Smart documentation forms: The Central Clinic medical director’s suggestion for improvement is to bring latest vitals, labs, problems, and current medication orders into the note. Her recommendation is to, “implement CDA within note templates to enable the use of clinical data objects and make it easier to produce a CCD.” Review the Clinical Document Architecture (CDA) resource found under 1: Overview & Resources along with this activity document for more information on CDA and CCD.
1. What is CDA?
2. What is the CCD?
3. In plain English, what does the medical director’s recommendation mean for the EHR?