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There is implementation guidance and advice available on the PRSB website specifically relating to electronic discharge and clinic letters.

An Excel document is available that details if fields are Mandatory, Required or Optional.

Not all headings will be applicable to all settings/services and the guidance will clarify. For example, not all eDischarge summaries will have the requirement for a Procedure section, therefore that section is optional. However, if the eDischarge summary does include a procedure section, there are subsequently a number of mandatory, required or optional elements.

Further information

Electronic discharge guidance:

Outpatient clinic letter guidance: