# Logical Record Architecture for Health and Social Care

Contents
The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.
# Controlled Vocabulary for: LraDischargeMethod ## LRA Vocabulary Id 71a8985e-ebab-4b94-878f-728a93031a90 ## Vocabulary Properties
Version: | 1.0
Status | created
Date | 2011-07-21
## Description The method of discharge from a Hospital Provider Spell. A Hospital Provider Spell is the total continuous stay of a subject of care using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is provided. The Hospital Provider Spell starts when a Consultant, Nurse or Midwife assumes responsibility for care following the decision to admit the subject of care. This may be before formal admission procedures have been completed and the subject of care transferred to a ward. For example, if a subject of care is brought into hospital as an emergency and dies in the operating theatre before being transferred to a ward, the Hospital Provider Spell would have started. [Adapted from Data Dictionary: Discharge Method and Hospital Provider Spell] ## Concept set
Level | Code | Description | Notes
--- | --- | --- | ---
0 | DM01 | Patient discharged on clinical advice or with clinical consent | Discharge of a patient by the responsible healthcare professional where clinical consent for the discharge is given and relevant clinical advice is provided at the time of discharge.
0 | DM02 | Patient discharged him/herself or was discharged by a relative or advocate | Discharge of a patient without the formal clinical consent or advice by the responsible healthcare professional. The patient may self-discharge or be discharged by a relative or advocate.
0 | DM03 | Patient died | The death of a patient during the hospital provider spell.
0 | DM04 | Stillbirth | A stillbirth occurs when a fetus has died in the uterus of the mother. The Stillbirth Definition Act (1992) in UK states: "any ‘child’ expelled or issued forth from its mother after the 24th week of pregnancy that did not breathe or show any other signs of life should be registered as a stillbirth”.