# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
# Requirements Specification for Clinical Narrative
Opportunity to describe any additional significant information in narrative form. Could include, for example, exceptional circumstances related to lack of consent to treatment, etc. Requirement Reference: A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
## Clinical Narrative ### Business Definition Very brief narrative description of the in-patient episode. Should include complications and nutritional status. (A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008). Opportunity to describe any additional significant information in narrative form. Could include, for example, exceptional circumstances related to lack of consent to treatment, etc. ### Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008). ### Proposed Data Values Free text. ### Data Use Patient information, continuing care. ### Data Source New entry.