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
| Active as of 2026-09-15 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/clinical-form-category-codesystem> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "clinical-form-category-codesystem"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem clinical-form-category-codesystem</b></p><a name=\"clinical-form-category-codesystem\"> </a><a name=\"hcclinical-form-category-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-form-category-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\">admission-record<a name=\"clinical-form-category-codesystem-admission-record\"> </a></td><td>Admission record</td><td>The structured record made when a patient is taken onto a ward: presenting illness, the examination on admission, and the plan the admission starts from.</td></tr><tr><td style=\"white-space:nowrap\">triage-record<a name=\"clinical-form-category-codesystem-triage-record\"> </a></td><td>Triage record</td><td>The sheet a patient is sorted on at the front door — how urgently they need to be seen, and the signs that decided it.</td></tr><tr><td style=\"white-space:nowrap\">clinical-assessment<a name=\"clinical-form-category-codesystem-clinical-assessment\"> </a></td><td>Clinical assessment</td><td>A structured assessment by one service, completed once per episode: palliative, nutrition, psychological, rehabilitation intake and the like.</td></tr><tr><td style=\"white-space:nowrap\">scored-instrument<a name=\"clinical-form-category-codesystem-scored-instrument\"> </a></td><td>Scored instrument</td><td>A form whose output is a score rather than a set of findings — Bishop, Apgar, Glasgow, MUAC-based screens. Scored instruments are kept apart from assessments because the score is comparable over time and a free assessment is not.</td></tr><tr><td style=\"white-space:nowrap\">observation-chart<a name=\"clinical-form-category-codesystem-observation-chart\"> </a></td><td>Observation chart</td><td>Vital signs and physiological observations charted round by round through an admission.</td></tr><tr><td style=\"white-space:nowrap\">monitoring-chart<a name=\"clinical-form-category-codesystem-monitoring-chart\"> </a></td><td>Monitoring chart</td><td>A chart tracking one device or one therapy over time — ventilator, CPAP, dialysis, neurological observations, a chemotherapy cycle. Distinct from an observation chart because the columns are settings and responses to a treatment rather than the patient's own vitals.</td></tr><tr><td style=\"white-space:nowrap\">fluid-balance-chart<a name=\"clinical-form-category-codesystem-fluid-balance-chart\"> </a></td><td>Fluid balance chart</td><td>Intake and output charted over a shift or a day, with the totals that decide the next fluid order.</td></tr><tr><td style=\"white-space:nowrap\">feeding-chart<a name=\"clinical-form-category-codesystem-feeding-chart\"> </a></td><td>Feeding chart</td><td>What a patient — usually a baby — was fed, when, how much and by what route.</td></tr><tr><td style=\"white-space:nowrap\">nursing-care-plan<a name=\"clinical-form-category-codesystem-nursing-care-plan\"> </a></td><td>Nursing care plan</td><td>The nursing problem list with the care planned against each problem and the evaluation of it.</td></tr><tr><td style=\"white-space:nowrap\">medication-chart<a name=\"clinical-form-category-codesystem-medication-chart\"> </a></td><td>Medication chart</td><td>A prescription or an administration record: what was ordered or given, at what dose, by what route.</td></tr><tr><td style=\"white-space:nowrap\">wound-care-record<a name=\"clinical-form-category-codesystem-wound-care-record\"> </a></td><td>Wound care record</td><td>Dressing changes, irrigation and the state of a wound or a surgical site over time.</td></tr><tr><td style=\"white-space:nowrap\">rehabilitation-record<a name=\"clinical-form-category-codesystem-rehabilitation-record\"> </a></td><td>Rehabilitation record</td><td>Therapy given and progress against it, session by session — physiotherapy, occupational therapy, speech therapy.</td></tr><tr><td style=\"white-space:nowrap\">progress-note<a name=\"clinical-form-category-codesystem-progress-note\"> </a></td><td>Progress note</td><td>A dated clinical entry continuing the record of a stay: doctors' notes, ward round entries, review notes.</td></tr><tr><td style=\"white-space:nowrap\">procedure-record<a name=\"clinical-form-category-codesystem-procedure-record\"> </a></td><td>Procedure record</td><td>The record of a procedure actually performed — the operation note, the anaesthetic chart, the endoscopy record.</td></tr><tr><td style=\"white-space:nowrap\">recovery-record<a name=\"clinical-form-category-codesystem-recovery-record\"> </a></td><td>Recovery record</td><td>Observations and care in the recovery period immediately after a procedure, before the patient goes back to a ward.</td></tr><tr><td style=\"white-space:nowrap\">safety-checklist<a name=\"clinical-form-category-codesystem-safety-checklist\"> </a></td><td>Safety checklist</td><td>A checklist completed to confirm a step was taken before, during or after a procedure. Its value is the record that somebody checked, which is why an unfilled box is a finding rather than a blank.</td></tr><tr><td style=\"white-space:nowrap\">handover-record<a name=\"clinical-form-category-codesystem-handover-record\"> </a></td><td>Handover record</td><td>What one team tells the next about a patient at a shift change or a transfer between units.</td></tr><tr><td style=\"white-space:nowrap\">referral<a name=\"clinical-form-category-codesystem-referral\"> </a></td><td>Referral</td><td>A patient sent on to another unit or facility, with the history and the reason for sending them.</td></tr><tr><td style=\"white-space:nowrap\">discharge-summary<a name=\"clinical-form-category-codesystem-discharge-summary\"> </a></td><td>Discharge summary</td><td>The account of a completed admission that the patient leaves with and the next clinician reads.</td></tr><tr><td style=\"white-space:nowrap\">requisition<a name=\"clinical-form-category-codesystem-requisition\"> </a></td><td>Requisition</td><td>A request to another department for a test, an image, a blood product or a supply.</td></tr><tr><td style=\"white-space:nowrap\">consent<a name=\"clinical-form-category-codesystem-consent\"> </a></td><td>Consent</td><td>A record of permission given or refused for a procedure, a treatment, a disclosure or a disposal.</td></tr><tr><td style=\"white-space:nowrap\">clinical-report<a name=\"clinical-form-category-codesystem-clinical-report\"> </a></td><td>Clinical report</td><td>A report on a patient written for someone outside the treating team — an insurer, a court, another hospital, a mortality review.</td></tr><tr><td style=\"white-space:nowrap\">mortuary-record<a name=\"clinical-form-category-codesystem-mortuary-record\"> </a></td><td>Mortuary record</td><td>Admission to, release from, or a consent connected with the mortuary.</td></tr><tr><td style=\"white-space:nowrap\">survey<a name=\"clinical-form-category-codesystem-survey\"> </a></td><td>Survey</td><td>A questionnaire whose answers are about the service rather than about the patient's health, and which produces no clinical resource.</td></tr></table></div>"^^rdf:XMLLiteral ]
] ; #
fhir:url [ fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-form-category-codesystem"^^xsd:anyURI] ; #
fhir:version [ fhir:v "0.1.0"] ; #
fhir:name [ fhir:v "SGHIClinicalFormCategoryCodeSystem"] ; #
fhir:title [ fhir:v "SGHI Clinical Form Category Code System"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v false] ; #
fhir:date [ fhir:v "2026-09-15T11:40:24+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "Kathurima Kimathi"] ; #
fhir:contact ( [
fhir:name [ fhir:v "Kathurima Kimathi" ] ;
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.linkedin.com/in/kathurima-kimathi/" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "kathurimakimathi415@gmail.com" ]
] )
] [
fhir:name [ fhir:v "Oscar John" ] ;
fhir:telecom ( [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "oscarjohnotieno@gmail.com" ] ;
fhir:use [ fhir:v "work" ]
] )
] [
fhir:name [ fhir:v "Kennedy Omondi" ] ;
fhir:telecom ( [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "kennankole@gmail.com" ] ;
fhir:use [ fhir:v "work" ]
] )
] ) ; #
fhir:description [ fhir:v "The kind of clinical form a Questionnaire represents, at the granularity a clinician would use to find one: an admission record, an observation chart, a theatre record, a consent. Facility-independent by design, so the same code means the same thing across every hospital in the deployment and a form can be found by shape rather than by the name one hospital happens to print on it."] ; #
fhir:caseSensitive [ fhir:v true] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:count [ fhir:v "24"^^xsd:nonNegativeInteger] ; #
fhir:concept ( [
fhir:code [ fhir:v "admission-record" ] ;
fhir:display [ fhir:v "Admission record" ] ;
fhir:definition [ fhir:v "The structured record made when a patient is taken onto a ward: presenting illness, the examination on admission, and the plan the admission starts from." ]
] [
fhir:code [ fhir:v "triage-record" ] ;
fhir:display [ fhir:v "Triage record" ] ;
fhir:definition [ fhir:v "The sheet a patient is sorted on at the front door — how urgently they need to be seen, and the signs that decided it." ]
] [
fhir:code [ fhir:v "clinical-assessment" ] ;
fhir:display [ fhir:v "Clinical assessment" ] ;
fhir:definition [ fhir:v "A structured assessment by one service, completed once per episode: palliative, nutrition, psychological, rehabilitation intake and the like." ]
] [
fhir:code [ fhir:v "scored-instrument" ] ;
fhir:display [ fhir:v "Scored instrument" ] ;
fhir:definition [ fhir:v "A form whose output is a score rather than a set of findings — Bishop, Apgar, Glasgow, MUAC-based screens. Scored instruments are kept apart from assessments because the score is comparable over time and a free assessment is not." ]
] [
fhir:code [ fhir:v "observation-chart" ] ;
fhir:display [ fhir:v "Observation chart" ] ;
fhir:definition [ fhir:v "Vital signs and physiological observations charted round by round through an admission." ]
] [
fhir:code [ fhir:v "monitoring-chart" ] ;
fhir:display [ fhir:v "Monitoring chart" ] ;
fhir:definition [ fhir:v "A chart tracking one device or one therapy over time — ventilator, CPAP, dialysis, neurological observations, a chemotherapy cycle. Distinct from an observation chart because the columns are settings and responses to a treatment rather than the patient's own vitals." ]
] [
fhir:code [ fhir:v "fluid-balance-chart" ] ;
fhir:display [ fhir:v "Fluid balance chart" ] ;
fhir:definition [ fhir:v "Intake and output charted over a shift or a day, with the totals that decide the next fluid order." ]
] [
fhir:code [ fhir:v "feeding-chart" ] ;
fhir:display [ fhir:v "Feeding chart" ] ;
fhir:definition [ fhir:v "What a patient — usually a baby — was fed, when, how much and by what route." ]
] [
fhir:code [ fhir:v "nursing-care-plan" ] ;
fhir:display [ fhir:v "Nursing care plan" ] ;
fhir:definition [ fhir:v "The nursing problem list with the care planned against each problem and the evaluation of it." ]
] [
fhir:code [ fhir:v "medication-chart" ] ;
fhir:display [ fhir:v "Medication chart" ] ;
fhir:definition [ fhir:v "A prescription or an administration record: what was ordered or given, at what dose, by what route." ]
] [
fhir:code [ fhir:v "wound-care-record" ] ;
fhir:display [ fhir:v "Wound care record" ] ;
fhir:definition [ fhir:v "Dressing changes, irrigation and the state of a wound or a surgical site over time." ]
] [
fhir:code [ fhir:v "rehabilitation-record" ] ;
fhir:display [ fhir:v "Rehabilitation record" ] ;
fhir:definition [ fhir:v "Therapy given and progress against it, session by session — physiotherapy, occupational therapy, speech therapy." ]
] [
fhir:code [ fhir:v "progress-note" ] ;
fhir:display [ fhir:v "Progress note" ] ;
fhir:definition [ fhir:v "A dated clinical entry continuing the record of a stay: doctors' notes, ward round entries, review notes." ]
] [
fhir:code [ fhir:v "procedure-record" ] ;
fhir:display [ fhir:v "Procedure record" ] ;
fhir:definition [ fhir:v "The record of a procedure actually performed — the operation note, the anaesthetic chart, the endoscopy record." ]
] [
fhir:code [ fhir:v "recovery-record" ] ;
fhir:display [ fhir:v "Recovery record" ] ;
fhir:definition [ fhir:v "Observations and care in the recovery period immediately after a procedure, before the patient goes back to a ward." ]
] [
fhir:code [ fhir:v "safety-checklist" ] ;
fhir:display [ fhir:v "Safety checklist" ] ;
fhir:definition [ fhir:v "A checklist completed to confirm a step was taken before, during or after a procedure. Its value is the record that somebody checked, which is why an unfilled box is a finding rather than a blank." ]
] [
fhir:code [ fhir:v "handover-record" ] ;
fhir:display [ fhir:v "Handover record" ] ;
fhir:definition [ fhir:v "What one team tells the next about a patient at a shift change or a transfer between units." ]
] [
fhir:code [ fhir:v "referral" ] ;
fhir:display [ fhir:v "Referral" ] ;
fhir:definition [ fhir:v "A patient sent on to another unit or facility, with the history and the reason for sending them." ]
] [
fhir:code [ fhir:v "discharge-summary" ] ;
fhir:display [ fhir:v "Discharge summary" ] ;
fhir:definition [ fhir:v "The account of a completed admission that the patient leaves with and the next clinician reads." ]
] [
fhir:code [ fhir:v "requisition" ] ;
fhir:display [ fhir:v "Requisition" ] ;
fhir:definition [ fhir:v "A request to another department for a test, an image, a blood product or a supply." ]
] [
fhir:code [ fhir:v "consent" ] ;
fhir:display [ fhir:v "Consent" ] ;
fhir:definition [ fhir:v "A record of permission given or refused for a procedure, a treatment, a disclosure or a disposal." ]
] [
fhir:code [ fhir:v "clinical-report" ] ;
fhir:display [ fhir:v "Clinical report" ] ;
fhir:definition [ fhir:v "A report on a patient written for someone outside the treating team — an insurer, a court, another hospital, a mortality review." ]
] [
fhir:code [ fhir:v "mortuary-record" ] ;
fhir:display [ fhir:v "Mortuary record" ] ;
fhir:definition [ fhir:v "Admission to, release from, or a consent connected with the mortuary." ]
] [
fhir:code [ fhir:v "survey" ] ;
fhir:display [ fhir:v "Survey" ] ;
fhir:definition [ fhir:v "A questionnaire whose answers are about the service rather than about the patient's health, and which produces no clinical resource." ]
] ) . #
IG © 2025+ Kathurima Kimathi. Package silfhirprofileig#0.1.0 based on FHIR 5.0.0. Generated 2026-09-15
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