{ "resourceType" : "CodeSystem", "id" : "admission-codesystem", "text" : { "status" : "generated", "div" : "

Generated Narrative: CodeSystem admission-codesystem

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
care-rankcare-rankhttps://fhir.slade360.co.ke/fhir/concept-properties#care-rankintegerOrdinal intensity of a level of care. A request outranking what a ward can nurse is a warning, not a block.
ours-to-fixours-to-fixhttps://fhir.slade360.co.ke/fhir/concept-properties#ours-to-fixbooleanTrue where the outcome was within the hospital's control, and so worth counting and acting on.

Concepts

This case-sensitive code system https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem defines the following codes:

CodeDisplayDefinitioncare-rankours-to-fix
emergency EmergencyAn unplanned admission for a patient needing immediate care.
elective ElectiveA planned admission, usually booked in advance.
transfer-in Transfer inAn admission of a patient arriving from another facility or ward on a referral.
maternity MaternityAn admission for labour, delivery or antenatal care.
newborn NewbornAn admission of a baby born in, or brought in with, the mother whose stay it attaches to.
day-case Day caseAn admission expected to be admitted and discharged the same day.
inter-ward-transfer Inter-ward transferThe patient came from another ward within this facility.
direct-admission Direct admissionThe patient was admitted directly, without passing through an emergency or outpatient department.
general GeneralWard-level nursing care.1
high-dependency High dependencyCloser monitoring and nursing than a general ward provides, short of intensive care.2
intensive-care Intensive careOrgan support and continuous monitoring.3
semi-private Semi privateA room shared by a small number of patients.
private PrivateA single-occupancy room.
isolation IsolationA room that isolates a patient for infection control.
delivery DeliveryA room equipped for labour and delivery.
procedure ProcedureA room equipped for bedside procedures.
amenity AmenityA room offering additional comfort beyond clinical need.
resuscitation ResuscitationA bay equipped for resuscitation.
open-bay Open bayA bed that belongs to no room.
paediatric PaediatricA ward that nurses children.
theatre-recovery Theatre recoveryA post-anaesthetic recovery area, where a patient is monitored after theatre before returning to a ward.
near-nurses-station Near the nurses' stationA bed within close sight of the nursing station.
side-room Side room / privacyA side room, asked for on privacy grounds.
step-free Ground floor / step-freeA bed reachable without stairs.
self-pay CashThe patient pays directly.
insurance InsuranceA payer covers the admission, subject to eligibility and benefits.
mpesa M-PESAMobile money.
cash CashPhysical cash.
card CardDebit or credit card.
bank-transfer Bank transferTransfer from a bank account.
wallet WalletA stored-value wallet held for the patient.
no-deposit-emergency Emergency admission, collect after stabilisationAn unresolved payer holds the bill, never the bed.
no-deposit-charity Charity or sponsored patientA charity or sponsor is expected to settle the account.
no-deposit-waived Deposit waived by an administratorAn administrator has waived the deposit.
no-deposit-corporate Corporate account on fileA corporate account will be billed.
preauth-draft DraftPrepared but not sent to the payer.
preauth-pending PendingSubmitted and awaiting the payer's decision.
preauth-approved ApprovedApproved, carrying a reference and an approved amount.
preauth-declined DeclinedDeclined, carrying a reason.
consent-by-patient Given by the patientThe patient consented for themselves.
consent-by-guardian Given by a guardian or next of kinA guardian or next of kin consented on the patient's behalf.
consent-emergency Treated under emergency provisionsTreatment proceeded under emergency provisions without consent.
identified IdentifiedThe patient can be named and matched to a record.
unidentified Not identifiedThe patient cannot yet be named. A patient with no name is still admissible.
age-infant InfantApparent age band: infant.
age-child ChildApparent age band: child.
age-teenager TeenagerApparent age band: teenager.
age-young-adult Young adultApparent age band: young adult.
age-middle-aged Middle agedApparent age band: middle aged.
age-elderly ElderlyApparent age band: elderly.
arrived-ambulance By ambulanceBrought in by ambulance.
arrived-carried Carried inCarried in.
arrived-walked-collapsed Walked in and collapsedWalked in under their own power and collapsed.
arrived-police PoliceBrought in by police.
arrived-bystanders Brought by bystandersBrought in by members of the public.
deferred-identity Identity and health IDIdentity and health ID, once someone can confirm them.
deferred-next-of-kin Next of kin and contact detailsNext of kin and contact details.
deferred-billing Billing type, payer and eligibilityBilling type, payer and eligibility.
deferred-diagnosis Full admitting diagnosis and care planFull admitting diagnosis and care plan.
break-glass-unconscious Patient cannot consentThe patient is unable to consent to access.
break-glass-life-threat Immediate threat to lifeAccess is needed to answer an immediate threat to life.
break-glass-covering Covering another clinicianAccessing while covering for the assigned clinician.
break-glass-identity Confirming identityAccess is needed to confirm who the patient is.
refer ReferRefer the patient onward rather than admit.
admit AdmitAdmit the patient.
admit-now Admit nowAdmit immediately.
book-for-date Book for a dateBook the admission for a future date.
admitted-in-error Admitted in errorThe admission should not have been raised.
duplicate-admission Duplicate admissionA duplicate of another request.true
patient-declined Patient declined admissionThe patient declined to be admitted.
treated-and-sent-home Treated and sent home insteadThe patient was treated and discharged without admission.
moved-to-another-facility Moved to another facilityThe patient was moved to another facility.
ward-cannot-receive Ward cannot receive the patientThe receiving ward could not take the patient.
improved Treated and improvedThe patient improved and no longer needs admitting.false
referred-out Referred out insteadThe patient was referred elsewhere instead.false
went-elsewhere Went to another hospitalThe patient went to another hospital while waiting.true
refused Patient refused admissionThe patient refused admission.false
died-waiting Died while waitingThe patient died before a bed was found. A closed record, not a reversible decision.true
defer-no-bed No bed availableDeferred because no bed was available.
defer-patient-not-ready Patient not readyDeferred because the patient was not ready.
defer-theatre Surgeon or theatre unavailableDeferred because the surgeon or theatre was unavailable.
defer-payer Payer approval outstandingDeferred pending payer approval.
defer-patient-requested Patient requestedDeferred at the patient's request.
at-emergency-department Emergency departmentWaiting in the emergency department.
at-outpatient Outpatient areaWaiting in an outpatient area.
at-corridor-trolley Corridor trolleyWaiting on a trolley in a corridor.
at-another-ward Another wardWaiting on another ward.
at-home At homeWaiting at home.
at-theatre In theatreIn theatre.
at-another-facility Another facilityAt another facility.
ready ReadyNothing outstanding.
needs-attention Needs attentionSomething is outstanding but the admission can proceed.
not-ready Not readyBlocked until something is resolved.
requested Waiting admissionRequested and waiting for a bed or a decision.
scheduled ScheduledBooked for a future date and not yet arrived.
admitted AdmittedAdmitted. A patient admitted before a bed is free waits under 'needs bed', which is a view over this state rather than a state of its own.
discharge-pending Discharge pendingDischarge decided and in progress.
discharged DischargedThe stay has ended.
cancelled CancelledThe request left the queue without an admission.
removed-in-error Created by mistakeThe ward record should never have been created.
removed-duplicate Duplicate of an existing wardThe same ward is already set up under another record.
removed-wrong-facility Wrong facilityThe ward was set up against the wrong facility.
removed-test-data Test or training dataThe ward was created for testing or training and is not a real ward.
removed-ward-cancelled Set up before the ward was cancelledThe ward was configured in advance of opening, and the plan to open it was then dropped.
removed-other OtherA reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing.
eating-drinking-normally Eating and drinking normallyThe patient is taking food and fluid as they normally would.
fluids-only Taking fluids onlyThe patient is tolerating fluids but not yet solid food.
small-amounts Taking small amountsThe patient is taking some food and fluid, below what they need.
not-tolerating-oral-intake Not tolerating oral intakeThe patient is not keeping food or fluid down, which is a reason to question the discharge.
independent IndependentThe patient moves without help and without an aid.
walking-aid Walking with a stick or frameThe patient moves without another person but relies on an aid.
needs-one-assist Needs one person to assistOne person is needed to move the patient safely, which is what home has to provide.
needs-two-assist Needs two people to assistTwo people are needed to move the patient safely.
bed-bound Bed boundThe patient cannot be got out of bed.
pain-free Pain freeThe patient reports no pain.
controlled-on-oral-analgesia Controlled on oral analgesiaPain is held by medicine the patient can take at home.
controlled-needs-review Controlled but needs reviewPain is held for now, but the regimen is expected to need changing.
not-controlled Not controlledPain is not held, which is a reason to question the discharge.
condition-recovered RecoveredThe problem the patient was admitted for has resolved.
condition-improved ImprovedThe patient is better than on admission without having fully recovered.
condition-unchanged UnchangedThe patient is no different from how they arrived.
condition-worse WorseThe patient is worse than on admission.
condition-palliative PalliativeCare has moved to comfort rather than cure.
spouse SpouseThe patient's husband or wife.
parent ParentThe patient's mother or father.
child ChildThe patient's son or daughter.
sibling SiblingThe patient's brother or sister.
guardian GuardianSomebody with legal responsibility for the patient.
other-relative Other relativeA relative none of the narrower codes name.
neighbour-or-friend Neighbour or friendSomebody close to the patient who is not a relative, and routinely the person actually taking them home.
explained-to-patient Explained to the patientThe medicines were gone through with the patient alone.
explained-to-next-of-kin Explained to the next of kinThe medicines were gone through with the next of kin, which is what happens where the patient cannot take it in.
explained-to-both Explained to bothThe medicines were gone through with the patient and the next of kin together.
not-explained Not explainedNobody was taken through the medicines. A stated answer rather than a blank, because a blank reads as an oversight and this may be a decision.
settled-in-full Settled in fullNothing is owed.
scheme-covered Covered by insurance or schemeThe account sits with a payer rather than with the patient.
part-payment-balance-on-account Part payment taken, balance on accountSomething was paid at the counter and the rest is carried against the account.
waiver-approved Waiver approvedThe balance was written off, with approval.
referred-to-credit-control Referred to credit controlThe account was passed to credit control to pursue, and the patient is not held for it.
normal NormalThe patient was discharged as planned, on clinical grounds.
transfer-out Transfer outThe patient was moved to another facility, which takes over their care.
left-against-medical-advice Left against medical adviceThe patient chose to leave before the clinician judged them ready, and signed to say so.
absconded AbscondedThe patient left unobserved. Nobody discharged them, so the record carries the last time they were seen rather than a signature.
deceased DeceasedThe stay ended in a death. The facts of it live on the record of death.
home-with-community-follow-up Home with community follow-upThe patient went home with a community health worker or a home visit arranged.
outpatient-clinic-follow-up Outpatient clinic follow-upThe patient went home with a clinic appointment arranged to continue their care.
override-cashier-off-duty Cashier off duty, out of hoursNobody was at the counter to clear the account, and the patient is not being held for it.
override-leaving-against-advice Patient leaving against advice and will not waitThe patient is going regardless, so the check cannot be completed first.
override-transfer-time-critical Transfer is time-criticalThe patient has to move now, and waiting for the check would cost more than skipping it.
override-signer-unavailable Signing person unavailable and patient must not be heldWhoever normally signs this could not be reached, and holding the patient was judged the greater harm.
override-system-unavailable System or record unavailable at the timeThe information the check needs could not be reached when it was needed.
override-other OtherA reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing.
" }, "url" : "https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem", "version" : "0.1.0", "name" : "SGHIAdmissionCodeSystem", "title" : "SGHI Admission Code System", "status" : "active", "experimental" : false, "date" : "2026-09-15T11:40:24+00:00", "publisher" : "Kathurima Kimathi", "contact" : [{ "name" : "Kathurima Kimathi", "telecom" : [{ "system" : "url", "value" : "https://www.linkedin.com/in/kathurima-kimathi/" }, { "system" : "email", "value" : "kathurimakimathi415@gmail.com" }] }, { "name" : "Oscar John", "telecom" : [{ "system" : "email", "value" : "oscarjohnotieno@gmail.com", "use" : "work" }] }, { "name" : "Kennedy Omondi", "telecom" : [{ "system" : "email", "value" : "kennankole@gmail.com", "use" : "work" }] }], "description" : "A code system enumerating the concepts used to request, triage, place and track an inpatient admission across SGHI's environment.", "caseSensitive" : true, "content" : "complete", "count" : 152, "property" : [{ "code" : "care-rank", "uri" : "https://fhir.slade360.co.ke/fhir/concept-properties#care-rank", "description" : "Ordinal intensity of a level of care. A request outranking what a ward can nurse is a warning, not a block.", "type" : "integer" }, { "code" : "ours-to-fix", "uri" : "https://fhir.slade360.co.ke/fhir/concept-properties#ours-to-fix", "description" : "True where the outcome was within the hospital's control, and so worth counting and acting on.", "type" : "boolean" }], "concept" : [{ "code" : "emergency", "display" : "Emergency", "definition" : "An unplanned admission for a patient needing immediate care." }, { "code" : "elective", "display" : "Elective", "definition" : "A planned admission, usually booked in advance." }, { "code" : "transfer-in", "display" : "Transfer in", "definition" : "An admission of a patient arriving from another facility or ward on a referral." }, { "code" : "maternity", "display" : "Maternity", "definition" : "An admission for labour, delivery or antenatal care." }, { "code" : "newborn", "display" : "Newborn", "definition" : "An admission of a baby born in, or brought in with, the mother whose stay it attaches to." }, { "code" : "day-case", "display" : "Day case", "definition" : "An admission expected to be admitted and discharged the same day." }, { "code" : "inter-ward-transfer", "display" : "Inter-ward transfer", "definition" : "The patient came from another ward within this facility." }, { "code" : "direct-admission", "display" : "Direct admission", "definition" : "The patient was admitted directly, without passing through an emergency or outpatient department." }, { "code" : "general", "display" : "General", "definition" : "Ward-level nursing care.", "property" : [{ "code" : "care-rank", "valueInteger" : 1 }] }, { "code" : "high-dependency", "display" : "High dependency", "definition" : "Closer monitoring and nursing than a general ward provides, short of intensive care.", "property" : [{ "code" : "care-rank", "valueInteger" : 2 }] }, { "code" : "intensive-care", "display" : "Intensive care", "definition" : "Organ support and continuous monitoring.", "property" : [{ "code" : "care-rank", "valueInteger" : 3 }] }, { "code" : "semi-private", "display" : "Semi private", "definition" : "A room shared by a small number of patients." }, { "code" : "private", "display" : "Private", "definition" : "A single-occupancy room." }, { "code" : "isolation", "display" : "Isolation", "definition" : "A room that isolates a patient for infection control." }, { "code" : "delivery", "display" : "Delivery", "definition" : "A room equipped for labour and delivery." }, { "code" : "procedure", "display" : "Procedure", "definition" : "A room equipped for bedside procedures." }, { "code" : "amenity", "display" : "Amenity", "definition" : "A room offering additional comfort beyond clinical need." }, { "code" : "resuscitation", "display" : "Resuscitation", "definition" : "A bay equipped for resuscitation." }, { "code" : "open-bay", "display" : "Open bay", "definition" : "A bed that belongs to no room." }, { "code" : "paediatric", "display" : "Paediatric", "definition" : "A ward that nurses children." }, { "code" : "theatre-recovery", "display" : "Theatre recovery", "definition" : "A post-anaesthetic recovery area, where a patient is monitored after theatre before returning to a ward." }, { "code" : "near-nurses-station", "display" : "Near the nurses' station", "definition" : "A bed within close sight of the nursing station." }, { "code" : "side-room", "display" : "Side room / privacy", "definition" : "A side room, asked for on privacy grounds." }, { "code" : "step-free", "display" : "Ground floor / step-free", "definition" : "A bed reachable without stairs." }, { "code" : "self-pay", "display" : "Cash", "definition" : "The patient pays directly." }, { "code" : "insurance", "display" : "Insurance", "definition" : "A payer covers the admission, subject to eligibility and benefits." }, { "code" : "mpesa", "display" : "M-PESA", "definition" : "Mobile money." }, { "code" : "cash", "display" : "Cash", "definition" : "Physical cash." }, { "code" : "card", "display" : "Card", "definition" : "Debit or credit card." }, { "code" : "bank-transfer", "display" : "Bank transfer", "definition" : "Transfer from a bank account." }, { "code" : "wallet", "display" : "Wallet", "definition" : "A stored-value wallet held for the patient." }, { "code" : "no-deposit-emergency", "display" : "Emergency admission, collect after stabilisation", "definition" : "An unresolved payer holds the bill, never the bed." }, { "code" : "no-deposit-charity", "display" : "Charity or sponsored patient", "definition" : "A charity or sponsor is expected to settle the account." }, { "code" : "no-deposit-waived", "display" : "Deposit waived by an administrator", "definition" : "An administrator has waived the deposit." }, { "code" : "no-deposit-corporate", "display" : "Corporate account on file", "definition" : "A corporate account will be billed." }, { "code" : "preauth-draft", "display" : "Draft", "definition" : "Prepared but not sent to the payer." }, { "code" : "preauth-pending", "display" : "Pending", "definition" : "Submitted and awaiting the payer's decision." }, { "code" : "preauth-approved", "display" : "Approved", "definition" : "Approved, carrying a reference and an approved amount." }, { "code" : "preauth-declined", "display" : "Declined", "definition" : "Declined, carrying a reason." }, { "code" : "consent-by-patient", "display" : "Given by the patient", "definition" : "The patient consented for themselves." }, { "code" : "consent-by-guardian", "display" : "Given by a guardian or next of kin", "definition" : "A guardian or next of kin consented on the patient's behalf." }, { "code" : "consent-emergency", "display" : "Treated under emergency provisions", "definition" : "Treatment proceeded under emergency provisions without consent." }, { "code" : "identified", "display" : "Identified", "definition" : "The patient can be named and matched to a record." }, { "code" : "unidentified", "display" : "Not identified", "definition" : "The patient cannot yet be named. A patient with no name is still admissible." }, { "code" : "age-infant", "display" : "Infant", "definition" : "Apparent age band: infant." }, { "code" : "age-child", "display" : "Child", "definition" : "Apparent age band: child." }, { "code" : "age-teenager", "display" : "Teenager", "definition" : "Apparent age band: teenager." }, { "code" : "age-young-adult", "display" : "Young adult", "definition" : "Apparent age band: young adult." }, { "code" : "age-middle-aged", "display" : "Middle aged", "definition" : "Apparent age band: middle aged." }, { "code" : "age-elderly", "display" : "Elderly", "definition" : "Apparent age band: elderly." }, { "code" : "arrived-ambulance", "display" : "By ambulance", "definition" : "Brought in by ambulance." }, { "code" : "arrived-carried", "display" : "Carried in", "definition" : "Carried in." }, { "code" : "arrived-walked-collapsed", "display" : "Walked in and collapsed", "definition" : "Walked in under their own power and collapsed." }, { "code" : "arrived-police", "display" : "Police", "definition" : "Brought in by police." }, { "code" : "arrived-bystanders", "display" : "Brought by bystanders", "definition" : "Brought in by members of the public." }, { "code" : "deferred-identity", "display" : "Identity and health ID", "definition" : "Identity and health ID, once someone can confirm them." }, { "code" : "deferred-next-of-kin", "display" : "Next of kin and contact details", "definition" : "Next of kin and contact details." }, { "code" : "deferred-billing", "display" : "Billing type, payer and eligibility", "definition" : "Billing type, payer and eligibility." }, { "code" : "deferred-diagnosis", "display" : "Full admitting diagnosis and care plan", "definition" : "Full admitting diagnosis and care plan." }, { "code" : "break-glass-unconscious", "display" : "Patient cannot consent", "definition" : "The patient is unable to consent to access." }, { "code" : "break-glass-life-threat", "display" : "Immediate threat to life", "definition" : "Access is needed to answer an immediate threat to life." }, { "code" : "break-glass-covering", "display" : "Covering another clinician", "definition" : "Accessing while covering for the assigned clinician." }, { "code" : "break-glass-identity", "display" : "Confirming identity", "definition" : "Access is needed to confirm who the patient is." }, { "code" : "refer", "display" : "Refer", "definition" : "Refer the patient onward rather than admit." }, { "code" : "admit", "display" : "Admit", "definition" : "Admit the patient." }, { "code" : "admit-now", "display" : "Admit now", "definition" : "Admit immediately." }, { "code" : "book-for-date", "display" : "Book for a date", "definition" : "Book the admission for a future date." }, { "code" : "admitted-in-error", "display" : "Admitted in error", "definition" : "The admission should not have been raised." }, { "code" : "duplicate-admission", "display" : "Duplicate admission", "definition" : "A duplicate of another request.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : true }] }, { "code" : "patient-declined", "display" : "Patient declined admission", "definition" : "The patient declined to be admitted." }, { "code" : "treated-and-sent-home", "display" : "Treated and sent home instead", "definition" : "The patient was treated and discharged without admission." }, { "code" : "moved-to-another-facility", "display" : "Moved to another facility", "definition" : "The patient was moved to another facility." }, { "code" : "ward-cannot-receive", "display" : "Ward cannot receive the patient", "definition" : "The receiving ward could not take the patient." }, { "code" : "improved", "display" : "Treated and improved", "definition" : "The patient improved and no longer needs admitting.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : false }] }, { "code" : "referred-out", "display" : "Referred out instead", "definition" : "The patient was referred elsewhere instead.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : false }] }, { "code" : "went-elsewhere", "display" : "Went to another hospital", "definition" : "The patient went to another hospital while waiting.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : true }] }, { "code" : "refused", "display" : "Patient refused admission", "definition" : "The patient refused admission.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : false }] }, { "code" : "died-waiting", "display" : "Died while waiting", "definition" : "The patient died before a bed was found. A closed record, not a reversible decision.", "property" : [{ "code" : "ours-to-fix", "valueBoolean" : true }] }, { "code" : "defer-no-bed", "display" : "No bed available", "definition" : "Deferred because no bed was available." }, { "code" : "defer-patient-not-ready", "display" : "Patient not ready", "definition" : "Deferred because the patient was not ready." }, { "code" : "defer-theatre", "display" : "Surgeon or theatre unavailable", "definition" : "Deferred because the surgeon or theatre was unavailable." }, { "code" : "defer-payer", "display" : "Payer approval outstanding", "definition" : "Deferred pending payer approval." }, { "code" : "defer-patient-requested", "display" : "Patient requested", "definition" : "Deferred at the patient's request." }, { "code" : "at-emergency-department", "display" : "Emergency department", "definition" : "Waiting in the emergency department." }, { "code" : "at-outpatient", "display" : "Outpatient area", "definition" : "Waiting in an outpatient area." }, { "code" : "at-corridor-trolley", "display" : "Corridor trolley", "definition" : "Waiting on a trolley in a corridor." }, { "code" : "at-another-ward", "display" : "Another ward", "definition" : "Waiting on another ward." }, { "code" : "at-home", "display" : "At home", "definition" : "Waiting at home." }, { "code" : "at-theatre", "display" : "In theatre", "definition" : "In theatre." }, { "code" : "at-another-facility", "display" : "Another facility", "definition" : "At another facility." }, { "code" : "ready", "display" : "Ready", "definition" : "Nothing outstanding." }, { "code" : "needs-attention", "display" : "Needs attention", "definition" : "Something is outstanding but the admission can proceed." }, { "code" : "not-ready", "display" : "Not ready", "definition" : "Blocked until something is resolved." }, { "code" : "requested", "display" : "Waiting admission", "definition" : "Requested and waiting for a bed or a decision." }, { "code" : "scheduled", "display" : "Scheduled", "definition" : "Booked for a future date and not yet arrived." }, { "code" : "admitted", "display" : "Admitted", "definition" : "Admitted. A patient admitted before a bed is free waits under 'needs bed', which is a view over this state rather than a state of its own." }, { "code" : "discharge-pending", "display" : "Discharge pending", "definition" : "Discharge decided and in progress." }, { "code" : "discharged", "display" : "Discharged", "definition" : "The stay has ended." }, { "code" : "cancelled", "display" : "Cancelled", "definition" : "The request left the queue without an admission." }, { "code" : "removed-in-error", "display" : "Created by mistake", "definition" : "The ward record should never have been created." }, { "code" : "removed-duplicate", "display" : "Duplicate of an existing ward", "definition" : "The same ward is already set up under another record." }, { "code" : "removed-wrong-facility", "display" : "Wrong facility", "definition" : "The ward was set up against the wrong facility." }, { "code" : "removed-test-data", "display" : "Test or training data", "definition" : "The ward was created for testing or training and is not a real ward." }, { "code" : "removed-ward-cancelled", "display" : "Set up before the ward was cancelled", "definition" : "The ward was configured in advance of opening, and the plan to open it was then dropped." }, { "code" : "removed-other", "display" : "Other", "definition" : "A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing." }, { "code" : "eating-drinking-normally", "display" : "Eating and drinking normally", "definition" : "The patient is taking food and fluid as they normally would." }, { "code" : "fluids-only", "display" : "Taking fluids only", "definition" : "The patient is tolerating fluids but not yet solid food." }, { "code" : "small-amounts", "display" : "Taking small amounts", "definition" : "The patient is taking some food and fluid, below what they need." }, { "code" : "not-tolerating-oral-intake", "display" : "Not tolerating oral intake", "definition" : "The patient is not keeping food or fluid down, which is a reason to question the discharge." }, { "code" : "independent", "display" : "Independent", "definition" : "The patient moves without help and without an aid." }, { "code" : "walking-aid", "display" : "Walking with a stick or frame", "definition" : "The patient moves without another person but relies on an aid." }, { "code" : "needs-one-assist", "display" : "Needs one person to assist", "definition" : "One person is needed to move the patient safely, which is what home has to provide." }, { "code" : "needs-two-assist", "display" : "Needs two people to assist", "definition" : "Two people are needed to move the patient safely." }, { "code" : "bed-bound", "display" : "Bed bound", "definition" : "The patient cannot be got out of bed." }, { "code" : "pain-free", "display" : "Pain free", "definition" : "The patient reports no pain." }, { "code" : "controlled-on-oral-analgesia", "display" : "Controlled on oral analgesia", "definition" : "Pain is held by medicine the patient can take at home." }, { "code" : "controlled-needs-review", "display" : "Controlled but needs review", "definition" : "Pain is held for now, but the regimen is expected to need changing." }, { "code" : "not-controlled", "display" : "Not controlled", "definition" : "Pain is not held, which is a reason to question the discharge." }, { "code" : "condition-recovered", "display" : "Recovered", "definition" : "The problem the patient was admitted for has resolved." }, { "code" : "condition-improved", "display" : "Improved", "definition" : "The patient is better than on admission without having fully recovered." }, { "code" : "condition-unchanged", "display" : "Unchanged", "definition" : "The patient is no different from how they arrived." }, { "code" : "condition-worse", "display" : "Worse", "definition" : "The patient is worse than on admission." }, { "code" : "condition-palliative", "display" : "Palliative", "definition" : "Care has moved to comfort rather than cure." }, { "code" : "spouse", "display" : "Spouse", "definition" : "The patient's husband or wife." }, { "code" : "parent", "display" : "Parent", "definition" : "The patient's mother or father." }, { "code" : "child", "display" : "Child", "definition" : "The patient's son or daughter." }, { "code" : "sibling", "display" : "Sibling", "definition" : "The patient's brother or sister." }, { "code" : "guardian", "display" : "Guardian", "definition" : "Somebody with legal responsibility for the patient." }, { "code" : "other-relative", "display" : "Other relative", "definition" : "A relative none of the narrower codes name." }, { "code" : "neighbour-or-friend", "display" : "Neighbour or friend", "definition" : "Somebody close to the patient who is not a relative, and routinely the person actually taking them home." }, { "code" : "explained-to-patient", "display" : "Explained to the patient", "definition" : "The medicines were gone through with the patient alone." }, { "code" : "explained-to-next-of-kin", "display" : "Explained to the next of kin", "definition" : "The medicines were gone through with the next of kin, which is what happens where the patient cannot take it in." }, { "code" : "explained-to-both", "display" : "Explained to both", "definition" : "The medicines were gone through with the patient and the next of kin together." }, { "code" : "not-explained", "display" : "Not explained", "definition" : "Nobody was taken through the medicines. A stated answer rather than a blank, because a blank reads as an oversight and this may be a decision." }, { "code" : "settled-in-full", "display" : "Settled in full", "definition" : "Nothing is owed." }, { "code" : "scheme-covered", "display" : "Covered by insurance or scheme", "definition" : "The account sits with a payer rather than with the patient." }, { "code" : "part-payment-balance-on-account", "display" : "Part payment taken, balance on account", "definition" : "Something was paid at the counter and the rest is carried against the account." }, { "code" : "waiver-approved", "display" : "Waiver approved", "definition" : "The balance was written off, with approval." }, { "code" : "referred-to-credit-control", "display" : "Referred to credit control", "definition" : "The account was passed to credit control to pursue, and the patient is not held for it." }, { "code" : "normal", "display" : "Normal", "definition" : "The patient was discharged as planned, on clinical grounds." }, { "code" : "transfer-out", "display" : "Transfer out", "definition" : "The patient was moved to another facility, which takes over their care." }, { "code" : "left-against-medical-advice", "display" : "Left against medical advice", "definition" : "The patient chose to leave before the clinician judged them ready, and signed to say so." }, { "code" : "absconded", "display" : "Absconded", "definition" : "The patient left unobserved. Nobody discharged them, so the record carries the last time they were seen rather than a signature." }, { "code" : "deceased", "display" : "Deceased", "definition" : "The stay ended in a death. The facts of it live on the record of death." }, { "code" : "home-with-community-follow-up", "display" : "Home with community follow-up", "definition" : "The patient went home with a community health worker or a home visit arranged." }, { "code" : "outpatient-clinic-follow-up", "display" : "Outpatient clinic follow-up", "definition" : "The patient went home with a clinic appointment arranged to continue their care." }, { "code" : "override-cashier-off-duty", "display" : "Cashier off duty, out of hours", "definition" : "Nobody was at the counter to clear the account, and the patient is not being held for it." }, { "code" : "override-leaving-against-advice", "display" : "Patient leaving against advice and will not wait", "definition" : "The patient is going regardless, so the check cannot be completed first." }, { "code" : "override-transfer-time-critical", "display" : "Transfer is time-critical", "definition" : "The patient has to move now, and waiting for the check would cost more than skipping it." }, { "code" : "override-signer-unavailable", "display" : "Signing person unavailable and patient must not be held", "definition" : "Whoever normally signs this could not be reached, and holding the patient was judged the greater harm." }, { "code" : "override-system-unavailable", "display" : "System or record unavailable at the time", "definition" : "The information the check needs could not be reached when it was needed." }, { "code" : "override-other", "display" : "Other", "definition" : "A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing." }] }