Dates of admission and discharge |
Reason for hospitalization |
Significant findings from history and exam |
Significant laboratory findings |
Significant radiological findings |
Significant findings from other tests |
List of procedures performed |
Procedure report findings |
Stress test report findings |
Pathology report findings |
Discharge diagnosis |
Condition at discharge |
Discharge medications |
Follow-up issues |
Pending test results |
Information provided to patient and/or family, as appropriate |
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