Difference between revisions of "Health Story: Procedure Note"
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*[http://wiki.hl7.org/images/1/1c/CDAR2_PROCNOTE_R1D1_2010JAN.zip Draft Header and Development Sample] | *[http://wiki.hl7.org/images/1/1c/CDAR2_PROCNOTE_R1D1_2010JAN.zip Draft Header and Development Sample] | ||
| + | *[http://wiki.hl7.org/images/a/ae/CDAR2_PROCNOTE_R1D1_2010JAN.doc Developing IG] | ||
=Development= | =Development= | ||
Revision as of 23:09, 10 November 2009
The page will support the development of the Procedure Note Report for the January 2010 ballot cycle.
This project is to design a basic procedure note as a constraint on HL7 v3 CDA r2. The note will be basic enough to be used for all procedures and will develop a sample note for endoscopy. To promote standardization and acceptance, it will be closely modeled on the current HL7 CDA Operative Note.
Contents
Draft IG and Sample
Development
Header Review
Body Review
- Statistical Analysis courtesy of M*Modal and Laura Bryan (MTWerks)
- Sample Procedure Forms courtesy of Laura Bryan (MTWerks)
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).
