Hospital Discharge Summary



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Conclusion of associated investigation Succinct summary of examinations and tests conducted while in hospital Procedure(s) and/or treatments(s) carried out during course in hospital If available, list all relevant allergies and describe reaction Home medications to be continued, home medications which have been adjusted or discontinued, and newly prescribed medications Follow-up instructions for patient, including follow-up scheduled appointments, if applicable Investigations and interventions recommended to be conducted by the receiving provider after the patient has been discharged Referrals that have been initiated by the sender Clinicians other than Primary Care/Referring Provider University Health Network Discharge Summary Template for Dictation www.uhnmodules.ca/DischargeSummary/guides.html March 2016.




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