SIL HIE 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/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example HIE Condition - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "HIECondition-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-condition"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Condition Narrative</b></p><p>Headache, active, confirmed, moderate severity.</p><p><b>Patient</b></p><ul><li>Name: Jane Patient</li><li>Reference: Patient/p-001</li></ul><p><b>Condition details</b></p><table><tbody><tr><td><b>Code</b></td><td>Headache, SNOMED CT 25064002</td></tr><tr><td><b>Clinical status</b></td><td>Active</td></tr><tr><td><b>Verification status</b></td><td>Confirmed</td></tr><tr><td><b>Category</b></td><td>Encounter diagnosis</td></tr><tr><td><b>Severity</b></td><td>Moderate</td></tr><tr><td><b>Body site</b></td><td>Head structure, SNOMED CT 69536005</td></tr></tbody></table><p><b>Context</b></p><ul><li>Encounter: Ambulatory visit 2025-11-12, Encounter/enc-001</li><li>Recorded date: 2025-11-12</li><li>Onset: 2025-11-11T08:00:00+03:00</li></ul><p><b>Stage</b></p><table><tbody><tr><td><b>Summary</b></td><td>Acute illness, SNOMED CT 241929008</td></tr><tr><td><b>Type</b></td><td>Episode</td></tr><tr><td><b>Assessment</b></td><td>Pain score NRS 6 out of 10, Observation/obs-001</td></tr></tbody></table><p><b>Evidence</b></p><table><thead><tr><th align=\"left\">Code</th><th align=\"left\">Details</th></tr></thead><tbody><tr><td>Clinical examination, SNOMED CT 5880005</td><td>Observation/obs-001, pain score NRS 6 out of 10</td></tr></tbody></table><p><b>Provenance</b></p><ul><li>Recorder: Dr. John Clinician, HIEPractitioner/pr-001</li><li>Asserter: Jane Patient, Patient/p-001</li></ul><p><b>Notes</b></p><ul><li>Headache started yesterday morning, no red flags, managed with NSAIDs.</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical record number"
          }
        ],
        "text" : "Condition ID"
      },
      "system" : "http://example.org/conditions",
      "value" : "COND-12345"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/condition-clinical",
        "code" : "active",
        "display" : "Active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/condition-ver-status",
        "code" : "confirmed",
        "display" : "Confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }
      ]
    }
  ],
  "severity" : {
    "coding" : [
      {
        "system" : "http://example.org/fhir/CodeSystem/hie-condition-severity-cs",
        "code" : "moderate",
        "display" : "Moderate"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "25064002",
        "display" : "Headache"
      }
    ]
  },
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "69536005",
          "display" : "Head structure"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "encounter" : {
    "reference" : "Encounter/enc-001",
    "display" : "Ambulatory visit 2025-11-12"
  },
  "onsetDateTime" : "2025-11-11T08:00:00+03:00",
  "recordedDate" : "2025-11-12",
  "recorder" : {
    "reference" : "HIEPractitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "asserter" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "stage" : [
    {
      "summary" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "241929008",
            "display" : "Acute illness"
          }
        ]
      },
      "assessment" : [
        {
          "reference" : "Observation/obs-001",
          "display" : "Pain score NRS 6/10"
        }
      ],
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-stage",
            "code" : "episode",
            "display" : "Episode"
          }
        ]
      }
    }
  ],
  "evidence" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "5880005",
              "display" : "Clinical examination"
            }
          ]
        }
      ],
      "detail" : [
        {
          "reference" : "Observation/obs-001",
          "display" : "Pain score NRS 6/10"
        }
      ]
    }
  ],
  "note" : [
    {
      "authorReference" : {
        "reference" : "HIEPractitioner/pr-001"
      },
      "time" : "2025-11-12T10:15:00+03:00",
      "text" : "Headache started yesterday morning, no red flags, managed with NSAIDs."
    }
  ]
}