Progress for Sharing Clinical Notes: New Standards Improve Exchange for Clinical Narrative

As health information technology systems continue to improve the exchange of data across healthcare settings, the Health Story Project has stressed the value of maintaining the narrative content when sharing patient’s health information. In support of the 2015 Certified EHR Technology requirements and to support the Common Clinical Data Set (now incorporated into the US Core Data for Interoperability), HL7 published a companion guide to Consolidated CDA (C-CDA), which defines new templates that can be used in any C-CDA document to include clinical notes. Mappings and profiles are also being developed to ensure full interoperability for clinical notes using FHIR® resources. This Roundtable highlights patient and physician perspectives on the importance of clinical notes. We discuss this new approach to structuring and exchanging clinical notes and how it aligns with new USCDI data elements. Panelists also share approaches their organizations are taking to support digital exchange of clinical notes.


Speaker Information:

Dave Cassel, Executive Director, Carequality
Didi Davis, Vice President for Informatics, Conformance & Interoperability, The Sequoia Project
Steven Lane, MD, MPH, Clinical Informatics Director, Privacy, Information Security & Interoperability, Sutter Health
Brett Marquard, Principal, WaveOne Associates
Liz Salmi,Senior Strategist, Outreach & Communications, OpenNotes, Beth Israel Deaconess Medical Center


Resources discussed in the presentation:

HL7 C-CDA Companion Guide with Clinical Note Templates

Joint Carequality/CommonWell C-CDA Guidance document

Draft Argonaut FHIR®  Clinical Notes Guidance

Sequoia Project Content Testing


Interested in learning more? Check out this HIMSS blog:
Who Needs the Narrative Anyway?