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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.

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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.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collect...
Start of Care - further visits planned M0010-M0030, M0040- M0150, M1000-M1036, M1100-M1242, M13...
Resumption of Care (after inpatient stay) M0032, M0080-M0110, M1000-M1036, M1100-M1242, M1300-M...
Follow-up Recertification (follow-up) assessment Other follow-up assessment M0080-M0100, M0110...
Transfer to an Inpatient Facility Transferred to an inpatient facility—patient not discharged fr...
Discharge from Agency — Not to an Inpatient Facility Death at Home M0080-M0100, M0903, M0906 ...
(M0080) Discipline of Person Completing Assessment
(M0090) Date Assessment Completed
(M0100) This Assessment is Currently Being Completed for the Following Reason:
Start/Resumption of Care
Start of care—further visits planned
Resumption of care (after inpatient stay)
Follow-Up
Recertification (Follow-up) Reassessment [Go to M0110]
Other Follow-up [Go to M0110]
Transfer to an Inpatient Facility
Transferred to an inpatient facility—patient not discharged from agency [Go to M1040]
Transferred to an inpatient facility—patient discharged from agency [Go to M1040]
Discharge from Agency — Not to an Inpatient Facility
Death at home [Go to M0903]
Discharge from agency [Go to M1040]
(M1040) Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for thi...
(M1045) Reason Influenza Vaccine not received: If the patient did not receive the influenza vacci...
(M1050) Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) f...
(M1055) Reason PPV not received: If patient did not receive the pneumococcal polysaccharide vacci...
(M1230) Speech and Oral (Verbal) Expression of Language (in patient's own language):
(M1242) Frequency of Pain Interfering with patient's activity or movement:
(M1306) Does this patient have at least one Unhealed Pressure Ulcer at Stage II or Higher or desi...
...and More!

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More Information

Creator: Team GoCanvas
Language: English
Country: United States of America
Type: Patient Records
Tags:
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Categories:
Health Care & Social Services, Medical Professionals, Patient Management