Treatment based interop is best using Documents

I want to drive discussion on this, so will take a position that many may disagree with. This position is that for Treatment and Payment the best format for clinical data is Document based. The consumption side is a different topic, and today a big frustrating point. Although publication should be Document based, these documents must be decomposed and analyzed relative to the current Treatment situation.Why?Because the output of a prior Treatment needs to be tied off with conclusions supported...