After the discharge information has been entered in the referral screen you can create a discharge order for the doctor.

o Pull up the patient from Select Patient screen

o Click on Orders

o Change the date as needed

o Click on the drop down list Type

o Click on the Discharge

o If Add Admin Thru D/C summary is checked then all information that shows up on the 60 Day Summary will appear on the Discharge Order

o Click on the Create D/C bullet

o When you have finished the order click on Save and create the Order

The following information will show up: 

o Phrase: Patient was discharged on (Date from referral screen)

o Phrase: D/C Reason: (Description of discharge from referral screen)

o Phrase: Last Home Visit: (you type in the last visit date)

o A list of disciplines that were involved and how many visits were made; along with the time frame they were involved

o Phrase: Reason for Admission: Patient was admitted on (Date from referral screen) (type in a description of why patient    was admitted)

o A list of Diagnoses at Admission

o Phrase: Summary of Care (to date): (you type up a summary)

o Phrase: Follow-up Plans: (you type in a summary)

o A list of Current Diagnoses

o A list of Current Medications

o Phrase: Thank you for this referral. Please contact us if our services are needed again.

Example of text:

Patient will be discharged on ___/___/___

D/C Reason:

Last Home Visit:

------------------ Disciplines Involved ------------------

PT: 20 visits from 10/06/08 thru 11/08/08

OT: 05 visits from 10/06/08 thru 10/11/08

SN: 38 visits from 10/05/08 thru 02/06/09

HHA: 32 visits from 10/06/08 thru 02/21/09


------------------- DISCHARGE SUMMARY -------------------

Reason for Admission: Patient was admitted on Sunday October 5, 2008 for

----------------- Diagnoses at Admission ----------------

V54.21 AFTERCARE PATH FX UP ARM

V15.88 HISTORY OF FALL

401.9 UNSPECIFIED ESSENTIAL HYPERTENSION 

719.7 DIFFICULTY IN WALKING

530.81 ESOPHAGEAL REFLUX

311. DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED

Summary of Care (to date):

Follow-up Plans: 

-------------------- Current Diagnoses ------------------

008.42 INTESTINAL INFECTION DUE TO PSEUDOMONAS

707.09 PRESSURE ULCER, OTHER SITE

311. DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED

285.9 ANEMIA, UNSPECIFIED 

530.81 ESOPHAGEAL REFLUX

------------------ Current Medications ------------------

ALLOPURINOL: 300 MG QD PO

AMERIGEL: TO WOUND BID TOPICAL

ASA: 81 MG QD PO

CYMBALTA: 60 MG QD PO