Accreditation practice pointer: Current Health Summary
QI2.1 B Each active patient health record has the patient’s current health summary.
RACGP Standards for general practice.
A current and accurate health summary supports the delivery of safe and quality care by providing clinicians an overview of a patient’s health.
Ultimately, health summaries:
reduce the risk of inappropriate management, including medicine interactions and side effects (particularly when allergies are recorded)
provide an overview of social circumstances and family history that is vital to holistic care
highlight lifestyle and risk factors (eg smoking, nutrition, alcohol, physical activity) that can help practitioners to promote healthy lifestyles
highlight risk factors associated with chromosomal, gonadal and/or anatomical characteristics (particularly when a patient’s gender identity and assigned sex at birth are different, or a patient advises they have innate variations of sex characteristics)
help prevent disease by tracking immunisation and other preventive measures.
A current health summary must include, where relevant:
adverse drug reactions
current medicines list
current health problems
past health history
immunisations
family history
health risk factors (eg smoking, nutrition, alcohol, physical activity)
social history, including cultural background.
General practice can support the maintenance of accurate health summaries by conducting a regular audit of patient health records.