discharge-summary-writer

name	discharge-summary-writer
description	Generate hospital discharge summaries from admission data, hospital course, diagnoses, procedures, and follow-up plans; use when a structured discharge document is required from clinical notes.
license	MIT
author	AIPOCH

Source: https://github.com/aipoch/medical-research-skills

Discharge Summary Writer

Generate standardized, clinically accurate hospital discharge summaries by integrating all inpatient medical data.

Quick Check

Use this command to verify that the packaged script entry point can be parsed before deeper execution.

python -m py_compile scripts/main.py

Audit-Ready Commands

Use these concrete commands for validation. They are intentionally self-contained and avoid placeholder paths.

python -m py_compile scripts/main.py
python scripts/main.py --help
python scripts/main.py -h
python scripts/main.py --help

Workflow

1. Confirm the user objective, required inputs, and non-negotiable constraints before doing detailed work.
2. Validate that the request matches the documented scope and stop early if the task would require unsupported assumptions.
3. Use the packaged script path or the documented reasoning path with only the inputs that are actually available.
4. Return a structured result that separates assumptions, deliverables, risks, and unresolved items.
5. If execution fails or inputs are incomplete, switch to the fallback path and state exactly what blocked full completion.

When to Use

• Use this skill when the task is to Generate hospital discharge summaries from admission data, hospital course.
• Use this skill for academic writing tasks that require explicit assumptions, bounded scope, and a reproducible output format.
• Use this skill when you need a documented fallback path for missing inputs, execution errors, or partial evidence.

Input Requirements

Required Patient Data

{
  "patient_info": {
    "name": "string",
    "gender": "string",
    "age": "number",
    "medical_record_number": "string",
    "admission_date": "YYYY-MM-DD",
    "discharge_date": "YYYY-MM-DD",
    "department": "string",
    "attending_physician": "string"
  },
  "admission_data": {
    "chief_complaint": "string",
    "present_illness_history": "string",
    "past_medical_history": "string",
    "physical_examination": "string",
    "admission_diagnosis": ["string"]
  },
  "hospital_course": {
    "treatment_summary": "string",
    "procedures_performed": ["string"],
    "significant_findings": "string",
    "complications": ["string"],
    "consultations": ["string"]
  },
  "discharge_status": {
    "discharge_diagnosis": ["string"],
    "discharge_condition": "string",
    "hospital_stay_days": "number"
  },
  "medications": {
    "discharge_medications": [
      {
        "name": "string",
        "dosage": "string",
        "frequency": "string",
        "route": "string",
        "duration": "string"
      }
    ]
  },
  "follow_up": {
    "instructions": "string",
    "follow_up_appointments": ["string"],
    "warning_signs": ["string"],
    "activity_restrictions": "string",
    "diet_instructions": "string"
  }
}

Usage

Python Script

python scripts/main.py --input patient_data.json --output discharge_summary.md --format standard

Parameters

Parameter	Type	Default	Required	Description
--input	string	-	Yes	Path to JSON file containing patient data
--output	string	discharge_summary.md	No	Output file path
--format	string	standard	No	Output format (standard, structured, json)
--template	string	-	No	Custom template file path
--language	string	zh	No	Output language (zh or en)

Output Formats

Standard Format

Human-readable markdown document following clinical discharge summary structure:

1. Patient Information
2. Admission Information
3. Hospital Course
4. Discharge Status
5. Discharge Medications
6. Follow-up Instructions
7. Physician Signature

Structured Format

Sectioned markdown with clear headers for EMR integration.

JSON Format

Machine-readable structured data for system integration.

Technical Difficulty

⚠️ HIGH - Manual Review Required

This skill handles critical medical documentation. Output requires:

• Physician verification before use
• Compliance with local medical documentation standards
• Review for accuracy and completeness
• Institutional approval for template formats

Safety Considerations

1. Never use generated summaries without physician review
2. Verify all medication dosages and instructions
3. Confirm follow-up appointments with hospital scheduling system
4. Ensure discharge diagnoses match official medical records
5. Validate patient identifiers and dates

References

• references/discharge_template.md - Standard discharge summary template
• references/medical_terms.json - Standardized medical terminology
• references/section_guidelines.md - Guidelines for each section

Limitations

• Does not access live EMR systems (requires manual data input)
• Medication interactions not validated
• Does not generate ICD-10 codes automatically
• Requires structured input data
• Output format must align with institutional requirements

Risk Assessment

Risk Indicator	Assessment	Level
Code Execution	Python/R scripts executed locally	Medium
Network Access	No external API calls	Low
File System Access	Read input files, write output files	Medium
Instruction Tampering	Standard prompt guidelines	Low
Data Exposure	Output files saved to workspace	Low

Security Checklist

• No hardcoded credentials or API keys
• No unauthorized file system access (../)
• Output does not expose sensitive information
• Prompt injection protections in place
• Input file paths validated (no ../ traversal)
• Output directory restricted to workspace
• Script execution in sandboxed environment
• Error messages sanitized (no stack traces exposed)
• Dependencies audited

Prerequisites

No additional Python packages required.

Evaluation Criteria

Success Metrics

• Successfully executes main functionality
• Output meets quality standards
• Handles edge cases gracefully
• Performance is acceptable

Test Cases

1. Basic Functionality: Standard input → Expected output
2. Edge Case: Invalid input → Graceful error handling
3. Performance: Large dataset → Acceptable processing time

Lifecycle Status

• Current Stage: Draft
• Next Review Date: 2026-03-06
• Known Issues: None
• Planned Improvements:
  • Performance optimization
  • Additional feature support

Output Requirements

Every final response should make these items explicit when they are relevant:

• Objective or requested deliverable
• Inputs used and assumptions introduced
• Workflow or decision path
• Core result, recommendation, or artifact
• Constraints, risks, caveats, or validation needs
• Unresolved items and next-step checks

Error Handling

• If required inputs are missing, state exactly which fields are missing and request only the minimum additional information.
• If the task goes outside the documented scope, stop instead of guessing or silently widening the assignment.
• If scripts/main.py fails, report the failure point, summarize what still can be completed safely, and provide a manual fallback.
• Do not fabricate files, citations, data, search results, or execution outcomes.

Input Validation

This skill accepts requests that match the documented purpose of discharge-summary-writer and include enough context to complete the workflow safely.

Do not continue the workflow when the request is out of scope, missing a critical input, or would require unsupported assumptions. Instead respond:

discharge-summary-writer only handles its documented workflow. Please provide the missing required inputs or switch to a more suitable skill.

Response Template

Use the following fixed structure for non-trivial requests:

1. Objective
2. Inputs Received
3. Assumptions
4. Workflow
5. Deliverable
6. Risks and Limits
7. Next Checks

If the request is simple, you may compress the structure, but still keep assumptions and limits explicit when they affect correctness.

When Not to Use

• Do not proceed when required input files, identifiers, parameters, or context are missing — ask the user to provide them first.
• Do not assume capabilities beyond this skill's declared scope when the user requests external operations or inferences.
• Do not proceed without user confirmation when overwriting existing results, executing high-cost batch operations, or expanding task scope.

Required Inputs

Field	Required	Format/Source	Example	If Missing
User task description	Yes	Text	Research question, writing goal, analysis objective	Stop and ask user to provide
Primary input material	Depends on task	Text, file path, ID, table, or literature	PMID, PDF, CSV, DOCX, keywords, etc.	Specify which material type is missing
Output preference	No	Text	Language, format, target journal, template	Use skill default format

Output Contract

• Primary output: Structured result or target file aligned with this skill's objective.
• Optional output: Intermediate check notes, issue list, supplementary suggestions, or generated file paths.
• Format requirement: Unless the user specifies otherwise, prefer stable, reviewable Markdown or JSON; if the skill's bundled script requires a fixed format, use that format.
• If partially complete: Must explicitly mark as PARTIAL and state which steps are completed and which remain.

Failure Handling

• Missing critical input: Explicitly state which fields, files, or identifiers are missing and pause.
• Script, template, or resource execution failure: Report the failing step, likely cause, and recovery suggestions — do not silently degrade.
• Partial completion only: Return the verified portion first, then list remaining blockers and suggested next steps.

User Checkpoints

• Before executing batch processing, overwriting files, long-running searches, or multi-stage generation, confirm scope and output format with the user.
• Before proceeding when a key judgment is ambiguous, evidence is insufficient, or the workflow is entering the next stage, confirm with the user.

Quick Validation

• Check that key scripts, templates, or reference file paths this skill depends on exist.
• Check that the final output contains the core fields, sections, or files specified for this task.
• Check that results clearly mark assumptions, limitations, and incomplete items.