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| === CDA Section Content Modules ===
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| This list defines the sections that may appear in a medical document. It is intended to be a comprehensive list of all document sections that are used by any content profile defined in the Patient Care Coordination Technical Framework. All sections shall have a narrative component that may be freely formatted into normal text, lists, tables, or other appropriate human-readable presentations. Additional subsections or entry content modules may be required.
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| ==== Reasons for Care ====
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| The sections described below describe various reasons why healthcare is being provided to the patient.
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.1|Reason for Referral|XDS-MS|EDR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.2|Coded Reason for Referral|XDS-MS|EDR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1|Chief Complaint|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.3|Hospital Admission Diagnosis|XDS-MS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.1|Proposed Procedure|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.2|Expected Blood Loss|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.3|Proposed Anesthesia|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.4|Reason for Procedure|PPHP}}
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| ====Other Condition Histories====
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| The sections defined below provide historical information about the patient's conditions.
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.4|History of Present Illness|XDS-MS|EDER|EDR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.5|Hospital Course|XDS-MS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.6|Active Problems|XDS-MS|XPHR|EDR|APS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.7|Discharge Diagnosis|XDS-MS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.8|Resolved Problems|XDS-MS|XPHR|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3|Encounter Histories|XPHR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.9|History of Outpatient Visits|XDS-MS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.10|History of Inpatient Visits|XDS-MS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.11|List of Surgeries|XDS-MS|XPHR|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.12|Coded List of Surgeries|XDS-MS|XPHR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.13|Allergies and Other Adverse Reactions|XDS-MS|XPHR|APS|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.14|Family Medical History|XDS-MS|XPHR|APS|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.15|Coded Family Medical History|XDS-MS|XPHR|APS|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.5|Pre-procedure Family Medical History|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.16|Social History|XDS-MS|XPHR|APS|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.17|Functional Status|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1|Coded Functional Status|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2|Pain Scale Assessment|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3|Braden Score Assessment|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4|Geriatric Depression Scale|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5|Physical Function|XDS-MS|XPHR|FSA}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.3.18|Review of Systems|XDS-MS|EDR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.13|Preprocedure Review of Systems|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1|Hazardous Working Conditions|XPHR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4|Pregnancy History|XPHR|EDER}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.1|Estimated Delivery Date Section|APS}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5|Medical Devices|XPHR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6|Foreign Travel|XPHR}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.8|History of Tobacco Use|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.10|Current Alcohol/Substance Abuse|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.12|Transfusion History|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.14|Anesthesia Risk Review of Systems|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.46|Implanted Medical Device Review|PPHP}}
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| {{:1.3.6.1.4.1.19376.1.5.3.1.1.9.47|Pregnancy Status Review|PPHP}}
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| {{:PCC_Public_Comment_Drafts/3}}
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