | 3 | 2 | 1 | 1 | 0 | 0 | 8 |
| Total | 99 | 108 | 125 | 85 | 97 | 33 | 68 | 615 |
Both errors and heterogeneity observations were recorded in each category with the exception of ‘Inconsistent data representation’ which only included heterogeneity.
C-CDA, Consolidated Clinical Document Architecture; MU, Meaningful Use; XML, extensible markup language.