Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. Differentiate Between Functional Status And Assessment Scale

12/01/2011

Patient assessment instruments often include assessment scale and functional status content. When transmitted in a CCD, assessment scale information is nice to have, but not required. The primary functional status scope for CCD based communication is the functional status observations of interest rather than assessment scale information. Differentiation is needed between the functional status and assessment scale. If the primary objective is to communicate a complete report of an assessment instrument, the MDS report (transmitted using the CDA) may be preferred over the CCD functional status section.

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