Module 13 : Interoperability Ccds And
CDA Questions And Answers With
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Clinical Document (CD) - ANSWER✔✔any type of report or document
CD Examples - ANSWER✔✔1. Surgeon's report 2. anesthesiologists consults 3.
pathologists report 4. radiologist report 5. cardiologists report 5. continuity of care
document
Continuity of Care Document Sections (CCD) - ANSWER✔✔1. payers 2. AD 3.
support 4. functional status 5. problems 6. family history 7. social history 8. alerts,
allergies, AE 9. medications 10. medical equipment 11. immunizations 12. vital
signs 13 results 14 procedures 15. encounters 16. plan of care
CCD - ANSWER✔✔a summary of a patient's status and can be sent from one
EHR system to another
Clinical Document Architecture (CDA) - ANSWER✔✔document markup base
standard that specifies the structure and semantics of electronic clinical documents
for the purpose of exchange. building block template
CDA features - ANSWER✔✔defined information objects that can include text,
image, sounds, and other multimedia content. the architecture specifies the
schemas required for exchange
Characteristics of CDA - ANSWER✔✔1. Persistence 2. stewardship 3. potential
for authentication 4. wholeness 5. human readability
Persistence - ANSWER✔✔continues to exist in an unaltered state, for a time
period defined by local and regulatory requirements; it may or not be important,
depending on what happens on the receiving end. It can be stored as a persistent
document, or its contents can be extracted and included in an EHR.
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