Narrative patient data relevant to the context identified by note types.

Data Element

Discharge Summary Note

Synopsis of a patient’s admission and course in a hospital or post-acute care setting. Must contain admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalization.

Applicable Vocabulary Standard(s)

Applicable Standards
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.72
    • At minimum: Discharge Summary (LOINC® code 18842-5)


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