Types of Transcribed Reports

Medical transcriptionists type a variety of reports. One report type is the Discharge Summary.

The discharge summary is the concise summarization of the patient's hospital stay and outcomes. Some headings included on the discharge summary:

Admission date/Discharge date
Admitting diagnosis/Discharge diagnoses
Specialist physicians consulted during hospitalization
Procedures/surgeries performed
Complications incurred during hospitalization
History of patient upon admission
Hospital course
Discharge plan (including medications, therapies, consultation follow-ups, etc.)

The discharge summary will be placed on the patient's hospital chart, and may also be forwarded to the patient's primary care physician and/or consulting physicians whom they saw during the hospitalization or are advised to followup with afterward.