{
  "resourceType" : "CodeSystem",
  "id" : "MNCHCodes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem MNCHCodes</b></p><a name=\"MNCHCodes\"> </a><a name=\"hcMNCHCodes\"> </a><p>This case-sensitive code system <code>http://fhir.health.go.ke/mnch/CodeSystem/MNCHCodes</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">normal<a name=\"MNCHCodes-normal\"> </a></td><td>Normal vaginal delivery</td></tr><tr><td style=\"white-space:nowrap\">forceps<a name=\"MNCHCodes-forceps\"> </a></td><td>Forceps-assisted delivery</td></tr><tr><td style=\"white-space:nowrap\">vacuum<a name=\"MNCHCodes-vacuum\"> </a></td><td>Vacuum-assisted delivery</td></tr><tr><td style=\"white-space:nowrap\">c-section<a name=\"MNCHCodes-c-section\"> </a></td><td>Caesarean section</td></tr><tr><td style=\"white-space:nowrap\">svd<a name=\"MNCHCodes-svd\"> </a></td><td>Spontaneous vaginal delivery</td></tr><tr><td style=\"white-space:nowrap\">assisted<a name=\"MNCHCodes-assisted\"> </a></td><td>Assisted delivery (other)</td></tr><tr><td style=\"white-space:nowrap\">no-complications<a name=\"MNCHCodes-no-complications\"> </a></td><td>No complications</td></tr><tr><td style=\"white-space:nowrap\">pph<a name=\"MNCHCodes-pph\"> </a></td><td>Postpartum haemorrhage</td></tr><tr><td style=\"white-space:nowrap\">aph<a name=\"MNCHCodes-aph\"> </a></td><td>Antepartum haemorrhage</td></tr><tr><td style=\"white-space:nowrap\">placenta-praevia<a name=\"MNCHCodes-placenta-praevia\"> </a></td><td>Placenta praevia</td></tr><tr><td style=\"white-space:nowrap\">placental-abruption<a name=\"MNCHCodes-placental-abruption\"> </a></td><td>Placental abruption</td></tr><tr><td style=\"white-space:nowrap\">cord-prolapse<a name=\"MNCHCodes-cord-prolapse\"> </a></td><td>Cord prolapse</td></tr><tr><td style=\"white-space:nowrap\">obstructed-labour<a name=\"MNCHCodes-obstructed-labour\"> </a></td><td>Obstructed labour</td></tr><tr><td style=\"white-space:nowrap\">abnormal-presentation<a name=\"MNCHCodes-abnormal-presentation\"> </a></td><td>Abnormal presentation</td></tr><tr><td style=\"white-space:nowrap\">pre-eclampsia<a name=\"MNCHCodes-pre-eclampsia\"> </a></td><td>Pre-eclampsia</td></tr><tr><td style=\"white-space:nowrap\">eclampsia<a name=\"MNCHCodes-eclampsia\"> </a></td><td>Eclampsia</td></tr><tr><td style=\"white-space:nowrap\">perineal-tear<a name=\"MNCHCodes-perineal-tear\"> </a></td><td>Perineal tear 3rd/4th degree</td></tr><tr><td style=\"white-space:nowrap\">blood-loss-light<a name=\"MNCHCodes-blood-loss-light\"> </a></td><td>Light blood loss (&lt;500 mL)</td></tr><tr><td style=\"white-space:nowrap\">blood-loss-medium<a name=\"MNCHCodes-blood-loss-medium\"> </a></td><td>Medium blood loss (500–1000 mL)</td></tr><tr><td style=\"white-space:nowrap\">blood-loss-heavy<a name=\"MNCHCodes-blood-loss-heavy\"> </a></td><td>Heavy blood loss (&gt;1000 mL)</td></tr><tr><td style=\"white-space:nowrap\">health-facility<a name=\"MNCHCodes-health-facility\"> </a></td><td>Health facility</td></tr><tr><td style=\"white-space:nowrap\">home<a name=\"MNCHCodes-home\"> </a></td><td>Home</td></tr><tr><td style=\"white-space:nowrap\">nurse<a name=\"MNCHCodes-nurse\"> </a></td><td>Nurse</td></tr><tr><td style=\"white-space:nowrap\">midwife<a name=\"MNCHCodes-midwife\"> </a></td><td>Midwife</td></tr><tr><td style=\"white-space:nowrap\">clinical-officer<a name=\"MNCHCodes-clinical-officer\"> </a></td><td>Clinical Officer</td></tr><tr><td style=\"white-space:nowrap\">doctor<a name=\"MNCHCodes-doctor\"> </a></td><td>Doctor</td></tr><tr><td style=\"white-space:nowrap\">hiv-positive<a name=\"MNCHCodes-hiv-positive\"> </a></td><td>HIV Positive</td></tr><tr><td style=\"white-space:nowrap\">hiv-negative<a name=\"MNCHCodes-hiv-negative\"> </a></td><td>HIV Negative</td></tr><tr><td style=\"white-space:nowrap\">hiv-indeterminate<a name=\"MNCHCodes-hiv-indeterminate\"> </a></td><td>HIV Indeterminate</td></tr><tr><td style=\"white-space:nowrap\">hiv-unknown<a name=\"MNCHCodes-hiv-unknown\"> </a></td><td>HIV Unknown</td></tr><tr><td style=\"white-space:nowrap\">on-haart<a name=\"MNCHCodes-on-haart\"> </a></td><td>On HAART</td></tr><tr><td style=\"white-space:nowrap\">not-on-haart<a name=\"MNCHCodes-not-on-haart\"> </a></td><td>Not on HAART</td></tr><tr><td style=\"white-space:nowrap\">haart-na<a name=\"MNCHCodes-haart-na\"> </a></td><td>Not applicable (HIV-negative)</td></tr><tr><td style=\"white-space:nowrap\">within-48h<a name=\"MNCHCodes-within-48h\"> </a></td><td>Within 48 hours</td></tr><tr><td style=\"white-space:nowrap\">1-2-weeks<a name=\"MNCHCodes-1-2-weeks\"> </a></td><td>1–2 weeks postpartum</td></tr><tr><td style=\"white-space:nowrap\">6-weeks<a name=\"MNCHCodes-6-weeks\"> </a></td><td>6 weeks postpartum</td></tr><tr><td style=\"white-space:nowrap\">attended<a name=\"MNCHCodes-attended\"> </a></td><td>Attended</td></tr><tr><td style=\"white-space:nowrap\">missed<a name=\"MNCHCodes-missed\"> </a></td><td>Missed</td></tr><tr><td style=\"white-space:nowrap\">rescheduled<a name=\"MNCHCodes-rescheduled\"> </a></td><td>Rescheduled</td></tr><tr><td style=\"white-space:nowrap\">cancelled<a name=\"MNCHCodes-cancelled\"> </a></td><td>Cancelled</td></tr><tr><td style=\"white-space:nowrap\">no-fp-method<a name=\"MNCHCodes-no-fp-method\"> </a></td><td>No family planning method</td></tr><tr><td style=\"white-space:nowrap\">oral-contraceptive<a name=\"MNCHCodes-oral-contraceptive\"> </a></td><td>Oral contraceptive</td></tr><tr><td style=\"white-space:nowrap\">iud<a name=\"MNCHCodes-iud\"> </a></td><td>IUD</td></tr><tr><td style=\"white-space:nowrap\">implant<a name=\"MNCHCodes-implant\"> </a></td><td>Implant</td></tr><tr><td style=\"white-space:nowrap\">injectable<a name=\"MNCHCodes-injectable\"> </a></td><td>Injectable contraceptive</td></tr><tr><td style=\"white-space:nowrap\">condoms<a name=\"MNCHCodes-condoms\"> </a></td><td>Condoms</td></tr><tr><td style=\"white-space:nowrap\">active<a name=\"MNCHCodes-active\"> </a></td><td>Active</td></tr><tr><td style=\"white-space:nowrap\">chronic<a name=\"MNCHCodes-chronic\"> </a></td><td>Chronic</td></tr><tr><td style=\"white-space:nowrap\">resolved<a name=\"MNCHCodes-resolved\"> </a></td><td>Resolved</td></tr><tr><td style=\"white-space:nowrap\">planned<a name=\"MNCHCodes-planned\"> </a></td><td>Planned</td></tr><tr><td style=\"white-space:nowrap\">ongoing<a name=\"MNCHCodes-ongoing\"> </a></td><td>Ongoing (in-progress)</td></tr><tr><td style=\"white-space:nowrap\">completed<a name=\"MNCHCodes-completed\"> </a></td><td>Completed</td></tr><tr><td style=\"white-space:nowrap\">blood-type-test<a name=\"MNCHCodes-blood-type-test\"> </a></td><td>Blood type test ordered</td></tr><tr><td style=\"white-space:nowrap\">hiv-pmtct<a name=\"MNCHCodes-hiv-pmtct\"> </a></td><td>HIV testing – PMTCT screening</td></tr><tr><td style=\"white-space:nowrap\">malaria-rdt<a name=\"MNCHCodes-malaria-rdt\"> </a></td><td>Malaria RDT / Microscopy</td></tr><tr><td style=\"white-space:nowrap\">hemoglobin-test<a name=\"MNCHCodes-hemoglobin-test\"> </a></td><td>Haemoglobin test</td></tr><tr><td style=\"white-space:nowrap\">urinalysis<a name=\"MNCHCodes-urinalysis\"> </a></td><td>Urinalysis</td></tr><tr><td style=\"white-space:nowrap\">blood-sugar<a name=\"MNCHCodes-blood-sugar\"> </a></td><td>Blood sugar testing</td></tr><tr><td style=\"white-space:nowrap\">rhesus-test<a name=\"MNCHCodes-rhesus-test\"> </a></td><td>Rhesus (D) antigen test</td></tr><tr><td style=\"white-space:nowrap\">tt-vaccination<a name=\"MNCHCodes-tt-vaccination\"> </a></td><td>Tetanus toxoid vaccination</td></tr><tr><td style=\"white-space:nowrap\">iron-folate<a name=\"MNCHCodes-iron-folate\"> </a></td><td>Iron and folate supplementation</td></tr><tr><td style=\"white-space:nowrap\">deworming<a name=\"MNCHCodes-deworming\"> </a></td><td>Deworming</td></tr><tr><td style=\"white-space:nowrap\">iptp-sp<a name=\"MNCHCodes-iptp-sp\"> </a></td><td>IPTp-SP (malaria prevention)</td></tr><tr><td style=\"white-space:nowrap\">obstetric-ultrasound<a name=\"MNCHCodes-obstetric-ultrasound\"> </a></td><td>Obstetric ultrasound</td></tr><tr><td style=\"white-space:nowrap\">doppler<a name=\"MNCHCodes-doppler\"> </a></td><td>Doppler velocimetry</td></tr><tr><td style=\"white-space:nowrap\">svd-procedure<a name=\"MNCHCodes-svd-procedure\"> </a></td><td>Spontaneous vaginal delivery</td></tr><tr><td style=\"white-space:nowrap\">c-section-procedure<a name=\"MNCHCodes-c-section-procedure\"> </a></td><td>Caesarean section procedure</td></tr><tr><td style=\"white-space:nowrap\">assisted-delivery<a name=\"MNCHCodes-assisted-delivery\"> </a></td><td>Assisted delivery procedure</td></tr><tr><td style=\"white-space:nowrap\">episiotomy<a name=\"MNCHCodes-episiotomy\"> </a></td><td>Episiotomy</td></tr><tr><td style=\"white-space:nowrap\">induction<a name=\"MNCHCodes-induction\"> </a></td><td>Induction of labour</td></tr><tr><td style=\"white-space:nowrap\">pph-management<a name=\"MNCHCodes-pph-management\"> </a></td><td>Postpartum haemorrhage management</td></tr></table></div>"
  },
  "url" : "http://fhir.health.go.ke/mnch/CodeSystem/MNCHCodes",
  "version" : "0.1.0",
  "name" : "MNCHCodes",
  "title" : "MNCH DAK Local Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-16T20:08:11+00:00",
  "publisher" : "intellisoftkenya",
  "contact" : [{
    "name" : "intellisoftkenya",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.intellisoftkenya.com/"
    }]
  }],
  "description" : "Local codes for Kisumu HIE MNCH data dictionary elements",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 71,
  "concept" : [{
    "code" : "normal",
    "display" : "Normal vaginal delivery"
  },
  {
    "code" : "forceps",
    "display" : "Forceps-assisted delivery"
  },
  {
    "code" : "vacuum",
    "display" : "Vacuum-assisted delivery"
  },
  {
    "code" : "c-section",
    "display" : "Caesarean section"
  },
  {
    "code" : "svd",
    "display" : "Spontaneous vaginal delivery"
  },
  {
    "code" : "assisted",
    "display" : "Assisted delivery (other)"
  },
  {
    "code" : "no-complications",
    "display" : "No complications"
  },
  {
    "code" : "pph",
    "display" : "Postpartum haemorrhage"
  },
  {
    "code" : "aph",
    "display" : "Antepartum haemorrhage"
  },
  {
    "code" : "placenta-praevia",
    "display" : "Placenta praevia"
  },
  {
    "code" : "placental-abruption",
    "display" : "Placental abruption"
  },
  {
    "code" : "cord-prolapse",
    "display" : "Cord prolapse"
  },
  {
    "code" : "obstructed-labour",
    "display" : "Obstructed labour"
  },
  {
    "code" : "abnormal-presentation",
    "display" : "Abnormal presentation"
  },
  {
    "code" : "pre-eclampsia",
    "display" : "Pre-eclampsia"
  },
  {
    "code" : "eclampsia",
    "display" : "Eclampsia"
  },
  {
    "code" : "perineal-tear",
    "display" : "Perineal tear 3rd/4th degree"
  },
  {
    "code" : "blood-loss-light",
    "display" : "Light blood loss (<500 mL)"
  },
  {
    "code" : "blood-loss-medium",
    "display" : "Medium blood loss (500–1000 mL)"
  },
  {
    "code" : "blood-loss-heavy",
    "display" : "Heavy blood loss (>1000 mL)"
  },
  {
    "code" : "health-facility",
    "display" : "Health facility"
  },
  {
    "code" : "home",
    "display" : "Home"
  },
  {
    "code" : "nurse",
    "display" : "Nurse"
  },
  {
    "code" : "midwife",
    "display" : "Midwife"
  },
  {
    "code" : "clinical-officer",
    "display" : "Clinical Officer"
  },
  {
    "code" : "doctor",
    "display" : "Doctor"
  },
  {
    "code" : "hiv-positive",
    "display" : "HIV Positive"
  },
  {
    "code" : "hiv-negative",
    "display" : "HIV Negative"
  },
  {
    "code" : "hiv-indeterminate",
    "display" : "HIV Indeterminate"
  },
  {
    "code" : "hiv-unknown",
    "display" : "HIV Unknown"
  },
  {
    "code" : "on-haart",
    "display" : "On HAART"
  },
  {
    "code" : "not-on-haart",
    "display" : "Not on HAART"
  },
  {
    "code" : "haart-na",
    "display" : "Not applicable (HIV-negative)"
  },
  {
    "code" : "within-48h",
    "display" : "Within 48 hours"
  },
  {
    "code" : "1-2-weeks",
    "display" : "1–2 weeks postpartum"
  },
  {
    "code" : "6-weeks",
    "display" : "6 weeks postpartum"
  },
  {
    "code" : "attended",
    "display" : "Attended"
  },
  {
    "code" : "missed",
    "display" : "Missed"
  },
  {
    "code" : "rescheduled",
    "display" : "Rescheduled"
  },
  {
    "code" : "cancelled",
    "display" : "Cancelled"
  },
  {
    "code" : "no-fp-method",
    "display" : "No family planning method"
  },
  {
    "code" : "oral-contraceptive",
    "display" : "Oral contraceptive"
  },
  {
    "code" : "iud",
    "display" : "IUD"
  },
  {
    "code" : "implant",
    "display" : "Implant"
  },
  {
    "code" : "injectable",
    "display" : "Injectable contraceptive"
  },
  {
    "code" : "condoms",
    "display" : "Condoms"
  },
  {
    "code" : "active",
    "display" : "Active"
  },
  {
    "code" : "chronic",
    "display" : "Chronic"
  },
  {
    "code" : "resolved",
    "display" : "Resolved"
  },
  {
    "code" : "planned",
    "display" : "Planned"
  },
  {
    "code" : "ongoing",
    "display" : "Ongoing (in-progress)"
  },
  {
    "code" : "completed",
    "display" : "Completed"
  },
  {
    "code" : "blood-type-test",
    "display" : "Blood type test ordered"
  },
  {
    "code" : "hiv-pmtct",
    "display" : "HIV testing – PMTCT screening"
  },
  {
    "code" : "malaria-rdt",
    "display" : "Malaria RDT / Microscopy"
  },
  {
    "code" : "hemoglobin-test",
    "display" : "Haemoglobin test"
  },
  {
    "code" : "urinalysis",
    "display" : "Urinalysis"
  },
  {
    "code" : "blood-sugar",
    "display" : "Blood sugar testing"
  },
  {
    "code" : "rhesus-test",
    "display" : "Rhesus (D) antigen test"
  },
  {
    "code" : "tt-vaccination",
    "display" : "Tetanus toxoid vaccination"
  },
  {
    "code" : "iron-folate",
    "display" : "Iron and folate supplementation"
  },
  {
    "code" : "deworming",
    "display" : "Deworming"
  },
  {
    "code" : "iptp-sp",
    "display" : "IPTp-SP (malaria prevention)"
  },
  {
    "code" : "obstetric-ultrasound",
    "display" : "Obstetric ultrasound"
  },
  {
    "code" : "doppler",
    "display" : "Doppler velocimetry"
  },
  {
    "code" : "svd-procedure",
    "display" : "Spontaneous vaginal delivery"
  },
  {
    "code" : "c-section-procedure",
    "display" : "Caesarean section procedure"
  },
  {
    "code" : "assisted-delivery",
    "display" : "Assisted delivery procedure"
  },
  {
    "code" : "episiotomy",
    "display" : "Episiotomy"
  },
  {
    "code" : "induction",
    "display" : "Induction of labour"
  },
  {
    "code" : "pph-management",
    "display" : "Postpartum haemorrhage management"
  }]
}