Is there a way to get discharge disposition?

[Data-Wizardry]

Is there a way to get discharge disposition?

For example, when a patient is discharged from inpatient, usually in the medical record, it will be things like discarged home, snf, expired, etc.

Thanks!

[jawalonoski]

Some encounters have a discharge disposition, depending on the model. They are not applied every where.

For example, in FHIR, see Encounter.hospitalization.dischargeDisposition:

{
      "resourceType": "Encounter",
      "id": "a4a0d8da-3946-2206-e8da-2a22a1862968",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
      },
      "identifier": [ {
        "use": "official",
        "system": "https://github.com/synthetichealth/synthea",
        "value": "a4a0d8da-3946-2206-e8da-2a22a1862968"
      } ],
      "status": "finished",
      "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP"
      },
      "type": [ {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "185347001",
          "display": "Encounter for problem (procedure)"
        } ],
        "text": "Encounter for problem (procedure)"
      } ],
      "subject": {
        "reference": "urn:uuid:1c9403f0-b093-d662-4993-b11d4f8ca1de",
        "display": "Mr. Abdul218 Welch179"
      },
      "participant": [ {
        "type": [ {
          "coding": [ {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code": "PPRF",
            "display": "primary performer"
          } ],
          "text": "primary performer"
        } ],
        "period": {
          "start": "2009-05-30T08:49:47-04:00",
          "end": "2009-06-01T23:49:23-04:00"
        },
        "individual": {
          "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
          "display": "Dr. Araceli695 Willms744"
        }
      } ],
      "period": {
        "start": "2009-05-30T08:49:47-04:00",
        "end": "2009-06-01T23:49:23-04:00"
      },
      "reasonCode": [ {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "74400008",
          "display": "Appendicitis"
        } ]
      } ],
      "hospitalization": {
        "dischargeDisposition": {
          "coding": [ {
            "system": "http://www.nubc.org/patient-discharge",
            "code": "01",
            "display": "Discharged to home care or self care (routine discharge)"
          } ],
          "text": "Discharged to home care or self care (routine discharge)"
        }
      },
      "location": [ {
        "location": {
          "reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
          "display": "MARLBOROUGH HOSPITAL CORP"
        }
      } ],
      "serviceProvider": {
        "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
        "display": "MARLBOROUGH HOSPITAL CORP"
      }
    }

[Data-Wizardry]

Thanks for your reply.

I'm attempting to generate some cases in CSV format that gets to discharge disposition, but wasn't able to.

Is my understanding correct that if I generated the data again, but only used certain qualifying models, then I could see discharge disposition in csv?

[nruber]

I am having this issue as well. I am using discharge disposition in a module but cannot see any data generated in the csv files for that. Ideally it will be recorded in the encounter table and mapped to OMOP discharge_concept_id in visit_occurrence.