Discharge summary

1. Date of Admission
2. Date of Discharge
3. Copies to all relevant Health Care Professional, Institutions: includes GPs and MDs who have consulted and will follow up
4. Most Responsible Diagnosis for Admission
5. Pre-Admit Comorbidities
6. Post-Admit Comorbidities
7. Secondary Diagnoses
8. Principle Procedure, when applicable, or course in hospital
9. Other Procedures and Treatments
10. Discharge Medications, including doses
    1. Clearly state dose changes from admission meds and new meds
    2. Also include medications discontinued, with the reason to discontinuation
11. Follow-up Plan
    1. Outline follow up plans clearly including all appointments, investigations arranged, and to be arranged and no-medical follow up (CCA, physiotherapy, social work, etc.)
    2. Clear instruction on things to follow up after discharge and by who
    3. Clear plan for the family physician on all active issues