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PATID: Person Served: Last: First: Middle Initial: Cost Center: Date of Admission: Date of discharge: Date of last contact: Type of discharge: Planned Unplanned Deceased Presenting concerns upon admission:Services
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A discharge summary and plan is a document that outlines a patient's medical history, diagnosis, treatments received, and recommendations for follow-up care upon discharge from a healthcare facility.
Healthcare providers, such as physicians and hospitals, are required to file discharge summaries and plans for patients discharged from their care.
To fill out a discharge summary and plan, healthcare providers should include patient identification information, details of the stay, treatment provided, discharge diagnoses, instructions for follow-up care, and any referrals as necessary.
The purpose of a discharge summary and plan is to ensure continuity of care by providing essential information to the next care provider and to inform the patient about their post-discharge care needs.
The information that must be reported includes the patient's demographics, clinical history, diagnosis, details of hospitalization, treatment summary, medications prescribed at discharge, follow-up appointments, and any specific instructions for care.
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