3 ms·
Sounds like the doctor screwed up. That probably turns on "failed to obtain". The state collects and dumps case files onto the contract doctors. Is it the doct
by jws 8y ago
Sounds like the doctor screwed up.
That probably turns on "failed to obtain". The state collects and dumps case files onto the contract doctors. Is it the doctor's responsibility to search all sources of records for ones which were omitted and might be pertinent? Do privacy rules even allow this? I assume there is some waiver signed by the applicant to allow the state to request medical records, but is that then granted to the contract doctors?
- lazyasciiart 8y agoIt wouldn't have to be provided to the contract doctors, you'd just need a process where the doctor says "this paperwork is missing a discharge document, without that I can't make a determination" and the state/patient can get it. (I'm not a doctor so I don't know if a discharge document is something you would expect to see in a medical history)
- warkdarrior 8y agoHow would the doctor know that a document is missing?
- lazyasciiart 8y agoThat was the caveat in parentheses.
- riahi 8y agoYou would only know there was a discharge summary if there was a corresponding admission history and physical. If no indication of an admission to a hospital was made, then you have no reason to expect a discharge summary. However, I would imagine the radiology reports would have included the metastases...
- arkades 8y agoYou generally don’t get, or expect to get, every last file in a medical record. That said, a discharge summary is just that - a summary. For a cancer to be found inoperable, the record would usually include multiple imaging studies, pathology studies, reports analyzing the above, a specialist consult note, a primary internist note addressing the specialist consult note, etc. A lot would have to be missing for there to be no hint of this. Normal medical records tend to have a lot of redundance around cancer diagnosis and prognosis.