Medium

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Discharge Summary Mobile App

The Discharge Summary guides you through completing a Discharge Summary. The app covers admission and discharge dates, diagnosis, and discharge condition, procedures, brief HPID, discharge physical examination, activity, diet, medications follow up and discharge instructions.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    DATE OF ADMISSION:

  • Ico multiline

    ADMISSION DIAGNOSIS (ES):

  • Ico statictext

    Start from most pressing/important problem first

  • Ico statictext

    Make sure to state other diagnoses that the patient has a history of (if it pertains to the admis...

  • Ico multiline

    DISCHARGE DIAGNOSIS (ES):

  • Ico statictext

    If the same as admission diagnosis, state whether resolved, improved, stable, etc.

  • Ico multiline

    DISCHARGE CONDITION:

  • Ico statictext

    typically use words like “stable”

  • Ico multiline

    CONSULTATIONS:

  • Ico statictext

    list all consults obtained during the hospital stay and the consultants’ names

  • Ico multiline

    PROCEDURES:

  • Ico statictext

    list all procedures done during the hospital stay and include dates

  • Ico statictext

    i.

  • Ico multiline

    BRIEF HPI:

  • Ico statictext

    this should be no more than a paragraph.

  • Ico multiline

    HOSPITAL COURSE (by systems):

  • Ico statictext

    should be brief, but MUST include pertinent labs, why procedures were done, etc.

  • Ico statictext

    FEN/GI, CV, RESP, HEME, ID, NEURO, SOCIAL (Others may include RENAL/URO, RHEUM, etc)

  • Ico multiline

    DISCHARGE PHYSICAL EXAMINATION:

  • Ico statictext

    MUST include admission and discharge weight!

  • Ico statictext

    Include vitals upon discharge

  • Ico statictext

    Complete physical exam

  • Ico multiline

    ACTIVITY:

  • Ico multiline

    DIET:

  • Ico statictext

    When pertinent, please be specific (i.

  • Ico multiline

    MEDS:

  • Ico statictext

    List all medications you are sending the patient home on, including dosages, quantities, and any ...

  • Ico multiline

    FOLLOW-UP:

  • ...and More!

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