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72 changes: 72 additions & 0 deletions Care/Encounter/discharged_but_incomplete_ssmm.md
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````markdown
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# Discharged but Incomplete IP Encounters - SSMM

> IP encounters that were marked as discharged more than a day ago but are still not marked as completed
## Purpose

Identifies in-patient (`encounter_class = 'imp'`) encounters at SSMM whose status history shows a `discharged` event more than 1 day ago, yet the encounter's current `status` is **not** `completed`.

## Parameters

*This query has no parameters.*

---

## Query

```sql
WITH first_discharged AS (
SELECT DISTINCT ON (e.id)
e.id AS encounter_id,
e.status AS current_status,
(discharged_status->>'moved_at')::timestamp + INTERVAL '5 hours 30 minutes' AS discharged_datetime
FROM emr_encounter e
CROSS JOIN LATERAL jsonb_array_elements(e.status_history->'history') AS discharged_status
WHERE e.encounter_class = 'imp'
AND e.deleted = FALSE
AND discharged_status->>'status' = 'discharged'
AND e.status != 'completed'
ORDER BY e.id, (discharged_status->>'moved_at')::timestamp
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),
latest_bed AS (
SELECT DISTINCT ON (fle.encounter_id)
fle.encounter_id,
fl.name AS bed_name,
fle.created_date AS bed_assigned_date
FROM emr_facilitylocationencounter fle
JOIN emr_facilitylocation fl ON fle.location_id = fl.id
WHERE fl.form = 'bd'
AND fl.root_location_id != 300
ORDER BY fle.encounter_id, fle.created_date DESC
)
SELECT DISTINCT ON (p.id)
p.name AS patient_name,
pi.value AS ssmm_id,
fd.discharged_datetime,
fd.current_status,
lb.bed_name AS latest_bed,
lb.bed_assigned_date
FROM first_discharged fd
JOIN emr_encounter e ON fd.encounter_id = e.id
JOIN emr_patient p ON e.patient_id = p.id
LEFT JOIN emr_patientidentifier pi
ON p.id = pi.patient_id
AND pi.config_id = 21
LEFT JOIN latest_bed lb ON e.id = lb.encounter_id
WHERE fd.discharged_datetime < CURRENT_TIMESTAMP - INTERVAL '1 day'
AND lb.bed_name IS NOT NULL
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ORDER BY p.id, fd.discharged_datetime DESC, p.name;
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```


## Notes

- **Hardcoded values:**
- `pi.config_id = 21` — SSMM patient identifier configuration.
- `fl.root_location_id != 300` — excludes fake beds.
- `fl.form = 'bd'` — only bed-type facility locations.
- This query has no Metabase parameters; the date threshold is fixed at "more than 1 day ago".

*Last updated: 2026-05-04*

````