Health Story: Progress Note
This page will support the development of the Progress Note Draft Standard for Trial Use (DSTU) 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
Body Review
Sample Progress Notes (courtesy of MedEDocs)
Reference Material
Project Scope Statement is awaiting final approval from TSC on 6/22.
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
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).
