Topics Health Summary Search:  
Introduction: Health Summary, also known as Clinical Summary or MU Summary, is available in standard CCD format in PrognoCIS. This Summary is generated from data entered in a Patient’s current encounter (Summary of data such as Problem List, Current Medication, PMH etc. are included). A Clinic’s MU count increments if a Patient’s Clinical Summary/Health Summary is provided to a Patient or the Patient’s authorized representatives (in print or downloaded form) within one business day from the encounter's start date

PrognoCIS supports export and import of Cures 2.1 Continuity of Care Document (CCD) and Cures 2.1 Referral Note. Users can view and download this version of CCD and Referral Note from the following paths:
  • Patient → Encounter → Encounter TOC → Encounter Close → Click on Health Summary button
  • Patient → Encounter → Encounter TOC → Summary of Care
  • Patient → Review → Review TOC → Summary of Care
  • Patient → Letters Out → Click on Attach... button → Select a New Continuity of Care Document (CCD)
  • Patient → Letters Out → Click on Attach... button → Select a Referral Note (CCD)
  • Patient Portal → My Health Record → API Access (FHIR) → Encounter → Click on View CCD button
The downloaded files are exported in the form of consolidated PDF and CCD files (XML and HTML files) in an encrypted zip format. The XML file contains the Patient's details and the HTML file is just the readable format of the XML file.

A Health Summary record, also known as Summary of Care record, consists of the following elements:
  • A message “Total Sections to be sent: 28” displayed on the top right corner of the Summary. The number 28 corresponds to the total number of sections present in the Summary.
  • Patient Information section which displays Patient details such as Patient name, Date of Birth, Sex, Race, Preferred language, Ethnicity, Contact information (Including telephone numbers and email address), Patient IDs, Document ID and date of Document creation.
  • Show Clinic Contacts button, clicking on which the Clinic Contact Information section expands and displays Performer (Primary Care Physician or Nurse Assistant) information, Author Contact Information, Informant Contact Information, Legal Authenticator Contact Information, and Document maintained by Contact information. The Hide Clinic Contacts button appears on click of Show Clinic Contacts button, clicking on which the Clinic Contact Information section can be collapsed and hidden.
  • A Table of Contents which consists of a list of sections which display Clinical Notes data from various screens of PrognoCIS. All the sections in the TOC are displayed as hyperlinks, which on click would navigate to that respective section. A click on the up-arrow button would collapse the TOC section whereas a click on the down-arrow button to expand it. By default, it is displayed in expanded format.

    The following sections in the TOC display data from the below mentioned PrognoCIS screens:
    Section Name
    PrognoCIS Screen Name
    Problems Past Medical History (PMH)
    Allergies and Adverse Reactions Allergy
    Results Lab/Radiology Results
    Medications Current Medication
    Procedures Procedures associated to Implanted Devices
    Vital Signs Vitals
    Immunizations Vaccination
    Social History Social History
    Encounters ICDs present on Assessment
    Functional Status Review of System (ROS)
    Assessments Assessment Notes
    Goals section Goals from Care Plan screen
    Mental Status Review of System (ROS)
    Medical Equipments Implanted Devices
    Treatment Plan
    • Prescriptions having Fill Date greater than Encounter Date
    • Lab/Radiology/Procedure with Due Status in Health Maintenance screen
    • Future Appointments details
    Health Concerns Concerns/risks from Care Plan screen
    Chief Complaint and Reason for Visit Complaint(s) marked as Chief on the HPI screen
    Instructions Education
    Medications Administered Dispensed In-House drugs from Prescription screen
    Payers section Primary Insurance
    Advance Directives No section in PrognoCIS
    Reason for Referral Referral Reason entered on Encounter Close and Letters-out screens
    Progress Notes Assessment
    Consultation Notes Consult
    History And Physical HPI
    Imaging Narratives Radiology Result
    Laboratory Report Narratives Lab Result
    Procedure Notes Procedure

    Note:
    • The property ccd.show.sections is used to decide which sections must be displayed in the TOC in a CCD/Referral Note by default.
    • The sections set in the property ccd.show.sections should be set in the property ccd.show.expand which is used for displaying the sections as expanded by default.

    A checkbox is displayed to the left of each section in the TOC. Only those sections for which checkboxes are selected are displayed in the CCD. The selected sections are displayed in the same sequence as entered in the property. If the All checkbox is selected, then all the sections will be displayed.
  • Expand All / Collapse All button, which on click would expand or collapse all the sections in the CCD. If there are any sections already in expanded format, then it will collapse those sections and vice versa. Individual sections can also be expanded or collapsed by clicking on the up or down arrow buttons provided on the section band next to the section name in the CCD.

    The sequence of sections in the CCD can be changed by clicking on the section band and drag/drop functionality.

    Note:
    • Changing the sequence of sections in the CCD would not affect the section’s sequence in Table of Contents.
    • The changed sequence is for viewing purpose only thus it would be reset on close of CCD.
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Action Buttons:

recreate button: Click on this button to recreate a fresh Health Summary from that point of time to the latest encounter data available. This button is disabled if the Summary has either been printed or downloaded already.

edit button: Click on this button to edit the Notes content available in the Health Summary, delete a Section content or delete an entire Section. On clicking this button, a popup with the message “Select the checkbox to exclude a section from Summary” is displayed along with save and cancel action buttons. If no changes are made, then on clicking the cancel button, this popup closes and User is navigated back to the Health Summary popup. If any changes are made in the Summary, then they are saved on clicking the save button, and a checkmark is displayed on the edit button on the Health Summary popup.

print button: Click on this button to print the Health Summary. On click of this button, the system sends the PDF of the Summary to the default printer for a print and a checkmark is displayed on the print button on the Health Summary popup.

download button: Click on this button to download the Health Summary. If the encryption property prognocis.filedownload.noencryption is On then the content is downloaded in encrypted zip format consisting of XML + HTML contents or else a non-encrypted zip file consisting of XML + HTML content is downloaded. A checkmark is displayed on the download button on the Health Summary popup after a successful download of the Summary.

close button: Click on this button to close the Health Summary popup.

Note: Each time that a Health Summary is either printed or exported, an entry is registered on the CCD/CCR screen found on Review tab (Patient → Encounter → Review → Tab).
See Also: Health Summary Sections