Discharge Summary Translation
An Indian hospital discharge summary translated for US continuity of care — with diagnosis codes mapped, medications converted to US-available equivalents, and lab values with unit conversions.
Discharge Summary — Apollo Hospitals, Chennai
Patient: Rajesh Kumar Sharma | Age: 58 yrs / Male
MRN: APL-CHE-2026-84521 | Admission: 10/05/2026 | Discharge: 16/05/2026
Consultant: Dr. Priya Venkatesh, MD, DM (Cardiology)
Diagnosis
Primary: Acute ST-elevation MI (anterior wall)
ICD-10: I21.0
Secondary: Type 2 Diabetes Mellitus, uncontrolled
ICD-10: E11.65
Secondary: Essential Hypertension, Stage 2
ICD-10: I11.9
Procedure
PTCA with DES to LAD (12/05/2026)
Stent: Xience Sierra 3.0 x 28 mm
Discharge Medications
1. Tab. Ecosprin 75 mg OD
2. Tab. Clopivas 75 mg OD
3. Tab. Atorva 40 mg HS
4. Tab. Metolar XR 25 mg OD
5. Tab. Ramipril 5 mg OD
6. Inj. Lantus 18 units SC at bedtime
7. Tab. Glycomet GP 1 (500/1 mg) BD
Lab Values at Discharge
HbA1c: 8.9% | FBS: 186 mg/dL | PPBS: 264 mg/dL
Total Cholesterol: 242 mg/dL | LDL: 168 mg/dL | HDL: 34 mg/dL
Creatinine: 1.1 mg/dL | eGFR: 72 mL/min/1.73m²
Troponin I (peak): 18.4 ng/mL
Discharge Summary — Apollo Hospitals, Chennai (India)
Patient: Rajesh Kumar Sharma | Age: 58 / Male
MRN: APL-CHE-2026-84521 | Admitted: 05/10/2026 | Discharged: 05/16/2026
Attending: Dr. Priya Venkatesh, MD, DM Cardiology (India)
Diagnosis
Primary: ST-elevation myocardial infarction involving left anterior descending artery
ICD-10-CM: I21.02
Secondary: Type 2 diabetes mellitus with hyperglycemia
ICD-10-CM: E11.65
Secondary: Hypertensive heart disease without heart failure
ICD-10-CM: I11.9
Procedure
PCI with drug-eluting stent to LAD (05/12/2026)
CPT: 92928 | Stent: Xience Sierra 3.0 x 28 mm (FDA-approved)
Discharge Medications
1. Aspirin (Ecosprin) 81 mg PO daily
2. Clopidogrel (Plavix) 75 mg PO daily
3. Atorvastatin (Lipitor) 40 mg PO at bedtime
4. Metoprolol succinate ER (Toprol-XL) 25 mg PO daily
5. Ramipril (Altace) 5 mg PO daily
6. Insulin glargine (Lantus) 18 units SC at bedtime
7. Metformin/Glimepiride (Glucovance+) 500/1 mg PO BID
Lab Values at Discharge
HbA1c: 8.9% | FBG: 186 mg/dL | 2h PPG: 264 mg/dL
Total Cholesterol: 242 mg/dL | LDL: 168 mg/dL | HDL: 34 mg/dL
Creatinine: 1.1 mg/dL | eGFR: 72 mL/min/1.73m²
Troponin I (peak): 18.4 ng/mL
Translation Annotations
Diagnosis Code Mapping
- I21.0 (generic STEMI) → I21.02 (STEMI involving LAD) — more specific US coding
- E11.65 — identical in both systems (diabetes with hyperglycemia)
- I11.9 — identical in both systems (hypertensive heart disease)
Drug Name Mappings
- Ecosprin 75 mg → Aspirin 81 mg (US standard low-dose)
- Clopivas → Clopidogrel / Plavix (US brand)
- Atorva → Atorvastatin / Lipitor
- Metolar XR → Metoprolol succinate ER / Toprol-XL
- Glycomet GP 1 → Metformin + Glimepiride combo
- Lantus → Lantus (same globally)
Dosing Difference Alert
- Aspirin: India uses 75 mg, US standard is 81 mg — adjusted per ACC/AHA guidelines
- Both doses are considered equivalent low-dose antiplatelet therapy
Procedure & Format Notes
- PTCA → PCI (preferred US terminology)
- DES abbreviation expanded to 'drug-eluting stent'
- Added CPT code 92928 for US billing
- Date format: DD/MM/YYYY → MM/DD/YYYY
- Indian abbreviations expanded (OD→daily, BD→BID, HS→at bedtime)
Lab Values
- Units already in US-standard (mg/dL) — no conversion needed
- FBS → FBG, PPBS → 2h PPG (US terminology)
- All values within expected reference ranges for context
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