Health Gorilla allows developers to create new and import existing FHIR STU3 Clinical Notes using FHIR endpoints and resource profiles described in C-CDA on FHIR architecture.

See C-CDA on FHIR Implementation Guide http://hl7.org/fhir/us/ccda/index.html

Clinical notes support is based on two FHIR resources: Composition and Bundle

Composition http://hl7.org/fhir/stu3/composition.html
Bundle http://hl7.org/fhir/stu3/bundle.html

FHIR Composition is used to describe Clinical Note document itself and FHIR Bundle is used to pack all related data into one message.

Supported Profiles

Name	URI
Discharge Summary	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Discharge-Summary
Progress Note	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Progress-Note
History and Physical	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-History-and-Physical
Consultation Note	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Consultation-Note
Referral Note	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Referral-Note
Procedure Note	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Procedure-Note
Transfer Summary	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Transfer-Summary
Operative Note	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Operative-Note
Care Plan	http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Care-Plan

You can import Clinical Notes of the above types and export them from your Health Gorilla account.

Read existing Clinical Notes

Use FHIR Composition READ operation to read Clinical Note.
Or you can use FHIR Composition ‘Generate a document’ operation to take the Composition and all related data in one Bundle.

Create new Clinical Note flow:

You should pack all related data into single Bundle of type ‘document’. See FHIR Documents http://hl7.org/fhir/stu3/documents.html
Then you should execute FHIR Bundle Create operation (HTTP POST)
The operation outcome contains link to the newly created Clinical Note