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Packagesilfhirprofileig
Resource TypeValueSet
IdValueSet-clearance-override-reason.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/ValueSet-clearance-override-reason.html
URLhttps://fhir.slade360.co.ke/fhir/ValueSet/clearance-override-reason
Version0.1.0
Statusactive
Date2026-09-30T09:16:00+00:00
NameSGHIClearanceOverrideReason
TitleSGHI Clearance Override Reason
DescriptionWhy 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.

Resources that use this resource

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Resources that this resource uses

CodeSystem
silfhirprofileig#currentadmission-codesystemSGHI Admission Code System

Narrative

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

Generated Narrative: ValueSet clearance-override-reason


Source1

{
  "resourceType": "ValueSet",
  "id": "clearance-override-reason",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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": "2026-09-30T09:16:00+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"
          }
        ]
      }
    ]
  }
}