[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307568-105":53,"doc-detail-307568-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","hospital-discharge-summary-format-version-1-use-as-template","Hospital Discharge Summary Format - Version 1 - Use as template","","Hospital Discharge Summary Format provides a standardized template for documenting a patient’s discharge details, including patient identity, admission and discharge dates, reason and mode of admission, and a clinical summary of diagnosis, treatment, and progress. It includes sections for treatments provided, discharge condition, prescribed medications with dosage and duration, and follow-up instructions such as recommended care type and next follow-up date. The form also captures physician signature, patient acknowledgment, and a disclaimer about sample references and liability limitations.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/hospital-discharge-summary-format-version-1-use-as-template/307568/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/hospital-discharge-summary-format-version-1-use-as-template/307568.png","ImageObject",442,249,{"name":88,"@type":89},"Sophia Brooks","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What sections are included in the Hospital Discharge Summary template?","Question",{"text":108,"@type":109},"It includes hospital details, patient details, admission details, clinical summary, treatment provided, discharge condition, prescribed medications at discharge, and follow-up instructions, plus physician and patient acknowledgment signatures.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What information should be recorded under Prescribed Medications at Discharge?",{"text":113,"@type":109},"List each medication with name, dosage, frequency, and duration so the discharge plan is complete and clear for the next care steps.",{"name":115,"@type":106,"acceptedAnswer":116},"Does the document allow organizations to modify the template?",{"text":117,"@type":109},"Yes. 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It provides a structured format to capture essential details about a patient's hospital stay, treatment, and condition at the time of discharge.  \nThe template ensures consistency, clarity, and completeness of information shared with patients, caregivers, and follow-up healthcare providers, supporting effective continuity of care and adherence to post-discharge instructions.  \nHospital Discharge Summary  \nHospital Logo / Name  \nAddress: [Add Hospital Address Here]  \nContact Information: [Add Contact Information Here]  \nPatient Details  \n􀂃 Name:   [Patient Name]  \n􀂃 Age/Sex: ................... [Age and Gender]  \n􀂃 Patient ID / Medical Record Number:   [ID / Number]  \n􀂃 Date of Admission:   [Admission Date]  \n􀂃 Date of Discharge: .......................................... [Discharge Date]  \nAdmission Details  \n􀂃 Reason for Admission:    \n............................................................................................................................. ....................................................  \n...............................................................................................  \n􀂃 Mode of Admission: [Emergency / Planned, etc.] ..........................................................  \nClinical Summary  \n............................................................................................................................. ...............................................................  \n...........................................................................................................  \n[Include a concise summary of patient condition, diagnosis, treatment, and progress during the stay. Include major events, surgeries performed, and response to treatment.]  \nTreatment Provided  \n[Details of all treatments or surgeries performed, medication plans, diagnostic tests, and any special procedures.]  \nDischarge Condition  \n[Description of the patient's condition at the time of discharge.]  \nPrescribed Medications at Discharge  \n1. [Add medication name, dosage, frequency, and duration.]  \n2. [Add medication name, dosage, frequency, and duration.]  \nFollow-Up Instructions  \n1. Recommended Follow-Up: [ Type of follow-up care required, e.g., outpatient care, specialist referral.]  \n2. Next Follow-Up Date: [Date or guidance on the timing of follow-up.]  \n3. Lifestyle/Dietary Instructions: [Add any specific instructions or changes required for recovery.]  \nPhysician's Name and Signature:  \n[Name of Discharging Physician]  \n[Contact Information, if relevant]  \nSignature:    \nPatient Acknowledgment Signature:  \nI acknowledge that I have received and understood the above information.  \nPatient / Guardian Signature:   Date: [Date]  \nDisclaimer  \nThe contents are sample references to aid understanding of the Standards and are not prescribed by NABH as mandatory practices. Healthcare organizations are encouraged to modify them as per their scope and practices. NABH isnot liable for misinterpretation, erroneous use, or non-conformities during assessment due to unmodified use of these contents.","cbCaip8oa3pWxJBQ","https://ap.wps.com/l/cbCaip8oa3pWxJBQ","pdf",96668,"English","# Hospital Discharge Summary Format\n## Hospital details and patient details\n## Admission details and clinical summary\n## Treatment provided and discharge condition\n## Prescribed medications at discharge and follow-up instructions\n## Physician signature and patient acknowledgment","[{\"question\":\"What sections are included in the Hospital Discharge Summary template?\",\"answer\":\"It includes hospital details, patient details, admission details, clinical summary, treatment provided, discharge condition, prescribed medications at discharge, and follow-up instructions, plus physician and patient acknowledgment signatures.\"},{\"question\":\"What information should be recorded under Prescribed Medications at Discharge?\",\"answer\":\"List each medication with name, dosage, frequency, and duration so the discharge plan is complete and clear for the next care steps.\"},{\"question\":\"Does the document allow organizations to modify the template?\",\"answer\":\"Yes. It states the content is a sample reference to aid understanding of standards, encourages healthcare organizations to modify it according to their scope and practices, and notes liability limits for misinterpretation or non-conformities when used unmodified.\"}]","Hospital Discharge Summary Format - Version 1 - Use as template | PDF",1789851240]