HIMSS Health Story Project


Comprehensive electronic records that tell a patient's complete health story. Today, most electronic patient records and health information exchanges operate on a small percentage of the available information. The Health Story is dedicated to a comprehensive electronic record that can be shared to improve care through collaboration and analysis.

The Health Story Project began in 2006 as an alliance of healthcare vendors, providers and associations that pooled resources in a rapid-development initiative. In a span of three years, the Health Story Project produced eight Health Level Seven (HL7) data standards for the flow of information using common types of healthcare documents. Today, the Health Story is managed by HIMSS and participation is open to all HIMSS members. Visit the links below to learn more. 

Health Story Project Roundtable

Upcoming Roundtable Sessions

Fall 2015 Health Story Project Roundtable | Monday, November 2, 2015 at 12pm ET

Using CDA Documents to Share a Person's Health Story and the Data Within

Presented by:  Lisa Nelson, MS, MBA

Register Here

Join the Roundtable to take an active role to advance the patient's story.

  • Advocate and build support for the Health Story Project
  • Collaborate and network with Health Story Project supporters
  • Engage with industry leaders on monthly meetings
  • Participation on Health Story Roundtable is open to any HIMSS members at no additional cost

To learn more about the Health Story Project or to speak with a HIMSS staff member, please contact healthstory@himss.org.

Data Standards

HL7 Implementation Guide for CDA R2

This project designed a basic procedure note in XML as a constraint on HL7 version 3 Clinical Document Architecture Release 2. The note is basic enough to be used for all procedures and includes a sample note for endoscopy. To promote standardization and acceptance, it was closely modeled on the current HL7 CDA Operative Note. Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (JCAHO) requirements, with specialty group input, was used to choose the contents. CMS and JCAHO, the primary regulators, requirements dictated the minimum content standards. Implementer institutions were given opportunity for input as to compatibility with current/planned systems.

The Health Story Project collaborated with the American Society of Gastrointestinal Endoscopy (ASGE) with strong volunteer support from Oregon Health & Science University. Within HL7, the project was sponsored by the Structured Documents Work Group.

» Access HL7 CDA Release 2

HL7/IHE Health Story Consolidation Project

The HL7/IHE Health Story Implementation Guide Consolidation Project is a collaboration of Health Level Seven (HL7) International, Integrating the Healthcare Enterprise (IHE) and the Health Story Project. Working through the HL7 standards development organization, volunteers consolidated exchange standards for eight common types of clinical documents along with the HL7 Continuity of Care Document (CCD) standard into one comprehensive implementation package that establishes a foundation for health information exchange.

Through the consolidation and harmonization effort, the project addressed minor areas of ambiguity within the specific Standards Final Rule requirement to implement HL7 Clinical Document Architecture (CDA) Release 2, Continuity of Care Document according to HITSP C32.

ONC's Office of Standards and Interoperability (S&I) hosted the volunteer effort within its S&I Framework and facilitated the project through HL7 and IHE with support of its contractors. Consolidated CDA is a recommended standard for clinical documents in the proposed rule supporting Meaningful Use Stage 2.

Within HL7, the project was sponsored by the Structured Documents Work Group.

» Access HL7 Implementation Guide Release 2: IHE Health Story Consolidation, Release 1 - US Realm through HL7

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