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

Draft IG and Sample

Coming soon!

Development

Header Review

-Beginning week of 6/21

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

• 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).

Agendas and Meeting Minutes

• Meeting Agenda 6/16/2010