Section 24(1) in West Bengal Clinical Establishment (Registration, Regulation and Transparency), Rules, 2017
(1)As soon as possible, after the purpose for which the patient had visited or had been admitted or the episode of care is finally over, or the patient is discharged or transferred or referred, the clinical establishment shall provide the patient with a brief, written summary of medical record related to observation, treatment, test, investigation, advice diagnostic opinion and clinical outcome pertaining to the patient care free of cost:Provided that, the patient is entitled to get such Summary Medical Report even if she was discharged against medical Advice.Explanation1. An episode of care consists of all clinically related services for one patient for a discrete diagnostic condition from the onset of symptoms until the treatment is complete. Thus, for every new problem or set of problems that a person visits her healthcare provider, it is considered a new episode. Within that episode the patient will have one or many encounters with her clinical care providers till the treatment for that episode is complete. Even before the resolution of an episode, the person may face a new episode that may be considered as a distinctly separate event altogether. Thus, there may be none, one or several ongoing active episodes. All resolved episodes are considered inactive. Hence they become part of the patient's past history. A notable point here is that all chronic diseases are considered active and may never get resolved during the life-time of the person, e.g., diabetes mellitus, hypertension, etc.Explanation 2. A clinical outcome is the change in the health of an individual, group of people or population which is attributable to an intervention or series of interventions.
