Open access
Sep 2026
AI-Driven Analysis of C-CDA Discharge Summaries for Predicting Hospital Readmission and Optimizing Transitions of Care Through FHIR-Enabled Clinical Interoperability
A transition-of-care risk index is introduced that integrates predicted readmission probability with medication complexity, unresolved clinical concerns, follow-up urgency, comorbidity burden, and continuity-of-care indicators to support post-discharge prioritization.
Frederick Damptey, Benjamin Odoom Asomaning
· International Journal of Inn... · 0 citations