The information on a C-CDA (Consolidated-Clinical Document Architecture) file contains a summary of a patient's clinical information from various areas of Dentrix Enterprise.
For each of the following types of information, a brief explanation of where that information comes from in Dentrix Enterprise is provided:
Vital Signs - Vital signs entered as a patient health assessment from Chart.
Plan Of Care:
Treatment-planned procedures in Chart and Treatment Planner.
Patient goals entered from Chart.
Procedures:
Completed dental procedures in Chart and Ledger.
Medical encounters (for medical and other procedures) entered from Chart.
Immunizations - Immunizations entered from Family File
Problems - Problems entered in Medical Alerts.
Reason For Visit - Appointment reason entered for an appointment in Appointment Book.
Allergies, Adverse Reactions, Alerts - Allergies entered in Medical Alerts.
Medications - Medications entered in Medical Alerts, and prescriptions entered in Patient Prescription.
Medications Administered:
Medications entered in Medical Alerts, with the Drug administered during visit only checkbox selected.
Prescriptions entered in Patient Prescription, with the Drug administered during visit only checkbox selected.
Instructions - Notes entered (including the URL that gets added to the notes automatically) for a patient education topic that was marked as recorded.
Social History - The smoking status selected in Medical Alerts or during a medical history review.
Results - Results of laboratory orders from Chart.
Goals Section - Patient goals entered from Chart.