Gives information about the Discharge details section

Discharge Details Section content

The Discharge details section carries details of the patient’s discharge. PRSB Elements should be formatted as subheadings in any HTML sent.

Section Description Card. MRO* FHIR Target and Guidance
Discharge details The details of the patient's discharge from hospital. R Carried in the CodeableConcept of Composition.section.code FHIR element.
PRSB Element Description Card. MRO* FHIR Target and Guidance
Discharging consultant The consultant responsible for the patient at time of discharge 0 to 1 R The name and identifier of the consultant from a recognised source such as the Spine Directory Service, or a local identifier. Any identifiers MUST NOT be carried as text. The following FHIR Elements SHOULD be populated in the Practitioner and PractitionerRole Resources:
  • Encounter.participant.type.code should contain the value "DIS"
  • Encounter.participant.type.display should contain the value "discharger"
  • Encounter.participant.individual.
    Reference.Practitioner.identifier
  • Encounter.participant.individual.
    Reference.Practitioner.name
  • PractitionerRole.code
  • PractitionerRole.identifier
Discharging specialty/department The specialty or department responsible for the patient at the time of discharge 0 to 1 R Text for either the main specialty of the discharging clinician (as held on the Spine Directory Service), or the department from which the patient is discharged. The specialty SHOULD be populated in the PractitionerRole.specialty FHIR element. The profile is currently bound to the FHIR ValueSet c80-practice-codes as preferred. This is proposed to be replaced by NHS Data main specialty code and therefore the current guidance is to not use the preferred ValueSet but to replace it using a code from MAIN SPECIALTY CODE. The FHIR CodeSystem element should be populated with "https://www.datadictionary.nhs.uk". As an alternative this element may be populated with a SNOMED CT concept and the FHIR CodeSystem element populated with "http://snomed.info/sct". Note further guidance will be issues in a later release of the specification.
Discharge location The ward or unit the patient was in immediately prior to discharge 0 to 1 R Text to carry the ward name and identifier (if available) prior to discharge as recorded on the hospital discharging system. This information SHOULD also be carried in the FHIR element Encounter.location.Reference.Location.name and Encounter.location.Reference.Location.identifier
Date/time of discharge The actual date of discharge 1 only M Text indicating date and time of discharge as recorded by the PAS or discharging system. This SHOULD also be carried in the FHIR element Encounter.period.end.
Discharge method The method of discharge from hospital. National codes: e.g. patient discharged on clinical advice or with clinical consent; patient discharged him/herself or was discharged by a relative or advocate; patient died; stillbirth 0 to 1 R Text - Currently not to be coded for Transfer of Care Documents
Discharge destination cluster The destination of the patient on discharge. National codes. E.g., High Dependency Unit. 0 to 1 R
Discharge type The destination of the patient on discharge from hospital. National codes e.g.. NHS-run care home. 0 to 1 R Text and a code from the NHS Data Dictionary Discharge Destination carried in the CodeableConcept of the FHIR element Encounter.hospitalization.dischargeDisposition
Discharge address Address to which patient discharged. Only complete where this is not the usual place of residence. 0 to 1 R If the patient is discharged to their normal place of residence, no address is recorded on the discharge summary. Otherwise, an address other than the patient's usual place of residence may be provided by the patient or their representative. Text and an address carried in the FHIR element Encounter.location.Reference.Location.address
* M=Mandatory R=Required O=Optional

Example Discharge Section

Coded Resources

This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.

Tags: fhir