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 check box selected.
Prescriptions entered in Patient Prescription, with the Drug administered during visit only check box 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.