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This use case covers the transfer of Skilled Nursing Facility patients to an Emergency Department and the subsequent possible transitions to an acute care facility and eventually back to the SNF.

Background

Transfers from Skilled Nursing Facilities (SNF) to an Emergency Department (ED) are the result of a clinical emergency. The goal of this implementation guide is to enable the information sharing from the SNF to the ED, and the information sharing as the result of the two general outcomes of the ED visit: return to the SNF, or admission to the hospital.

TODO: Why 360X, what does it mean

General Flow Diagram

TODO: diagram of the flow


The SNF to ED Transfer 

Transfer notification


Clinical information


The ED to SNF Discharge 

Closing the loop


ED Discharge Summary

TODO: Recommend C-CDA Discharge summary, or any applicable C-CDA template

The Hospital Admission

Admission notification

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

Supplemental Clinical Information from SNF

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


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