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.
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
Use Interact's forms as guidance
TODO: Can be a Consultation Note, an after-visit summary (CCD), could be a C-CDA Discharge summary
What needs to be there: Holly Miller, MD
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?
TODO: Use the admission notification from the Direct Standards Notification IG
TODO: Review the contents of this Nursing Unit-centered information.
TODO: Add notification information
TODO: In many cases a Discharge summary is available
TODO: what to send