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 Special Clinic Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/special-clinic-code-system | Version: 0.1.0
Active as of 2026-05-21 | Computable Name: SGHISpecialClinicCodeSystem

A code system enumerating local codes used across ANC, PNC, CWC and other special-clinic workflows within SGHI's environment. Codes are used wherever a suitable LOINC, SNOMED-CT or HL7 code does not exist.

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

- SGHIANCComorbidities
- SGHIANCSupplementation
- SGHIARVHAARTStatus
- SGHIBirthOutcome
- SGHIBloodSugarScreening
- SGHIBreastExaminationResult
- SGHIBreastStatePNC
- SGHICardiacComplications
- SGHICervicalCancerActivityToday
- SGHICervicalCancerScreeningMethod
- SGHICervicalCancerScreeningResult
- SGHICervicalCancerVisitType
- SGHIChronicCareFollowUpCondition
- SGHICNSComplications
- SGHIColposcopyResult
- SGHICSectionSiteState
- SGHICWCDangerSigns
- SGHICWCFollowUpService
- SGHIDeliveryComplications
- SGHIDevelopmentalMilestones
- SGHIEmotionalHealthSymptoms
- SGHIEpisiotomyState
- SGHIEyeComplications
- SGHIFamilyPlanningMethods
- SGHIFGMComplications
- SGHIFinalHIVResult
- SGHIFistulaType
- SGHIGeneralResult
- SGHIHeightForAgeCategory
- SGHIHIVRapidTestResult
- SGHIHIVTestingType
- SGHIIPTDose
- SGHILabelledScale0To10
- SGHILochiaState
- SGHIModeOfDelivery
- SGHIMothersBabyStatus
- SGHIMUACNutritionalStatus
- SGHIMusculoskeletalComplications
- SGHIPainScale0To10
- SGHIPallorSeverity
- SGHIPapSmearResult
- SGHIPartnerHIVTestingStatus
- SGHIPhysicalHealthSymptoms
- SGHIPlaceOfDelivery
- SGHIPNCVisitTiming
- SGHIPPHStatus
- SGHIReferralSourceDestination
- SGHIRenalComplications
- SGHIReviewOfBodySystems
- SGHISyphilisTestType
- SGHITBScreeningResult
- SGHITetanusToxoidDose
- SGHIUterotonicGiven
- SGHIUterusState
- SGHIVaginalExaminationResult
- SGHIVIATestResult
- SGHIVitaminASupplementationStatus
- SGHIWeightForAgeCategory

This code system `https://fhir.slade360.co.ke/fhir/CodeSystem/special-clinic-code-system` defines the following codes:

Code | Display | Definition
not-applicable | Not Applicable | Used when a concept does not apply in the current clinical context.
muac-green | Green — Normal (≥23 cm) | MUAC measurement indicating normal nutritional status (≥23 cm).
muac-yellow | Yellow — Moderate Acute Malnutrition (20–22.9 cm) | MUAC measurement indicating moderate acute malnutrition (20–22.9 cm).
muac-red | Red — Severe Acute Malnutrition (<20 cm) | MUAC measurement indicating severe acute malnutrition (<20 cm).
breast-normal | Yes — Normal | Breast examination result: normal findings.
breast-abnormal | Yes — Abnormal | Breast examination result: abnormal findings.
not-done | Not Done | The procedure or test was not performed.
fgm-scarring | Scarring | FGM complication: scarring.
fgm-keloid | Keloid formation | FGM complication: keloid formation.
fgm-dyspareunia | Dyspareunia | FGM complication: dyspareunia (painful intercourse).
fgm-uti | Urinary tract infection | FGM complication: urinary tract infection.
rbs-normal | RBS < 11.1 mmol/L — No Diabetes | Random blood sugar below 11.1 mmol/L; no diabetes indicated.
rbs-diabetes | RBS ≥ 11.1 mmol/L — Has Diabetes | Random blood sugar at or above 11.1 mmol/L; diabetes indicated.
rbs-not-done | No RBS Done | Random blood sugar test was not performed.
rpr | RPR (Rapid Plasma Reagin) | Syphilis test: Rapid Plasma Reagin.
vdrl | VDRL (Venereal Disease Research Laboratory) | Syphilis test: Venereal Disease Research Laboratory.
dual-testing | Dual Testing (RPR + VDRL) | Syphilis test: combined RPR and VDRL testing.
presumed-tb | Presumed TB | Clinically or radiologically suspected TB, not yet confirmed.
no-tb-signs | No Signs of TB | No clinical signs of tuberculosis detected.
on-tb-treatment | Already on TB Treatment | Patient is already receiving TB treatment.
hiv-known-positive | Known Positive — Status before 1st ANC (KP) | HIV-positive status known prior to the first ANC visit.
hiv-initial-test | Initial Test (I) | First HIV test performed at this visit.
hiv-retest | Retest (R) | HIV retest performed at this visit.
hiv-previously-positive | Previously Positive (PrevP) | Patient was previously known to be HIV-positive.
hiv-previously-negative | Previously Negative (PrevN) | Patient was previously known to be HIV-negative.
arv-yes | Yes — On ARV/HAART | Patient is currently on antiretroviral or HAART therapy.
arv-no | No — Not on ARV/HAART | Patient is not on antiretroviral or HAART therapy.
arv-revisit | Revisit (already on treatment) | Patient is revisiting and is already on ARV/HAART treatment.
partner-tested | Yes — Partner Tested | The patient's partner has been tested for HIV.
partner-not-tested | No — Partner Not Tested | The patient's partner has not been tested for HIV.
partner-not-present | Not Applicable (Partner Not Present) | Partner was not present; HIV testing status not applicable.
partner-known-positive | Known Positive (KP) | Partner is known to be HIV-positive.
fp-iud | IUD (Intrauterine Device) | Family planning method: intrauterine device.
fp-implants | Implants (Subdermal) | Family planning method: subdermal implants.
fp-btl | BTL (Bilateral Tubal Ligation) | Family planning method: bilateral tubal ligation.
fp-counselled-no-method | Counselled — No Method Selected | Patient was counselled on family planning but did not select a method.
fp-cocp | Combined oral contraceptive pills | Family planning method: combined oral contraceptive pills.
fp-pop | Progestin only contraceptive pills | Family planning method: progestin-only contraceptive pills.
fp-injectables | Injectables | Family planning method: injectable contraceptives.
fp-male-condom | Male condom | Family planning method: male condom.
fp-female-sterilization | Female sterilization | Family planning method: female sterilization.
fp-vasectomy | Vasectomy | Family planning method: vasectomy.
fp-fam | Fertility awareness-based methods | Family planning method: fertility awareness-based methods.
fp-ec | Emergency contraception | Family planning method: emergency contraception.
anc-hypertension | Hypertension | ANC comorbidity: hypertension.
anc-diabetes | Diabetes Mellitus | ANC comorbidity: diabetes mellitus.
anc-epilepsy | Epilepsy | ANC comorbidity: epilepsy.
anc-malaria | Malaria in Pregnancy | ANC comorbidity: malaria in pregnancy.
anc-sti-rti | STIs / RTIs | ANC comorbidity: sexually or reproductively transmitted infections.
anc-sickle-cell | Sickle Cell Disease | ANC comorbidity: sickle cell disease.
anc-cml | Chronic Myelogenous Leukemia (CML) | ANC comorbidity: chronic myelogenous leukemia.
anc-other | Other (Specify) | ANC comorbidity: other, to be specified.
ipt-dose-1 | IPT Dose 1 (SP) | Intermittent Preventive Treatment dose 1 (Sulfadoxine-Pyrimethamine).
ipt-dose-2 | IPT Dose 2 (SP) | Intermittent Preventive Treatment dose 2 (Sulfadoxine-Pyrimethamine).
ipt-dose-3 | IPT Dose 3 (SP) | Intermittent Preventive Treatment dose 3 (Sulfadoxine-Pyrimethamine).
tt-dose-1 | TT Dose 1 | Tetanus toxoid dose 1.
tt-dose-2 | TT Dose 2 | Tetanus toxoid dose 2.
tt-dose-3 | TT Dose 3 | Tetanus toxoid dose 3.
tt-dose-4 | TT Dose 4 | Tetanus toxoid dose 4.
tt-dose-5 | TT Dose 5 | Tetanus toxoid dose 5.
tt-none | None / Not Applicable | No tetanus toxoid dose administered; not applicable.
supp-ifa | Combined Iron and Folic Acid (IFA) | Supplementation: combined iron and folic acid.
supp-iron-only | Iron Supplement Only | Supplementation: iron only.
supp-folate-only | Folate Supplement Only | Supplementation: folate only.
supp-ferrous-sulphate-folic-acid | Ferrous sulphate + Folic Acid | Supplementation: ferrous sulphate and folic acid.
supp-iron-folate-sep | Iron + Folate (Separately) | Supplementation: iron and folate given as separate supplements.
supp-calcium | Calcium Supplement | Supplementation: calcium.
referral-community-unit | Community Unit | Referral source or destination: community health unit.
referral-another-facility | Another Health Facility | Referral source or destination: another health facility.
delivery-facility | Facility | Baby delivered in a health facility.
delivery-home | Home | Baby delivered at home.
delivery-bba | BBA (Born Before Arrival) | Baby born before arrival at a health facility.
delivery-svd | SVD (Spontaneous Vaginal Delivery) | Spontaneous vaginal delivery.
delivery-cs | CS (Caesarean Section) | Caesarean section delivery.
delivery-breech | Breech | Breech delivery.
delivery-avd | AVD (Assisted Vaginal Delivery) | Assisted vaginal delivery.
pnc-0-48h | 0–48 hours postpartum | PNC visit occurring within 48 hours of delivery.
pnc-3d-6w | 3 days to 6 weeks postpartum | PNC visit occurring between 3 days and 6 weeks after delivery.
pnc-gt-6w | More than 6 weeks postpartum | PNC visit occurring more than 6 weeks after delivery.
pallor-mild | Mild | Mild pallor.
pallor-moderate | Moderate | Moderate pallor.
pallor-severe | Severe | Severe pallor.
pallor-absent | Absent | No pallor detected.
breast-state-normal | Normal | Breast state: normal.
breast-cracked-nipple | Cracked nipple | Breast state: cracked nipple.
breast-engorged | Engorged | Breast state: breast engorgement.
breast-mastitis | Mastitis | Breast state: mastitis.
uterus-contracted | Contracted | Uterus is contracted.
uterus-not-contracted | Not contracted | Uterus is not contracted.
uterus-other | Other (specify) | Uterus state: other, to be specified.
pph-present | Present | Postpartum haemorrhage is present.
pph-absent | Absent | Postpartum haemorrhage is absent.
cs-site-bleeding | Bleeding | C-section site state: bleeding.
cs-site-normal | Normal | C-section site state: normal.
cs-site-infected | Infected | C-section site state: infected.
cs-site-gaping | Gaping | C-section site state: gaping.
lochia-normal | Normal | Lochia state: normal.
lochia-foul-smelling | Foul smelling | Lochia state: foul smelling.
lochia-excessive | Excessive | Lochia state: excessive.
episiotomy-repaired | Repaired | Episiotomy state: repaired.
episiotomy-gaping | Gaping | Episiotomy state: gaping.
episiotomy-infected | Infected | Episiotomy state: infected.
episiotomy-healed | Healed | Episiotomy state: healed.
cx-normal | Normal (1) | Cervical cancer screening result: normal.
cx-suspected | Suspected (2) | Cervical cancer screening result: suspected.
cx-confirmed | Confirmed (3) | Cervical cancer screening result: confirmed.
cx-not-done | Not Done (4) | Cervical cancer screening was not performed.
wfa-normal | Normal (1) | Weight-for-age: normal.
wfa-underweight | Underweight (2) | Weight-for-age: underweight.
wfa-severe-underweight | Severe Underweight (3) | Weight-for-age: severe underweight.
wfa-overweight | Overweight (4) | Weight-for-age: overweight.
wfa-obese | Obese (5) | Weight-for-age: obese.
hfa-normal | Normal (1) | Height/length-for-age: normal.
hfa-stunted | Stunted (2) | Height/length-for-age: stunted.
hfa-severely-stunted | Severely Stunted (3) | Height/length-for-age: severely stunted.
vita-6-11m | Supplemented — 6 to 11 months (1) | Vitamin A supplementation given to a child aged 6–11 months.
vita-12-59m | Supplemented — 12 to 59 months (2) | Vitamin A supplementation given to a child aged 12–59 months.
vita-not-supplemented | Not supplemented (3) | Vitamin A supplementation not given.
milestone-head-control | Head control (1) | Developmental milestone: head control.
milestone-sitting | Sitting (2) | Developmental milestone: sitting.
milestone-talking | Talking (3) | Developmental milestone: talking.
cwc-danger-no-breastfeed | Unable to breastfeed (1) | CWC danger sign: child is unable to breastfeed.
cwc-danger-no-drink | Unable to drink (2) | CWC danger sign: child is unable to drink.
cwc-danger-vomits-all | Vomits everything (3) | CWC danger sign: child vomits everything.
cwc-danger-bloody-diarrhoea | Bloody diarrhoea (4) | CWC danger sign: bloody diarrhoea.
cwc-danger-oedema | Oedema (5) | CWC danger sign: oedema.
cwc-danger-convulsions | Convulsions (6) | CWC danger sign: convulsions.
cwc-danger-none | None | No CWC danger signs present.
disability-present | Disability / Congenital deformity present (1) | A disability or congenital deformity is present.
cwc-followup-nutrition | Nutrition services (1) | CWC follow-up: nutrition services.
cwc-followup-rehabilitation | Rehabilitation services (2) | CWC follow-up: rehabilitation services.
cx-visit-initial-screening | Initial screening | Cervical cancer visit type: initial screening.
cx-visit-routine-screening | Routine screening | Cervical cancer visit type: routine screening.
cx-visit-treatment | Treatment visit | Cervical cancer visit type: treatment visit.
cx-visit-post-treatment | Post-treatment visit | Cervical cancer visit type: post-treatment visit.
cx-visit-post-treatment-complications | Post-treatment complications | Cervical cancer visit type: post-treatment complications.
via-positive | Positive | VIA/VILI/HPV test result: positive.
via-negative | Negative | VIA/VILI/HPV test result: negative.
via-suspicious-cancer | Suspicious for cancer | VIA/VILI/HPV test result: suspicious for cancer.
pap-normal | Normal | Pap smear result: normal.
pap-ascus | ASCUS/ASC-H (Atypical squamous cells of undetermined significance, high grade lesion not excluded) | Pap smear result: ASCUS/ASC-H.
pap-lsil | LSIL (Low grade squamous intraepithelial lesion) | Pap smear result: LSIL.
pap-hsil | HSIL/CIS (High grade squamous intraepithelial lesion) | Pap smear result: HSIL/CIS.
pap-agus | AGUS (Atypical glandular cells of undetermined significance) | Pap smear result: AGUS.
pap-invasive-cancer | Invasive cancer | Pap smear result: invasive cancer.
pap-other | Other, please specify | Pap smear result: other, to be specified.
colpo-satisfactory | Satisfactory | Colposcopy/cervicography result: satisfactory.
colpo-unsatisfactory | Unsatisfactory | Colposcopy/cervicography result: unsatisfactory.
colpo-normal | Normal | Colposcopy/cervicography result: normal.
colpo-acetowhite | Acetowhite | Colposcopy/cervicography result: acetowhite.
colpo-leukoplakia | Leukoplakia | Colposcopy/cervicography result: leukoplakia.
colpo-punctuation | Punctuation | Colposcopy/cervicography result: punctuation.
colpo-abnormal-vessels | Abnormal vessels | Colposcopy/cervicography result: abnormal vessels.
colpo-mosaicism | Mosaicism | Colposcopy/cervicography result: mosaicism.
cx-activity-screening-cryo-done | Screening today, with cryotherapy done today | Cervical cancer activity: screening and cryotherapy both performed today.
cx-activity-screening-cryo-postponed | Screening done today, with cryotherapy postponed | Cervical cancer activity: screening done today, cryotherapy postponed.
cx-activity-treated-postponed-case | Treated a previously screened and postponed case | Cervical cancer activity: treated a previously screened and postponed case.
chronic-dm | Diabetes mellitus (DM) | Chronic care follow-up condition: diabetes mellitus.
chronic-htn | Hypertension (HTN) | Chronic care follow-up condition: hypertension.
chronic-dm-htn | Both DM and HTN | Chronic care follow-up condition: both diabetes mellitus and hypertension.
chronic-asthma | Asthma | Chronic care follow-up condition: asthma.
chronic-arthritis | Arthritis | Chronic care follow-up condition: arthritis.
chronic-other | Other | Chronic care follow-up condition: other.
scale-0-none | 0 = None / Best possible | 0–10 labelled scale: 0 = none / best possible.
scale-1-3-mild | 1–3 = Mild / Manageable | 0–10 labelled scale: 1–3 = mild / manageable.
scale-4-6-moderate | 4–6 = Moderate (affects daily activities) | 0–10 labelled scale: 4–6 = moderate, affects daily activities.
scale-7-9-severe | 7–9 = Severe | 0–10 labelled scale: 7–9 = severe.
scale-10-worst | 10 = Worst / Completely limited | 0–10 labelled scale: 10 = worst / completely limited.
pain-0-none | 0 = No pain | Pain scale: 0 = no pain.
pain-1-3-mild | 1–3 = Mild pain (annoying but manageable) | Pain scale: 1–3 = mild pain, annoying but manageable.
pain-4-6-moderate | 4–6 = Moderate pain (affects daily activities) | Pain scale: 4–6 = moderate pain, affects daily activities.
pain-10-worst | 10 = Worst pain | Pain scale: 10 = worst pain.
eye-swelling | Eye swelling | Eye complication: eye swelling.
eye-impaired-vision | Impaired vision | Eye complication: impaired vision.
eye-double-vision | Double vision | Eye complication: double vision.
renal-urine-volume | Volume of urine | Renal complication: abnormal volume of urine.
renal-facial-oedema | Facial oedema | Renal complication: facial oedema.
renal-pedal-oedema | Pedal oedema | Renal complication: pedal oedema.
cardiac-chest-pain | Chest pain | Cardiac complication: chest pain.
cardiac-difficulty-breathing | Difficulty in breathing | Cardiac complication: difficulty in breathing.
cardiac-orthopnea | Orthopnea | Cardiac complication: orthopnea.
cardiac-pnd | Paroxysmal nocturnal dyspnea | Cardiac complication: paroxysmal nocturnal dyspnea.
msk-lower-limb-swelling | Lower limb swelling | Musculoskeletal complication: lower limb swelling.
msk-numbness | Numbness | Musculoskeletal complication: numbness.
msk-burning-sensation | Burning sensation in hands and feet | Musculoskeletal complication: burning sensation in hands and feet.
cns-headaches | Headaches | CNS complication: headaches.
cns-tia | Transient ischaemic attacks | CNS complication: transient ischaemic attacks.
phys-sleepy | Sleepy | Physical health symptom: sleepy.
phys-breathing-difficulties | Breathing difficulties | Physical health symptom: breathing difficulties.
phys-low-energy | Low energy | Physical health symptom: low energy.
phys-no-appetite | No appetite | Physical health symptom: no appetite.
phys-pain | Pain | Physical health symptom: pain.
phys-normal | Normal | Physical health symptom: normal.
emot-sad | Sad | Emotional health symptom: sad.
emot-stressed | Stressed | Emotional health symptom: stressed.
emot-anxiety | Anxiety | Emotional health symptom: anxiety.
emot-worry | Worry | Emotional health symptom: worry.
emot-mood-swings | Mood swings | Emotional health symptom: mood swings.
vvf | VVF (Vesicovaginal fistula) | Fistula type: vesicovaginal fistula.
rvf | RVF (Rectovaginal fistula) | Fistula type: rectovaginal fistula.
vvr | VVR (Vesicovaginal Reflux) | Fistula type: vesicovaginal reflux.
result-positive | Positive | General test or examination result: positive.
result-negative | Negative | General test or examination result: negative.
result-not-applicable | Not Applicable | General test or examination result: not applicable in the current clinical context.
hiv-rapid-positive | Positive (P) | HIV rapid test result: positive.
hiv-rapid-negative | Negative (N) | HIV rapid test result: negative.
hiv-rapid-invalid | Invalid (I) | HIV rapid test result: invalid — the test did not produce a readable result.
hiv-rapid-not-applicable | Not Applicable (NA) | HIV rapid test result: not applicable.
VIA | VIA (Visual Inspection with Acetic Acid) | Cervical cancer screening method: VIA.
VILI | VILI (Visual Inspection with Lugol's Iodine) | Cervical cancer screening method: VILI.
HPV | HPV DNA Testing | Cervical cancer screening method: HPV DNA testing.
PAP-SMEAR | Pap Smear | Cervical cancer screening method: Pap smear.
ND | Not Done | Cervical cancer screening method: not done.
uterotonic-oxytocin | Oxytocin | Uterotonic drug: oxytocin.
uterotonic-carbetocin | Carbetocin | Uterotonic drug: carbetocin.
uterotonic-none | None | No uterotonic administered.
vaginal-exam-normal | Normal | Vaginal examination result: normal findings.
vaginal-exam-esiotomy | Episiotomy | Vaginal examination result: episiotomy.
vaginal-exam-tear | Vaginal tear | Vaginal examination result: vaginal tear.
vaginal-exam-fgm | FGM | Vaginal examination result: Female Genital Mutilation.
vaginal-exam-warts | Vaginal warts | Vaginal examination result: vaginal warts.
mother-baby-alive | Alive | Mother's baby is alive after delivery.
mother-baby-dead | Dead | Mother's baby is dead after delivery.
delivery-comp-aph | APH (Ante Partum Haemorrhage) | Delivery complication: Ante Partum Haemorrhage.
delivery-comp-pph | PPH (Post Partum Haemorrhage) | Delivery complication: Post Partum Haemorrhage.
delivery-comp-eclampsia | Eclampsia | Delivery complication: Eclampsia.
delivery-comp-ruptured-uterus | Ruptured Uterus | Delivery complication: Ruptured Uterus.
delivery-comp-obstructed-labour | Obstructed Labour | Delivery complication: Obstructed Labour.
delivery-comp-sepsis | Sepsis | Delivery complication: Sepsis.
delivery-comp-none | None | No delivery complications.
birth-outcome-lb | Live Birth | Live birth outcome.
birth-outcome-fsb | Fresh Still Birth | Fresh stillbirth outcome.
birth-outcome-msb | Macerated Still Birth | Macerated stillbirth outcome.
ros-respiratory | Respiratory | Review of Systems: Respiratory system.
ros-cardiovascular | Cardiovascular | Review of Systems: Cardiovascular system.
ros-nervous | Nervous | Review of Systems: Nervous system.
ros-abdominal | Abdominal | Review of Systems: Abdominal system.
ros-endocrine | Endocrine | Review of Systems: Endocrine system.
ros-ent | ENT | Review of Systems: Ear, Nose, Throat (ENT).
ros-ophthalmic | Ophthalmic | Review of Systems: Ophthalmic (Eye).
ros-genitourinary | Genitourinary | Review of Systems: Genitourinary system.
ros-musculoskeletal | Musculoskeletal | Review of Systems: Musculoskeletal system.
ros-skin | Skin | Review of Systems: Skin.
ros-reproductive | Reproductive | Review of Systems: Reproductive system.