Table 3. Continuity of Care Document (CCD) Section Coding of Discipline Specific and Interdisciplinary Handoff Information Elements.

CCD Sections	Nurse only data	Physician only data	Interdisciplinary data
1. Personal Information			Patient name; Patient age; Patient date of birth; Patient sex
2. Payers		Insurance status
3. Advance Directives	Consent forms		Code status
4. Support			Family contact information
5. Functional Status	Neurological status; Cardiovascular status; Respiratory status; Gastrointestinal status; Genitourinary status; Skin integrity; Activities of Daily Living; Hygiene/oral care; Mobilization precautions; Safety; Sleep; Psychological/emotional status	Physical exam findings; Baseline status	Diet; Mobility; Patient's condition; Condition/Plan of care trend; Specialty specific key physiologic parameters (e.g., critical care measurements, sepsis status, APACHE risk scale)
6. Problems		Symptoms	Reason for admission/transfer; Active/Current problems/diagnosis
7. Social History	Occupation; Marital status; Smoking; Alcohol; Religion; Living situation	Patient race	Social concerns; Language/interpreter needed
8. Alerts	Isolation status		Allergies
9. Medications	Medication times	Home medications	Active medication list; Antibiotics; Intravenous infusions
10. Equipment			Lines and invasive devices; Telemetry
11. Vital Signs	Patient height; Patient body mass index		Patient weight; Vital signs
12. Results	Blood type; Blood glucose	Cultures	Laboratory Data; Test/procedure results
13. Procedures	Treatments and times; Wound care/dressing	Post-op day	Diagnostic/therapeutic procedures & dates
14. Encounters			Admission information and date/hospital day
15. Plan of care	Patient preferences	Need for and urgency of review; Prognosis; Rationale of primary team	Plan; Tasks/To-dos; Pending results and procedures; Discharge planning/Disposition; Advice/anticipatory guidance; Short-term concerns/clinical judgments/instincts/comments
16. Health Care Providers		Team name/color; Medical Service	Clinicians involved in case; Physician contact information
Total Information elements	28	13	35