Clinical Document Analysis

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The time of modern technology, where we live today, brings us daily changes. Smartphones, tablets, high definition televisions, personal computers, and many other devices help us to manage our time better and increase our productivity. Health field is one of the rapidly growing field when it comes about technology. With so many computer programs specially designed for health field, liability of medical stuff and physicians takes less effort now to complete patient’s records with high percentage of quality, accuracy, accessibility, and consistency. Transition from manual medical record to electronic medical record is a processes that will improve security and flexibility of managing patient’s information. One of the purposes of the electronic …show more content…
With help of Clinical Document Architecture health care providers are allowed to create digital documents with patient information on it that may be send to other health care providers. CDA is s a flexible markup standard that determines the structure of certain medical records, such as discharge summaries and progress notes. “It also makes documents machine-readable so that they can be easily processed electronically and makes them human-readable so that they can be retrieved easily and used by the people who need them.” …show more content…
Level One supports full CDA semantics, and has limited coding ability for the contents. An example of a level one constraint on document type would be "Discharge Summary."
Level Two – additional constraints on the document via templates at the "Section" (free text) level. An example of a level two constraint on document type would be "Emergency Department Discharge Summary."
Level Three – additional constraints on the document at the "Entry" (encoded content) level, and optional additional constraints at the "Section" level.” (HL7 CDA)
One of the benefits who come from Clinical Document Architecture is the opportunity to be reused in multiple applications. Due to the fact that an electronic medical record is accepted in most health care facilities, clinical document architecture is very important part of it. It makes health care professional’s job much easier and its convenience improves patient’s care.
Since first version of Clinical Document Architecture was published 2000, and second version was published 2005, It is not excluded that in the future there will appear a better version of the one that is used nowadays, since technology development grows in parallel with the needs of people’s

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