Emergency Department  Encounter Summary (EDES) as a summary of the patient's current health status and a summary of care rendered in the ED between arrival and ED departure. The EDES is not intended to replace the ED Chart as a complete, legal document of care, but is a collection of medical summaries with focused scope that can be used to fulfill a number of collaborative transfers of care. The ED Encounter Summary may include diagnostic tests performed during the ED encounter, as well as documentation of initial ED referral (a 2006 IHE work product), prehospital (EMS) records (IHE roadmap 2008), and the consultations of other providers.