0.1.0 - ci-build
KISUMUHIEFHIRIG, published by intellisoftkenya. 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/IntelliSOFT-Consulting/Kisumu-County-HIE-FHIR-IG/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define constraints on FHIR resources for systems conforming to this implementation guide.
| ANC Condition |
Kisumu ANC Condition |
| ANC RelatedPerson |
ANC RelatedPerson |
| Appointment - Kisumu Patient |
A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s). |
| Encounter - Kisumu Patient |
An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. |
| KCHIP ANC Clinical Observations |
Key longitudinal clinical observations from the KCHIP minimum dataset: blood pressure, pulse, weight, fundal height, fetal lie, fetal presentation, fetal heart sounds, and fetal heart rate. |
| KCHIP Current Medication |
Current treatment or medications for a pregnant woman exchanged via the KCHIP minimum dataset (Section 6 – Current Treatment/Medications). |
| KCHIP Danger Signs |
Maternal danger signs from the KCHIP minimum dataset (Section 8): vaginal bleeding, severe headache, blurred vision, reduced fetal movements, convulsions, and severe abdominal pain. Each is recorded as a boolean (present/absent). |
| KCHIP Key Laboratory Results |
Key laboratory results from the KCHIP minimum dataset: haemoglobin, HIV status, syphilis status, blood group/Rh factor, and urine protein. |
| KCHIP Labour Observation |
Clinical observations during labour from the KCHIP minimum dataset (Section 7): onset of labour, cervical dilation, fetal heart rate, membrane status, and colour of liquor. |
| KCHIP Pregnancy Context |
Pregnancy context data for the KCHIP minimum dataset: gravidity, parity, delivery history and risk, LMP, EDD, gestational age (clinical and by ultrasound). |
| KCHIP Pregnancy Diagnosis |
Clinical diagnosis for a pregnant woman exchanged via the KCHIP minimum dataset (Section 5). Covers both uncomplicated and complicated pregnancy diagnoses. |
| KCHIP Referral Request |
Referral to another facility or specialist, exchanged as part of the KCHIP minimum dataset (Section 6 – Referral Reason). |
| Kisumu Patient Consent Profile |
Profile for capturing Kisumu patient consent decisions in Kisumu health information exchange, including explicit capture of consent refusal reasons. |
| MNCH HIV Test Observation |
HIV testing during delivery or PNC visit (MNCH.E.DE.2–DE.6 / MNCH.F.DE.25) |
| MNCH Maternal Condition |
A clinical condition or diagnosis documented for a pregnant or postnatal woman (MNCH.H) |
| MNCH Newborn Vitals at Delivery |
Newborn measurements and Apgar scores at delivery (MNCH.E.DE.49–DE.55) |
| MNCH Obstetric Delivery Encounter |
Records the obstetric delivery visit for a pregnant woman (MNCH.E) |
| MNCH PNC Baby Assessment |
Newborn assessment during PNC visit (MNCH.F.DE.47–DE.52) |
| MNCH PNC Maternal Vitals |
Vital signs and clinical findings for the mother during a PNC visit (MNCH.F.DE.12–DE.24) |
| MNCH Postnatal Care (PNC) Visit |
Records the postnatal care visit (MNCH.F) |
| MNCH Procedure |
A clinical procedure or intervention performed during an MNCH visit (MNCH.G) |
| MedicationDispenseProfile |
Profile for a medication dispense record. |
| ObservationProfile |
ObservationProfile |
| Patient - Kisumu Patient |
Demographics for the Kisumu County Patient |
| PractitionerProfile |
PractitionerProfile |
| Service Provider - Facility |
Details for collecting information for Service provider (Facility) within Kisumu County |
| Ultrasound - Kisumu Patient |
Profile for ANC ultrasound including metadata and findings |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| Consent Decline Reason |
Captures the reason why a patient declined consent. |
| MNCH Appointment Status |
Status of the client's scheduled appointment (MNCH.F.DE.2) |
| MNCH Baby Immunization Started |
Whether newborn immunizations have been given (MNCH.F.DE.53) |
| MNCH Blood Loss |
Estimated blood loss at delivery (MNCH.E.DE.39) |
| MNCH Condition of Mother |
Clinical status of the mother post-delivery (MNCH.E.DE.45) |
| MNCH Delivery Complications |
Complications occurring during delivery (MNCH.E.DE.13) |
| MNCH Delivery Conducted By |
Cadre of the person who conducted the delivery (MNCH.E.DE.60) |
| MNCH Drugs Administered at Delivery |
Medications given at delivery (MNCH.E.DE.48) |
| MNCH Family Planning Counseling |
Whether the mother received family planning counseling (MNCH.F.DE.35) |
| MNCH Family Planning Method |
Family planning method chosen by the mother (MNCH.F.DE.39) |
| MNCH HEI Infant ART Prophylaxis |
ART prophylaxis given to HIV-exposed infant (MNCH.F.DE.54) |
| MNCH HIV Retesting |
HIV re-testing done at 6/14 weeks and 9 months postpartum (MNCH.F.DE.34) |
| MNCH Infant Cotrimoxazole Prophylaxis |
Cotrimoxazole initiated for HIV-exposed infant (MNCH.F.DE.58) |
| MNCH Meconium Stained Liquor |
Presence of meconium in amniotic fluid (MNCH.E.DE.47) |
| MNCH Mode of Delivery |
The method by which the baby was delivered (MNCH.E.DE.8) |
| MNCH Mode of Delivery (Procedure context) |
Mode of delivery documented as part of a procedure record (MNCH.G.DE27) |
| MNCH Mother Cotrimoxazole Prophylaxis |
Cotrimoxazole prophylaxis initiated for HIV-positive mother (MNCH.F.DE.33) |
| MNCH Mother on HAART |
Whether the mother is on HAART (MNCH.F.DE.29) |
| MNCH Obstructed Labour |
Whether delivery involved obstructed labour (MNCH.E.DE.44) |
| MNCH PNC Visit Timing |
Point in postnatal period when the visit occurred (MNCH.F.DE.7) |
| MNCH Place of Delivery |
Where the delivery took place (MNCH.E.DE.56) |
| MNCH Pre-eclampsia/Eclampsia |
Whether pre-eclampsia or eclampsia occurred (MNCH.E.DE.43) |
| MNCH Resuscitation Done |
Whether the baby required resuscitation at birth (MNCH.E.DE.46) |
These define sets of codes used by systems conforming to this implementation guide.
| Amniotic Fluid Level |
Amniotic Fluid Level |
| Encounter Service Type |
Codes for Encounter Service type |
| Gender |
Administrative gender |
| KCHIP Blood Group and Rh Factor |
Combined ABO blood group and Rh factor result |
| KCHIP Fetal Lie |
Fetal lie options for ANC observation |
| KCHIP Fetal Presentation |
Fetal presentation options for ANC observation |
| KCHIP HIV Status |
HIV status as known at the point of HIE exchange |
| KCHIP Labour Onset Type |
How labour was initiated |
| KCHIP Liquor Colour |
Character of amniotic fluid after membrane rupture |
| KCHIP Membrane Status |
Status of membranes during labour |
| KCHIP Pregnancy Diagnoses |
Clinical diagnoses identified in the KCHIP Minimum Dataset (Section 5) |
| KCHIP Syphilis Status |
Syphilis (RPR) status as known at the point of HIE exchange |
| KCHIP Urine Protein Dipstick |
Semi-quantitative urine protein dipstick result |
| MNCH Appointment Status |
Status of scheduled appointment (MNCH.F.DE.2) |
| MNCH Blood Loss Category |
Estimated blood loss at delivery (MNCH.E.DE.39) |
| MNCH Condition Codes |
Clinical conditions documented in MNCH.H |
| MNCH Condition Severity |
Severity classification for conditions (MNCH.H.DE7) |
| MNCH Delivery Cadre |
Person conducting the delivery (MNCH.E.DE.60) |
| MNCH Delivery Complications |
Complications during delivery (MNCH.E.DE.13) |
| MNCH Delivery Mode |
Mode of delivery (MNCH.E.DE.8) |
| MNCH Family Planning Methods |
Family planning methods used by the mother (MNCH.F.DE.39) |
| MNCH HIV Test Result |
HIV test result (MNCH.E.DE.3 / MNCH.F.DE.25) |
| MNCH Mother on HAART |
Mother's HAART status (MNCH.F.DE.29) |
| MNCH PNC Visit Timing |
Timing of postnatal care visit (MNCH.F.DE.7) |
| MNCH Place of Delivery |
Location of delivery (MNCH.E.DE.56) |
| MNCH Procedure Codes |
Procedures performed during MNCH visits (MNCH.G) |
| Placenta Location |
Placenta Location |
| Reason Ultrasound Not Done |
Reason Ultrasound Not Done |
These define new code systems used by systems conforming to this implementation guide.
| Amniotic Fluid Level |
Amniotic Fluid Level |
| Encounter Service Type |
Code System for service types for a given encounter |
| KCHIP Minimum Dataset Code System |
Local codes for KCHIP data elements without standard LOINC/SNOMED equivalents |
| MNCH DAK Local Code System |
Local codes for Kisumu HIE MNCH data dictionary elements |
| Master Facility List (MFL) Codes |
Codes found in the MFL. |
| Placenta Location |
Placenta Location |
| Reason Ultrasound Not Done |
Reason Ultrasound Not Done |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| ConsentDeclinedExample01 | |
| ConsentGrantedExample01 | |
| Example - Kisumu County Patient |
A sample Kisumu patient with required identifiers, name, telecom, address, and organization reference. |
| Example - Kisumu Facility Organization |
A health facility in Kisumu County with KMFL code |
| Example ANC Ultrasound Observation |
A sample ANC ultrasound observation for a pregnant woman in Kisumu. |
| Example Medication Dispense |
An example instance of a medication dispense record following the MedicationDispenseProfile. |
| Example Observation |
An example instance of an observation following the ObservationProfile. |
| Example Practitioner |
An example instance of a healthcare practitioner following the PractitionerProfile. |
| Example – KCHIP ANC Clinical Observations | |
| Example – KCHIP Current Medication | |
| Example – KCHIP Danger Signs | |
| Example – KCHIP Key Laboratory Results | |
| Example – KCHIP Labour Observation | |
| Example – KCHIP Pregnancy Context | |
| Example – KCHIP Pregnancy Diagnosis | |
| Example – KCHIP Referral | |
| Example – Kisumu ANC Encounter |
A sample ANC encounter used by KCHIP minimum dataset examples. |