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  1. FHIR Specification Feedback
  2. FHIR-26909

Add transfers as a use case

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    Details

    • Type: Change Request
    • Status: Resolved - change required (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive
    • Specification:
      US Da Vinci Alerts (FHIR)
    • Raised in Version:
      0.2.0
    • Work Group:
      Infrastructure & Messaging
    • Related Page(s):
      Profiles and Extensions
    • Grouping:
    • Resolution Description:
      Hide

      update IG as proposed

      Show
      update IG as proposed
    • Resolution Vote:
      Craig Newman/Paul Knapp: 3-0-1
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive

      Description

      Based on CMS guidance:

      https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet

      _Admission, Discharge, and Transfer Event Notifications: CMS is modifying Conditions of Participation (CoPs) to require hospitals, including psychiatric hospitals and CAHs, to send electronic patient event notifications of a patient’s admission, discharge, and/or transfer to another healthcare facility or to another community provider or practitioner. This will improve care coordination by allowing a receiving provider, facility, or practitioner to reach out to the patient and deliver appropriate follow-up care in a timely manner. This policy will be applicable 6 months after publication of this rule.
      _

      https://www.cms.gov/files/document/cms-9115-f.pdf
      Part 485, ( see page 467) ....
      _(4) To the extent permissible under applicable federal and state law and regulations, and
      not inconsistent with the patient’s expressed privacy preferences, the system sends notifications
      directly, or through an intermediary that facilitates exchange of health information, either
      immediately prior to, or at the time of:
      The patient’s discharge or transfer from the CAH’s emergency department (if
      applicable).
      (ii) The patient’s discharge or transfer from the CAH’s inpatient services (if applicable)._
      ....

      1. Add notification-transfer to Da Vinci Notification Event CodeSystem

      2. Cerate Profile: Da Vinci Transfer Notification MessageHeader Profile
      3. Create Profile: Da Vinci Notification transfer Event ValueSet

      4. Add following guidance for when to use transfer vs discharge and admit...

      "
      Transfer Notification should only be used if

      your organization calls it a transfer when the patient moves from the emergency room to an inpatient status OR
      your organizations calls it a transfer when a patient moves from inpatient to another facility like an inpatient rehab facility.

      You should not use Transfer notification for bed changes within the same facility, i.e. ICU to a stepdown

      If your facility only uses Admit and Discharge transactions, for the above scenarios, you will not use Transfer Notifications."

      4. Add example of transfer notification bundle
      5. Update Pages and Section heading to reflect addition of Transfer.

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            Assignee:
            Unassigned
            Reporter:
            ehaas Eric Haas
            Watchers:
            1 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:
              Vote Date: