Nervecentre V7.1 Help for Users
About the discharge summary
The discharge summary allows you to capture medications the patient needs to take home, and create discharge letters for the GP and for the patient to take home. This includes the discharge summary form, and a workflow that guides you through the discharge process.
The discharge process includes a workflow for prescribing medications for a patient to take home, called TTO To Take Out. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. medications.
The status checkpoints, buttons, text, and contents of the discharge summary form depend on your organisation. This article describes our standard product and our recommended workflow.
About the discharge summary on a mobile
You can't do this on a mobile.
About the discharge summary on a desktop

Start a new discharge summary from > Clinical pages > Patient detail > Case Notes.
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At the top of the discharge summary form, flags outline the stages of the discharge summary workflow.
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The discharge summary form includes a range of clinical notes. Mandatory fields are marked .
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At the bottom of the discharge summary form, buttons progress the form to the next stage. You can only select buttons if:
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You have permission to do so. For example, you can only mark TTO prescriptions as approved if your role includes the right pharmacy permissions.
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All mandatory fields are complete.
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At the top of the discharge summary form, flags outline the stages of the discharge summary workflow. When a stage is complete, the flag shows a tick. The current stage is highlighted in blue.
The specific text you see depends on your organisation, but the contents of the stages are the same.
Complete form |
Shows the discharge form has been opened but is incomplete. |
Pharmacy approval |
Shows when the discharge form has been sent to pharmacy, but the TTO prescriptions are not yet approved. |
Dispense TTO |
Shows the TTO has been approved and is waiting to be dispensed. |
Nurse check |
Shows the TTOs have been dispensed ready for the nurse to confirm are present and correct. |
Send letter |
Shows the TTOs have been checked by the nurse and the discharge letter is ready to be sent. |

This help shows our standard product. The text that appears on buttons at the bottom of the form depends on your organisation, but the function remains the same.
You can only select buttons if your role includes permissions to do so, and any mandatory fields are complete.
Send to Pharmacy | Select this if there are TTO prescriptions that must be approved by a pharmacist before they can be dispensed in a pharmacy location. |
Approved, dispense in pharmacy | Select this to approve TTO prescriptions for dispensing in the pharmacy dispensary. |
Approve, dispense other | Select this to approve TTO prescriptions for dispensing in a location that is not the pharmacy dispensary, for example, a satellite pharmacy. |
Pharmacy rejected |
Select this to reject TTO prescriptions. Note: this does not inform any users that the TTO prescription is rejected. |
Confirm dispensed | Select this to confirm the approved TTO prescriptions are dispensed. |
Confirm ward received and verified |
Select this to confirm that the TTO medications have arrived on the ward and are correct. |
Cancel discharge |
Select this to cancel the discharge form. Note: This does not prevent any previous elements of the workflow from progressing, for example dispensing medication. If the TTO has already been sent to pharmacy, refer to your organisation’s policies and procedures. |
Recall, TTO changed |
Select this to recall TTO prescriptions before they are approved by pharmacy. |
Approve, ward supplied TTO |
Select this if there are no TTO prescriptions included in the discharge form. Or, select this to approve TTO prescriptions that are supplied from ward stock and not from pharmacy. |
Recall, TTO changed after approval |
Select this to recall TTO prescriptions that are already approved by a pharmacist. |
Complete, send discharge letter |
Select this to generate, print, and digitally send the discharge form. |
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