| 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) |