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It includes fields for admission date, discharge date, attending physician, primary care provider, admission diagnosis, discharge diagnosis, secondary diagnoses, consultations, procedures, HPI, brief hospital course with pertinent labs and radiology, physical exam, pending results, immunizations, disposition, diet details, discharge medications, discharge instructions, and follow-up appointments with contact details. 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The PCP must include the name of the PCP or clinic, and “out of town” is not acceptable.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How should the HPI and Brief Hospital Course be written?",{"text":114,"@type":110},"The HPI should be brief and edited rather than copied and pasted from the H&P. The Brief Hospital Course should be a problem-based summary of the admission and include pertinent lab values and radiology studies, including PICU admission or transfer when applicable.",{"name":116,"@type":107,"acceptedAnswer":117},"What details should be included in Discharge Medications, Discharge Instructions, and Follow-up Appointments?",{"text":118,"@type":110},"Discharge Medications should include medication name, dose, route, frequency, and duration of therapy if acute. Discharge Instructions should follow after the medication section. Follow-up Appointments should include clinic/physician, date, time, location, and phone number if known, and the CC section should list the PCP.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},307569,1790695623,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Discharge Summary Template  \nDate of Admission:  \nDate of Discharge:  \nAttending Physician: (should be the attending on the day of discharge)  \nPCP: (must include the name of the PCP or clinic,“out of town” not acceptable)  \nAdmission Diagnosis: This should be the reason for admission (e.g. dehydration, respiratory distress, hypoxia, abdominal pain), not the discharge diagnosis.  \nDischarge Diagnosis:  \nSecondary Diagnoses: Additional diagnoses other than the main discharge diagnosis including chronic medical conditions and diagnosis from the admission that are resolved (e.g. ex 24 week prematurity; Gtube dependence; respiratory failure, resolved)  \nConsultations:  \nProcedures:  \nHPI: Brief, do not copy and paste the H&P! Edit it.  \nBrief Hospital Course: This should be a brief, problem-based summary of the admission. Include all pertinent lab values and radiology studies here. If the patient was admitted or transferred to the PICU during admission, include that.  \nPhysical Exam: Include vital signs and a physical exam if using the discharge summary as the last day’s progress note.  \nPending Lab or Test Results:  \nImmunizations Given During Admission:  \nDischarge Disposition:  \nDiet: If applicable. Include feeding regimen if child is on tube feeds, or include if there has been a formula change. Otherwise, you can skip this.  \nDischarge Medications: Include medication name, dose, route, frequency, duration of therapy if acute Discharge Instructions:  \nFollow-up Appointments: Include clinic/physician, date, time, location, phone number if known.  \nCC: PCP (include name of PCP or clinic)","cbCaibGm0jNITv0H","https://ap.wps.com/l/cbCaibGm0jNITv0H","pdf",21628,"English","# Discharge Summary Fields\n## Admission and Provider Information\n## Diagnoses, Consultations, and Procedures\n## Clinical Narrative and Exams\n## Discharge Plan and Instructions","[{\"question\":\"What information is required for the attending physician and PCP fields?\",\"answer\":\"The attending physician should be the attending on the day of discharge. The PCP must include the name of the PCP or clinic, and “out of town” is not acceptable.\"},{\"question\":\"How should the HPI and Brief Hospital Course be written?\",\"answer\":\"The HPI should be brief and edited rather than copied and pasted from the H\\u0026P. The Brief Hospital Course should be a problem-based summary of the admission and include pertinent lab values and radiology studies, including PICU admission or transfer when applicable.\"},{\"question\":\"What details should be included in Discharge Medications, Discharge Instructions, and Follow-up Appointments?\",\"answer\":\"Discharge Medications should include medication name, dose, route, frequency, and duration of therapy if acute. Discharge Instructions should follow after the medication section. Follow-up Appointments should include clinic/physician, date, time, location, and phone number if known, and the CC section should list the PCP.\"}]","Discharge Summary Template | PDF",1789851244]