I think the requirement of a patient summary, for 50 % of the patients, is one of the worst requirements for meaningful use. Not that a patient summary is bad, but having a printout with every diagnosis, every med they have been on, etc, is overwhelming to the patient. I still print in out, preview it, print it to the portal, print it to the amazing charts immunization database, whatever... Patients are more that welcome to receive it, but most don't want it.
