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-score-codesystem> a fhir:CodeSystem ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "clinical-score-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-score-codesystem</b></p><a name=\"clinical-score-codesystem\"> </a><a name=\"hcclinical-score-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-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\">braden-sensory-1<a name=\"clinical-score-codesystem-braden-sensory-1\"> </a></td><td>Completely limited</td><td>Braden sensory perception: unresponsive to painful stimuli, or limited ability to feel pain over most of the body.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-2<a name=\"clinical-score-codesystem-braden-sensory-2\"> </a></td><td>Very limited</td><td>Braden sensory perception: responds only to painful stimuli, or a sensory impairment over half the body.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-3<a name=\"clinical-score-codesystem-braden-sensory-3\"> </a></td><td>Slightly limited</td><td>Braden sensory perception: responds to verbal commands but cannot always communicate discomfort.</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory-4<a name=\"clinical-score-codesystem-braden-sensory-4\"> </a></td><td>No impairment</td><td>Braden sensory perception: responds to verbal commands, no sensory deficit.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-1<a name=\"clinical-score-codesystem-braden-moisture-1\"> </a></td><td>Constantly moist</td><td>Braden moisture: skin kept moist almost constantly by perspiration or urine.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-2<a name=\"clinical-score-codesystem-braden-moisture-2\"> </a></td><td>Often moist</td><td>Braden moisture: skin often but not always moist; linen changed at least once a shift.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-3<a name=\"clinical-score-codesystem-braden-moisture-3\"> </a></td><td>Occasionally moist</td><td>Braden moisture: skin occasionally moist, requiring an extra linen change about once a day.</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture-4<a name=\"clinical-score-codesystem-braden-moisture-4\"> </a></td><td>Rarely moist</td><td>Braden moisture: skin usually dry; linen changed at routine intervals.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-1<a name=\"clinical-score-codesystem-braden-activity-1\"> </a></td><td>Bedfast</td><td>Braden activity: confined to bed.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-2<a name=\"clinical-score-codesystem-braden-activity-2\"> </a></td><td>Chairfast</td><td>Braden activity: ability to walk severely limited or non-existent; cannot bear own weight.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-3<a name=\"clinical-score-codesystem-braden-activity-3\"> </a></td><td>Walks occasionally</td><td>Braden activity: walks short distances during the day, with or without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-activity-4<a name=\"clinical-score-codesystem-braden-activity-4\"> </a></td><td>Walks frequently</td><td>Braden activity: walks outside the room at least twice a day and inside it every two hours while awake.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-1<a name=\"clinical-score-codesystem-braden-mobility-1\"> </a></td><td>Completely immobile</td><td>Braden mobility: makes no change in body or extremity position without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-2<a name=\"clinical-score-codesystem-braden-mobility-2\"> </a></td><td>Very limited</td><td>Braden mobility: makes occasional slight changes in position but cannot make frequent or significant changes independently.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-3<a name=\"clinical-score-codesystem-braden-mobility-3\"> </a></td><td>Slightly limited</td><td>Braden mobility: makes frequent though slight changes in position independently.</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility-4<a name=\"clinical-score-codesystem-braden-mobility-4\"> </a></td><td>No limitation</td><td>Braden mobility: makes major and frequent changes in position without assistance.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-1<a name=\"clinical-score-codesystem-braden-nutrition-1\"> </a></td><td>Very poor</td><td>Braden nutrition: never eats a complete meal, or is nil by mouth or on clear fluids for more than five days.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-2<a name=\"clinical-score-codesystem-braden-nutrition-2\"> </a></td><td>Probably inadequate</td><td>Braden nutrition: rarely eats a complete meal; generally eats about half of what is offered.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-3<a name=\"clinical-score-codesystem-braden-nutrition-3\"> </a></td><td>Adequate</td><td>Braden nutrition: eats over half of most meals, or is fed by tube or parenterally to meet most needs.</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition-4<a name=\"clinical-score-codesystem-braden-nutrition-4\"> </a></td><td>Excellent</td><td>Braden nutrition: eats most of every meal and never refuses one.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-1<a name=\"clinical-score-codesystem-braden-friction-1\"> </a></td><td>Problem</td><td>Braden friction and shear: requires moderate to maximum assistance to move; slides against sheets and cannot lift clear of them.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-2<a name=\"clinical-score-codesystem-braden-friction-2\"> </a></td><td>Potential problem</td><td>Braden friction and shear: moves feebly or requires minimum assistance; skin probably slides against sheets to some extent.</td></tr><tr><td style=\"white-space:nowrap\">braden-friction-3<a name=\"clinical-score-codesystem-braden-friction-3\"> </a></td><td>No apparent problem</td><td>Braden friction and shear: moves independently in bed and chair, with enough muscle strength to lift clear of the sheets.</td></tr><tr><td style=\"white-space:nowrap\">falls-history-0<a name=\"clinical-score-codesystem-falls-history-0\"> </a></td><td>No fall in the last 12 months</td><td>Falls risk history: no fall recorded in the last twelve months.</td></tr><tr><td style=\"white-space:nowrap\">falls-history-25<a name=\"clinical-score-codesystem-falls-history-25\"> </a></td><td>Fall in the last 12 months</td><td>Falls risk history: at least one fall recorded in the last twelve months.</td></tr><tr><td style=\"white-space:nowrap\">falls-diagnoses-0<a name=\"clinical-score-codesystem-falls-diagnoses-0\"> </a></td><td>One active diagnosis or none</td><td>Falls risk: no more than one active diagnosis on the problem list.</td></tr><tr><td style=\"white-space:nowrap\">falls-diagnoses-15<a name=\"clinical-score-codesystem-falls-diagnoses-15\"> </a></td><td>More than one active diagnosis</td><td>Falls risk: more than one active diagnosis on the problem list.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-0<a name=\"clinical-score-codesystem-falls-aid-0\"> </a></td><td>No walking aid, or bedrest</td><td>Falls risk walking aid: none needed, on bedrest, or assisted by a nurse.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-15<a name=\"clinical-score-codesystem-falls-aid-15\"> </a></td><td>Crutch, stick or walker</td><td>Falls risk walking aid: mobilises with a crutch, stick or walking frame.</td></tr><tr><td style=\"white-space:nowrap\">falls-aid-30<a name=\"clinical-score-codesystem-falls-aid-30\"> </a></td><td>Holds onto furniture</td><td>Falls risk walking aid: mobilises by holding onto furniture.</td></tr><tr><td style=\"white-space:nowrap\">falls-iv-0<a name=\"clinical-score-codesystem-falls-iv-0\"> </a></td><td>No intravenous access</td><td>Falls risk: no cannula, line or heparin lock in place.</td></tr><tr><td style=\"white-space:nowrap\">falls-iv-20<a name=\"clinical-score-codesystem-falls-iv-20\"> </a></td><td>Intravenous access in place</td><td>Falls risk: a cannula, line or heparin lock is in place.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-0<a name=\"clinical-score-codesystem-falls-gait-0\"> </a></td><td>Normal gait, or bedrest</td><td>Falls risk gait: normal gait, or immobile.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-10<a name=\"clinical-score-codesystem-falls-gait-10\"> </a></td><td>Weak gait</td><td>Falls risk gait: short steps, possibly shuffling, seeks support from furniture but not leaning on it.</td></tr><tr><td style=\"white-space:nowrap\">falls-gait-20<a name=\"clinical-score-codesystem-falls-gait-20\"> </a></td><td>Impaired gait</td><td>Falls risk gait: short steps with difficulty rising, head down, grasps furniture for support.</td></tr><tr><td style=\"white-space:nowrap\">falls-mental-0<a name=\"clinical-score-codesystem-falls-mental-0\"> </a></td><td>Oriented to own ability</td><td>Falls risk awareness: the patient's account of what they can manage matches what the nursing team observes.</td></tr><tr><td style=\"white-space:nowrap\">falls-mental-15<a name=\"clinical-score-codesystem-falls-mental-15\"> </a></td><td>Overestimates or forgets limits</td><td>Falls risk awareness: the patient overestimates what they can manage, or forgets their limits.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-0<a name=\"clinical-score-codesystem-must-bmi-0\"> </a></td><td>BMI 20 or over</td><td>MUST body mass index step: 20 kg/m2 or above.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-1<a name=\"clinical-score-codesystem-must-bmi-1\"> </a></td><td>BMI 18.5 to 20</td><td>MUST body mass index step: 18.5 to 20 kg/m2.</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-2<a name=\"clinical-score-codesystem-must-bmi-2\"> </a></td><td>BMI under 18.5</td><td>MUST body mass index step: below 18.5 kg/m2.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-0<a name=\"clinical-score-codesystem-must-loss-0\"> </a></td><td>Weight loss under 5%</td><td>MUST weight loss step: unplanned loss of less than 5% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-1<a name=\"clinical-score-codesystem-must-loss-1\"> </a></td><td>Weight loss 5 to 10%</td><td>MUST weight loss step: unplanned loss of 5 to 10% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-loss-2<a name=\"clinical-score-codesystem-must-loss-2\"> </a></td><td>Weight loss over 10%</td><td>MUST weight loss step: unplanned loss of more than 10% of body weight in the last three to six months.</td></tr><tr><td style=\"white-space:nowrap\">must-acute-0<a name=\"clinical-score-codesystem-must-acute-0\"> </a></td><td>Eating normally</td><td>MUST acute disease effect step: the patient is eating, or a break in intake of five days or more is not expected.</td></tr><tr><td style=\"white-space:nowrap\">must-acute-2<a name=\"clinical-score-codesystem-must-acute-2\"> </a></td><td>No nutritional intake for 5 days or more</td><td>MUST acute disease effect step: acutely ill with no nutritional intake for five days or more, or none expected for that long.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-1<a name=\"clinical-score-codesystem-gcs-eye-1\"> </a></td><td>No eye opening</td><td>GCS eye opening: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-2<a name=\"clinical-score-codesystem-gcs-eye-2\"> </a></td><td>Eye opening to pressure</td><td>GCS eye opening: to pressure.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-3<a name=\"clinical-score-codesystem-gcs-eye-3\"> </a></td><td>Eye opening to sound</td><td>GCS eye opening: to sound.</td></tr><tr><td style=\"white-space:nowrap\">gcs-eye-4<a name=\"clinical-score-codesystem-gcs-eye-4\"> </a></td><td>Spontaneous eye opening</td><td>GCS eye opening: spontaneous.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-1<a name=\"clinical-score-codesystem-gcs-verbal-1\"> </a></td><td>No verbal response</td><td>GCS verbal response: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-2<a name=\"clinical-score-codesystem-gcs-verbal-2\"> </a></td><td>Sounds</td><td>GCS verbal response: sounds only, no recognisable words.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-3<a name=\"clinical-score-codesystem-gcs-verbal-3\"> </a></td><td>Words</td><td>GCS verbal response: recognisable words, not conversation.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-4<a name=\"clinical-score-codesystem-gcs-verbal-4\"> </a></td><td>Confused</td><td>GCS verbal response: converses but is disoriented.</td></tr><tr><td style=\"white-space:nowrap\">gcs-verbal-5<a name=\"clinical-score-codesystem-gcs-verbal-5\"> </a></td><td>Oriented</td><td>GCS verbal response: oriented conversation.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-1<a name=\"clinical-score-codesystem-gcs-motor-1\"> </a></td><td>No motor response</td><td>GCS motor response: none.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-2<a name=\"clinical-score-codesystem-gcs-motor-2\"> </a></td><td>Extension</td><td>GCS motor response: extension to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-3<a name=\"clinical-score-codesystem-gcs-motor-3\"> </a></td><td>Abnormal flexion</td><td>GCS motor response: abnormal flexion to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-4<a name=\"clinical-score-codesystem-gcs-motor-4\"> </a></td><td>Normal flexion</td><td>GCS motor response: normal flexion, withdraws from pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-5<a name=\"clinical-score-codesystem-gcs-motor-5\"> </a></td><td>Localising</td><td>GCS motor response: localises to pain.</td></tr><tr><td style=\"white-space:nowrap\">gcs-motor-6<a name=\"clinical-score-codesystem-gcs-motor-6\"> </a></td><td>Obeys commands</td><td>GCS motor response: obeys commands.</td></tr></table></div>"^^rdf:XMLLiteral ] ] ; # fhir:url [ fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem"^^xsd:anyURI] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "SGHIClinicalScoreCodeSystem"] ; # fhir:title [ fhir:v "SGHI Clinical Score 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 answers to the scored instruments used on inpatient assessments: the Braden pressure ulcer scale, the Morse falls score, MUST nutrition screening and the Glasgow Coma Scale. Each answer is a concept so a response records what was observed rather than a bare number. Codes are namespaced instrument-item-weight; the weight is in the code because within an item it is what tells one answer from another, and because two items in an instrument can share a label. The extraction maps rely on that: they read the weight off the tail of the code when a client submits no calculated total."] ; # fhir:caseSensitive [ fhir:v true] ; # fhir:content [ fhir:v "complete"] ; # fhir:count [ fhir:v "60"^^xsd:nonNegativeInteger] ; # fhir:concept ( [ fhir:code [ fhir:v "braden-sensory-1" ] ; fhir:display [ fhir:v "Completely limited" ] ; fhir:definition [ fhir:v "Braden sensory perception: unresponsive to painful stimuli, or limited ability to feel pain over most of the body." ] ] [ fhir:code [ fhir:v "braden-sensory-2" ] ; fhir:display [ fhir:v "Very limited" ] ; fhir:definition [ fhir:v "Braden sensory perception: responds only to painful stimuli, or a sensory impairment over half the body." ] ] [ fhir:code [ fhir:v "braden-sensory-3" ] ; fhir:display [ fhir:v "Slightly limited" ] ; fhir:definition [ fhir:v "Braden sensory perception: responds to verbal commands but cannot always communicate discomfort." ] ] [ fhir:code [ fhir:v "braden-sensory-4" ] ; fhir:display [ fhir:v "No impairment" ] ; fhir:definition [ fhir:v "Braden sensory perception: responds to verbal commands, no sensory deficit." ] ] [ fhir:code [ fhir:v "braden-moisture-1" ] ; fhir:display [ fhir:v "Constantly moist" ] ; fhir:definition [ fhir:v "Braden moisture: skin kept moist almost constantly by perspiration or urine." ] ] [ fhir:code [ fhir:v "braden-moisture-2" ] ; fhir:display [ fhir:v "Often moist" ] ; fhir:definition [ fhir:v "Braden moisture: skin often but not always moist; linen changed at least once a shift." ] ] [ fhir:code [ fhir:v "braden-moisture-3" ] ; fhir:display [ fhir:v "Occasionally moist" ] ; fhir:definition [ fhir:v "Braden moisture: skin occasionally moist, requiring an extra linen change about once a day." ] ] [ fhir:code [ fhir:v "braden-moisture-4" ] ; fhir:display [ fhir:v "Rarely moist" ] ; fhir:definition [ fhir:v "Braden moisture: skin usually dry; linen changed at routine intervals." ] ] [ fhir:code [ fhir:v "braden-activity-1" ] ; fhir:display [ fhir:v "Bedfast" ] ; fhir:definition [ fhir:v "Braden activity: confined to bed." ] ] [ fhir:code [ fhir:v "braden-activity-2" ] ; fhir:display [ fhir:v "Chairfast" ] ; fhir:definition [ fhir:v "Braden activity: ability to walk severely limited or non-existent; cannot bear own weight." ] ] [ fhir:code [ fhir:v "braden-activity-3" ] ; fhir:display [ fhir:v "Walks occasionally" ] ; fhir:definition [ fhir:v "Braden activity: walks short distances during the day, with or without assistance." ] ] [ fhir:code [ fhir:v "braden-activity-4" ] ; fhir:display [ fhir:v "Walks frequently" ] ; fhir:definition [ fhir:v "Braden activity: walks outside the room at least twice a day and inside it every two hours while awake." ] ] [ fhir:code [ fhir:v "braden-mobility-1" ] ; fhir:display [ fhir:v "Completely immobile" ] ; fhir:definition [ fhir:v "Braden mobility: makes no change in body or extremity position without assistance." ] ] [ fhir:code [ fhir:v "braden-mobility-2" ] ; fhir:display [ fhir:v "Very limited" ] ; fhir:definition [ fhir:v "Braden mobility: makes occasional slight changes in position but cannot make frequent or significant changes independently." ] ] [ fhir:code [ fhir:v "braden-mobility-3" ] ; fhir:display [ fhir:v "Slightly limited" ] ; fhir:definition [ fhir:v "Braden mobility: makes frequent though slight changes in position independently." ] ] [ fhir:code [ fhir:v "braden-mobility-4" ] ; fhir:display [ fhir:v "No limitation" ] ; fhir:definition [ fhir:v "Braden mobility: makes major and frequent changes in position without assistance." ] ] [ fhir:code [ fhir:v "braden-nutrition-1" ] ; fhir:display [ fhir:v "Very poor" ] ; fhir:definition [ fhir:v "Braden nutrition: never eats a complete meal, or is nil by mouth or on clear fluids for more than five days." ] ] [ fhir:code [ fhir:v "braden-nutrition-2" ] ; fhir:display [ fhir:v "Probably inadequate" ] ; fhir:definition [ fhir:v "Braden nutrition: rarely eats a complete meal; generally eats about half of what is offered." ] ] [ fhir:code [ fhir:v "braden-nutrition-3" ] ; fhir:display [ fhir:v "Adequate" ] ; fhir:definition [ fhir:v "Braden nutrition: eats over half of most meals, or is fed by tube or parenterally to meet most needs." ] ] [ fhir:code [ fhir:v "braden-nutrition-4" ] ; fhir:display [ fhir:v "Excellent" ] ; fhir:definition [ fhir:v "Braden nutrition: eats most of every meal and never refuses one." ] ] [ fhir:code [ fhir:v "braden-friction-1" ] ; fhir:display [ fhir:v "Problem" ] ; fhir:definition [ fhir:v "Braden friction and shear: requires moderate to maximum assistance to move; slides against sheets and cannot lift clear of them." ] ] [ fhir:code [ fhir:v "braden-friction-2" ] ; fhir:display [ fhir:v "Potential problem" ] ; fhir:definition [ fhir:v "Braden friction and shear: moves feebly or requires minimum assistance; skin probably slides against sheets to some extent." ] ] [ fhir:code [ fhir:v "braden-friction-3" ] ; fhir:display [ fhir:v "No apparent problem" ] ; fhir:definition [ fhir:v "Braden friction and shear: moves independently in bed and chair, with enough muscle strength to lift clear of the sheets." ] ] [ fhir:code [ fhir:v "falls-history-0" ] ; fhir:display [ fhir:v "No fall in the last 12 months" ] ; fhir:definition [ fhir:v "Falls risk history: no fall recorded in the last twelve months." ] ] [ fhir:code [ fhir:v "falls-history-25" ] ; fhir:display [ fhir:v "Fall in the last 12 months" ] ; fhir:definition [ fhir:v "Falls risk history: at least one fall recorded in the last twelve months." ] ] [ fhir:code [ fhir:v "falls-diagnoses-0" ] ; fhir:display [ fhir:v "One active diagnosis or none" ] ; fhir:definition [ fhir:v "Falls risk: no more than one active diagnosis on the problem list." ] ] [ fhir:code [ fhir:v "falls-diagnoses-15" ] ; fhir:display [ fhir:v "More than one active diagnosis" ] ; fhir:definition [ fhir:v "Falls risk: more than one active diagnosis on the problem list." ] ] [ fhir:code [ fhir:v "falls-aid-0" ] ; fhir:display [ fhir:v "No walking aid, or bedrest" ] ; fhir:definition [ fhir:v "Falls risk walking aid: none needed, on bedrest, or assisted by a nurse." ] ] [ fhir:code [ fhir:v "falls-aid-15" ] ; fhir:display [ fhir:v "Crutch, stick or walker" ] ; fhir:definition [ fhir:v "Falls risk walking aid: mobilises with a crutch, stick or walking frame." ] ] [ fhir:code [ fhir:v "falls-aid-30" ] ; fhir:display [ fhir:v "Holds onto furniture" ] ; fhir:definition [ fhir:v "Falls risk walking aid: mobilises by holding onto furniture." ] ] [ fhir:code [ fhir:v "falls-iv-0" ] ; fhir:display [ fhir:v "No intravenous access" ] ; fhir:definition [ fhir:v "Falls risk: no cannula, line or heparin lock in place." ] ] [ fhir:code [ fhir:v "falls-iv-20" ] ; fhir:display [ fhir:v "Intravenous access in place" ] ; fhir:definition [ fhir:v "Falls risk: a cannula, line or heparin lock is in place." ] ] [ fhir:code [ fhir:v "falls-gait-0" ] ; fhir:display [ fhir:v "Normal gait, or bedrest" ] ; fhir:definition [ fhir:v "Falls risk gait: normal gait, or immobile." ] ] [ fhir:code [ fhir:v "falls-gait-10" ] ; fhir:display [ fhir:v "Weak gait" ] ; fhir:definition [ fhir:v "Falls risk gait: short steps, possibly shuffling, seeks support from furniture but not leaning on it." ] ] [ fhir:code [ fhir:v "falls-gait-20" ] ; fhir:display [ fhir:v "Impaired gait" ] ; fhir:definition [ fhir:v "Falls risk gait: short steps with difficulty rising, head down, grasps furniture for support." ] ] [ fhir:code [ fhir:v "falls-mental-0" ] ; fhir:display [ fhir:v "Oriented to own ability" ] ; fhir:definition [ fhir:v "Falls risk awareness: the patient's account of what they can manage matches what the nursing team observes." ] ] [ fhir:code [ fhir:v "falls-mental-15" ] ; fhir:display [ fhir:v "Overestimates or forgets limits" ] ; fhir:definition [ fhir:v "Falls risk awareness: the patient overestimates what they can manage, or forgets their limits." ] ] [ fhir:code [ fhir:v "must-bmi-0" ] ; fhir:display [ fhir:v "BMI 20 or over" ] ; fhir:definition [ fhir:v "MUST body mass index step: 20 kg/m2 or above." ] ] [ fhir:code [ fhir:v "must-bmi-1" ] ; fhir:display [ fhir:v "BMI 18.5 to 20" ] ; fhir:definition [ fhir:v "MUST body mass index step: 18.5 to 20 kg/m2." ] ] [ fhir:code [ fhir:v "must-bmi-2" ] ; fhir:display [ fhir:v "BMI under 18.5" ] ; fhir:definition [ fhir:v "MUST body mass index step: below 18.5 kg/m2." ] ] [ fhir:code [ fhir:v "must-loss-0" ] ; fhir:display [ fhir:v "Weight loss under 5%" ] ; fhir:definition [ fhir:v "MUST weight loss step: unplanned loss of less than 5% of body weight in the last three to six months." ] ] [ fhir:code [ fhir:v "must-loss-1" ] ; fhir:display [ fhir:v "Weight loss 5 to 10%" ] ; fhir:definition [ fhir:v "MUST weight loss step: unplanned loss of 5 to 10% of body weight in the last three to six months." ] ] [ fhir:code [ fhir:v "must-loss-2" ] ; fhir:display [ fhir:v "Weight loss over 10%" ] ; fhir:definition [ fhir:v "MUST weight loss step: unplanned loss of more than 10% of body weight in the last three to six months." ] ] [ fhir:code [ fhir:v "must-acute-0" ] ; fhir:display [ fhir:v "Eating normally" ] ; fhir:definition [ fhir:v "MUST acute disease effect step: the patient is eating, or a break in intake of five days or more is not expected." ] ] [ fhir:code [ fhir:v "must-acute-2" ] ; fhir:display [ fhir:v "No nutritional intake for 5 days or more" ] ; fhir:definition [ fhir:v "MUST acute disease effect step: acutely ill with no nutritional intake for five days or more, or none expected for that long." ] ] [ fhir:code [ fhir:v "gcs-eye-1" ] ; fhir:display [ fhir:v "No eye opening" ] ; fhir:definition [ fhir:v "GCS eye opening: none." ] ] [ fhir:code [ fhir:v "gcs-eye-2" ] ; fhir:display [ fhir:v "Eye opening to pressure" ] ; fhir:definition [ fhir:v "GCS eye opening: to pressure." ] ] [ fhir:code [ fhir:v "gcs-eye-3" ] ; fhir:display [ fhir:v "Eye opening to sound" ] ; fhir:definition [ fhir:v "GCS eye opening: to sound." ] ] [ fhir:code [ fhir:v "gcs-eye-4" ] ; fhir:display [ fhir:v "Spontaneous eye opening" ] ; fhir:definition [ fhir:v "GCS eye opening: spontaneous." ] ] [ fhir:code [ fhir:v "gcs-verbal-1" ] ; fhir:display [ fhir:v "No verbal response" ] ; fhir:definition [ fhir:v "GCS verbal response: none." ] ] [ fhir:code [ fhir:v "gcs-verbal-2" ] ; fhir:display [ fhir:v "Sounds" ] ; fhir:definition [ fhir:v "GCS verbal response: sounds only, no recognisable words." ] ] [ fhir:code [ fhir:v "gcs-verbal-3" ] ; fhir:display [ fhir:v "Words" ] ; fhir:definition [ fhir:v "GCS verbal response: recognisable words, not conversation." ] ] [ fhir:code [ fhir:v "gcs-verbal-4" ] ; fhir:display [ fhir:v "Confused" ] ; fhir:definition [ fhir:v "GCS verbal response: converses but is disoriented." ] ] [ fhir:code [ fhir:v "gcs-verbal-5" ] ; fhir:display [ fhir:v "Oriented" ] ; fhir:definition [ fhir:v "GCS verbal response: oriented conversation." ] ] [ fhir:code [ fhir:v "gcs-motor-1" ] ; fhir:display [ fhir:v "No motor response" ] ; fhir:definition [ fhir:v "GCS motor response: none." ] ] [ fhir:code [ fhir:v "gcs-motor-2" ] ; fhir:display [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "GCS motor response: extension to pain." ] ] [ fhir:code [ fhir:v "gcs-motor-3" ] ; fhir:display [ fhir:v "Abnormal flexion" ] ; fhir:definition [ fhir:v "GCS motor response: abnormal flexion to pain." ] ] [ fhir:code [ fhir:v "gcs-motor-4" ] ; fhir:display [ fhir:v "Normal flexion" ] ; fhir:definition [ fhir:v "GCS motor response: normal flexion, withdraws from pain." ] ] [ fhir:code [ fhir:v "gcs-motor-5" ] ; fhir:display [ fhir:v "Localising" ] ; fhir:definition [ fhir:v "GCS motor response: localises to pain." ] ] [ fhir:code [ fhir:v "gcs-motor-6" ] ; fhir:display [ fhir:v "Obeys commands" ] ; fhir:definition [ fhir:v "GCS motor response: obeys commands." ] ] ) . #
IG © 2025+ Kathurima Kimathi. Package silfhirprofileig#0.1.0 based on FHIR 5.0.0. Generated 2026-09-15
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