Difference between revisions of "Health Story: Unstructured Documents"
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Revision as of 11:26, 16 October 2009
The page will support the development of an Implementation Guide for CDA Release 2, Unstructured Documents, for the January 2010 ballot cycle.
This project will provide guidance for sending/receiving unstructured clinical documents including images, scanned documents, faxed and word processor output.
Contents
Draft IG and Sample
Development
Header Review
- Material to be added
Body Review
- Material to be added
Reference Material
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)
Education
Quick Start Guides
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.
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.
This Quick Start Guide is for implementers working with the Care Record Summary (CRS).