| name | discharge-summary |
| description | Turn a hospital stay into a complete, well-structured discharge summary. Use when asked to write a discharge summary, a hospital discharge note, or to document a patient's admission-to-discharge course for handoff. Produces a standard discharge summary — admission reason, hospital course, diagnoses, procedures, discharge medications, condition, and follow-up/return precautions — from the provided details. |
Discharge Summary Skill
The discharge summary is the handoff that the next clinician (and the patient) actually relies on: why they were
admitted, what happened, what changed, and what to do next. This skill structures the stay into a complete,
scannable summary so nothing critical — a new medication, a pending result, a follow-up — falls through the gap.
Clinical-safety note: this is a documentation-formatting aid, not medical advice. It organises
information a qualified clinician provides; the treating clinician must review and verify every detail
(especially the medication list and follow-up) before it is finalised. Do not invent diagnoses, medications,
doses, or results.
Working from a brief
Given the admission notes and course, produce the full summary anyway — organise what's provided into every
standard section. Where a section's detail wasn't given, mark it clearly (e.g. "Pending results: none reported")
rather than inventing it. Never fabricate medications, doses, or diagnoses.
Required Inputs
Ask for these only if they aren't already provided (else mark as not documented):
- Admission — reason for admission, date, and presenting problem.
- Hospital course — what happened during the stay: diagnoses, key events, procedures, consults, results.
- Discharge medications — the reconciled med list (new, changed, stopped, continued).
- Discharge status & disposition — condition at discharge and where they're going (home, facility).
- Follow-up — appointments, pending results, and return/escalation precautions.
Output Format
Discharge Summary
- Patient & dates — identifiers as provided; admission and discharge dates.
- Admission diagnosis / reason for admission.
- Discharge diagnoses — principal and secondary.
- Hospital course — a concise narrative of the stay: presentation → workup → treatment → response, by problem.
- Procedures / significant events — with dates.
- Discharge medications — reconciled list, flagging new / changed / discontinued explicitly.
- Condition at discharge & disposition.
- Follow-up plan — appointments (who/when), pending results to chase, and clear return precautions (when to seek care).
- Patient instructions — in plain language for the patient/carer.
Close with fields not documented and a clinician-review reminder.
Quality Checks
Anti-Patterns
Based On
Clinical handoff/documentation practice — structured discharge summaries with medication reconciliation, explicit follow-up, and return precautions.
