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

## : SGHI Visit Type Code System - XML Representation

Active as of 2026-05-21

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="visit-type-codesystem"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem visit-type-codesystem</b></p><a name="visit-type-codesystem"> </a><a name="hcvisit-type-codesystem"> </a><p>This  code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/visit-type-codesystem</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">AMB<a name="visit-type-codesystem-AMB"> </a></td><td>Ambulatory</td><td>A healthcare encounter where the patient is not admitted to a hospital or equivalent facility and receives care on a non-resident basis.</td></tr><tr><td style="white-space:nowrap">IMP<a name="visit-type-codesystem-IMP"> </a></td><td>Inpatient</td><td>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.</td></tr><tr><td style="white-space:nowrap">EMER<a name="visit-type-codesystem-EMER"> </a></td><td>Emergency</td><td>A healthcare encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment.</td></tr><tr><td style="white-space:nowrap">FLD<a name="visit-type-codesystem-FLD"> </a></td><td>Field</td><td>A healthcare encounter that takes place outside of a traditional healthcare facility, such as in a mobile clinic or during a home visit.</td></tr><tr><td style="white-space:nowrap">VR<a name="visit-type-codesystem-VR"> </a></td><td>Virtual</td><td>A healthcare encounter that takes place in a virtual environment, such as through telemedicine or a virtual consultation.</td></tr><tr><td style="white-space:nowrap">HH<a name="visit-type-codesystem-HH"> </a></td><td>Home Health</td><td>A healthcare encounter that takes place in a patient's home, typically involving healthcare services provided by visiting nurses or other healthcare professionals.</td></tr><tr><td style="white-space:nowrap">ACUTE<a name="visit-type-codesystem-ACUTE"> </a></td><td>Acute</td><td>A healthcare encounter that is characterized by a sudden onset and severe symptoms.</td></tr><tr><td style="white-space:nowrap">NONAC<a name="visit-type-codesystem-NONAC"> </a></td><td>Inpatient Non-Acute</td><td>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.</td></tr><tr><td style="white-space:nowrap">OBSENC<a name="visit-type-codesystem-OBSENC"> </a></td><td>Observation Encounter</td><td>A healthcare encounter where the patient is under observation to determine the need for further treatment or admission.</td></tr><tr><td style="white-space:nowrap">PRENC<a name="visit-type-codesystem-PRENC"> </a></td><td>Pre-Admission</td><td>A healthcare encounter that occurs prior to a scheduled admission for tests or evaluations.</td></tr><tr><td style="white-space:nowrap">SS<a name="visit-type-codesystem-SS"> </a></td><td>Short Stay</td><td>A healthcare encounter intended to be of short duration, typically less than 24 hours, but requiring more than basic outpatient care.</td></tr><tr><td style="white-space:nowrap">CHEMO<a name="visit-type-codesystem-CHEMO"> </a></td><td>Chemotherapy</td><td>A visit specifically for the administration of chemotherapy treatments.</td></tr><tr><td style="white-space:nowrap">RADIO<a name="visit-type-codesystem-RADIO"> </a></td><td>Radiotherapy</td><td>A visit specifically for the administration of radiotherapy treatments.</td></tr><tr><td style="white-space:nowrap">SURG<a name="visit-type-codesystem-SURG"> </a></td><td>Surgery</td><td>A visit for a surgical procedure, whether minor or major.</td></tr><tr><td style="white-space:nowrap">imaging_only<a name="visit-type-codesystem-imaging_only"> </a></td><td>Imaging visit</td><td>A visit exclusively for diagnostic imaging services such as X-rays, MRIs, or CT scans.</td></tr><tr><td style="white-space:nowrap">vaccination<a name="visit-type-codesystem-vaccination"> </a></td><td>Vaccination visit</td><td>A visit primarily for the administration of vaccines.</td></tr><tr><td style="white-space:nowrap">lab_only<a name="visit-type-codesystem-lab_only"> </a></td><td>Laboratory visit</td><td>A visit exclusively for the collection of specimens or performing laboratory tests.</td></tr><tr><td style="white-space:nowrap">pharmacy_only<a name="visit-type-codesystem-pharmacy_only"> </a></td><td>Pharmacy visit</td><td>A visit to a pharmacy for the purpose of picking up or consulting on medications.</td></tr><tr><td style="white-space:nowrap">community_outreach<a name="visit-type-codesystem-community_outreach"> </a></td><td>Community outreach visit</td><td>A healthcare encounter that occurs in a community setting as part of an outreach program.</td></tr><tr><td style="white-space:nowrap">phone_consultation<a name="visit-type-codesystem-phone_consultation"> </a></td><td>Phone consultation</td><td>A healthcare encounter conducted over the telephone.</td></tr><tr><td style="white-space:nowrap">inpatient_review<a name="visit-type-codesystem-inpatient_review"> </a></td><td>Inpatient review</td><td>A visit to a patient currently admitted in an inpatient setting for the purpose of progress review.</td></tr><tr><td style="white-space:nowrap">teleconsultation<a name="visit-type-codesystem-teleconsultation"> </a></td><td>Teleconsultation</td><td>A healthcare encounter conducted via video conferencing or other telecommunication technologies.</td></tr><tr><td style="white-space:nowrap">trauma<a name="visit-type-codesystem-trauma"> </a></td><td>Trauma visit</td><td>A visit for the evaluation and treatment of physical injuries caused by external force.</td></tr><tr><td style="white-space:nowrap">home_visit<a name="visit-type-codesystem-home_visit"> </a></td><td>Home visit</td><td>A visit by a healthcare provider to a patient's place of residence.</td></tr><tr><td style="white-space:nowrap">day_case<a name="visit-type-codesystem-day_case"> </a></td><td>Day case / same-day admission</td><td>A visit where the patient is admitted and discharged on the same day for a procedure or treatment.</td></tr><tr><td style="white-space:nowrap">procedure_visit<a name="visit-type-codesystem-procedure_visit"> </a></td><td>Outpatient procedure visit</td><td>A visit for a specific outpatient procedure that does not require overnight stay.</td></tr><tr><td style="white-space:nowrap">urgent_care<a name="visit-type-codesystem-urgent_care"> </a></td><td>Urgent care visit</td><td>A visit for a medical condition that requires prompt attention but is not a life-threatening emergency.</td></tr><tr><td style="white-space:nowrap">chronic_care<a name="visit-type-codesystem-chronic_care"> </a></td><td>Chronic care visit</td><td>A visit for the ongoing management of a chronic disease or condition.</td></tr><tr><td style="white-space:nowrap">preventive<a name="visit-type-codesystem-preventive"> </a></td><td>Preventive / wellness visit</td><td>A visit focused on disease prevention and health maintenance, such as annual check-ups.</td></tr><tr><td style="white-space:nowrap">inpatient_admission<a name="visit-type-codesystem-inpatient_admission"> </a></td><td>Inpatient admission</td><td>A visit for the purpose of admitting a patient to an inpatient facility.</td></tr><tr><td style="white-space:nowrap">outpatient_consultation<a name="visit-type-codesystem-outpatient_consultation"> </a></td><td>Outpatient consultation</td><td>A visit for a consultation with a specialist or general practitioner in an outpatient setting.</td></tr><tr><td style="white-space:nowrap">emergency_visit<a name="visit-type-codesystem-emergency_visit"> </a></td><td>Emergency visit</td><td>A visit for immediate medical attention due to an acute illness or injury.</td></tr><tr><td style="white-space:nowrap">follow_up<a name="visit-type-codesystem-follow_up"> </a></td><td>Follow-up visit</td><td>A visit to review the progress of a patient after a previous encounter or treatment.</td></tr><tr><td style="white-space:nowrap">26436-6<a name="visit-type-codesystem-26436-6"> </a></td><td>Laboratory studies (set)</td><td>Laboratory studies (set)</td></tr><tr><td style="white-space:nowrap">18748-4<a name="visit-type-codesystem-18748-4"> </a></td><td>Diagnostic imaging study</td><td>Diagnostic imaging study</td></tr><tr><td style="white-space:nowrap">21938-6<a name="visit-type-codesystem-21938-6"> </a></td><td>Surgical approach</td><td>Surgical approach</td></tr><tr><td style="white-space:nowrap">24642003<a name="visit-type-codesystem-24642003"> </a></td><td>Psychiatry procedure or service</td><td>Psychiatry procedure or service</td></tr><tr><td style="white-space:nowrap">409063005<a name="visit-type-codesystem-409063005"> </a></td><td>Counseling</td><td>Counseling</td></tr><tr><td style="white-space:nowrap">409073007<a name="visit-type-codesystem-409073007"> </a></td><td>Education</td><td>Education</td></tr><tr><td style="white-space:nowrap">387713003<a name="visit-type-codesystem-387713003"> </a></td><td>Surgical procedure (procedure)</td><td>Surgical procedure (procedure)</td></tr><tr><td style="white-space:nowrap">103693007<a name="visit-type-codesystem-103693007"> </a></td><td>Diagnostic procedure</td><td>Diagnostic procedure</td></tr><tr><td style="white-space:nowrap">46947000<a name="visit-type-codesystem-46947000"> </a></td><td>Chiropractic manipulation</td><td>Chiropractic manipulation</td></tr><tr><td style="white-space:nowrap">410606002<a name="visit-type-codesystem-410606002"> </a></td><td>Social service procedure (procedure)</td><td>Social service procedure (procedure)</td></tr><tr><td style="white-space:nowrap">385669000<a name="visit-type-codesystem-385669000"> </a></td><td>Successful</td><td>Successful</td></tr><tr><td style="white-space:nowrap">385671000<a name="visit-type-codesystem-385671000"> </a></td><td>Unsuccessful</td><td>Unsuccessful</td></tr><tr><td style="white-space:nowrap">385670004<a name="visit-type-codesystem-385670004"> </a></td><td>Partially successful</td><td>Partially successful</td></tr><tr><td style="white-space:nowrap">18949003<a name="visit-type-codesystem-18949003"> </a></td><td>Change of dressing</td><td>The process of replacing or altering a wound dressing.</td></tr><tr><td style="white-space:nowrap">30549001<a name="visit-type-codesystem-30549001"> </a></td><td>Removal of suture</td><td>The process of removing sutures (stitches) from a wound.</td></tr><tr><td style="white-space:nowrap">241031001<a name="visit-type-codesystem-241031001"> </a></td><td>Removal of drain</td><td>The process of removing a drainage device from a body cavity or wound.</td></tr><tr><td style="white-space:nowrap">35963001<a name="visit-type-codesystem-35963001"> </a></td><td>Removal of staples</td><td>The process of removing surgical staples from a wound.</td></tr><tr><td style="white-space:nowrap">225164002<a name="visit-type-codesystem-225164002"> </a></td><td>Removal of ligature</td><td>The process of removing a ligature (tie) used to bind tissue or vessels.</td></tr><tr><td style="white-space:nowrap">447346005<a name="visit-type-codesystem-447346005"> </a></td><td>Cardiopulmonary exercise test (procedure)</td><td>A test to assess the performance of the heart and lungs during physical exertion.</td></tr><tr><td style="white-space:nowrap">229506003<a name="visit-type-codesystem-229506003"> </a></td><td>Scar tissue massage</td><td>Therapeutic massage applied to scar tissue to improve mobility and reduce discomfort.</td></tr><tr><td style="white-space:nowrap">274441001<a name="visit-type-codesystem-274441001"> </a></td><td>Suction drainage</td><td>The process of removing fluid or debris from a body cavity using suction.</td></tr><tr><td style="white-space:nowrap">394725008<a name="visit-type-codesystem-394725008"> </a></td><td>Diabetes medication review (procedure)</td><td>A review of medications prescribed for diabetes management.</td></tr><tr><td style="white-space:nowrap">359825008<a name="visit-type-codesystem-359825008"> </a></td><td>Cytopathology, review of bronchioalveolar lavage specimen</td><td>The examination of cells obtained from a bronchioalveolar lavage specimen for diagnostic purposes.</td></tr><tr><td style="white-space:nowrap">doctor<a name="visit-type-codesystem-doctor"> </a></td><td>Doctor</td><td>A qualified/registered medical practitioner.</td></tr><tr><td style="white-space:nowrap">nurse<a name="visit-type-codesystem-nurse"> </a></td><td>Nurse</td><td>A practitioner with nursing experience that may be qualified/registered.</td></tr><tr><td style="white-space:nowrap">pharmacist<a name="visit-type-codesystem-pharmacist"> </a></td><td>Pharmacist</td><td>A qualified/registered/licensed pharmacist.</td></tr><tr><td style="white-space:nowrap">researcher<a name="visit-type-codesystem-researcher"> </a></td><td>Researcher</td><td>A practitioner that may perform research.</td></tr><tr><td style="white-space:nowrap">408467006<a name="visit-type-codesystem-408467006"> </a></td><td>Adult mental illness</td><td>Specialty focused on the diagnosis and treatment of mental illnesses in adults.</td></tr><tr><td style="white-space:nowrap">394577000<a name="visit-type-codesystem-394577000"> </a></td><td>Anesthetics</td><td>Specialty focused on administering anesthesia and managing pain during surgical procedures.</td></tr><tr><td style="white-space:nowrap">394578005<a name="visit-type-codesystem-394578005"> </a></td><td>Audiological medicine</td><td>Specialty focused on the diagnosis and treatment of hearing and balance disorders.</td></tr><tr><td style="white-space:nowrap">421661004<a name="visit-type-codesystem-421661004"> </a></td><td>Blood banking and transfusion medicine</td><td>Specialty focused on the collection, storage, and transfusion of blood and blood products.</td></tr><tr><td style="white-space:nowrap">408462000<a name="visit-type-codesystem-408462000"> </a></td><td>Burns care</td><td>Specialty focused on the treatment and management of burn injuries.</td></tr><tr><td style="white-space:nowrap">111002<a name="visit-type-codesystem-111002"> </a></td><td>Parathyroid gland</td><td>Parathyroid gland</td></tr><tr><td style="white-space:nowrap">apply<a name="visit-type-codesystem-apply"> </a></td><td>Apply</td><td>Apply</td></tr><tr><td style="white-space:nowrap">inject<a name="visit-type-codesystem-inject"> </a></td><td>Inject</td><td>Inject</td></tr><tr><td style="white-space:nowrap">dialysis<a name="visit-type-codesystem-dialysis"> </a></td><td>Dialysis</td><td>Dialysis</td></tr><tr><td style="white-space:nowrap">insert<a name="visit-type-codesystem-insert"> </a></td><td>Insert</td><td>Insert</td></tr><tr><td style="white-space:nowrap">implant<a name="visit-type-codesystem-implant"> </a></td><td>Implant</td><td>Implant</td></tr><tr><td style="white-space:nowrap">infuse<a name="visit-type-codesystem-infuse"> </a></td><td>Infuse</td><td>Infuse</td></tr><tr><td style="white-space:nowrap">chemo<a name="visit-type-codesystem-chemo"> </a></td><td>Chemotherapy</td><td/></tr><tr><td style="white-space:nowrap">surg<a name="visit-type-codesystem-surg"> </a></td><td>Surgery</td><td/></tr><tr><td style="white-space:nowrap">radio<a name="visit-type-codesystem-radio"> </a></td><td>Radiotherapy</td><td/></tr><tr><td style="white-space:nowrap">braf<a name="visit-type-codesystem-braf"> </a></td><td>BRAF Mutation</td><td/></tr><tr><td style="white-space:nowrap">kras<a name="visit-type-codesystem-kras"> </a></td><td>KRAS Mutation</td><td/></tr><tr><td style="white-space:nowrap">nras<a name="visit-type-codesystem-nras"> </a></td><td>NRAS Mutation</td><td/></tr><tr><td style="white-space:nowrap">egfr<a name="visit-type-codesystem-egfr"> </a></td><td>EGFR Mutation</td><td/></tr><tr><td style="white-space:nowrap">alk<a name="visit-type-codesystem-alk"> </a></td><td>ALK Rearrangement</td><td/></tr><tr><td style="white-space:nowrap">her2<a name="visit-type-codesystem-her2"> </a></td><td>HER2 Amplification</td><td/></tr><tr><td style="white-space:nowrap">pik3ca<a name="visit-type-codesystem-pik3ca"> </a></td><td>PIK3CA Mutation</td><td/></tr><tr><td style="white-space:nowrap">pt53<a name="visit-type-codesystem-pt53"> </a></td><td>TP53 Mutation</td><td/></tr><tr><td style="white-space:nowrap">msi<a name="visit-type-codesystem-msi"> </a></td><td>Microsatellite Instability</td><td/></tr><tr><td style="white-space:nowrap">pdli<a name="visit-type-codesystem-pdli"> </a></td><td>PD-L1 Expression</td><td/></tr><tr><td style="white-space:nowrap">other<a name="visit-type-codesystem-other"> </a></td><td>Other</td><td/></tr><tr><td style="white-space:nowrap">bone<a name="visit-type-codesystem-bone"> </a></td><td>Bone</td><td/></tr><tr><td style="white-space:nowrap">liver<a name="visit-type-codesystem-liver"> </a></td><td>Liver</td><td/></tr><tr><td style="white-space:nowrap">lung<a name="visit-type-codesystem-lung"> </a></td><td>Lung</td><td/></tr><tr><td style="white-space:nowrap">brain<a name="visit-type-codesystem-brain"> </a></td><td>Brain</td><td/></tr><tr><td style="white-space:nowrap">skin<a name="visit-type-codesystem-skin"> </a></td><td>Skin</td><td/></tr><tr><td style="white-space:nowrap">dln<a name="visit-type-codesystem-dln"> </a></td><td>Distant Lymph Nodes</td><td/></tr><tr><td style="white-space:nowrap">gradeI<a name="visit-type-codesystem-gradeI"> </a></td><td>Well Differentiated</td><td/></tr><tr><td style="white-space:nowrap">gradeII<a name="visit-type-codesystem-gradeII"> </a></td><td>Moderately Differentiated</td><td/></tr><tr><td style="white-space:nowrap">gradeIII<a name="visit-type-codesystem-gradeIII"> </a></td><td>Poorly Differentiated</td><td/></tr><tr><td style="white-space:nowrap">gradeIV<a name="visit-type-codesystem-gradeIV"> </a></td><td>Undifferentiated/ Anaplastic</td><td/></tr><tr><td style="white-space:nowrap">none<a name="visit-type-codesystem-none"> </a></td><td>Not Graded</td><td/></tr><tr><td style="white-space:nowrap">benign<a name="visit-type-codesystem-benign"> </a></td><td>Benign</td><td/></tr><tr><td style="white-space:nowrap">malignant<a name="visit-type-codesystem-malignant"> </a></td><td>Malignant</td><td/></tr><tr><td style="white-space:nowrap">insitu<a name="visit-type-codesystem-insitu"> </a></td><td>In Situ</td><td/></tr><tr><td style="white-space:nowrap">borderline<a name="visit-type-codesystem-borderline"> </a></td><td>Borderline</td><td/></tr><tr><td style="white-space:nowrap">uncertain<a name="visit-type-codesystem-uncertain"> </a></td><td>Uncertain</td><td/></tr><tr><td style="white-space:nowrap">positive<a name="visit-type-codesystem-positive"> </a></td><td>Positive</td><td/></tr><tr><td style="white-space:nowrap">negative<a name="visit-type-codesystem-negative"> </a></td><td>Negative</td><td/></tr><tr><td style="white-space:nowrap">equivocal<a name="visit-type-codesystem-equivocal"> </a></td><td>Equivocal</td><td/></tr><tr><td style="white-space:nowrap">nottested<a name="visit-type-codesystem-nottested"> </a></td><td>Not Tested</td><td/></tr><tr><td style="white-space:nowrap">cnb<a name="visit-type-codesystem-cnb"> </a></td><td>Core Needle Biopsy</td><td/></tr><tr><td style="white-space:nowrap">excision<a name="visit-type-codesystem-excision"> </a></td><td>Excision</td><td/></tr><tr><td style="white-space:nowrap">fna<a name="visit-type-codesystem-fna"> </a></td><td>Fine Needle Aspiration</td><td/></tr><tr><td style="white-space:nowrap">ib<a name="visit-type-codesystem-ib"> </a></td><td>Incisional Biopsy</td><td/></tr><tr><td style="white-space:nowrap">pb<a name="visit-type-codesystem-pb"> </a></td><td>Punch Biopsy</td><td/></tr><tr><td style="white-space:nowrap">sb<a name="visit-type-codesystem-sb"> </a></td><td>Shave Biopsy</td><td/></tr><tr><td style="white-space:nowrap">eb<a name="visit-type-codesystem-eb"> </a></td><td>Endoscopic Biopsy</td><td/></tr><tr><td style="white-space:nowrap">ras<a name="visit-type-codesystem-ras"> </a></td><td>Resection Autopsy Specimen</td><td/></tr><tr><td style="white-space:nowrap">hematology<a name="visit-type-codesystem-hematology"> </a></td><td>Hematology</td><td/></tr><tr><td style="white-space:nowrap">cytology<a name="visit-type-codesystem-cytology"> </a></td><td>Cytology</td><td/></tr><tr><td style="white-space:nowrap">histopathology<a name="visit-type-codesystem-histopathology"> </a></td><td>Histopathology</td><td/></tr><tr><td style="white-space:nowrap">ich<a name="visit-type-codesystem-ich"> </a></td><td>Immunohistochemistry</td><td/></tr><tr><td style="white-space:nowrap">fc<a name="visit-type-codesystem-fc"> </a></td><td>Flow Cytometry</td><td/></tr><tr><td style="white-space:nowrap">molecular<a name="visit-type-codesystem-molecular"> </a></td><td>Molecular</td><td/></tr><tr><td style="white-space:nowrap">right<a name="visit-type-codesystem-right"> </a></td><td>Right</td><td/></tr><tr><td style="white-space:nowrap">left<a name="visit-type-codesystem-left"> </a></td><td>Left</td><td/></tr><tr><td style="white-space:nowrap">bilateral<a name="visit-type-codesystem-bilateral"> </a></td><td>Bilateral</td><td/></tr><tr><td style="white-space:nowrap">unknown<a name="visit-type-codesystem-unknown"> </a></td><td>Unknown</td><td/></tr><tr><td style="white-space:nowrap">stage1<a name="visit-type-codesystem-stage1"> </a></td><td>Stage 1</td><td/></tr><tr><td style="white-space:nowrap">stage2<a name="visit-type-codesystem-stage2"> </a></td><td>Stage 2</td><td/></tr><tr><td style="white-space:nowrap">stage3<a name="visit-type-codesystem-stage3"> </a></td><td>Stage 3</td><td/></tr><tr><td style="white-space:nowrap">stage4<a name="visit-type-codesystem-stage4"> </a></td><td>Stage 4</td><td/></tr><tr><td style="white-space:nowrap">sghidefaultcode<a name="visit-type-codesystem-sghidefaultcode"> </a></td><td>SGHI Default Code</td><td/></tr></table></div>
      </text>
      <url
           value="https://fhir.slade360.co.ke/fhir/CodeSystem/visit-type-codesystem"/>
      <version value="0.1.0"/>
      <name value="SGHIVisitTypeCodeSystem"/>
      <title value="SGHI Visit Type Code System"/>
      <status value="active"/>
      <date value="2026-05-21T09:38:13+00:00"/>
      <publisher value="Kathurima Kimathi"/>
      <contact>
        <name value="Kathurima Kimathi"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="kathurimakimathi415@gmail.com"/>
        </telecom>
      </contact>
      <contact>
        <name value="Oscar John"/>
        <telecom>
          <system value="email"/>
          <value value="oscarjohnotieno@gmail.com"/>
          <use value="work"/>
        </telecom>
      </contact>
      <contact>
        <name value="Kennedy Omondi"/>
        <telecom>
          <system value="email"/>
          <value value="kennankole@gmail.com"/>
          <use value="work"/>
        </telecom>
      </contact>
      <description
                   value="A code system enumerating the different visit types used across SGHI's environment."/>
      <content value="complete"/>
      <count value="129"/>
      <concept>
        <code value="AMB"/>
        <display value="Ambulatory"/>
        <definition
                    value="A healthcare encounter where the patient is not admitted to a hospital or equivalent facility and receives care on a non-resident basis."/>
      </concept>
      <concept>
        <code value="IMP"/>
        <display value="Inpatient"/>
        <definition
                    value="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."/>
      </concept>
      <concept>
        <code value="EMER"/>
        <display value="Emergency"/>
        <definition
                    value="A healthcare encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment."/>
      </concept>
      <concept>
        <code value="FLD"/>
        <display value="Field"/>
        <definition
                    value="A healthcare encounter that takes place outside of a traditional healthcare facility, such as in a mobile clinic or during a home visit."/>
      </concept>
      <concept>
        <code value="VR"/>
        <display value="Virtual"/>
        <definition
                    value="A healthcare encounter that takes place in a virtual environment, such as through telemedicine or a virtual consultation."/>
      </concept>
      <concept>
        <code value="HH"/>
        <display value="Home Health"/>
        <definition
                    value="A healthcare encounter that takes place in a patient's home, typically involving healthcare services provided by visiting nurses or other healthcare professionals."/>
      </concept>
      <concept>
        <code value="ACUTE"/>
        <display value="Acute"/>
        <definition
                    value="A healthcare encounter that is characterized by a sudden onset and severe symptoms."/>
      </concept>
      <concept>
        <code value="NONAC"/>
        <display value="Inpatient Non-Acute"/>
        <definition
                    value="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."/>
      </concept>
      <concept>
        <code value="OBSENC"/>
        <display value="Observation Encounter"/>
        <definition
                    value="A healthcare encounter where the patient is under observation to determine the need for further treatment or admission."/>
      </concept>
      <concept>
        <code value="PRENC"/>
        <display value="Pre-Admission"/>
        <definition
                    value="A healthcare encounter that occurs prior to a scheduled admission for tests or evaluations."/>
      </concept>
      <concept>
        <code value="SS"/>
        <display value="Short Stay"/>
        <definition
                    value="A healthcare encounter intended to be of short duration, typically less than 24 hours, but requiring more than basic outpatient care."/>
      </concept>
      <concept>
        <code value="CHEMO"/>
        <display value="Chemotherapy"/>
        <definition
                    value="A visit specifically for the administration of chemotherapy treatments."/>
      </concept>
      <concept>
        <code value="RADIO"/>
        <display value="Radiotherapy"/>
        <definition
                    value="A visit specifically for the administration of radiotherapy treatments."/>
      </concept>
      <concept>
        <code value="SURG"/>
        <display value="Surgery"/>
        <definition
                    value="A visit for a surgical procedure, whether minor or major."/>
      </concept>
      <concept>
        <code value="imaging_only"/>
        <display value="Imaging visit"/>
        <definition
                    value="A visit exclusively for diagnostic imaging services such as X-rays, MRIs, or CT scans."/>
      </concept>
      <concept>
        <code value="vaccination"/>
        <display value="Vaccination visit"/>
        <definition
                    value="A visit primarily for the administration of vaccines."/>
      </concept>
      <concept>
        <code value="lab_only"/>
        <display value="Laboratory visit"/>
        <definition
                    value="A visit exclusively for the collection of specimens or performing laboratory tests."/>
      </concept>
      <concept>
        <code value="pharmacy_only"/>
        <display value="Pharmacy visit"/>
        <definition
                    value="A visit to a pharmacy for the purpose of picking up or consulting on medications."/>
      </concept>
      <concept>
        <code value="community_outreach"/>
        <display value="Community outreach visit"/>
        <definition
                    value="A healthcare encounter that occurs in a community setting as part of an outreach program."/>
      </concept>
      <concept>
        <code value="phone_consultation"/>
        <display value="Phone consultation"/>
        <definition value="A healthcare encounter conducted over the telephone."/>
      </concept>
      <concept>
        <code value="inpatient_review"/>
        <display value="Inpatient review"/>
        <definition
                    value="A visit to a patient currently admitted in an inpatient setting for the purpose of progress review."/>
      </concept>
      <concept>
        <code value="teleconsultation"/>
        <display value="Teleconsultation"/>
        <definition
                    value="A healthcare encounter conducted via video conferencing or other telecommunication technologies."/>
      </concept>
      <concept>
        <code value="trauma"/>
        <display value="Trauma visit"/>
        <definition
                    value="A visit for the evaluation and treatment of physical injuries caused by external force."/>
      </concept>
      <concept>
        <code value="home_visit"/>
        <display value="Home visit"/>
        <definition
                    value="A visit by a healthcare provider to a patient's place of residence."/>
      </concept>
      <concept>
        <code value="day_case"/>
        <display value="Day case / same-day admission"/>
        <definition
                    value="A visit where the patient is admitted and discharged on the same day for a procedure or treatment."/>
      </concept>
      <concept>
        <code value="procedure_visit"/>
        <display value="Outpatient procedure visit"/>
        <definition
                    value="A visit for a specific outpatient procedure that does not require overnight stay."/>
      </concept>
      <concept>
        <code value="urgent_care"/>
        <display value="Urgent care visit"/>
        <definition
                    value="A visit for a medical condition that requires prompt attention but is not a life-threatening emergency."/>
      </concept>
      <concept>
        <code value="chronic_care"/>
        <display value="Chronic care visit"/>
        <definition
                    value="A visit for the ongoing management of a chronic disease or condition."/>
      </concept>
      <concept>
        <code value="preventive"/>
        <display value="Preventive / wellness visit"/>
        <definition
                    value="A visit focused on disease prevention and health maintenance, such as annual check-ups."/>
      </concept>
      <concept>
        <code value="inpatient_admission"/>
        <display value="Inpatient admission"/>
        <definition
                    value="A visit for the purpose of admitting a patient to an inpatient facility."/>
      </concept>
      <concept>
        <code value="outpatient_consultation"/>
        <display value="Outpatient consultation"/>
        <definition
                    value="A visit for a consultation with a specialist or general practitioner in an outpatient setting."/>
      </concept>
      <concept>
        <code value="emergency_visit"/>
        <display value="Emergency visit"/>
        <definition
                    value="A visit for immediate medical attention due to an acute illness or injury."/>
      </concept>
      <concept>
        <code value="follow_up"/>
        <display value="Follow-up visit"/>
        <definition
                    value="A visit to review the progress of a patient after a previous encounter or treatment."/>
      </concept>
      <concept>
        <code value="26436-6"/>
        <display value="Laboratory studies (set)"/>
        <definition value="Laboratory studies (set)"/>
      </concept>
      <concept>
        <code value="18748-4"/>
        <display value="Diagnostic imaging study"/>
        <definition value="Diagnostic imaging study"/>
      </concept>
      <concept>
        <code value="21938-6"/>
        <display value="Surgical approach"/>
        <definition value="Surgical approach"/>
      </concept>
      <concept>
        <code value="24642003"/>
        <display value="Psychiatry procedure or service"/>
        <definition value="Psychiatry procedure or service"/>
      </concept>
      <concept>
        <code value="409063005"/>
        <display value="Counseling"/>
        <definition value="Counseling"/>
      </concept>
      <concept>
        <code value="409073007"/>
        <display value="Education"/>
        <definition value="Education"/>
      </concept>
      <concept>
        <code value="387713003"/>
        <display value="Surgical procedure (procedure)"/>
        <definition value="Surgical procedure (procedure)"/>
      </concept>
      <concept>
        <code value="103693007"/>
        <display value="Diagnostic procedure"/>
        <definition value="Diagnostic procedure"/>
      </concept>
      <concept>
        <code value="46947000"/>
        <display value="Chiropractic manipulation"/>
        <definition value="Chiropractic manipulation"/>
      </concept>
      <concept>
        <code value="410606002"/>
        <display value="Social service procedure (procedure)"/>
        <definition value="Social service procedure (procedure)"/>
      </concept>
      <concept>
        <code value="385669000"/>
        <display value="Successful"/>
        <definition value="Successful"/>
      </concept>
      <concept>
        <code value="385671000"/>
        <display value="Unsuccessful"/>
        <definition value="Unsuccessful"/>
      </concept>
      <concept>
        <code value="385670004"/>
        <display value="Partially successful"/>
        <definition value="Partially successful"/>
      </concept>
      <concept>
        <code value="18949003"/>
        <display value="Change of dressing"/>
        <definition
                    value="The process of replacing or altering a wound dressing."/>
      </concept>
      <concept>
        <code value="30549001"/>
        <display value="Removal of suture"/>
        <definition
                    value="The process of removing sutures (stitches) from a wound."/>
      </concept>
      <concept>
        <code value="241031001"/>
        <display value="Removal of drain"/>
        <definition
                    value="The process of removing a drainage device from a body cavity or wound."/>
      </concept>
      <concept>
        <code value="35963001"/>
        <display value="Removal of staples"/>
        <definition
                    value="The process of removing surgical staples from a wound."/>
      </concept>
      <concept>
        <code value="225164002"/>
        <display value="Removal of ligature"/>
        <definition
                    value="The process of removing a ligature (tie) used to bind tissue or vessels."/>
      </concept>
      <concept>
        <code value="447346005"/>
        <display value="Cardiopulmonary exercise test (procedure)"/>
        <definition
                    value="A test to assess the performance of the heart and lungs during physical exertion."/>
      </concept>
      <concept>
        <code value="229506003"/>
        <display value="Scar tissue massage"/>
        <definition
                    value="Therapeutic massage applied to scar tissue to improve mobility and reduce discomfort."/>
      </concept>
      <concept>
        <code value="274441001"/>
        <display value="Suction drainage"/>
        <definition
                    value="The process of removing fluid or debris from a body cavity using suction."/>
      </concept>
      <concept>
        <code value="394725008"/>
        <display value="Diabetes medication review (procedure)"/>
        <definition
                    value="A review of medications prescribed for diabetes management."/>
      </concept>
      <concept>
        <code value="359825008"/>
        <display
                 value="Cytopathology, review of bronchioalveolar lavage specimen"/>
        <definition
                    value="The examination of cells obtained from a bronchioalveolar lavage specimen for diagnostic purposes."/>
      </concept>
      <concept>
        <code value="doctor"/>
        <display value="Doctor"/>
        <definition value="A qualified/registered medical practitioner."/>
      </concept>
      <concept>
        <code value="nurse"/>
        <display value="Nurse"/>
        <definition
                    value="A practitioner with nursing experience that may be qualified/registered."/>
      </concept>
      <concept>
        <code value="pharmacist"/>
        <display value="Pharmacist"/>
        <definition value="A qualified/registered/licensed pharmacist."/>
      </concept>
      <concept>
        <code value="researcher"/>
        <display value="Researcher"/>
        <definition value="A practitioner that may perform research."/>
      </concept>
      <concept>
        <code value="408467006"/>
        <display value="Adult mental illness"/>
        <definition
                    value="Specialty focused on the diagnosis and treatment of mental illnesses in adults."/>
      </concept>
      <concept>
        <code value="394577000"/>
        <display value="Anesthetics"/>
        <definition
                    value="Specialty focused on administering anesthesia and managing pain during surgical procedures."/>
      </concept>
      <concept>
        <code value="394578005"/>
        <display value="Audiological medicine"/>
        <definition
                    value="Specialty focused on the diagnosis and treatment of hearing and balance disorders."/>
      </concept>
      <concept>
        <code value="421661004"/>
        <display value="Blood banking and transfusion medicine"/>
        <definition
                    value="Specialty focused on the collection, storage, and transfusion of blood and blood products."/>
      </concept>
      <concept>
        <code value="408462000"/>
        <display value="Burns care"/>
        <definition
                    value="Specialty focused on the treatment and management of burn injuries."/>
      </concept>
      <concept>
        <code value="111002"/>
        <display value="Parathyroid gland"/>
        <definition value="Parathyroid gland"/>
      </concept>
      <concept>
        <code value="apply"/>
        <display value="Apply"/>
        <definition value="Apply"/>
      </concept>
      <concept>
        <code value="inject"/>
        <display value="Inject"/>
        <definition value="Inject"/>
      </concept>
      <concept>
        <code value="dialysis"/>
        <display value="Dialysis"/>
        <definition value="Dialysis"/>
      </concept>
      <concept>
        <code value="insert"/>
        <display value="Insert"/>
        <definition value="Insert"/>
      </concept>
      <concept>
        <code value="implant"/>
        <display value="Implant"/>
        <definition value="Implant"/>
      </concept>
      <concept>
        <code value="infuse"/>
        <display value="Infuse"/>
        <definition value="Infuse"/>
      </concept>
      <concept>
        <code value="chemo"/>
        <display value="Chemotherapy"/>
      </concept>
      <concept>
        <code value="surg"/>
        <display value="Surgery"/>
      </concept>
      <concept>
        <code value="radio"/>
        <display value="Radiotherapy"/>
      </concept>
      <concept>
        <code value="braf"/>
        <display value="BRAF Mutation"/>
      </concept>
      <concept>
        <code value="kras"/>
        <display value="KRAS Mutation"/>
      </concept>
      <concept>
        <code value="nras"/>
        <display value="NRAS Mutation"/>
      </concept>
      <concept>
        <code value="egfr"/>
        <display value="EGFR Mutation"/>
      </concept>
      <concept>
        <code value="alk"/>
        <display value="ALK Rearrangement"/>
      </concept>
      <concept>
        <code value="her2"/>
        <display value="HER2 Amplification"/>
      </concept>
      <concept>
        <code value="pik3ca"/>
        <display value="PIK3CA Mutation"/>
      </concept>
      <concept>
        <code value="pt53"/>
        <display value="TP53 Mutation"/>
      </concept>
      <concept>
        <code value="msi"/>
        <display value="Microsatellite Instability"/>
      </concept>
      <concept>
        <code value="pdli"/>
        <display value="PD-L1 Expression"/>
      </concept>
      <concept>
        <code value="other"/>
        <display value="Other"/>
      </concept>
      <concept>
        <code value="bone"/>
        <display value="Bone"/>
      </concept>
      <concept>
        <code value="liver"/>
        <display value="Liver"/>
      </concept>
      <concept>
        <code value="lung"/>
        <display value="Lung"/>
      </concept>
      <concept>
        <code value="brain"/>
        <display value="Brain"/>
      </concept>
      <concept>
        <code value="skin"/>
        <display value="Skin"/>
      </concept>
      <concept>
        <code value="dln"/>
        <display value="Distant Lymph Nodes"/>
      </concept>
      <concept>
        <code value="gradeI"/>
        <display value="Well Differentiated"/>
      </concept>
      <concept>
        <code value="gradeII"/>
        <display value="Moderately Differentiated"/>
      </concept>
      <concept>
        <code value="gradeIII"/>
        <display value="Poorly Differentiated"/>
      </concept>
      <concept>
        <code value="gradeIV"/>
        <display value="Undifferentiated/ Anaplastic"/>
      </concept>
      <concept>
        <code value="none"/>
        <display value="Not Graded"/>
      </concept>
      <concept>
        <code value="benign"/>
        <display value="Benign"/>
      </concept>
      <concept>
        <code value="malignant"/>
        <display value="Malignant"/>
      </concept>
      <concept>
        <code value="insitu"/>
        <display value="In Situ"/>
      </concept>
      <concept>
        <code value="borderline"/>
        <display value="Borderline"/>
      </concept>
      <concept>
        <code value="uncertain"/>
        <display value="Uncertain"/>
      </concept>
      <concept>
        <code value="positive"/>
        <display value="Positive"/>
      </concept>
      <concept>
        <code value="negative"/>
        <display value="Negative"/>
      </concept>
      <concept>
        <code value="equivocal"/>
        <display value="Equivocal"/>
      </concept>
      <concept>
        <code value="nottested"/>
        <display value="Not Tested"/>
      </concept>
      <concept>
        <code value="cnb"/>
        <display value="Core Needle Biopsy"/>
      </concept>
      <concept>
        <code value="excision"/>
        <display value="Excision"/>
      </concept>
      <concept>
        <code value="fna"/>
        <display value="Fine Needle Aspiration"/>
      </concept>
      <concept>
        <code value="ib"/>
        <display value="Incisional Biopsy"/>
      </concept>
      <concept>
        <code value="pb"/>
        <display value="Punch Biopsy"/>
      </concept>
      <concept>
        <code value="sb"/>
        <display value="Shave Biopsy"/>
      </concept>
      <concept>
        <code value="eb"/>
        <display value="Endoscopic Biopsy"/>
      </concept>
      <concept>
        <code value="ras"/>
        <display value="Resection Autopsy Specimen"/>
      </concept>
      <concept>
        <code value="hematology"/>
        <display value="Hematology"/>
      </concept>
      <concept>
        <code value="cytology"/>
        <display value="Cytology"/>
      </concept>
      <concept>
        <code value="histopathology"/>
        <display value="Histopathology"/>
      </concept>
      <concept>
        <code value="ich"/>
        <display value="Immunohistochemistry"/>
      </concept>
      <concept>
        <code value="fc"/>
        <display value="Flow Cytometry"/>
      </concept>
      <concept>
        <code value="molecular"/>
        <display value="Molecular"/>
      </concept>
      <concept>
        <code value="right"/>
        <display value="Right"/>
      </concept>
      <concept>
        <code value="left"/>
        <display value="Left"/>
      </concept>
      <concept>
        <code value="bilateral"/>
        <display value="Bilateral"/>
      </concept>
      <concept>
        <code value="unknown"/>
        <display value="Unknown"/>
      </concept>
      <concept>
        <code value="stage1"/>
        <display value="Stage 1"/>
      </concept>
      <concept>
        <code value="stage2"/>
        <display value="Stage 2"/>
      </concept>
      <concept>
        <code value="stage3"/>
        <display value="Stage 3"/>
      </concept>
      <concept>
        <code value="stage4"/>
        <display value="Stage 4"/>
      </concept>
      <concept>
        <code value="sghidefaultcode"/>
        <display value="SGHI Default Code"/>
      </concept>
    </CodeSystem>