SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## CodeSystem: SGHI Visit Type Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/visit-type-codesystem | Version: 0.1.0
Active as of 2026-05-21 | Computable Name: SGHIVisitTypeCodeSystem

A code system enumerating the different visit types used across SGHI's environment.

This Code system is referenced in the content logical definition of the following value sets:

- SGHIVisitType

This code system `https://fhir.slade360.co.ke/fhir/CodeSystem/visit-type-codesystem` defines the following codes:

Code | Display | Definition
AMB | Ambulatory | A healthcare encounter where the patient is not admitted to a hospital or equivalent facility and receives care on a non-resident basis.
IMP | Inpatient | A healthcare encounter where the patient is admitted to a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
EMER | Emergency | A healthcare encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment.
FLD | Field | A healthcare encounter that takes place outside of a traditional healthcare facility, such as in a mobile clinic or during a home visit.
VR | Virtual | A healthcare encounter that takes place in a virtual environment, such as through telemedicine or a virtual consultation.
HH | Home Health | A healthcare encounter that takes place in a patient's home, typically involving healthcare services provided by visiting nurses or other healthcare professionals.
ACUTE | Acute | A healthcare encounter that is characterized by a sudden onset and severe symptoms.
NONAC | Inpatient Non-Acute | A healthcare encounter where the patient is admitted for care that does not require the intensity of an acute setting, such as rehabilitation or long-term care.
OBSENC | Observation Encounter | A healthcare encounter where the patient is under observation to determine the need for further treatment or admission.
PRENC | Pre-Admission | A healthcare encounter that occurs prior to a scheduled admission for tests or evaluations.
SS | Short Stay | A healthcare encounter intended to be of short duration, typically less than 24 hours, but requiring more than basic outpatient care.
CHEMO | Chemotherapy | A visit specifically for the administration of chemotherapy treatments.
RADIO | Radiotherapy | A visit specifically for the administration of radiotherapy treatments.
SURG | Surgery | A visit for a surgical procedure, whether minor or major.
imaging_only | Imaging visit | A visit exclusively for diagnostic imaging services such as X-rays, MRIs, or CT scans.
vaccination | Vaccination visit | A visit primarily for the administration of vaccines.
lab_only | Laboratory visit | A visit exclusively for the collection of specimens or performing laboratory tests.
pharmacy_only | Pharmacy visit | A visit to a pharmacy for the purpose of picking up or consulting on medications.
community_outreach | Community outreach visit | A healthcare encounter that occurs in a community setting as part of an outreach program.
phone_consultation | Phone consultation | A healthcare encounter conducted over the telephone.
inpatient_review | Inpatient review | A visit to a patient currently admitted in an inpatient setting for the purpose of progress review.
teleconsultation | Teleconsultation | A healthcare encounter conducted via video conferencing or other telecommunication technologies.
trauma | Trauma visit | A visit for the evaluation and treatment of physical injuries caused by external force.
home_visit | Home visit | A visit by a healthcare provider to a patient's place of residence.
day_case | Day case / same-day admission | A visit where the patient is admitted and discharged on the same day for a procedure or treatment.
procedure_visit | Outpatient procedure visit | A visit for a specific outpatient procedure that does not require overnight stay.
urgent_care | Urgent care visit | A visit for a medical condition that requires prompt attention but is not a life-threatening emergency.
chronic_care | Chronic care visit | A visit for the ongoing management of a chronic disease or condition.
preventive | Preventive / wellness visit | A visit focused on disease prevention and health maintenance, such as annual check-ups.
inpatient_admission | Inpatient admission | A visit for the purpose of admitting a patient to an inpatient facility.
outpatient_consultation | Outpatient consultation | A visit for a consultation with a specialist or general practitioner in an outpatient setting.
emergency_visit | Emergency visit | A visit for immediate medical attention due to an acute illness or injury.
follow_up | Follow-up visit | A visit to review the progress of a patient after a previous encounter or treatment.
26436-6 | Laboratory studies (set) | Laboratory studies (set)
18748-4 | Diagnostic imaging study | Diagnostic imaging study
21938-6 | Surgical approach | Surgical approach
24642003 | Psychiatry procedure or service | Psychiatry procedure or service
409063005 | Counseling | Counseling
409073007 | Education | Education
387713003 | Surgical procedure (procedure) | Surgical procedure (procedure)
103693007 | Diagnostic procedure | Diagnostic procedure
46947000 | Chiropractic manipulation | Chiropractic manipulation
410606002 | Social service procedure (procedure) | Social service procedure (procedure)
385669000 | Successful | Successful
385671000 | Unsuccessful | Unsuccessful
385670004 | Partially successful | Partially successful
18949003 | Change of dressing | The process of replacing or altering a wound dressing.
30549001 | Removal of suture | The process of removing sutures (stitches) from a wound.
241031001 | Removal of drain | The process of removing a drainage device from a body cavity or wound.
35963001 | Removal of staples | The process of removing surgical staples from a wound.
225164002 | Removal of ligature | The process of removing a ligature (tie) used to bind tissue or vessels.
447346005 | Cardiopulmonary exercise test (procedure) | A test to assess the performance of the heart and lungs during physical exertion.
229506003 | Scar tissue massage | Therapeutic massage applied to scar tissue to improve mobility and reduce discomfort.
274441001 | Suction drainage | The process of removing fluid or debris from a body cavity using suction.
394725008 | Diabetes medication review (procedure) | A review of medications prescribed for diabetes management.
359825008 | Cytopathology, review of bronchioalveolar lavage specimen | The examination of cells obtained from a bronchioalveolar lavage specimen for diagnostic purposes.
doctor | Doctor | A qualified/registered medical practitioner.
nurse | Nurse | A practitioner with nursing experience that may be qualified/registered.
pharmacist | Pharmacist | A qualified/registered/licensed pharmacist.
researcher | Researcher | A practitioner that may perform research.
408467006 | Adult mental illness | Specialty focused on the diagnosis and treatment of mental illnesses in adults.
394577000 | Anesthetics | Specialty focused on administering anesthesia and managing pain during surgical procedures.
394578005 | Audiological medicine | Specialty focused on the diagnosis and treatment of hearing and balance disorders.
421661004 | Blood banking and transfusion medicine | Specialty focused on the collection, storage, and transfusion of blood and blood products.
408462000 | Burns care | Specialty focused on the treatment and management of burn injuries.
111002 | Parathyroid gland | Parathyroid gland
apply | Apply | Apply
inject | Inject | Inject
dialysis | Dialysis | Dialysis
insert | Insert | Insert
implant | Implant | Implant
infuse | Infuse | Infuse
chemo | Chemotherapy |
surg | Surgery |
radio | Radiotherapy |
braf | BRAF Mutation |
kras | KRAS Mutation |
nras | NRAS Mutation |
egfr | EGFR Mutation |
alk | ALK Rearrangement |
her2 | HER2 Amplification |
pik3ca | PIK3CA Mutation |
pt53 | TP53 Mutation |
msi | Microsatellite Instability |
pdli | PD-L1 Expression |
other | Other |
bone | Bone |
liver | Liver |
lung | Lung |
brain | Brain |
skin | Skin |
dln | Distant Lymph Nodes |
gradeI | Well Differentiated |
gradeII | Moderately Differentiated |
gradeIII | Poorly Differentiated |
gradeIV | Undifferentiated/ Anaplastic |
none | Not Graded |
benign | Benign |
malignant | Malignant |
insitu | In Situ |
borderline | Borderline |
uncertain | Uncertain |
positive | Positive |
negative | Negative |
equivocal | Equivocal |
nottested | Not Tested |
cnb | Core Needle Biopsy |
excision | Excision |
fna | Fine Needle Aspiration |
ib | Incisional Biopsy |
pb | Punch Biopsy |
sb | Shave Biopsy |
eb | Endoscopic Biopsy |
ras | Resection Autopsy Specimen |
hematology | Hematology |
cytology | Cytology |
histopathology | Histopathology |
ich | Immunohistochemistry |
fc | Flow Cytometry |
molecular | Molecular |
right | Right |
left | Left |
bilateral | Bilateral |
unknown | Unknown |
stage1 | Stage 1 |
stage2 | Stage 2 |
stage3 | Stage 3 |
stage4 | Stage 4 |
sghidefaultcode | SGHI Default Code |