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OASIS-C Discharge Form Mobile App

Use this OASIS-C Patient Discharge Form mobile app to quickly fill out the necessary information after a patient has been discharged from a medical facility. This is a great app for any primary care physician, skilled nursing staff, or other hospital staff to update medical records from an iPhone, iPad, or Android device.

All discharge papers are securely stored in the canvas Cloud and can be emailed or printed as a PDF as part of a continuity of care program with family members, a rehab facility, or other healthcare providers.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the OASIS-C Discharge Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collect...

  • Ico statictext

    Start of Care - further visits planned M0010-M0030, M0040- M0150, M1000-M1036, M1100-M1242, M13...

  • Ico statictext

    Resumption of Care (after inpatient stay) M0032, M0080-M0110, M1000-M1036, M1100-M1242, M1300-M...

  • Ico statictext

    Follow-up Recertification (follow-up) assessment Other follow-up assessment M0080-M0100, M0110...

  • Ico statictext

    Transfer to an Inpatient Facility Transferred to an inpatient facility—patient not discharged fr...

  • Ico statictext

    Discharge from Agency — Not to an Inpatient Facility Death at Home M0080-M0100, M0903, M0906 ...

  • Ico dropdown

    (M0080) Discipline of Person Completing Assessment

  • Ico date

    (M0090) Date Assessment Completed

  • Ico statictext

    (M0100) This Assessment is Currently Being Completed for the Following Reason:

  • Ico statictext

    Start/Resumption of Care

  • Ico checkbox

    Start of care—further visits planned

  • Ico checkbox

    Resumption of care (after inpatient stay)

  • Ico statictext

    Follow-Up

  • Ico checkbox

    Recertification (Follow-up) Reassessment [Go to M0110]

  • Ico checkbox

    Other Follow-up [Go to M0110]

  • Ico statictext

    Transfer to an Inpatient Facility

  • Ico checkbox

    Transferred to an inpatient facility—patient not discharged from agency [Go to M1040]

  • Ico checkbox

    Transferred to an inpatient facility—patient discharged from agency [Go to M1040]

  • Ico statictext

    Discharge from Agency — Not to an Inpatient Facility

  • Ico checkbox

    Death at home [Go to M0903]

  • Ico checkbox

    Discharge from agency [Go to M1040]

  • Ico dropdown

    (M1040) Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for thi...

  • Ico dropdown

    (M1045) Reason Influenza Vaccine not received: If the patient did not receive the influenza vacci...

  • Ico dropdown

    (M1050) Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) f...

  • Ico dropdown

    (M1055) Reason PPV not received: If patient did not receive the pneumococcal polysaccharide vacci...

  • Ico dropdown

    (M1230) Speech and Oral (Verbal) Expression of Language (in patient's own language):

  • Ico dropdown

    (M1242) Frequency of Pain Interfering with patient's activity or movement:

  • Ico dropdown

    (M1306) Does this patient have at least one Unhealed Pressure Ulcer at Stage II or Higher or desi...

  • ...and More!

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