Difference between revisions of "Health Story: Progress Note"
Bamarquard (talk | contribs) (New page: This page supported the development of the Progress Note for the October 2010 ballot cycle. <br> This project will design a Progress Note in XML as a constraint on HL7 v3 CDA r2. A Progre...) |
Bamarquard (talk | contribs) |
||
| Line 34: | Line 34: | ||
=====Pertinent CDA Guides===== | =====Pertinent CDA Guides===== | ||
*[http://www.hl7.org/documentcenter/public/standards/informative/crs.zip Care Record Summary (CRS)] | *[http://www.hl7.org/documentcenter/public/standards/informative/crs.zip Care Record Summary (CRS)] | ||
| + | *[http://www.hl7.org/documentcenter/ballots/2007SEP/support/CDAR2_CONSNOTE_DSTU_2008AUG.zip Consult Notes] | ||
| + | *[http://www.hl7.org/documentcenter/ballots/2009SEP/downloads/CDAR2_IG_CRSR2_DS_R1_DSTU_2009DEC.zip Discharge Summary] | ||
*[http://www.hl7.org/documentcenter/ballots/2007SEP/support/CDAR2_HPRPT_DSTU_2008AUG.zip History and Physical (H&P) Notes] | *[http://www.hl7.org/documentcenter/ballots/2007SEP/support/CDAR2_HPRPT_DSTU_2008AUG.zip History and Physical (H&P) Notes] | ||
| + | *[http://www.hl7.org/documentcenter/private/standards/cda/igs/cdar2_ii_bimgrpts_r1_inf_2009mar.zip Imaging Integration; Basic Imaging Reports in CDA and DICOM (membership required)] | ||
*[http://www.hl7.org/documentcenter/ballots/2008SEP/downloads/CDAR2_OPNOTE_R1_DSTU_2009MAR.zip Operative Notes] | *[http://www.hl7.org/documentcenter/ballots/2008SEP/downloads/CDAR2_OPNOTE_R1_DSTU_2009MAR.zip Operative Notes] | ||
| − | |||
| − | |||
| − | |||
=====Sample Files===== | =====Sample Files===== | ||
Revision as of 11:44, 15 June 2010
This page supported the development of the Progress Note for the October 2010 ballot cycle.
This project will design a Progress Note in XML as a constraint on HL7 v3 CDA r2. A Progress Note documents patient’s clinical status during a hospitalization or outpatient visit. The project will review current Progress Note usage and will examine industry precedents and requirements.
Recurring meeting: Tuesday @ 11:00 AM EST - 12:30 PM EST
Conference line: Phone Number: 770-657-9270 Participant Passcode: 310940
Goto Meeting: Progress Note Goto Meeting ID: 823-506-059
Contents
Draft IG and Sample
-Coming soon!-
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
Pertinent CDA Guides
- Care Record Summary (CRS)
- Consult Notes
- Discharge Summary
- History and Physical (H&P) Notes
- Imaging Integration; Basic Imaging Reports in CDA and DICOM (membership required)
- Operative Notes
Sample Files
-Coming soon!-
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).
