Stream: dental
Topic: General Referral Note Decisions
Zabrina Gonzaga (May 14 2020 at 20:15):
For CDA, don't need Chief Complaint. This may be placed in reason for referral, patient history, or HPI.
Russell Ott (May 14 2020 at 20:26):
Zabrina Gonzaga said:
For CDA, don't need Chief Complaint. This may be placed in reason for referral, patient history, or HPI.
To clarify, this would apply to both FHIR and CDA - the patient's original chief complaint, if relevant to referral, would be conveyed as part of the Reason for Referral or the Medical History (History of Present Illness Section in CDA), and does not need to be conveyed on its own.
Last updated: Apr 12 2022 at 19:14 UTC
