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

• Narrative Content
• XML
• JSON
• TTL

: SGHI Clearance Override Reason - JSON Representation

Active as of 2026-09-15

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{
  "resourceType" : "ValueSet",
  "id" : "clearance-override-reason",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet clearance-override-reason</b></p><a name=\"clearance-override-reason\"> </a><a name=\"hcclearance-override-reason\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-admission-codesystem.html\"><code>https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-cashier-off-duty\">override-cashier-off-duty</a></td><td>Cashier off duty, out of hours</td><td>Nobody was at the counter to clear the account, and the patient is not being held for it.</td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-leaving-against-advice\">override-leaving-against-advice</a></td><td>Patient leaving against advice and will not wait</td><td>The patient is going regardless, so the check cannot be completed first.</td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-transfer-time-critical\">override-transfer-time-critical</a></td><td>Transfer is time-critical</td><td>The patient has to move now, and waiting for the check would cost more than skipping it.</td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-signer-unavailable\">override-signer-unavailable</a></td><td>Signing person unavailable and patient must not be held</td><td>Whoever normally signs this could not be reached, and holding the patient was judged the greater harm.</td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-system-unavailable\">override-system-unavailable</a></td><td>System or record unavailable at the time</td><td>The information the check needs could not be reached when it was needed.</td></tr><tr><td><a href=\"CodeSystem-admission-codesystem.html#admission-codesystem-override-other\">override-other</a></td><td>Other</td><td>A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing.</td></tr></table></li></ul></div>"
  },
  "url" : "https://fhir.slade360.co.ke/fhir/ValueSet/clearance-override-reason",
  "version" : "0.1.0",
  "name" : "SGHIClearanceOverrideReason",
  "title" : "SGHI Clearance Override Reason",
  "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" : "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.",
  "compose" : {
    "include" : [
      {
        "system" : "https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem",
        "concept" : [
          {
            "code" : "override-cashier-off-duty",
            "display" : "Cashier off duty, out of hours"
          },
          {
            "code" : "override-leaving-against-advice",
            "display" : "Patient leaving against advice and will not wait"
          },
          {
            "code" : "override-transfer-time-critical",
            "display" : "Transfer is time-critical"
          },
          {
            "code" : "override-signer-unavailable",
            "display" : "Signing person unavailable and patient must not be held"
          },
          {
            "code" : "override-system-unavailable",
            "display" : "System or record unavailable at the time"
          },
          {
            "code" : "override-other",
            "display" : "Other"
          }
        ]
      }
    ]
  }
}