Definition for Code System DischargeDisposition Example of examplescenario

{
  "resourceType": "CodeSystem",
  "id": "encounter-discharge-disposition",
  "meta": {
    "lastUpdated": "2019-10-24T11:53:00+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },

  "resourceType": "ExampleScenario",
  "id": "example",

  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"

    "status": "additional",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> <b> ExampleScenario - Medication administration (IHE MMA)</b> <a name=\"example\"> </a> </p> <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ExampleScenario &quot;example&quot; </p> </div> <p> <b> status</b> : draft</p> <p> <b> purpose</b> : Purpose: this serves to enable remote performing of medication administration, by using remote / mobile devices to a) Get the planned medication administrations and b) Record the performing of these administrations without a permanent connection to the EHR.</p> \n     <img src=\"./examplescenario-example.png\" alt=\"ExampleScenario diagram - IHE MMA example\"/></div>"

  },
  "extension": [

  "status": "draft",
  "purpose": "Purpose: this serves to demonstrate the performing of medication administration, by using remote / mobile devices to a) Get the planned medication administrations and b) Record the performing of these administrations without a permanent connection to the EHR.",
  "actor": [

    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Informative"

      "key": "Nurse",
      "type": "person",
      "title": "Nurse",
      "description": "The Nurse"

    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1

      "key": "MAP",
      "type": "system",
      "title": "Nurse's Tablet",
      "description": "The entity that receives the Administration Requests to show the nurse to perform them"

    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    }
  ],
  "url": "http://hl7.org/fhir/discharge-disposition",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.255"
  },
  "version": "3.0.2",
  "name": "DischargeDisposition",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [

      "key": "OP",
      "type": "system",
      "title": "MAR / Scheduler",
      "description": "The Medication Administration Order Placer"
    },

    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]

      "key": "MAC",
      "type": "system",
      "title": "MAR / EHR",
      "description": "The entity that receives the Medication Administration reports"

    }
  ],
  "description": "This value set defines a set of codes that can be used to where the patient left the hospital.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/encounter-discharge-disposition",
  "content": "complete",
  "concept": [

  "instance": [

    {
      "code": "home",
      "display": "Home",
      "definition": "The patient was dicharged and has indicated that they are going to return home afterwards."

      "key": "iherx001",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Initial Prescription",
      "description": "The initial prescription which describes \"medication X, 3 times per day\" - the exact scheduling is not   in the initial prescription (it is left for the care teams to decide on the schedule)."

    },
    {
      "code": "other-hcf",
      "display": "Other healthcare facility",
      "definition": "The patient was transferred to another healthcare facility."

      "key": "iherx001.001",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 1, morning",
      "description": "The administration request for day 1, morning"

    },
    {
      "code": "hosp",
      "display": "Hospice",
      "definition": "The patient has been discharged into palliative care."

      "key": "iherx001.002",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 1, lunch",
      "description": "The administration request for day 1, lunch"

    },
    {
      "code": "long",
      "display": "Long-term care",
      "definition": "The patient has been discharged into long-term care where is likely to be monitored through an ongoing episode-of-care."

      "key": "iherx001.003",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 1, evening",
      "description": "The administration request for day 1, evening"

    },
    {
      "code": "aadvice",
      "display": "Left against advice",
      "definition": "The patient self discharged against medical advice."

      "key": "iherx001.004",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 2, morning",
      "description": "The administration request for day 2, morning"

    },
    {
      "code": "exp",
      "display": "Expired",
      "definition": "The patient has deceased during this encounter."

      "key": "iherx001.005",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 2, lunch",
      "description": "The administration request for day 2, lunch"

    },
    {
      "code": "psy",
      "display": "Psychiatric hospital",
      "definition": "The patient has been transferred to a psychiatric facility."

      "key": "iherx001.006",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Request for day 2, evening",
      "description": "The administration request for day 2, evening"

    },
    {
      "code": "rehab",
      "display": "Rehabilitation",
      "definition": "The patient was discharged and is to receive post acute care rehabilitation services."

      "key": "iheadm001a",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationAdministration"
      },
      "title": "Morning meds - taken",
      "description": "Administration report for day 1, morning: Taken"

    },
    {
      "code": "snf",
      "display": "Skilled nursing facility",
      "definition": "The patient has been discharged to a skilled nursing facility for the patient to receive additional care."

      "key": "iheadm001b",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationAdministration"
      },
      "title": "Morning meds - not taken",
      "description": "Administration report for day 1, morning: NOT Taken"

    },
    {
      "code": "oth",
      "display": "Other",
      "definition": "The discharge disposition has not otherwise defined."

      "key": "iherx001bundle",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationRequest"
      },
      "title": "Bundle of Medication Requests",
      "description": "All the medication Requests for Day 1",
      "containedInstance": [
        {
          "instanceReference": "iherx001.001"
        },
        {
          "instanceReference": "iherx001.002"
        },
        {
          "instanceReference": "iherx001.003"
        },
        {
          "instanceReference": "iherx001.004"
        },
        {
          "instanceReference": "iherx001.005"
        },
        {
          "instanceReference": "iherx001.006"
        }
      ]
    },
    {
      "key": "iheadm002",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "MedicationAdministration"
      },
      "title": "Lunch meds - taken",
      "description": "Administration report for day 1, lunch: Taken",
      "version": [
        {
          "key": "iheadm002v1",
          "description": "Medication just taken"
        },
        {
          "key": "iheadm002v2",
          "description": "Medication rejected"
        }
      ]
    },
    {
      "key": "iherxqry",
      "structureType": {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "SearchParameter"
      },
      "title": "Search query1",
      "description": "The search administration request for day 1, morning"
    }
  ],
  "process": [
    {
      "title": "Mobile Medication Administration",
      "description": "This scenario demonstrates the process of getting the relevant medication instructions for a patient visit and reporting the results of administration. The scenario is as follows: After the prescription is issued, the institution schedules each individual administration event in the Medication Administration Record (MAR). When preparing for a visit, the nurse queries the MAR for the scheduled administrations, obtaining a bundle of records. The nurse then performs the care activities and registers the results in the device. Upon synchronization of the device and the institution, the results of administration are uploaded to the EHR, thus updating the MAR.",
      "preConditions": "Medication administration requests are in the EHR / MAR, scheduled for each individual intake.",
      "postConditions": "Medication administration Reports are submitted, EHR is updated.",
      "step": [
        {
          "number": "1",
          "operation": {
            "title": "Get today's schedule",
            "initiator": "Nurse",
            "receiver": "MAP"
          }
        },
        {
          "number": "2",
          "operation": {
            "title": "Query administration orders",
            "initiator": "MAP",
            "receiver": "OP",
            "description": "Query for medication administration orders,\\n- For today's shifts\\n- For today's patients",
            "request": {
              "instanceReference": "iherxqry"
            },
            "response": {
              "instanceReference": "iherx001bundle"
            }
          },
          "pause": true
        },
        {
          "number": "3",
          "operation": {
            "title": "Notify (alert)",
            "initiator": "MAP",
            "receiver": "Nurse"
          }
        },
        {
          "number": "4",
          "operation": {
            "title": "Read orders",
            "initiator": "Nurse",
            "receiver": "MAP"
          },
          "pause": true
        },
        {
          "number": "5",
          "operation": {
            "title": "Ask if patient took meds",
            "initiator": "Nurse",
            "receiver": "Nurse"
          }
        },
        {
          "alternative": [
            {
              "title": "Patient took meds",
              "description": "Invoke if patient took medications",
              "step": [
                {
                  "number": "6a",
                  "operation": {
                    "title": "Register meds taken",
                    "initiator": "Nurse",
                    "receiver": "MAP",
                    "initiatorActive": true
                  }
                }
              ]
            },
            {
              "title": "No drugs",
              "description": "No, patient did not take meds",
              "step": [
                {
                  "number": "6b",
                  "operation": {
                    "title": "Register meds NOT taken",
                    "initiator": "Nurse",
                    "receiver": "MAP",
                    "initiatorActive": true
                  }
                }
              ]
            },
            {
              "title": "Not clear",
              "description": "Unknown whether patient took medications or not"
            }
          ],
          "pause": true
        },
        {
          "number": "7",
          "operation": {
            "title": "Administer drug",
            "initiator": "Nurse",
            "receiver": "Nurse"
          }
        },
        {
          "number": "8",
          "operation": {
            "title": "Record administration",
            "initiator": "Nurse",
            "receiver": "MAP",
            "initiatorActive": true
          },
          "pause": true
        },
        {
          "number": "9",
          "operation": {
            "title": "Upload administration reports",
            "initiator": "Nurse",
            "receiver": "MAP",
            "initiatorActive": true,
            "request": {
              "instanceReference": "iheadm002",
              "versionReference": "iheadm002v1"
            }
          },
          "pause": true
        },
        {
          "number": "10",
          "operation": {
            "title": "Upload administration reports",
            "initiator": "MAP",
            "receiver": "MAC",
            "description": "The nurse's system uploads the administration results to the server",
            "request": {
              "instanceReference": "iheadm001a"
            }
          }
        }
      ]

    }
  ]
}