An integrated medical record and data system for primary care. Part 7: the encounter form: problems and prospects for a universal type.
The importance of an encounter form for recording ambulatory patient information is stressed. Certain problems surrounding appropriate definition of the minimum basic data set (MBDS) are discussed as is the potential development of a uniform encounter form which would cover diagnostic information as well as items necessary for insurance companies and internal practice management.
D000553:Ambulatory Care; D005568:Forms and Records Control / Q000379:methods*; D006801:Humans; D007256:Information Systems; D008499:Medical Records / Q000592:standards*; D009817:Office Management / Q000379:methods*; D011320:Primary Health Care