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David C. Kibbe, MD MBA
Senior Advisor, American Academy of Family Physicians
Chair, ASTM International  E31Technical Committee on Healthcare Informatics
Principal, The Kibbe Group LLC 
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On Nov 24, 2009, at 10:35 AM, Reggie Pangilinan wrote:

> 
>  CCR standard is already too complicated, and the v2.0 should simplify it, 
> e.g. get rid of the Actor data type.
> 
> Will google health support v2.0?
> Where can i get news/preview about CCR v2.0
> 
> Thanks,
> Reggie
> 
> 
> On Tue, Nov 24, 2009 at 7:25 AM, David Kibbe <[email protected]> wrote:
> That's correct, Michael.  There is no Note data object in the CCR standard, 
> although there is a section called Plan of Care which could handle brief free 
> text notes, and some have used it that way, and it is also possible to add 
> links to documents and images.  However, the CCR standard was designed for 
> structured summary data primarily, to maximize computability.  
> 
> This is extensible markup language.  If the industry calls for it, we could 
> place a more formally designated data object for Notes in v2.0, which would 
> then allow for Profiles to specify types of notes.  However, this would also 
> considerably blur the distinction between the CCR standard as a summary 
> health record in structure XML from other formats, e.g. PDF, Word, the CDA 
> from HL7, etc.
> 
> Personally, I think that keeping the CCR standard very simple is important to 
> its value in the marketplace.  Adam Bosworth thinks the CCR standard is 
> already too complicated, and the v2.0 should simplify it, e.g. get rid of the 
> Actor data type.
> 
> DCK
> 
> 
> David C. Kibbe, MD MBA
> Senior Advisor, American Academy of Family Physicians
> Chair, ASTM International  E31Technical Committee on Healthcare Informatics
> Principal, The Kibbe Group LLC 
> ___________
> 
> 913-205-7968 mobile
> ___________
> [email protected]
> [email protected]
> 
> CONFIDENTIALITY: This e-mail message (including attachments, if any) is 
> confidential and is intended only for the addressee. Any unauthorized use or 
> disclosure is strictly prohibited. Disclosure of this e-mail to anyone other 
> than the intended addressee does not constitute waiver of privilege. If you 
> have received this communication in error, please notify me immediately and 
> delete this. Thank you for your cooperation.  This message has not been 
> encrypted.  Special arrangements can be made for encryption upon request.
> 
> 
> 
> 
> 
> On Nov 24, 2009, at 10:09 AM, Michael Jahn wrote:
> 
>> If you look at this page
>> 
>> http://code.google.com/apis/health/ccrg_reference.html
>> 
>> Note the categories !
>> 
>> Allergies
>> Conditions
>> Immunizations
>> Medications
>> Procedures
>> Test Results
>> Age, sex, height (Demographics)
>> There is no "Notes".
>> 
>> There may indeed be a Notes area in a full CCR, but remember, Google Health 
>> is only supporting a smaller "Sub-Ste" of the CCR specification.
>> 
>> Today, If I needed to place a note in a Google Health account, I would be 
>> place it as a PDF file.
>> 
>> Just like I might ad an X-Ray.
>> 
>> I have done this in my Pebbles.Flintstone.Test account.
>> 
>> 
>> 
>> Michael Jahn
>> Jahn & Associates
>> PDF Conversion Specialist
>> 1824 North Garvin Avenue
>> Simi Valley
>> California 93065
>> Office: (805) 527 8130
>> Cell: (805) 217 6741
>> Email: [email protected]
>> Skype: michaelejahn
>> Twitter: http://twitter.com/michaelejahn
>> Blog: http://michaelejahn.blogspot.com/
>> 
>> 
>> 
>> 
>> On Tue, Nov 24, 2009 at 3:14 AM, Suresh Thakur <[email protected]> wrote:
>> Hi,
>> 
>> In my application I want to display the notes entered by person in
>> google health.
>> 
>> I have read this forum, which was disscussed in the April,2008 and
>> says on that time Notes were user centric: user gets to put them in
>> and only the user gets to see them.
>> 
>> http://groups.google.com/group/googlehealthdevelopers/browse_thread/thread/c835836f485eb01/be4576e1a812345c?lnk=gst&q=read+patient+notes#be4576e1a812345c
>> 
>> 
>> I have gone through the google CCR specifications [
>> http://code.google.com/apis/health/ccrg_reference.html ] and I dont
>> really know how to get 'Notes'. Is there some thing I am missing. I am
>> assuming that It should be available now.
>> 
>> 
>> Thanks,
>> 
>> Suresh Thakur
>> 
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>> 
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