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 - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <id value="HIECondition-example"/>
  <meta>
    <profile
             value="https://nshr.dha.go.ke/fhir/StructureDefinition/hie-condition"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical record number"/>
      </coding>
      <text value="Condition ID"/>
    </type>
    <system value="http://example.org/conditions"/>
    <value value="COND-12345"/>
  </identifier>
  <clinicalStatus>
    <coding>
      <system value="http://hl7.org/fhir/condition-clinical"/>
      <code value="active"/>
      <display value="Active"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system value="http://hl7.org/fhir/condition-ver-status"/>
      <code value="confirmed"/>
      <display value="Confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="encounter-diagnosis"/>
      <display value="Encounter Diagnosis"/>
    </coding>
  </category>
  <severity>
    <coding>
      <system
              value="http://example.org/fhir/CodeSystem/hie-condition-severity-cs"/>
      <code value="moderate"/>
      <display value="Moderate"/>
    </coding>
  </severity>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="25064002"/>
      <display value="Headache"/>
    </coding>
  </code>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="69536005"/>
      <display value="Head structure"/>
    </coding>
  </bodySite>
  <subject>
    <reference value="Patient/p-001"/>
    <display value="Jane Patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/enc-001"/>
    <display value="Ambulatory visit 2025-11-12"/>
  </encounter>
  <onsetDateTime value="2025-11-11T08:00:00+03:00"/>
  <recordedDate value="2025-11-12"/>
  <recorder>
    <reference value="HIEPractitioner/pr-001"/>
    <display value="Dr. John Clinician"/>
  </recorder>
  <asserter>
    <reference value="Patient/p-001"/>
    <display value="Jane Patient"/>
  </asserter>
  <stage>
    <summary>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="241929008"/>
        <display value="Acute illness"/>
      </coding>
    </summary>
    <assessment>
      <reference value="Observation/obs-001"/>
      <display value="Pain score NRS 6/10"/>
    </assessment>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/condition-stage"/>
        <code value="episode"/>
        <display value="Episode"/>
      </coding>
    </type>
  </stage>
  <evidence>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="5880005"/>
        <display value="Clinical examination"/>
      </coding>
    </code>
    <detail>
      <reference value="Observation/obs-001"/>
      <display value="Pain score NRS 6/10"/>
    </detail>
  </evidence>
  <note>
    <authorReference>
      <reference value="HIEPractitioner/pr-001"/>
    </authorReference>
    <time value="2025-11-12T10:15:00+03:00"/>
    <text
          value="Headache started yesterday morning, no red flags, managed with NSAIDs."/>
  </note>
</Condition>