Table 1. Discharge summary minimum dataset
Demographics and admission details
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)