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TODO: diagram of the flow (Vassil Peytchev )


The SNF to ED Transfer 

Transfer notification

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The ED to SNF Discharge 

Closing the loop


ED

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Clinical Summary

TODO: Recommend Can be a Consultation Note, an after-visit summary (CCD), could be a C-CDA Discharge summary, or any applicable C-CDA template

What needs to be there: Holly Miller, MD 

The Hospital Admission

Open question: How do we keep the ED information and the hospital information in sync for the following steps to occur? Do we need to specify an (optional?) transaction?

Admission notification

TODO: Use the admission notification from the Direct Standards Notification IG

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TODO: Review the contents of this Nursing Unit-centered information.

Discharge to Facility - Same SNF

Discharge Notification

TODO: Add notification information

Clinical Information

TODO: In many cases a Discharge summary is available

Discharge to Facility or Home - Different SNF

Notification to Initiating SNF

TODO: what to send

Start a 360XL referral/transfer to the new SNF