Discharge Summary Writer

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

When to Use

• Patient discharge preparation requires comprehensive summary documentation
• Compiling admission, treatment, and discharge data into unified records
• Generating follow-up instructions and medication lists for post-discharge care
• Creating legally compliant discharge documentation for medical records

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