The Summary of Care Record report produces a C-CDA-formatted chart summary for a patient.
Your practice can use the report as a transition of care document. Optionally, if your practice uses Direct Secure Messaging, you can transmit the report to another clinician or practice.
Generate the Summary of Care Record Report
When you need to create a Summary of Care, select “Summary of Care Record” from the Reports menu.
On the report’s criteria screen, you can indicate whether or not you are creating the record for a referral or transition of care.
Use the options on the screen to print or save the record as a PDF or C-CDA document.
Transition of Care For Meaningful Use: If you have indicated that the record is being created for a referral or transition of care, PCC EHR will track that you have generated the C-CDA document and it will update your Meaningful Use reporting totals.
Format a Summary of Care Record for a Referral
When you generate a Summary of Care Record for a referral, you can select a specific referral and optionally limit the output to information from that referral encounter.
First, choose the specific referral order from the selection pull-down menu.
By default, the referral Summary of Care Record will limit procedures, orders, and vitals noted for that given encounter date. (The output also includes the patient’s Problem List and other chart information not specific to a particular encounter.)
Optionally, you can deselect the “Limit to referral encounter” check box, and the Summary of Care report will generate the patient’s complete C-CDA with all available patient information.
The Summary of Care report output includes the patient’s insurance policy information, making it a good solution for referrals.
Transmit a C-CDA Transition of Care Document Using Direct Secure Messaging
If your practice uses Direct Secure Messaging, and you have a Direct Address configured for your user account, you can transmit a Summary of Care Record directly to another Direct Secure Messaging user, such as a specialist for a referral or another pediatric practice.
Select “Send via Direct Secure Message” and fill out the fields for the message.
Optionally, you can enter text and click “Search” to find a clinician by name or practice name.
You will see more results if a user at your practice is registered with the DirectTrust network. These search results are also populated by contacts you have entered into the Professional Contact Manager.
Patient Portal Messages vs. Direct Secure Messaging: The patient portal and PCC EHR support two different messaging technologies. Portal messages are a secure, optional messaging tool built into the patient portal. Patient portal users can exchange messages with their pediatric practice, and the practice can receive and send portal messages with PCC EHR or pocketPCC. Direct Secure Messaging, on the other hand, is a specialized message technology used to share and send medical information. It requires registration with a third-party service and it allows for secure transmission of C-CDA transition of care documents or visit summaries. For more information, refer to Receive and Respond to Portal Messages or Direct Secure Messaging.