Tele-consultation using Clinical Document Architecture in disease specific domains

In recent times, telemedicine has become an essential and integral part of e-healthcare. Telemedicine helps a patient to receive health care services from distant location. Under the diverse scenario of health care services, it is often required that different telemedicine systems should interoperate with each other. However, syntactic and/or semantic mismatch in data and service often restrict the system interoperability. We have addressed that interoperability through Clinical Document Architecture (CDA), an HL7 standard for clinical document. Until recently, CDA specifies standards of document generation for different use cases such as progress note, discharge summary, operative note etc. but disease specific document development is not addressed explicitly. In this paper, we have focused on disease specific (pediatric HIV for example) refinement of clinical document architecture to build appropriate consultation notes for tele-consultation.