When the patient is ready to be discharged from their admission, use the Discharge Encounter conversation to discharge the active encounter. Upon opening the conversation, a Discharge Disposition will need to be selected from the drop-down list. This is used to track the location or status of the patient at discharge. Depending on the patient’s Encounter Type, some dispositions may or may not be selected. See the table below for a list of dispositions and their definitions.
Launch the Discharge Encounter conversation.
Select the appropriate Discharge Disposition from the drop-down.
Enter the Date and Time of the Discharge.
Click Complete.
Discharge Disposition |
Definitions |
Encounter Types Associated With Disposition |
Admitted to Critical Care or an OR |
Admitted into reporting facility as an inpatient to critical care unit or operating room directly from the Emergency department. This option will only appear in the ED Admit conversation. |
|
Admitted to an Inpatient Unit |
Admitted into reporting facility as an inpatient to another unit of the reporting facility directly from the emergency department. This option will only appear in the ED Admit conversation. |
|
Cancelled after Arrival |
If the patient arrived for care and the visit/treatment was cancelled but there was documentation attached to it, the disposition of Cancelled After Arrival should be used. |
Day Surgery, Inpatient, Minor Surgery |
Deceased |
Deceased |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Deceased Discharged to Family/Other |
Used in the following scenarios: After a patient has deceased, First Nations usually want to take the body back to the band for burial. The only requirement is that they have a suitable container to transport. For cases when a body is being transported overseas. They have to meet the standards set by the airlines, but with correct paperwork they can transport the body. When a deceased patient has been identified to be donated to science for research purposes and the body will go directly to the Body Donation Program. |
Deceased |
Discharged Home with Support Services |
Support services are available in the home. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Recurring, Residential, Tertiary MH |
Discharged Home without Support Services |
Patient was discharged home and no support services required. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Recurring, Residential, Tertiary MH |
End of Treatment |
End of treatment for a recurring series of treatments. |
Recurring |
Externally Referred-In Cadaveric Donor |
Used with Cadaver medical service. This disposition will only be used for external cadaver patients. |
Inpatient |
Involuntary Patient Absconded |
Involuntary patient under the BC Mental Health Act absconds from hospital, which can occur while on pass or directly from the unit.
|
Inpatient, Tertiary MH |
Left Against Medical Advice |
Includes patients who left against medical advice (LAMA) and AWOL (absent without leave). |
ALC, Assisted Living, Day Surgery, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Recurring, Residential, Tertiary MH |
Left AMA After Assessment, No Treatment |
Patient left at his/her own risk following registration, triage, and further assessment by a service provider. Treatment did not occur. |
Emergency |
Left AMA after Initiation of Treatment |
Patient left at his/her own risk following registration, triage, further assessment by a service provider and initiation of treatment. |
Emergency |
No Service Provided/Created in Error |
Used when discharging an encounter that was created in error or no longer needed. Also used when no service was provided to patient (patient did not show up and the encounter is not going to be used). |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Pre-day Surgery, Pre-Home Care, Pre-Inpatient, Pre-Minor Surgery, Pre-Outpatient, Pre-Outpatient OB, Pre-Outpatient in a Bed, Pre-Outreach, Pre-Recurring, Recurring, Referral, Residential, Tertiary MH |
Notified of Death |
To be used when notification is sent to the facility about a patient who deceased externally. Limited to Recurring and Pre-Encounter Types. |
Pre-day Surgery, Pre-Home Care, Pre-Inpatient, Pre-Minor Surgery, Pre-Outpatient, Pre-Outpatient OB, Pre-Outpatient in a Bed, Pre-Outreach, Pre-Recurring, Recurring, Referral |
Patient Deceased While On a Pass/Leave |
Patient was on a Pass or leave and Deceased during that time. |
ALC, Assisted Living, Day Surgery, Inpatient, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Patient Did not Return From a Pass/Leave |
Patient was on a Pass or leave and did not return. |
ALC, Assisted Living, Day Surgery, Inpatient, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Registered But Not Triaged (LWBS) |
Patient left at his/her own risk following registration. Triage, further assessment by a service provider and treatment did not occur. |
Emergency |
Registered, Triaged, Not Assessed (LWBS) |
Patient left the emergency department at his/her own risk following registration and triage. Further assessment by a service provider and treatment did not occur. |
Emergency |
Return to Inpatient Unit |
This disposition is used when an Inpatient has been transferred down to the ED for care and is now being sent back up to the Inpatient area. This option will only appear on the ED Admit conversation. |
|
Stillbirth |
Will only be used on a Stillborn Encounter type. |
Stillborn |
System Discharge |
Will not be part of the picklist. To be system generated for auto-discharged visits. |
|
Transferred to Acute/Rehab/Tertiary MH |
Facilities could include another acute, subacute, acute psychiatric, acute rehabilitation, acute cancer center, acute pediatric center, inpatient psychiatry and inpatient chronic/complex continuing care. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Assisted Living/Shelters |
Transferred to assisted living/supportive housing or transitional housing, including shelters; these settings do not have 24-hour nursing care. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Community MH/Addiction |
Transferred to a community based mental health and addiction treatment centre. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Day Surgery |
Patient is transferred to the day surgery area of the facility without plans to return to emergency. This option will only appear on the ED Admit conversation. |
|
Transferred to Hospice |
Transferred to hospice/palliative care facility. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Jail or Corrections |
Includes jail, prison, corrections, halfway house, border security. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Other |
Includes infants/children discharged to a social agency, and other locations not captured elsewhere. |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Newborn, Outpatient in a Bed, Residential, Tertiary MH |
Transferred to Outpatient Clinic |
Patient is transferred to a clinic of the facility without plans to return to emergency. |
Emergency |
Transferred to Residential |
Transfer to long-term care home (24-hour nursing). |
ALC, Assisted Living, Day Surgery, Emergency, Inpatient, Minor Surgery, Outpatient in a Bed, Residential, Tertiary MH |
Discharge dispositions
Definitions
Last Updated: March 28, 2023
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