Thread: Admission Note

Admission Note - An admission note is a clinical document that provides a clear, comprehensive overview of a patient’s condition and care needs at the time of entry into a hospital or inpatient service. It typically includes the reason for admission, presenting symptoms, relevant medical history, physical examination findings, initial diagnostic impressions, and the immediate plan for investigation and treatment. Completed by the admitting physician or other qualified clinician at the start of an inpatient stay, the admission note establishes the baseline clinical picture and supports coordinated, continuous care throughout hospitalization.