Show pageBacklinksCite current pageExport to PDFBack to top This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong. ====== Discharge Letter ====== [[Medical history]] Patient Information ---- Full name Date of birth Dates of admission and [[discharge]] ---- Diagnosis and Hospital Course ---- Reason for [[hospitalization]] ---- Significant findings from diagnostic tests ---- Final diagnosis upon discharge ---- Brief [[summary]] of care, procedures, and treatment provided ([[Evolution]]) Discharge Condition and Instructions Condition of patient at discharge (stable, improved, etc.) ===== Recommendations ===== Follow-up needs (e.g. appointments, labs, exams) Medications prescribed, including names, doses, frequencies Post-discharge instructions for self-care and restrictions Pending Test Results Any test results still pending at discharge Plan for patient notification of results Providers Names and contact information for all physicians who cared for the patient Name and contact information for the discharging physician [[Summary]] Brief overview of the hospital course and highlights from the discharge plan discharge_letter.txt Last modified: 2024/06/07 02:56by 127.0.0.1