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:

Patient Information
Admission Information
Hospital Course
Discharge Status
Discharge Medications
Follow-up Instructions
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

Never use generated summaries without physician review
Verify all medication dosages and instructions
Confirm follow-up appointments with hospital scheduling system
Ensure discharge diagnoses match official medical records
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

Basic Functionality: Standard input → Expected output
Edge Case: Invalid input → Graceful error handling
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

Skills discharge-summary-writer