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 
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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: michaelej...@gmail.com
> Skype: michaelejahn
> Twitter: http://twitter.com/michaelejahn
> Blog: http://michaelejahn.blogspot.com/
> 
> 
> 
> 
> On Tue, Nov 24, 2009 at 3:14 AM, Suresh Thakur <ers...@hotmail.com> 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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