Correct patient name |
Correct date of birth |
Consultant name |
Ward |
Date of admission |
Date of discharge |
Presenting |
Complete past medical history and comorbidities |
Complete medical history |
Known allergic or hypersensitivities |
Discharge summary is legible |
Medication information
|
All doses |
All frequencies |
All routes of administration |
All formulations |
Therapy duration when a medication was initiated by hospital team where this was appropriate (for example, antibiotics, short-course corticosteroids, hypnotics) |
Therapy changes information
|
All medicines initiated with reason(s) |
All medicines discontinued with reason(s) |
All medicines changed with reason(s) |