Inpatient EHR Clinical Discharge - hmislk/hmis GitHub Wiki

Inpatient EHR — Clinical Discharge

Clinical discharge is the doctor's formal decision that the patient is medically fit to leave. It is a separate step from room discharge (which is performed by nursing/ward staff) and must be recorded before the room discharge can proceed.

Page: Admission Profile → Clinical Data → Clinical Discharge
XHTML: /inward/inward_clinical_discharge.xhtml
Controller: InpatientClinicalDataController.navigateToClinicalDischargeFromAdmission()
Privilege: InpatientClinicalDischarge
Fields on PatientEncounter: clinicallyDischarged (boolean), clinicalDischargedBy (Person), clinicalDischargeDateTime (Date)

Access Control

The Clinical Discharge page is only accessible to users holding the InpatientClinicalDischarge privilege. If this privilege is absent, the page shows an access-denied message instead of the form.

On the Admission Profile Dashboard, the Clinical Discharge button colour indicates status:

  • Amber — not yet clinically discharged
  • Green — clinical discharge recorded

Status Banner

If the patient has already been clinically discharged, a green success banner is shown at the top of the page:

Clinically discharged by [Doctor Name] on [Date/Time]

All form fields are disabled — the record cannot be changed once saved.

Clinical Discharge Form

Field Notes
Discharge Condition Auto-complete from configured discharge conditions (see Admin — Inpatient EHR Discharge Conditions). Examples: Improved, Cured, LAMA (Left Against Medical Advice), Referred, Expired
Discharge Date/Time Defaults to the current date/time; can be adjusted
Discharge Diagnoses Structured diagnoses (auto-complete from the diagnosis master). Multiple diagnoses can be added.
Clinical Notes / Comments Free-text discharge narrative

Discharge Diagnoses cannot be added until the record has been saved once (the Add button is disabled before first save).

Saving Clinical Discharge

Click Save Clinical Discharge (or equivalent). On success:

  • patientEncounter.clinicallyDischarged = true
  • patientEncounter.clinicalDischargedBy = current user
  • patientEncounter.clinicalDischargeDateTime = selected date/time

The Admission Profile Dashboard button turns green.

Discharge Medications Link

From the Clinical Discharge page, the Discharge Medications button navigates to the discharge medications page so that take-home prescriptions can be added in the same workflow. This button is disabled until the clinical discharge record has been saved.

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