From the Guidelines
A comprehensive Continuity of Care Record (CCR) entry should include patient assessment, interventions, and expected outcomes, as outlined in the core components of cardiac rehabilitation/secondary prevention programs 1. When creating a CCR entry, it is essential to prioritize the key components that ensure continuity of care and reduce the risk of medical errors.
Key Components of a CCR Entry
- Patient demographic information
- Insurance details
- Health status, including current condition and problem list with active diagnoses
- Medications, including current prescriptions with names, dosages, frequencies, and start dates
- Allergies and adverse reactions
- Immunization history with dates
- Recent procedures or tests with results
- Care plan recommendations for follow-up care
- Provider information, including contact details of all healthcare professionals involved in the patient's care According to the American Heart Association 1, a CCR entry should also include:
- Medical history, including current and prior cardiovascular medical and surgical diagnoses and procedures
- Physical examination results, including cardiopulmonary systems assessment
- Testing results, such as resting 12-lead ECG
- Interventions, including patient treatment plans and discharge/follow-up plans
- Expected outcomes, including documented evidence of patient assessment and priority short-term goals By including these key components, a CCR entry can ensure that critical patient information is accurately transferred between healthcare providers, promoting continuity of care and reducing the risk of medical errors during transitions between care settings 1.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Key Components of a CCR Entry
To write a CCR (Continuity of Care Record) entry, it is essential to understand the key components involved. However, the provided studies do not directly address the structure or components of a CCR entry.
Relevant Information
Despite the lack of direct relevance, the studies provide insight into hypertension management, which could be a part of a patient's medical record:
- Hypertension treatment options include lifestyle modifications and drug therapies such as thiazide or thiazide-like diuretics, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and calcium channel blockers 2.
- Amlodipine, a calcium channel blocker, has been shown to be effective in lowering blood pressure and reducing the risk of cardiovascular disease 3, 4, 5, 6.
- Combination therapies, such as lisinopril and amlodipine, can be effective in treating patients with hypertension and comorbidities like arteriosclerosis obliterans 4.
- Different antihypertensive drug combinations can have varying effects on blood pressure and arterial stiffness 5.
CCR Entry Considerations
When creating a CCR entry, consider including relevant patient information, such as:
- Medical history, including diagnoses like hypertension
- Current medications, including dosages and frequencies
- Laboratory results and vital signs
- Treatment plans and goals
Note that the provided studies do not offer specific guidance on writing a CCR entry. For accurate and comprehensive information on creating a CCR entry, consult relevant medical guidelines and resources.