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hi guys welcome back to medical coder life today were continuing our series on physician documentation and today were talking about the discharge summary the discharge summary is a summation of the patients course while in the hospital it is typically associated with an admission into an inpatient setting you dont usually see a discharge summary on an outpatient chart or any other type healthcare setting but on an inpatient setting you do see a discharge summary the summary begins with the reason for admission into the hospital and includes a chronological description of docHub findings from examination and tests as well as procedures and therapies performed along with the patients response to such treatments details regarding the discharge are also recorded including the condition on discharge instructions specifying medications findings or level of physical activity the patients diet any follow-up care and patient teaching so see the physician also details further care aft
