Continuity of Care Document yyyyMMddhhmmss+0000 yyyyMMddhhmmss yyyyMMddhhmmss yyyyMMdd yyyyMMdd
Purpose
Alerts
Type Date Code Description Reaction Source
-
Advance Directives
Type Date Description Status Source
Functional Status
Type Date Code Description Status Source
Problems
Type Date Code Description Status Source
yyyyMMddhhmmss+0000
Procedures
Type Date Code Description Location Substance Method Position Site Status Source
( - ) )
Medications
Medication Date Status Form Strength Quantity SIG Indications Instruction Refills Source
() / ( for )


Immunizations
Code Vaccine Date Route Site Source
()
Vital Signs
Vital Sign Date Result Source

Encounters
Type Date Location Status Practitioner Description Indications Source



Social History
Type Date Code Description Status Source
Family History
Type Date Code Description Relationship(s) Status Source

Results
Test Date Result Source


Insurance
Type Date Identification Numbers Payment Provider Subscriber Source
:
Plan Of Care Plan Of Care Recommendations
Description Recommendation Goal Status Source
Plan Of Care Orders
Descripion Plan Status Type Date Procedure Schedule Location Substance Method Position Site Status Source
Every for
Health Care Providers
Role Name
Support Providers
Role Name
References
Type Date Description Location Source
Additional Information About People & Organizations
Name Specialty Relation Identification Numbers Phone Address/ E-mail
: : :


,

Name Specialty Relation Identification Numbers Phone Address/ E-mail
: : :


,

Name Type Version Identification Numbers Phone Address/ E-mail
: : :


,