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1. Patient Demographics: Patient's full name, date of birth, medical record number, Medicare number, and contact details
2. Admission Details: Date of admission, date of discharge, treating unit/ward, and admitting diagnosis
3. Clinical Information: Principal diagnosis, secondary diagnoses, procedures performed, and significant findings during hospitalization
4. Medication Summary: Current medications, dosages, frequency, changes made during admission, and ceased medications
5. Follow-up Plan: Scheduled appointments, recommended follow-up timeframes, and healthcare provider details
6. Discharge Instructions: Specific care instructions, activity restrictions, wound care, and warning signs to watch for
7. Healthcare Provider Details: Names and contact information of treating doctors, specialists, and other healthcare providers involved in care
1. Allied Health Summary: Include when patient received physiotherapy, occupational therapy, speech therapy, or other allied health services
2. Mental Health Status: Required for patients with mental health conditions or who received psychiatric consultation
3. Social Work Interventions: Include when social work services were involved in discharge planning
4. Special Care Instructions: For patients with complex care needs, wounds, drains, or specific monitoring requirements
5. Equipment Requirements: When patient requires medical equipment or assistive devices at home
6. Interpreter Requirements: Include for patients requiring language or communication assistance
7. Advanced Care Directives: When patient has specific end-of-life care preferences or restrictions
1. Medication Schedule: Detailed medication list with timing, dosage, and special instructions
2. Appointment Schedule: Calendar of follow-up appointments and recommended health checks
3. Home Care Services Schedule: Timeline and details of arranged home care services
4. Patient Education Materials: Condition-specific information sheets and self-care instructions
5. Equipment Instructions: User guides and maintenance instructions for prescribed medical equipment
6. Emergency Contact List: List of healthcare providers, emergency services, and support contacts
Allied Health Services
Attending Physician
Clinical Handover
Discharge
Discharge Against Medical Advice (DAMA)
Discharge Instructions
Discharge Planning
Discharge Summary
Follow-up Care
Healthcare Provider
Hospital
Medical Record Number
Medicare Number
Medication Reconciliation
Next of Kin
Patient
Patient Demographics
Post-Discharge Care
Principal Diagnosis
Referring Physician
Secondary Diagnosis
Treating Team
Treatment Plan
Unit Record Number (URN)
Clinical Information
Privacy and Confidentiality
Consent
Treatment Summary
Medication Management
Post-Discharge Care
Follow-up Requirements
Emergency Protocols
Healthcare Provider Details
Record Keeping
Information Sharing
Patient Rights and Responsibilities
Medical Instructions
Risk Management
Quality Assurance
Data Protection
Compliance Requirements
Documentation Standards
Clinical Handover
Healthcare
Aged Care
Mental Health
Allied Health Services
Community Health
Disability Services
Medical Insurance
Health Technology
Medical Records
Quality Assurance
Clinical Governance
Patient Services
Nursing Administration
Discharge Planning
Allied Health
Social Services
Compliance
Risk Management
Medical Officer
Registered Nurse
Discharge Planning Coordinator
Clinical Nurse Specialist
Allied Health Professional
Hospital Administrator
Quality Assurance Manager
Medical Records Officer
Ward Clerk
Social Worker
Clinical Director
Nurse Unit Manager
General Practitioner
Healthcare Compliance Officer
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