US HITSP: C28: Emergency Encounter Summary Documents Component. The Emergency Care Summary Document Using IHE Emergency Department Encounter Summary (EDES) Component is the collection of data from multiple sources (such as physicians, nurses, technologists, etc.) recording the assessments and care delivered by the ED team in response to an ED visit. It is a summary of the patient’s current health status and care tendered in the ED between arrival and ED departure. This Component specifies the use of the IHE Emergency Department Encounter Summary (EDES).