|
<< Click to Display Table of Contents >> Types of Patient Medical Summaries |
  
|
|
<< Click to Display Table of Contents >> Types of Patient Medical Summaries |
|
There are three predefined medical summary options available for specified needs according to Promoting Interoperabiity. To access a single summary, highlight the desired summary and select View.
Select Patient Account > Health Information Resource > Patient Medical Summaries
Patient Medical Summaries
The following options are displayed:
Includes: |
||
Patient Summary 2.1.2 |
•Patient Demographics •Care Team •Provider Organization •Functional Status •Immunization •Mental Status •Results •Social History •Vital Signs •Medications •Assessment •Hospital Discharge Instructions •Reason For Referral |
•Procedures •Implants •Problems •Allergies and Adverse Reactions •Plan of Treatment •Encounters •Goals •Health Concerns Section •Personal Care Team Section •Consultation Notes •History and Physical Notes •Progress Notes |
|
|
|
Referral Note 2.1.2 |
•Patient Demographics •Care Team •Provider Organization •Functional Status •Immunization •Mental Status •Results •Social History •Vital Signs •Assessment •Hospital Discharge Instructions •Reason For Referral •Medications |
•Procedures •Implants •Problems •Allergies and Adverse Reactions •Plan of Treatment •Encounters •Goals •Health Concerns Section •Personal Care Team Section •Consultation Notes •History and Physical Notes •Progress Notes |
|
||
Discharge Summary 2.1.2 |
•Patient Demographics •Care Team •Provider Organization •Functional Status •Immunization •Mental Status •Results •Social History •Vital Signs •Assessment •Hospital Discharge Instructions •Reason For Referral •Hospital Course •Medications |
•Procedures •Implants •Problems •Allergies and Adverse Reactions •Plan of Treatment •Encounters •Goals •Discharge Medications •Discharge Diagnosis •Health Concerns Section •Personal Care Team Section •Consultation Notes •History and Physical Notes •Progress Notes |
NOTE: The Referral Note 2.1.2 is only required for Eligible Providers (EP) and the Discharge Summary 2.1.2 is only required for Eligible Hospitals. An EP or eligible hospital must verify current problem list, current medication list, and current medication allergy list are not blank and include the most recent information known by the EP or hospital at the time of generating the CCDA.
The following options are available on the action bar:
•View: Allows the selected Patient Medical Summary to display within the Patient Medical Summaries - Document View screen. This option is enabled once a document has been selected. For additional information on viewing a document please see View. TIP: To view a document, you can also double-click to view the Patient Medical Summaries - Document View screen.
•Edit Exclusions: Allows certain parts of the Patient Medical Summary to be excluded from the document and/or the patient portal. This option is enabled once a document has been selected. For additional information, see Edit Exclusions.