任意文档中The date and location of the visit or stay 都位于<enconpassingEncounter>中,incentives rule中并没有对它们做出要求,但在standards rule中所有摘要文档却都要有。
The reason for visit 可以有多种方式:admission diagnosis, chief complaint, or reason for visit入院诊断、主诉、reason for visit,对于它们也有合适的section。同样,在incentives rule中也没有对它们做出要求。
Section 170.314(e)(2) stands out as the biggest odd-ball in the lot. It includes medications and immunizations administered, patient decision aids, scheduled tests and visits and referrals. The medications and immunizations administered should probably be recorded in the respective sections. Patient Decision aids should be included in patient instructions. The last three (future plans) should be included in the care plan. That would normalize it nicely into the other groups.
Growth charts also stand out. These are not summaries, rather, they are assessments over time that can be crafted from data in multiple summaries.
Care Team members don't show up in Clinical Summaries provided to patients. Why wouldn't they be present when available?
It isn't clear why diagnoses wouldn't be incorporated when available, or be viewable by the patient.
It isn't clear why immunizations are reported in an ambulatory setting, but not in the inpatient setting (it's fairly common for some kinds of immunizations to be given during inpatient stays).
Rationalizing these data elements across the summaries could easily get us to one or two definitions for summaries.
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