Gaps #86807
openIn patient > To generate discharge note and discharge summary
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Description
Discharge note is for the patient and discharge summary is for the hospital.
The system must generate two distinct discharge documents:
- Discharge Note: For the patient, summarizing key instructions and information for post-hospital care.
Written in simple
Includes:
Diagnosis
Medications on discharge
Follow-up appointment details
Lifestyle/diet/wound care instructions
Purpose: To ensure the patient understands their condition, treatment plan, and follow-up instructions after leaving the hospital.
- Discharge Summary: An official hospital document for internal records and continuity of care.
Formal clinical document intended for internal use and onward referrals
Includes:
Final diagnosis with ICD codes
Treatment summary and hospital course
Procedures performed
Relevant investigations and outcomes
Specialist notes and recommendations
Purpose: For medical documentation, internal reference, and continuity of care
Files

