Discharge summary and discharge process
The summary writes itself from the stay. The gate checks the bill.
Starting a discharge assembles the summary from what is already on the admission: diagnoses, procedures, the medicines the patient is on, last vitals and any orders still pending. The doctor edits and signs it, and the discharge completes when the bill is cleared or the insurer's share is approved.
- Discharge summarySigned · Dr. A. Mehra · 11:38✓
- Bill total₹ 2,14,138✓
- Patient share₹ 34,138 collected✓
- Payer share₹ 1,80,000 approved✓
- Balance on bill₹ 0✓
What changes on the floor
Wards and theatre. Included in: Hospitals, Hospital groups.
Discharge takes half a day because the summary is typed from the file
The summary is filled from the diagnoses, surgeries, medication orders and vitals recorded during the stay, ready for the doctor to edit.
A patient leaves with money still owed, and billing hears later
Discharge is held while the bill has a balance. A manager can override with a reason, and the override is recorded with the amounts.
Insured patients wait for the insurer's payment before they can go
Once the patient's share is collected and the insurer's share is approved, the patient is free to leave. The insurer's money is tracked on the ledger afterwards.
Rules the software enforces
These are checks in the product, with the reason shown to the person at the screen.
- RefusedDischarge with a balance
The bill must be clear, or the patient's share collected and the payer's share approved.
- RecordedEvery manager override
An override needs a reason and is stored with who gave it and the figures at that moment.
- LockedA signed summary
The discharge summary cannot be edited once signed.
What is in it
Summary
- Diagnoses, procedures and course in hospital
- Discharge prescription from active medication orders
- Last vitals and pending orders listed
- Print or PDF on the hospital's letterhead
- Exported as an ABDM-profile FHIR document
The gate
- Balance check against the in-patient bill
- Patient share and payer share checked separately
- Manager override with reason
- Bed sent to housekeeping on discharge
Questions hospitals ask
Who can override the billing gate?+
Only a manager, and only with a reason. The override is stored with the manager's name and the bill figures at that moment.
Does the patient get the summary on their phone?+
The summary prints and saves as a PDF. Patient messages on WhatsApp cover prescriptions, reports and bills for patients who have given consent.
See discharge on your own setup.
A demo is set up with your departments, bed types and tariffs, so you see your hospital and not a sample one.