FHIRsmith: CodeSystem/CodeSystem-admission-codesystem.json

FHIR IG analytics

Package	silfhirprofileig
Resource Type	CodeSystem
Id	CodeSystem-admission-codesystem.json
FHIR Version	R5
Source	https://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/CodeSystem-admission-codesystem.html
URL	https://fhir.slade360.co.ke/fhir/CodeSystem/admission-codesystem
Version	0.1.0
Status	active
Date	2026-09-24T14:25:36+00:00
Name	SGHIAdmissionCodeSystem
Title	SGHI Admission Code System
Description	A code system enumerating the concepts used to request, triage, place and track an inpatient admission across SGHI's environment.
Content	complete

Resources that use this resource

ValueSet
silfhirprofileig#current	admission-consent-basis	SGHI Admission Consent Basis
silfhirprofileig#current	admission-no-longer-needed-reason	SGHI Admission No Longer Needed Reason
silfhirprofileig#current	admission-readiness	SGHI Admission Readiness
silfhirprofileig#current	admission-source	SGHI Admission Source
silfhirprofileig#current	admission-state	SGHI Admission State
silfhirprofileig#current	admission-timing	SGHI Admission Timing
silfhirprofileig#current	admission-type	SGHI Admission Type
silfhirprofileig#current	apparent-age-band	SGHI Apparent Age Band
silfhirprofileig#current	arrival-mode	SGHI Arrival Mode
silfhirprofileig#current	arrival-source	SGHI Arrival Source
silfhirprofileig#current	bed-kind	SGHI Bed Kind
silfhirprofileig#current	bed-preference	SGHI Bed Preference
silfhirprofileig#current	break-glass-reason	SGHI Break-Glass Reason
silfhirprofileig#current	cancel-admission-reason	SGHI Cancel Admission Reason
silfhirprofileig#current	clearance-override-reason	SGHI Clearance Override Reason
silfhirprofileig#current	condition-at-discharge	SGHI Condition At Discharge
silfhirprofileig#current	consultation-admission-type	SGHI Consultation Admission Type
silfhirprofileig#current	consultation-disposition	SGHI Consultation Disposition
silfhirprofileig#current	discharge-account-settlement	SGHI Discharge Account Settlement
silfhirprofileig#current	discharge-disposition	SGHI Discharge Disposition
silfhirprofileig#current	discharge-education-recipient	SGHI Discharge Education Recipient
silfhirprofileig#current	discharge-mobility	SGHI Discharge Mobility
silfhirprofileig#current	discharge-oral-intake	SGHI Discharge Oral Intake
silfhirprofileig#current	discharge-pain-control	SGHI Discharge Pain Control
silfhirprofileig#current	discharge-type	SGHI Discharge Type
silfhirprofileig#current	elective-deferral-reason	SGHI Elective Deferral Reason
silfhirprofileig#current	emergency-admission-deferred-item	SGHI Emergency Admission Deferred Item
silfhirprofileig#current	level-of-care	SGHI Level of Care
silfhirprofileig#current	next-of-kin-relationship	SGHI Next Of Kin Relationship
silfhirprofileig#current	no-deposit-reason	SGHI No Deposit Reason
silfhirprofileig#current	payer-type	SGHI Payer Type
silfhirprofileig#current	payment-channel	SGHI Payment Channel
silfhirprofileig#current	preauthorisation-status	SGHI Preauthorisation Status
silfhirprofileig#current	room-class	SGHI Room Class
silfhirprofileig#current	waiting-patient-location	SGHI Waiting Patient Location
silfhirprofileig#current	ward-removal-reason	SGHI Ward Removal Reason
silfhirprofileig#current	ward-type	SGHI Ward Type

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem admission-codesystem

Properties

This code system defines the following properties for its concepts

Name

Code

URI

Type

Description

care-rank

https://fhir.slade360.co.ke/fhir/concept-properties#care-rank

integer

Ordinal intensity of a level of care. A request outranking what a ward can nurse is a warning, not a block.

ours-to-fix

https://fhir.slade360.co.ke/fhir/concept-properties#ours-to-fix

boolean

True 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:

Code	Display	Definition	care-rank	ours-to-fix
emergency	Emergency	An unplanned admission for a patient needing immediate care.
elective	Elective	A planned admission, usually booked in advance.
transfer-in	Transfer in	An admission of a patient arriving from another facility or ward on a referral.
maternity	Maternity	An admission for labour, delivery or antenatal care.
newborn	Newborn	An admission of a baby born in, or brought in with, the mother whose stay it attaches to.
day-case	Day case	An admission expected to be admitted and discharged the same day.
mental-health	MENTAL_HEALTH	An admission to a psychiatric or mental health unit, whether voluntary or under a mental health order.
inter-ward-transfer	Inter-ward transfer	The patient came from another ward within this facility.
direct-admission	Direct admission	The patient was admitted directly, without passing through an emergency or outpatient department.
general	General	Ward-level nursing care.	1
high-dependency	High dependency	Closer monitoring and nursing than a general ward provides, short of intensive care.	2
intensive-care	Intensive care	Organ support and continuous monitoring.	3
semi-private	Semi private	A room shared by a small number of patients.
private	Private	A single-occupancy room.
isolation	Isolation	A room that isolates a patient for infection control.
delivery	Delivery	A room equipped for labour and delivery.
procedure	Procedure	A room equipped for bedside procedures.
amenity	Amenity	A room offering additional comfort beyond clinical need.
resuscitation	Resuscitation	A bay equipped for resuscitation.
open-bay	Open bay	A bed that belongs to no room.
paediatric	Paediatric	A ward that nurses children.
theatre-recovery	Theatre recovery	A post-anaesthetic recovery area, where a patient is monitored after theatre before returning to a ward.
near-nurses-station	Near the nurses' station	A bed within close sight of the nursing station.
side-room	Side room / privacy	A side room, asked for on privacy grounds.
step-free	Ground floor / step-free	A bed reachable without stairs.
self-pay	Cash	The patient pays directly.
insurance	Insurance	A payer covers the admission, subject to eligibility and benefits.
mpesa	M-PESA	Mobile money.
cash	Cash	Physical cash.
card	Card	Debit or credit card.
bank-transfer	Bank transfer	Transfer from a bank account.
wallet	Wallet	A stored-value wallet held for the patient.
no-deposit-emergency	Emergency admission, collect after stabilisation	An unresolved payer holds the bill, never the bed.
no-deposit-charity	Charity or sponsored patient	A charity or sponsor is expected to settle the account.
no-deposit-waived	Deposit waived by an administrator	An administrator has waived the deposit.
no-deposit-corporate	Corporate account on file	A corporate account will be billed.
preauth-draft	Draft	Prepared but not sent to the payer.
preauth-pending	Pending	Submitted and awaiting the payer's decision.
preauth-approved	Approved	Approved, carrying a reference and an approved amount.
preauth-declined	Declined	Declined, carrying a reason.
consent-by-patient	Given by the patient	The patient consented for themselves.
consent-by-guardian	Given by a guardian or next of kin	A guardian or next of kin consented on the patient's behalf.
consent-emergency	Treated under emergency provisions	Treatment proceeded under emergency provisions without consent.
identified	Identified	The patient can be named and matched to a record.
unidentified	Not identified	The patient cannot yet be named. A patient with no name is still admissible.
age-infant	Infant	Apparent age band: infant.
age-child	Child	Apparent age band: child.
age-teenager	Teenager	Apparent age band: teenager.
age-young-adult	Young adult	Apparent age band: young adult.
age-middle-aged	Middle aged	Apparent age band: middle aged.
age-elderly	Elderly	Apparent age band: elderly.
arrived-ambulance	By ambulance	Brought in by ambulance.
arrived-carried	Carried in	Carried in.
arrived-walked-collapsed	Walked in and collapsed	Walked in under their own power and collapsed.
arrived-police	Police	Brought in by police.
arrived-bystanders	Brought by bystanders	Brought in by members of the public.
deferred-identity	Identity and health ID	Identity and health ID, once someone can confirm them.
deferred-next-of-kin	Next of kin and contact details	Next of kin and contact details.
deferred-billing	Billing type, payer and eligibility	Billing type, payer and eligibility.
deferred-diagnosis	Full admitting diagnosis and care plan	Full admitting diagnosis and care plan.
break-glass-unconscious	Patient cannot consent	The patient is unable to consent to access.
break-glass-life-threat	Immediate threat to life	Access is needed to answer an immediate threat to life.
break-glass-covering	Covering another clinician	Accessing while covering for the assigned clinician.
break-glass-identity	Confirming identity	Access is needed to confirm who the patient is.
refer	Refer	Refer the patient onward rather than admit.
admit	Admit	Admit the patient.
admit-now	Admit now	Admit immediately.
book-for-date	Book for a date	Book the admission for a future date.
admitted-in-error	Admitted in error	The admission should not have been raised.
duplicate-admission	Duplicate admission	A duplicate of another request.		true
patient-declined	Patient declined admission	The patient declined to be admitted.
treated-and-sent-home	Treated and sent home instead	The patient was treated and discharged without admission.
moved-to-another-facility	Moved to another facility	The patient was moved to another facility.
ward-cannot-receive	Ward cannot receive the patient	The receiving ward could not take the patient.
improved	Treated and improved	The patient improved and no longer needs admitting.		false
referred-out	Referred out instead	The patient was referred elsewhere instead.		false
went-elsewhere	Went to another hospital	The patient went to another hospital while waiting.		true
refused	Patient refused admission	The patient refused admission.		false
died-waiting	Died while waiting	The patient died before a bed was found. A closed record, not a reversible decision.		true
defer-no-bed	No bed available	Deferred because no bed was available.
defer-patient-not-ready	Patient not ready	Deferred because the patient was not ready.
defer-theatre	Surgeon or theatre unavailable	Deferred because the surgeon or theatre was unavailable.
defer-payer	Payer approval outstanding	Deferred pending payer approval.
defer-patient-requested	Patient requested	Deferred at the patient's request.
at-emergency-department	Emergency department	Waiting in the emergency department.
at-outpatient	Outpatient area	Waiting in an outpatient area.
at-corridor-trolley	Corridor trolley	Waiting on a trolley in a corridor.
at-another-ward	Another ward	Waiting on another ward.
at-home	At home	Waiting at home.
at-theatre	In theatre	In theatre.
at-another-facility	Another facility	At another facility.
ready	Ready	Nothing outstanding.
needs-attention	Needs attention	Something is outstanding but the admission can proceed.
not-ready	Not ready	Blocked until something is resolved.
requested	Waiting admission	Requested and waiting for a bed or a decision.
scheduled	Scheduled	Booked for a future date and not yet arrived.
admitted	Admitted	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.
discharge-pending	Discharge pending	Discharge decided and in progress.
discharged	Discharged	The stay has ended.
cancelled	Cancelled	The request left the queue without an admission.
removed-in-error	Created by mistake	The ward record should never have been created.
removed-duplicate	Duplicate of an existing ward	The same ward is already set up under another record.
removed-wrong-facility	Wrong facility	The ward was set up against the wrong facility.
removed-test-data	Test or training data	The ward was created for testing or training and is not a real ward.
removed-ward-cancelled	Set up before the ward was cancelled	The ward was configured in advance of opening, and the plan to open it was then dropped.
removed-other	Other	A reason none of the others covers. Expects a written explanation alongside it, since the code alone says nothing.
eating-drinking-normally	Eating and drinking normally	The patient is taking food and fluid as they normally would.
fluids-only	Taking fluids only	The patient is tolerating fluids but not yet solid food.
small-amounts	Taking small amounts	The patient is taking some food and fluid, below what they need.
not-tolerating-oral-intake	Not tolerating oral intake	The patient is not keeping food or fluid down, which is a reason to question the discharge.
independent	Independent	The patient moves without help and without an aid.
walking-aid	Walking with a stick or frame	The patient moves without another person but relies on an aid.
needs-one-assist	Needs one person to assist	One person is needed to move the patient safely, which is what home has to provide.
needs-two-assist	Needs two people to assist	Two people are needed to move the patient safely.
bed-bound	Bed bound	The patient cannot be got out of bed.
pain-free	Pain free	The patient reports no pain.
controlled-on-oral-analgesia	Controlled on oral analgesia	Pain is held by medicine the patient can take at home.
controlled-needs-review	Controlled but needs review	Pain is held for now, but the regimen is expected to need changing.
not-controlled	Not controlled	Pain is not held, which is a reason to question the discharge.
condition-recovered	Recovered	The problem the patient was admitted for has resolved.
condition-improved	Improved	The patient is better than on admission without having fully recovered.
condition-unchanged	Unchanged	The patient is no different from how they arrived.
condition-worse	Worse	The patient is worse than on admission.
condition-palliative	Palliative	Care has moved to comfort rather than cure.
spouse	Spouse	The patient's husband or wife.
parent	Parent	The patient's mother or father.
child	Child	The patient's son or daughter.
sibling	Sibling	The patient's brother or sister.
guardian	Guardian	Somebody with legal responsibility for the patient.
other-relative	Other relative	A relative none of the narrower codes name.
neighbour-or-friend	Neighbour or friend	Somebody close to the patient who is not a relative, and routinely the person actually taking them home.
explained-to-patient	Explained to the patient	The medicines were gone through with the patient alone.
explained-to-next-of-kin	Explained to the next of kin	The 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 both	The medicines were gone through with the patient and the next of kin together.
not-explained	Not explained	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.
settled-in-full	Settled in full	Nothing is owed.
scheme-covered	Covered by insurance or scheme	The account sits with a payer rather than with the patient.
part-payment-balance-on-account	Part payment taken, balance on account	Something was paid at the counter and the rest is carried against the account.
waiver-approved	Waiver approved	The balance was written off, with approval.
referred-to-credit-control	Referred to credit control	The account was passed to credit control to pursue, and the patient is not held for it.
normal	Normal	The patient was discharged as planned, on clinical grounds.
transfer-out	Transfer out	The patient was moved to another facility, which takes over their care.
left-against-medical-advice	Left against medical advice	The patient chose to leave before the clinician judged them ready, and signed to say so.
absconded	Absconded	The patient left unobserved. Nobody discharged them, so the record carries the last time they were seen rather than a signature.
deceased	Deceased	The stay ended in a death. The facts of it live on the record of death.
home-with-community-follow-up	Home with community follow-up	The patient went home with a community health worker or a home visit arranged.
outpatient-clinic-follow-up	Outpatient clinic follow-up	The patient went home with a clinic appointment arranged to continue their care.
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.

Source1

{
  "resourceType": "CodeSystem",
  "id": "admission-codesystem",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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": "2026-09-24T14:25:36+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": 153,
  "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": "mental-health",
      "display": "MENTAL_HEALTH",
      "definition": "An admission to a psychiatric or mental health unit, whether voluntary or under a mental health order."
    },
    {
      "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."
    }
  ]
}