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 Identifier Code System

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

A single code system enumerating the many local identifier types used across SGHI's environment.

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

This code system https://fhir.slade360.co.ke/fhir/CodeSystem/identifier-codesystem defines the following codes:

CodeDisplayDefinition
vtmid VTM ID dm+d identifier for a Virtual Therapeutic Moiety (VTM) concept.
vtmidprev Previous VTM ID Deprecated VTM identifier retained for traceability.
isid IS ID dm+d identifier for an Ingredient Substance (IS) concept.
isidprev Previous IS ID Deprecated IS identifier retained for traceability.
vpid VP ID dm+d identifier for a Virtual Product (VP) concept.
vpidprev Previous VP ID Deprecated VP identifier retained for traceability.
vppid VPP ID dm+d identifier for a Virtual Product Pack (VPP).
apid AP ID dm+d identifier for an Actual Medicinal Product (AMP).
appid APP ID dm+d identifier for an Actual Product Pack (APP).
dbid DB ID dm+d identifier referencing the primary key stored in our database.
slade-concept-code Slade Concept Code A unique drug identifier assigned by slade 360.
stat STAT A unique identifier assigned for highest priority cases (e.g., emergency)
asap ASAP As soon as possible, next highest priority after STAT
urgent Urgent Calls for prompt action, ahead of routine work but behind STAT. Mirrors v3-ActPriority#UR, and is the middle band the admission queue sorts on.
routine Routine Routine service, do at usual work hours
preop PREOP Used to indicate that a service is to be performed prior to a scheduled surgery
elective Elective Low priority. Beneficial to the patient but not essential for survival
inpatient In Patient A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
outpatient Ambulatory (Out Patient) A comprehensive term for health care provided in a healthcare facility on a nonresident basis.
emergency Emergency A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment.
closed Closed Closed
housekeeping Housekeeping Being cleaned between patients, and not offered at allocation. This is the concept a bed board labels 'cleaning'.
occupied Occupied Occupied
unoccupied Unoccupied Free and offered at allocation. This is the concept a bed board labels 'available'.
contaminated Contaminated Contaminated
isolated Isolated Isolated
reserved Reserved Physically free but held for a named patient or admission, and so not offered to anyone else at allocation.
maintenance Maintenance Out of service for repair rather than cleaning, and not offered at allocation.
instance Instance The Location resource represents a specific instance of a location (e.g., Operating Theatre 1A).
kind Kind The Location represents a class of locations (e.g., Any Operating Theatre).
work Work An office contact point. First choice for business-related contacts during business hours.
mobile Mobile A telecommunication device that moves and stays with its owner.
phone Phone The value is a telephone number used for voice calls.
email Email The value is an email address.
building Building Any Building or structure. This may contain rooms, corridors, wings, etc.
wing Wing A Wing within a Building, often contains levels, rooms, and corridors.
ward Ward A section of a medical facility that may contain rooms and other types of location.
room Room A space that is allocated as a room.
bed Bed A space that is allocated for sleeping or laying on.
cot Cot A bed with raised sides, for an infant or a young child.
incubator Incubator A temperature- and humidity-controlled enclosure for a newborn.
vehicle Vehicle A means of transportation, e.g., mobile clinics.
house House A residential dwelling where a person/patient may reside.
area Area A defined physical boundary of something, such as a flood risk zone or region.
virtual Virtual A location that is virtual in nature, such as a conference call or virtual meeting space.
doctor Doctor A registered medical practitioner.
nurse Nurse A registered nurse.
pharmacist Pharmacist A registered pharmacist.
researcher Researcher A person carrying out clinical or health research.
apply Apply Administered by applying to a body surface.
inject Inject Administered by injection.
dialysis Dialysis Administered through a dialysis circuit.
insert Insert Administered by insertion into a body cavity.
implant Implant Administered by implantation into tissue.
infuse Infuse Administered by infusion over a period of time.
powder Powder A dry, loose preparation of fine particles.
tablets Tablets A solid dose pressed into a tablet.
capsule Capsule A dose enclosed in a soluble shell.
solution Solution A liquid in which the active ingredient is fully dissolved.
lozenge Lozenge A solid dose dissolved slowly in the mouth.
suspension Suspension A liquid carrying undissolved particles, requiring agitation before use.
syrup Syrup A concentrated sugar solution carrying the active ingredient.
right Right The right side of the body.
left Left The left side of the body.
bilateral Bilateral Both sides of the body.
unknown Unknown Laterality was not recorded or could not be determined.
cnb Core Needle Biopsy Tissue obtained with a hollow core needle.
excision Excision The whole lesion was removed.
fna Fine Needle Aspiration Cells drawn through a fine needle.
ib Incisional Biopsy Part of the lesion was removed.
pb Punch Biopsy A cylindrical sample taken with a punch instrument.
sb Shave Biopsy A sample shaved from the surface of a lesion.
eb Endoscopic Biopsy Tissue taken during an endoscopic procedure.
ras Resection Autopsy Specimen Tissue obtained at resection or autopsy.
hematology Hematology Testing of blood and blood-forming tissue.
cytology Cytology Examination of individual cells.
histopathology Histopathology Examination of tissue architecture.
ich Immunohistochemistry Detection of antigens in tissue using labelled antibodies.
fc Flow Cytometry Measurement of cell characteristics in a fluid stream.
molecular Molecular Testing of nucleic acids or other molecular targets.
benign Benign A non-invasive growth that does not metastasise.
malignant Malignant An invasive growth capable of metastasis.
insitu In Situ Malignant cells confined to their tissue of origin.
borderline Borderline Behaviour falls between benign and malignant.
uncertain Uncertain Behaviour could not be determined from the material examined.
gradeI Well Differentiated Grade I. Tumour cells closely resemble the tissue of origin.
gradeII Moderately Differentiated Grade II. Tumour cells partly resemble the tissue of origin.
gradeIII Poorly Differentiated Grade III. Tumour cells bear little resemblance to the tissue of origin.
gradeIV Undifferentiated / Anaplastic Grade IV. Tumour cells bear no resemblance to the tissue of origin.
none Not Graded No grade was assigned.
positive Positive Receptor expression was detected.
negative Negative Receptor expression was not detected.
equivocal Equivocal The result fell in the indeterminate range.
nottested Not Tested The receptor was not assayed.
braf BRAF Mutation A mutation in the BRAF gene.
kras KRAS Mutation A mutation in the KRAS gene.
nras NRAS Mutation A mutation in the NRAS gene.
egfr EGFR Mutation A mutation in the EGFR gene.
alk ALK Rearrangement A rearrangement involving the ALK gene.
her2 HER2 Amplification Amplification of the HER2 gene.
pik3ca PIK3CA Mutation A mutation in the PIK3CA gene.
pt53 TP53 Mutation A mutation in the TP53 gene.
msi Microsatellite Instability Instability in short repeated DNA sequences.
pdli PD-L1 Expression Expression of the PD-L1 protein.
bone Bone Metastasis to bone.
liver Liver Metastasis to the liver.
lung Lung Metastasis to the lung.
brain Brain Metastasis to the brain.
skin Skin Metastasis to the skin.
dln Distant Lymph Nodes Metastasis to lymph nodes beyond the regional field.
other Other A value outside those enumerated for the element being recorded.
sghidefaultcode SGHI Default Code A placeholder used where no more specific code is available.
111002 Parathyroid gland One of the parathyroid glands.
24642003 Psychiatry procedure or service A psychiatric procedure or service.
409063005 Counseling A counselling procedure.
409073007 Education A patient education procedure.
387713003 Surgical procedure (procedure) A surgical procedure.
103693007 Diagnostic procedure A procedure performed to establish a diagnosis.
46947000 Chiropractic manipulation A chiropractic manipulation procedure.
410606002 Social service procedure (procedure) A social service procedure.
18949003 Change of dressing Replacement of a wound dressing.
30549001 Removal of suture Removal of sutures from a wound.
241031001 Removal of drain Removal of a surgical drain.
35963001 Removal of staples Removal of surgical staples from a wound.
225164002 Removal of ligature Removal of a ligature.
447346005 Cardiopulmonary exercise test (procedure) A test of cardiac and respiratory function under exertion.
229506003 Scar tissue massage Massage applied to scar tissue.
274441001 Suction drainage Drainage of a cavity or wound by suction.
394725008 Diabetes medication review (procedure) A review of a patient's diabetes medication.
359825008 Cytopathology, review of bronchioalveolar lavage specimen Cytopathological review of a bronchoalveolar lavage specimen.
385669000 Successful The procedure achieved what it was performed for.
385671000 Unsuccessful The procedure did not achieve what it was performed for.
385670004 Partially successful The procedure partly achieved what it was performed for.