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Case Report Clinical Data Forms are the primary channel for capturing information in the healthcare and clinical domain. Forms also play a key role in information exchange and are critical to supporting interoperability in healthcare.

A form differs from a document , in that a document is used to capture information, while a form defines the structure of the form is designed to incorporate skip patterns, validation rules, and other aspects required to capture or render information for a document. A document in this context is specifically a clinical document which represents information about a clinical activity. The document contains the specific information gained during that clinical activity and supports the broader definitions of a document. Documents can be transformed into human readable forms, and be transferred or transmitted for use across different systemsthe clinical data while the form takes that data and structures it in a meaningful way that reflects the clinical activity and the associated syntactical representation necessary to maintain the flow that clinical activity.

The key forms capabilities include:

  • Tools and services for defining form templates
  • Ability to leverage models and reusable segments for defining these forms
  • User friendly tools that hide the complexity of the underlying semantics The capabilities listed above are derived from the following use cases:
  • caEHR
  • caBIG® Clinical Information Suite
  • Office of the National Coordinator (ONC) and other external Electronic Health Record (EHR) ONC and Other external EHR adopters
  • Clinical TrailsTrials

Functional Profile Group

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