CCD-A: Adding Advanced Directives, Family History and Mental Status
Advanced Directives
Advanced Directives can be documented in CCD in the following ways: using Advanced Directives from Lookup List (Chart Header) or using fields used on patient notes. When field names are entered in Field 1 and Field 2, the system will pull only the most recent field value from the patient note.
Family History
Family History can be documented in CCD in the following ways: using Family History within the problem list (Chart Header) or using fields used on patient notes. When field names are entered in Field 1 and Field 2, the system will pull only the most recent field value from the patient note.
Note: The system will also pull family history values from the ‘Patient Update Control’ and ‘Patient Update Editor Control’ fields.
Mental Status
We have added a new option under the ‘Miscellaneous’ section to document the Mental Status. Users can enter the note field name here.