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CCDA

Table of Contents Patient Management Most Recent Note
ALLERGIES Reconciled Allergies Medications > Current Allergies
MEDICATIONS Current Medications Medications > Current Medications
MEDICATIONS ADMINISTERED DURING VISIT   Medications > Current Medications
PROBLEMS Medical History > Medical History Histories & Habits > Medical History
ENCOUNTER DIAGNOSES   Current Note Assessment > Problem
PROCEDURES   Current Procedures
IMMUNIZATIONS Medical History > Immunization History Histories & Habits > Immunization History
INTERVENTIONS    
VITAL SIGNS   Vital Signs
SOCIAL HISTORY   Social History
FAMILY HISTORY   Histories & Habits > Family History
LABORATORY TESTS    
RESULTS    
IMPLANTS Directives > Implantable Device List  
ASSESSMENTS   Current Note Assessment > Problem (Status - Encounter Assessment)
PLAN OF TREATMENT   Current Note Assessment > Plan (Status - Encounter Assessment)
GOALS   Current Note Assessment > Problem (Goal)
HEALTH CONCERNS   HPI
REASON FOR REFERRAL Outgoing Referral > Comments  
FUNCTIONAL STATUSES Directives > Functional Status  
MENTAL STATUS    
INSTRUCTIONS Directives > Directives  
FUTURE APPOINTMENTS Future Appointments in Scheduler  
PAYERS    
ENCOUNTERS