Specification - Extended

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm

Document Description

extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38

Existing Wording

Template Improvement Request:

Proposed Wording

Based on guidance available from the Association for Healthcare Documentation Integrity, published in the Book of Style and Standards for Clinical Documentation, additional optional guidance should be included in template definitions (where appropriate), to assist implementers in producing human readable narrative that is consistent and accurate. This guidance would help the human readable information communicate more clearly and reduce physician burden. See HIMSS Health Story Project presentation covering this recommendation. https://www.himss.org/library/style-standards-improve-health-it-usability-and-reduce-physician-burden