Health Story: Discharge Summary

This page supported the development of the Discharge Summary for the September 2009 ballot cycle.

The purpose of this project is to issue a Discharge Summary-specific CRS updated for compliance with the current approach to CDA templates in CCD and the HL7 Health Story implementation guides. The resulting specification will be consistent with IHE XDS-MS for Discharge Summary and HITSP C48 and will not introduce conflicting requirements.

Recurring meeting: Tuesday @ 11:00 AM EST - 12:30 PM EST

Conference line: Phone Number: 770-657-9270 Participant Passcode: 310940

Goto Meeting: Discharge Summary Goto Meeting ID: 694-590-139

Draft IG and Sample

• Draft Discharge Summary IG and Sample

Development

Header Review

• General Header Constraints template vs Care Record Summary R1
• Commented General Header Constraints Template Sample (XML)

Body Review

• Statistical Analysis section review with cardinality
• 20090707 Statistical analysis section review courtesy of Laura Bryan, M*Modal, Mark Morsch
• DS section title analysis courtesy of M*Modal

Reference Material

• Project Scope Statement

IHE

• Wiki page for IHE Discharge Summary
• PCC Technical Framework Volume 1, Revision 4.0 (use case)
• PCC Technical Framework Volume 2, Revision 4.0 (details of Discharge Summary)

HITSP

• HITSP C48

Pertinent CDA Guides

• Care Record Summary (CRS)
• History and Physical (H&P) Notes
• Operative Notes
• Consult Notes
• Imaging Integration; Basic Imaging Reports in CDA and DICOM (membership required)
• Continuity of Care Document (CCD) (membership required)

Sample Files

• Sample IHE Discharge Summaries from NIST

Education

Quick Start Guides

• CDA Quick Start Guide (v1.5)

This Quick Start Guide supports implementers working with simple CDA documents. It covers required elements in the CDA header and body and explains fundamental concepts including the CDA approach to identifiers, vocabulary and data types.

• Continuity of Care Document (CCD) Quick Start Guide (v1.0)

This Quick Start Guide is for implementers working with the Continuity of Care Document (CCD). If not already familiar with the underlying Clinical Document Architecture Release 2.0 (CDA R2) standard, readers should also take advantage of the CDA Quick Start Guide available here.

• Care Record Summary (CRS) Quick Start Guide (v1.0)

This Quick Start Guide is for implementers working with the Care Record Summary (CRS).

Meeting Minutes

• Tour of IG 8/4/2009
• SDWG: Tour of project and allergy discussion 7/30/2009
• Design: Section review 7/28/2009
• SDWG Review: Header/Section questions 7/23/2009
• Design: Section/Header review 7/21/2009
• SDWG Review: Project overview and section questions 7/16/2009
• Design: Section review 7/14/2009
• Design: Statistical analysis section review 7/7/2009
• Design: Header + section review 6/30/2009
• Design: Header review 6/23/2009
• Project Kick-off 6/16/2009