3 ms·
It 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, withou
by lazyasciiart 8y ago
It 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.