BTW, There really isn't much difference between "full patient record" clinically summary, and the clinical summary for an individual appointment. I am hoping that someday the C-CDA will have all the encounter data (CC, HPI, PE, A/P) including in the file.
Currently the only difference between a clinical summary that contains data for one visit or all visits is that the one visit C-CDA includes a "reason for visit" section that prints the chief complaint and the "instructions" section, and the full patient record C-CDA includes neither of those two things but includes all vitals entered.