Name: Langcare Discharge Planning
Author: langcare

Discharge Planning Checklist

When to Use This Skill

Use when a clinician needs to verify discharge readiness by checking all CMS Condition of Participation requirements and calculating readmission risk.

Clinical Workflow

Use fhir_search to retrieve the current inpatient Encounter (status=in-progress, class=IMP)
Use fhir_search to check for pending ServiceRequest resources (active/draft labs, imaging, consults)
Use fhir_search to check for pending Observation results (status=preliminary/registered)
Use fhir_search to verify medication reconciliation: compare active MedicationRequest against MedicationStatement for discrepancies
Use fhir_search to check for scheduled follow-up Appointments (status=booked, date >= today)
Use fhir_search to check for patient education DocumentReference resources (LOINC 69981-9)
Use to check for DME orders (DeviceRequest) and home health referrals (ServiceRequest)

Discharge Planning Checklist

When to Use This Skill

Use when a clinician needs to verify discharge readiness by checking all CMS Condition of Participation requirements and calculating readmission risk.

Clinical Workflow

Use fhir_search to retrieve the current inpatient Encounter (status=in-progress, class=IMP)
Use fhir_search to check for pending ServiceRequest resources (active/draft labs, imaging, consults)
Use fhir_search to check for pending Observation results (status=preliminary/registered)
Use fhir_search to verify medication reconciliation: compare active MedicationRequest against MedicationStatement for discrepancies
Use fhir_search to check for scheduled follow-up Appointments (status=booked, date >= today)
Use fhir_search to check for patient education DocumentReference resources (LOINC 69981-9)
Use to check for DME orders (DeviceRequest) and home health referrals (ServiceRequest)

Langcare Discharge Planning

Discharge Planning Checklist

When to Use This Skill

Clinical Workflow

Langcare Discharge Planning

Discharge Planning Checklist

When to Use This Skill

Clinical Workflow

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