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

CodeSystem: SGHI Document Type Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/document-type-codesystem Version: 0.1.0
Active as of 2026-09-15 Computable Name: SGHIDocumentTypeCodeSystem

The hospital paper forms that have been modelled as Questionnaires. Each code names one form, so a QuestionnaireResponse or an extracted Composition can say which sheet of the paper chart it stands in for. LOINC codes are carried alongside where LOINC names the same document — the discharge summary and the operation note — and the rest are local because they are this hospital's own forms.

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

This case-sensitive code system https://fhir.slade360.co.ke/fhir/CodeSystem/document-type-codesystem defines the following codes:

CodeDisplayDefinition
paediatric-admission-record Paediatric admission record The three-page structured admission record used on the paediatric ward: presenting illness, immunisation, examination by system, investigations ordered and the coded admission diagnoses.
newborn-admission-record Newborn admission record The structured admission record for a baby admitted to the newborn unit, including intranatal history and the newborn examination.
newborn-observation-chart Newborn observation chart Apgar at one, five and ten minutes, the observations taken during the first two hours of skin-to-skin, and the twice-daily newborn follow-up over the first four days.
maternity-record Maternity record The maternity admission record: present pregnancy, past obstetric history, examination on admission, the plan, and the report on labour or caesarean section.
bishop-score Bishop score Cervical assessment before induction of labour, scored across dilation, effacement, consistency, position and station.
paediatric-triage-record Paediatric triage record The casualty triage sheet for a child: triage level, vital signs, the SAMPLE history and the emergency and priority signs looked for.
surgical-safety-checklist Surgical safety checklist The hospital's pre-operative and post-operative ward checklist together with the WHO three-phase theatre checklist.
anaesthetic-record Anaesthetic record The intra-operative anaesthetic chart: technique, agents, the observations recorded through the case, blood loss and the reversal and post-operative instructions.
palliative-care-assessment Palliative care assessment The palliative care service's first assessment: the symptom checklist, prior oncological treatment, and the social and spiritual assessment with the problem and action plan.
blood-donor-questionnaire Blood donor questionnaire The Kenya Tissue and Transplant Authority donor form (FRM CLN 001): donor details, the deferral questionnaire, the declaration and consent, and the donor screening and donation outcome.
haemodialysis-session-record Haemodialysis session record The dialysis flow chart for one session: access and virology screen, the prescription, the machine check and the observations taken through the run.
imaging-request Imaging request The X-ray and ultrasound request forms, which ask the same four things: what is wanted, why, the clinical summary and how urgently.
chemotherapy-prescription Chemotherapy prescription The oncology prescription sheet: staging and body surface area, the mandatory pre-cycle investigations, pre- and post-hydration, premedication and the cytotoxic drugs by cycle.
discharge-summary Discharge summary The sheet the patient leaves with: diagnoses, clinical summary, management given, discharge medication and instructions, plus the ward clearance sign-off.
procedure-consent Consent for a procedure or treatment The hospital's general consent form for an operation or treatment, and the two procedure-specific variants for endoscopy and for systemic anti-cancer therapy.
icu-neurological-chart ICU neurological observation chart The 24-hour ICU chart: Glasgow Coma Scale, limb power, pupils and vitals, charted round by round rather than once a shift, because a deteriorating conscious level is only visible as a series.
decline-form Decline form The bilingual form on which a patient or their next of kin records a refusal of care, a procedure or an assessment, and where they are going instead.
endoscopy-investigation Endoscopy service investigation form The endoscopy unit's single sheet: the request, the procedure, the findings, the conclusion and the treatment suggested.
medical-report Medical report A report on a completed admission written for someone outside the treating team -- an insurer, a court, another hospital.
patient-referral Patient referral form The form on which a patient is referred on to another unit or facility, carrying the history, the working diagnosis, the treatment already given and the reason for referral.
psychological-review Psychological review notes A counselling or therapy session recorded as a SOAP note, numbered within the episode of care.
blood-requisition Blood requisition form The blood bank requisition: products requested, recipient group, each issued unit with its bag number and cross-match result, and any transfusion reaction.
paediatric-nutrition-assessment Paediatric nutrition assessment form The nutrition unit's assessment of a child: family and feeding history, anthropometry, nutritional diagnosis and prescription.
prescription-pad Prescription The out-patient prescription slip: five numbered lines and a doctor's signature, with no dose or frequency column of its own.
mortality-committee-findings Mortality committee findings and recommendations The death review: nine numbered questions from the presenting complaint through to the committee's opinion and its recommendation.
chemotherapy-protocol-cycles Chemotherapy protocol cycle record The 2-, 3- and 4-weekly protocol sheet: one row per cycle carrying the counts and renal function that decide whether the cycle runs.
family-conference Patient, family and doctors' conference record The record of a conference held with a patient and their family, including any resuscitation decision reached.
icu-observation-chart ICU observation chart The 24-hour intensive care chart: vitals and CVP, the arterial blood gas, and the ventilator settings, round by round.
hdu-input-output-chart HDU input and output chart The high dependency unit's hourly fluid balance: parenteral and oral intake against aspirate, vomit, drain, urine and stool, with the 24-hour balance.
lab-requisition-serology Medical laboratory requisition The general laboratory requisition: specimen, urgency, clinical history and the investigations wanted, with the result and dispatch block on the same sheet.
newborn-unit-handover Newborn unit handover form The handover taken when a baby arrives in the newborn unit: intranatal history, ANC profile, birth history and the first vital signs.
newborn-comprehensive-chart Newborn comprehensive chart The newborn unit's daily sheet: the feed and fluid prescription, the IV nursing plan, the interventions in place, hourly observations, and a shift note with the baby's acuity category.
plates-and-screws Plates and screws The orthopaedic implant tally: forty printed line items with a count against each, signed at the foot.
head-injury-chart Head injury and craniotomy chart The one- or two-hourly neurological chart used after a head injury or a craniotomy: its own four-point conscious level, pupils per side, fits, spontaneous movement and paralysis by limb.
theatre-miscellaneous-items Theatre miscellaneous items The tally of consumables issued from theatre stock against one patient.
outpatient-summary Out-patient summary form The out-patient visit summary: complaints, provisional diagnosis and interventions.
patient-satisfaction Patient satisfaction questionnaire The service-quality survey given to out-patient, casualty, MCH and in-patient users. The only form in this set with no clinical extraction.
coagulation-profile-requisition Coagulation profile requisition The coagulation requisition, which prints its own reference ranges for PT, INR and APTT -- the INR range applying only to a patient on stabilised oral anticoagulants.
mortuary-services-request Mortuary services request form The request that accompanies a body into the mortuary, covering both hospital deaths and bodies brought from home or by the police.
mortuary-release Mortuary release form The release of a body for transfer to another hospital's morgue.
mortuary-baby-disposal-consent Mortuary consent form, disposal of a baby The authorisation given by a parent or next of kin for the hospital to dispose of a baby's body.
mortuary-admission Mortuary admission form The admission of a body into the mortuary: registration tag, where the body came from, next of kin and the relatives accompanying it.
body-part-disposal-consent Body part disposal consent form The consent taken before surgery for what happens to a removed body part -- released to the family, or disposed of by the hospital.
paediatric-nebulization-chart Paediatric nebulization chart Each nebulisation given: the drug, the amount and the frequency, with the time it was given and who gave it.
surgical-irrigation-record Surgical continuous irrigation record The hourly balance of a continuous bladder irrigation: solution and volume in against volume out, with the colour of the return.
milk-feeding-chart Milk feeding chart The three-hourly feed target against what was actually given, what was retained, and whether the baby passed urine and stool.
vent-monitoring-chart Ventilator monitoring chart The ventilator settings charted over time: mode, PEEP, peak inspiratory pressure and FiO2, with the changes made.
cpap-monitoring-chart CPAP monitoring chart The CPAP settings charted over time: the distending pressure, the gas flow and FiO2, with the change made at each reading and any remark. The ventilator chart's shape with two fewer columns.
embalming-authorization Embalming authorization form The next of kin's authorisation for a body to be embalmed while the burial is arranged.
paediatric-vital-sign-chart Paediatric vital sign observation chart Four observation rounds a day over ten days: temperature and how it was controlled, pulse, respiration, blood pressure, oxygen saturation and any oxygen given.
admission-form Admission form The nursing admission: where the patient came from and how they arrived, the presenting symptoms, a head-to-toe assessment, the chronic illness history, and the investigations and treatment ordered on arrival.
rehabilitation-services Rehabilitation services record Each rehabilitation contact: the units billed, the devices and materials used, and the progress note.
nicu-monitoring-chart NICU monitoring chart The neonatal unit's hourly chart: vitals, an assessment including jaundice and apnoea, the ventilator settings and the blood gas.
theatre-pacu-observation Theatre PACU observation form Timed recovery-room observations after anaesthesia, with the drugs given and remarks.
pacu-nurses-notes PACU nurses notes The recovery-room nursing narrative, timestamped and signed per entry.
theatre-note Theatre note The operation note: diagnosis, procedure, incision, the surgical and anaesthetic team, and the description of what was done.
doctors-notes Doctors notes continuation sheet The ward round narrative, timestamped and signed per entry.
surgical-dressing-chart Surgical dressing chart Each dressing change, with the sheet's own three-letter grading and a remark.
feeding-and-position-chart Feeding and position chart How much a patient was fed and how they were positioned, entry by entry -- turning is what prevents pressure injury and this is where it is evidenced.
nursing-care-plan Nursing care plan The full nursing process per problem: assessment, nursing diagnosis, expected outcome, intervention, the scientific rationale for it, what was implemented and the evaluation.
intake-output-record Intake and output record The 24-hour fluid balance: oral, IV and nasogastric intake against urine, stool, vomit, nasogastric suction and drainage, with the totals the sheet asks to be circled.
antenatal-vital-signs Antenatal vital signs Timed antenatal observations: temperature, pulse, respiration and blood pressure with the lie, the presentation, the fetal heart tones and whether the bowels have opened.
paediatric-tb-icf-screening Paediatric TB intensified case finding screening tool The five-question intensified case finding screen asked of every child at every contact -- cough of any duration, fever, failure to thrive or poor weight gain, lethargy, and contact with a TB case -- and the action the answers decide. Table 22.9 of the paediatric TB guideline.