Module 13 : Interoperability CCDs and
CDA
Clinical Document (CD) - correct answer ✔any type of report or document
CD Examples - correct 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) - correct 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 - correct answer ✔a summary of a patient's status and can be sent
from one EHR system to another
Clinical Document Architecture (CDA) - correct 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 - correct 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 - correct answer ✔1. Persistence 2. stewardship 3.
potential for authentication 4. wholeness 5. human readability
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