CDA Header or Section Level question

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Patrick Peyton

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Jun 25, 2014, 10:27:07 AM6/25/14
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In the CDA based document, is there a way to record the overall story of the provider on a patient?  Looking for a way that a provider can record his/her findings on a patient the way they want to tell the story - all narrative - but I would still like to output that story plus the supporting content in CDA format. Meaning it they talk about procedures, lab results, family history, problems, etc, I want to make sure that is correctly coded.

Maybe I'm over looking it.  Didn't know if there was a Section Level template that would allow - like "General Status"

Thanks for you help.
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