Type of discharge


Parameter Case Report Form and Response Options

Type of discharge
Alive
Admission to hospital
Referral to other institution
Death
Palliative discharge
Unknown

This profile of a FHIR Observation is used to capture the type of discharge of a patient. Observation.code shall be fixed to LOINC 55128-3 Discharge disposition.

The value set binding on Observation.value[x] provides the response options as SNOMED codes.

RESPONSE OPTIONS Observation.value[x].coding
Alive 371827001 |Patient discharged alive (finding)|
Admission to hospital 32485007 |Hospital admission (procedure)|
Referral to other institution 3457005 |Patient referral (procedure)|
Death 419099009 |Dead (finding)|
Palliative discharge 306237005 |Referral to palliative care service (procedure)|
Unknown 261665006 |Unknown (qualifier value)|

Profile - Discharge Disposition

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
observationCategoryΣ1..1Coding
textΣ0..1string
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueQuantityQuantity
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
method0..1CodeableConcept
specimenI0..0Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


ValueSets

Valuesets are provided with SNOMED-CT codes.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/discharge-disposition

ValueSet 'DischargeDisposition'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

The type of discharge from a hospital

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:


Examples

Patient discharged alive

{
    "resourceType": "Observation",
    "id": "discharge-disposition-alive",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "371827001",
                "display": "Patient discharged alive (finding)"
            }
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "55128-3_DischargeDisposition",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}


Patient admitted to hospital

{
    "resourceType": "Observation",
    "id": "discharge-disposition-hospital-admission",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "32485007",
                "display": "Hospital admission (procedure)"
            }
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "55128-3_DischargeDisposition",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}


Patient refered to other institution

{
    "resourceType": "Observation",
    "id": "discharge-disposition-referral",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral (procedure)"
            }
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "55128-3_DischargeDisposition",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}


Patient discharged dead

{
    "resourceType": "Observation",
    "id": "discharge-disposition-dead",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "419099009",
                "display": "Dead (finding)"
            }
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "55128-3_DischargeDisposition",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}


Patient discharged to palliative care

{
    "resourceType": "Observation",
    "id": "discharge-disposition-palliative-care",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "306237005",
                "display": "Referral to palliative care service (procedure)"
            }
        ]
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00",
    "identifier":  [
        {
            "assigner": {
                "reference": "Organization/Charité"
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "value": "55128-3_DischargeDisposition"
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    }
}


Discharge type unknown

{
    "resourceType": "Observation",
    "id": "discharge-disposition-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/discharge-disposition"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "55128-3",
                "system": "http://loinc.org",
                "display": "Discharge disposition"
            }
        ],
        "text": "Type of discharge"
    },
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "261665006",
                "display": "Unknown (qualifier value)"
            }
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "55128-3_DischargeDisposition",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}