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

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: SGHI Clearance Override Reason - XML Representation

Active as of 2026-09-15

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="clearance-override-reason"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <url
       value="https://fhir.slade360.co.ke/fhir/ValueSet/clearance-override-reason"/>
  <version value="0.1.0"/>
  <name value="SGHIClearanceOverrideReason"/>
  <title value="SGHI Clearance Override Reason"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-15T11:40:24+00:00"/>
  <publisher value="Kathurima Kimathi"/>
  <contact>
    <name value="Kathurima Kimathi"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kathurimakimathi415@gmail.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Oscar John"/>
    <telecom>
      <system value="email"/>
      <value value="oscarjohnotieno@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <contact>
    <name value="Kennedy Omondi"/>
    <telecom>
      <system value="email"/>
      <value value="kennankole@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="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
              value="https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem"/>
      <concept>
        <code value="override-cashier-off-duty"/>
        <display value="Cashier off duty, out of hours"/>
      </concept>
      <concept>
        <code value="override-leaving-against-advice"/>
        <display value="Patient leaving against advice and will not wait"/>
      </concept>
      <concept>
        <code value="override-transfer-time-critical"/>
        <display value="Transfer is time-critical"/>
      </concept>
      <concept>
        <code value="override-signer-unavailable"/>
        <display
                 value="Signing person unavailable and patient must not be held"/>
      </concept>
      <concept>
        <code value="override-system-unavailable"/>
        <display value="System or record unavailable at the time"/>
      </concept>
      <concept>
        <code value="override-other"/>
        <display value="Other"/>
      </concept>
    </include>
  </compose>
</ValueSet>