Question about discharge documents and take-home prescriptions at BIDMC

Hi — I’m using MIMIC-IV and MIMIC-IV-Note to study medication communication at hospital discharge, and I’m trying to understand the provenance of a few fields more precisely.

The discharge summaries often contain both a Discharge Medications section and a Discharge Instructions section. For the BIDMC period covered by MIMIC-IV (2008–2019), do you know how these sections related to the material patients actually received?

In particular:

1. Was the full discharge summary given to the patient, or were the instructions placed into a separate after-visit/discharge document?
2. Did patients routinely receive a reconciled medication list in addition to the narrative instructions? If so, is that list represented anywhere in MIMIC-IV or MIMIC-IV-Note?
3. Do the pharmacy or prescriptions tables include outpatient discharge prescriptions or take-home fills, or are they limited to medications ordered/dispensed for the hospitalization?
4. Was bedside dispensing available during this period, and was it routine or optional?

I realize the last question may be outside the dataset documentation. Even an approximate answer, a pointer to an old workflow document, or the name of the right BIDMC contact would be very helpful.

Thanks!

Start with the MIMIC-IV and MIMIC-IV-Note documentation and the pharmacy or prescriptions tables referenced in the questions. A satisfactory answer would clarify the provenance of discharge documents, medication lists, outpatient prescriptions, and bedside dispensing, or identify the appropriate BIDMC workflow contact.