Discharge Summary

The Discharge Summary is a comprehensive document provided to the patient at discharge.

Contents

Section	Description
Patient Information	Name, age, gender, admission dates
Admission Diagnosis	Why the patient was admitted
Treatment Summary	What was done during the stay
Medications at Discharge	Prescriptions to continue at home
Procedures Performed	List of procedures done during admission
Lab Results	Key investigation results
Follow-up Instructions	When to return, warning signs to watch for
Diet & Activity	Dietary restrictions and activity recommendations
Practitioner Details	Attending doctor information

To create a Discharge Summary:

Inpatient Record → Create → Discharge Summary

Creating a Discharge Summary

1. From the Inpatient Record, click Create > Discharge Summary
2. The system pre-fills information from:
   • The admission record
   • Encounters during the stay
   • Lab tests and procedures performed
3. The practitioner reviews and adds:
   • Summary narrative
   • Discharge medications
   • Follow-up instructions
4. Submit and print for the patient