SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.slade360.co.ke/fhir/ValueSet/clearance-override-reason | Version: 0.1.0 | |||
| Active as of 2026-09-15 | Computable Name: SGHIClearanceOverrideReason | |||
Why a discharge clearance was signed off without its check. A hard gate fails at two in the morning when the cashier has gone home, and somebody who cannot proceed goes round the system instead, which leaves no trace. This is what makes the gap reviewable: the reason is recorded against a named person, and a later signature does not remove it.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem version 📦0.1.0| Code | Display | Definition |
| override-cashier-off-duty | Cashier off duty, out of hours | Nobody 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 wait | The patient is going regardless, so the check cannot be completed first. |
| override-transfer-time-critical | Transfer is time-critical | The 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 held | Whoever 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 time | The information the check needs could not be reached when it was needed. |
| override-other | Other | A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing. |
Expansion performed internally based on codesystem SGHI Admission Code System v0.1.0 (CodeSystem)
This value set contains 6 concepts
| System | Code | Display (en) | Definition | JSON | XML |
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-cashier-off-duty | Cashier off duty, out of hours | Nobody was at the counter to clear the account, and the patient is not being held for it. | ||
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-leaving-against-advice | Patient leaving against advice and will not wait | The patient is going regardless, so the check cannot be completed first. | ||
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-transfer-time-critical | Transfer is time-critical | The patient has to move now, and waiting for the check would cost more than skipping it. | ||
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-signer-unavailable | Signing person unavailable and patient must not be held | Whoever normally signs this could not be reached, and holding the patient was judged the greater harm. | ||
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-system-unavailable | System or record unavailable at the time | The information the check needs could not be reached when it was needed. | ||
https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem | override-other | Other | A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing. |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |