Home Forums Thread Like Summary - Medical Decision Making (MDM)

Consider adding MDM next to the Plan at the bottom where this is:

Plan|CDS|Intrustions|Goals|Health concerns

I (just my way of doing things) rarely use Goals or Health Concerns and don't know what CDS is.

Medical Decision Making so:

Plan|MDM|CDS etc.

and have MDM under the Assessment box. Wouldn't necessarily need an entirely new field. Just if you select it, it puts it one line below your assessments:

Not sure about progress notes and consultation notes, but it ALL THE RAGE in ED notes. I guess they are forced to use them to explain what diagnoses they considered and why it could be or could not be. It is really helpful documentation.

Yes, it is but CDS (Clinical Decision Support) is documenting what you used to come to your conclusions, i.e. I used UpToDate as a source or even quoting it. It contains 5 rights: The right information, to the right person, in the right format, through the right channel, at the right time in the workflow.

It is not the same as MDM where you document what you were thinking and how you arrived at it. It tends to be used to validate or invalidate certain diagnoses.

Plus, if you bring up MDM, many physicians will know what it stands for and what it is where almost none will know what CDS is the acronym for.