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 |
{
"resourceType" : "CodeSystem",
"id" : "identifier-codesystem",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem identifier-codesystem</b></p><a name=\"identifier-codesystem\"> </a><a name=\"hcidentifier-codesystem\"> </a><p>This code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/identifier-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\">vtmid<a name=\"identifier-codesystem-vtmid\"> </a></td><td>VTM ID</td><td>dm+d identifier for a Virtual Therapeutic Moiety (VTM) concept.</td></tr><tr><td style=\"white-space:nowrap\">vtmidprev<a name=\"identifier-codesystem-vtmidprev\"> </a></td><td>Previous VTM ID</td><td>Deprecated VTM identifier retained for traceability.</td></tr><tr><td style=\"white-space:nowrap\">isid<a name=\"identifier-codesystem-isid\"> </a></td><td>IS ID</td><td>dm+d identifier for an Ingredient Substance (IS) concept.</td></tr><tr><td style=\"white-space:nowrap\">isidprev<a name=\"identifier-codesystem-isidprev\"> </a></td><td>Previous IS ID</td><td>Deprecated IS identifier retained for traceability.</td></tr><tr><td style=\"white-space:nowrap\">vpid<a name=\"identifier-codesystem-vpid\"> </a></td><td>VP ID</td><td>dm+d identifier for a Virtual Product (VP) concept.</td></tr><tr><td style=\"white-space:nowrap\">vpidprev<a name=\"identifier-codesystem-vpidprev\"> </a></td><td>Previous VP ID</td><td>Deprecated VP identifier retained for traceability.</td></tr><tr><td style=\"white-space:nowrap\">vppid<a name=\"identifier-codesystem-vppid\"> </a></td><td>VPP ID</td><td>dm+d identifier for a Virtual Product Pack (VPP).</td></tr><tr><td style=\"white-space:nowrap\">apid<a name=\"identifier-codesystem-apid\"> </a></td><td>AP ID</td><td>dm+d identifier for an Actual Medicinal Product (AMP).</td></tr><tr><td style=\"white-space:nowrap\">appid<a name=\"identifier-codesystem-appid\"> </a></td><td>APP ID</td><td>dm+d identifier for an Actual Product Pack (APP).</td></tr><tr><td style=\"white-space:nowrap\">dbid<a name=\"identifier-codesystem-dbid\"> </a></td><td>DB ID</td><td>dm+d identifier referencing the primary key stored in our database.</td></tr><tr><td style=\"white-space:nowrap\">slade-concept-code<a name=\"identifier-codesystem-slade-concept-code\"> </a></td><td>Slade Concept Code</td><td>A unique drug identifier assigned by slade 360.</td></tr><tr><td style=\"white-space:nowrap\">stat<a name=\"identifier-codesystem-stat\"> </a></td><td>STAT</td><td>A unique identifier assigned for highest priority cases (e.g., emergency)</td></tr><tr><td style=\"white-space:nowrap\">asap<a name=\"identifier-codesystem-asap\"> </a></td><td>ASAP</td><td>As soon as possible, next highest priority after STAT</td></tr><tr><td style=\"white-space:nowrap\">urgent<a name=\"identifier-codesystem-urgent\"> </a></td><td>Urgent</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">routine<a name=\"identifier-codesystem-routine\"> </a></td><td>Routine</td><td>Routine service, do at usual work hours</td></tr><tr><td style=\"white-space:nowrap\">preop<a name=\"identifier-codesystem-preop\"> </a></td><td>PREOP</td><td>Used to indicate that a service is to be performed prior to a scheduled surgery</td></tr><tr><td style=\"white-space:nowrap\">elective<a name=\"identifier-codesystem-elective\"> </a></td><td>Elective</td><td>Low priority. Beneficial to the patient but not essential for survival</td></tr><tr><td style=\"white-space:nowrap\">inpatient<a name=\"identifier-codesystem-inpatient\"> </a></td><td>In Patient</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">outpatient<a name=\"identifier-codesystem-outpatient\"> </a></td><td>Ambulatory (Out Patient)</td><td>A comprehensive term for health care provided in a healthcare facility on a nonresident basis.</td></tr><tr><td style=\"white-space:nowrap\">emergency<a name=\"identifier-codesystem-emergency\"> </a></td><td>Emergency</td><td>A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment.</td></tr><tr><td style=\"white-space:nowrap\">closed<a name=\"identifier-codesystem-closed\"> </a></td><td>Closed</td><td>Closed</td></tr><tr><td style=\"white-space:nowrap\">housekeeping<a name=\"identifier-codesystem-housekeeping\"> </a></td><td>Housekeeping</td><td>Being cleaned between patients, and not offered at allocation. This is the concept a bed board labels 'cleaning'.</td></tr><tr><td style=\"white-space:nowrap\">occupied<a name=\"identifier-codesystem-occupied\"> </a></td><td>Occupied</td><td>Occupied</td></tr><tr><td style=\"white-space:nowrap\">unoccupied<a name=\"identifier-codesystem-unoccupied\"> </a></td><td>Unoccupied</td><td>Free and offered at allocation. This is the concept a bed board labels 'available'.</td></tr><tr><td style=\"white-space:nowrap\">contaminated<a name=\"identifier-codesystem-contaminated\"> </a></td><td>Contaminated</td><td>Contaminated</td></tr><tr><td style=\"white-space:nowrap\">isolated<a name=\"identifier-codesystem-isolated\"> </a></td><td>Isolated</td><td>Isolated</td></tr><tr><td style=\"white-space:nowrap\">reserved<a name=\"identifier-codesystem-reserved\"> </a></td><td>Reserved</td><td>Physically free but held for a named patient or admission, and so not offered to anyone else at allocation.</td></tr><tr><td style=\"white-space:nowrap\">maintenance<a name=\"identifier-codesystem-maintenance\"> </a></td><td>Maintenance</td><td>Out of service for repair rather than cleaning, and not offered at allocation.</td></tr><tr><td style=\"white-space:nowrap\">instance<a name=\"identifier-codesystem-instance\"> </a></td><td>Instance</td><td>The Location resource represents a specific instance of a location (e.g., Operating Theatre 1A).</td></tr><tr><td style=\"white-space:nowrap\">kind<a name=\"identifier-codesystem-kind\"> </a></td><td>Kind</td><td>The Location represents a class of locations (e.g., Any Operating Theatre).</td></tr><tr><td style=\"white-space:nowrap\">work<a name=\"identifier-codesystem-work\"> </a></td><td>Work</td><td>An office contact point. First choice for business-related contacts during business hours.</td></tr><tr><td style=\"white-space:nowrap\">mobile<a name=\"identifier-codesystem-mobile\"> </a></td><td>Mobile</td><td>A telecommunication device that moves and stays with its owner.</td></tr><tr><td style=\"white-space:nowrap\">phone<a name=\"identifier-codesystem-phone\"> </a></td><td>Phone</td><td>The value is a telephone number used for voice calls.</td></tr><tr><td style=\"white-space:nowrap\">email<a name=\"identifier-codesystem-email\"> </a></td><td>Email</td><td>The value is an email address.</td></tr><tr><td style=\"white-space:nowrap\">building<a name=\"identifier-codesystem-building\"> </a></td><td>Building</td><td>Any Building or structure. This may contain rooms, corridors, wings, etc.</td></tr><tr><td style=\"white-space:nowrap\">wing<a name=\"identifier-codesystem-wing\"> </a></td><td>Wing</td><td>A Wing within a Building, often contains levels, rooms, and corridors.</td></tr><tr><td style=\"white-space:nowrap\">ward<a name=\"identifier-codesystem-ward\"> </a></td><td>Ward</td><td>A section of a medical facility that may contain rooms and other types of location.</td></tr><tr><td style=\"white-space:nowrap\">room<a name=\"identifier-codesystem-room\"> </a></td><td>Room</td><td>A space that is allocated as a room.</td></tr><tr><td style=\"white-space:nowrap\">bed<a name=\"identifier-codesystem-bed\"> </a></td><td>Bed</td><td>A space that is allocated for sleeping or laying on.</td></tr><tr><td style=\"white-space:nowrap\">cot<a name=\"identifier-codesystem-cot\"> </a></td><td>Cot</td><td>A bed with raised sides, for an infant or a young child.</td></tr><tr><td style=\"white-space:nowrap\">incubator<a name=\"identifier-codesystem-incubator\"> </a></td><td>Incubator</td><td>A temperature- and humidity-controlled enclosure for a newborn.</td></tr><tr><td style=\"white-space:nowrap\">vehicle<a name=\"identifier-codesystem-vehicle\"> </a></td><td>Vehicle</td><td>A means of transportation, e.g., mobile clinics.</td></tr><tr><td style=\"white-space:nowrap\">house<a name=\"identifier-codesystem-house\"> </a></td><td>House</td><td>A residential dwelling where a person/patient may reside.</td></tr><tr><td style=\"white-space:nowrap\">area<a name=\"identifier-codesystem-area\"> </a></td><td>Area</td><td>A defined physical boundary of something, such as a flood risk zone or region.</td></tr><tr><td style=\"white-space:nowrap\">virtual<a name=\"identifier-codesystem-virtual\"> </a></td><td>Virtual</td><td>A location that is virtual in nature, such as a conference call or virtual meeting space.</td></tr><tr><td style=\"white-space:nowrap\">doctor<a name=\"identifier-codesystem-doctor\"> </a></td><td>Doctor</td><td>A registered medical practitioner.</td></tr><tr><td style=\"white-space:nowrap\">nurse<a name=\"identifier-codesystem-nurse\"> </a></td><td>Nurse</td><td>A registered nurse.</td></tr><tr><td style=\"white-space:nowrap\">pharmacist<a name=\"identifier-codesystem-pharmacist\"> </a></td><td>Pharmacist</td><td>A registered pharmacist.</td></tr><tr><td style=\"white-space:nowrap\">researcher<a name=\"identifier-codesystem-researcher\"> </a></td><td>Researcher</td><td>A person carrying out clinical or health research.</td></tr><tr><td style=\"white-space:nowrap\">apply<a name=\"identifier-codesystem-apply\"> </a></td><td>Apply</td><td>Administered by applying to a body surface.</td></tr><tr><td style=\"white-space:nowrap\">inject<a name=\"identifier-codesystem-inject\"> </a></td><td>Inject</td><td>Administered by injection.</td></tr><tr><td style=\"white-space:nowrap\">dialysis<a name=\"identifier-codesystem-dialysis\"> </a></td><td>Dialysis</td><td>Administered through a dialysis circuit.</td></tr><tr><td style=\"white-space:nowrap\">insert<a name=\"identifier-codesystem-insert\"> </a></td><td>Insert</td><td>Administered by insertion into a body cavity.</td></tr><tr><td style=\"white-space:nowrap\">implant<a name=\"identifier-codesystem-implant\"> </a></td><td>Implant</td><td>Administered by implantation into tissue.</td></tr><tr><td style=\"white-space:nowrap\">infuse<a name=\"identifier-codesystem-infuse\"> </a></td><td>Infuse</td><td>Administered by infusion over a period of time.</td></tr><tr><td style=\"white-space:nowrap\">powder<a name=\"identifier-codesystem-powder\"> </a></td><td>Powder</td><td>A dry, loose preparation of fine particles.</td></tr><tr><td style=\"white-space:nowrap\">tablets<a name=\"identifier-codesystem-tablets\"> </a></td><td>Tablets</td><td>A solid dose pressed into a tablet.</td></tr><tr><td style=\"white-space:nowrap\">capsule<a name=\"identifier-codesystem-capsule\"> </a></td><td>Capsule</td><td>A dose enclosed in a soluble shell.</td></tr><tr><td style=\"white-space:nowrap\">solution<a name=\"identifier-codesystem-solution\"> </a></td><td>Solution</td><td>A liquid in which the active ingredient is fully dissolved.</td></tr><tr><td style=\"white-space:nowrap\">lozenge<a name=\"identifier-codesystem-lozenge\"> </a></td><td>Lozenge</td><td>A solid dose dissolved slowly in the mouth.</td></tr><tr><td style=\"white-space:nowrap\">suspension<a name=\"identifier-codesystem-suspension\"> </a></td><td>Suspension</td><td>A liquid carrying undissolved particles, requiring agitation before use.</td></tr><tr><td style=\"white-space:nowrap\">syrup<a name=\"identifier-codesystem-syrup\"> </a></td><td>Syrup</td><td>A concentrated sugar solution carrying the active ingredient.</td></tr><tr><td style=\"white-space:nowrap\">right<a name=\"identifier-codesystem-right\"> </a></td><td>Right</td><td>The right side of the body.</td></tr><tr><td style=\"white-space:nowrap\">left<a name=\"identifier-codesystem-left\"> </a></td><td>Left</td><td>The left side of the body.</td></tr><tr><td style=\"white-space:nowrap\">bilateral<a name=\"identifier-codesystem-bilateral\"> </a></td><td>Bilateral</td><td>Both sides of the body.</td></tr><tr><td style=\"white-space:nowrap\">unknown<a name=\"identifier-codesystem-unknown\"> </a></td><td>Unknown</td><td>Laterality was not recorded or could not be determined.</td></tr><tr><td style=\"white-space:nowrap\">cnb<a name=\"identifier-codesystem-cnb\"> </a></td><td>Core Needle Biopsy</td><td>Tissue obtained with a hollow core needle.</td></tr><tr><td style=\"white-space:nowrap\">excision<a name=\"identifier-codesystem-excision\"> </a></td><td>Excision</td><td>The whole lesion was removed.</td></tr><tr><td style=\"white-space:nowrap\">fna<a name=\"identifier-codesystem-fna\"> </a></td><td>Fine Needle Aspiration</td><td>Cells drawn through a fine needle.</td></tr><tr><td style=\"white-space:nowrap\">ib<a name=\"identifier-codesystem-ib\"> </a></td><td>Incisional Biopsy</td><td>Part of the lesion was removed.</td></tr><tr><td style=\"white-space:nowrap\">pb<a name=\"identifier-codesystem-pb\"> </a></td><td>Punch Biopsy</td><td>A cylindrical sample taken with a punch instrument.</td></tr><tr><td style=\"white-space:nowrap\">sb<a name=\"identifier-codesystem-sb\"> </a></td><td>Shave Biopsy</td><td>A sample shaved from the surface of a lesion.</td></tr><tr><td style=\"white-space:nowrap\">eb<a name=\"identifier-codesystem-eb\"> </a></td><td>Endoscopic Biopsy</td><td>Tissue taken during an endoscopic procedure.</td></tr><tr><td style=\"white-space:nowrap\">ras<a name=\"identifier-codesystem-ras\"> </a></td><td>Resection Autopsy Specimen</td><td>Tissue obtained at resection or autopsy.</td></tr><tr><td style=\"white-space:nowrap\">hematology<a name=\"identifier-codesystem-hematology\"> </a></td><td>Hematology</td><td>Testing of blood and blood-forming tissue.</td></tr><tr><td style=\"white-space:nowrap\">cytology<a name=\"identifier-codesystem-cytology\"> </a></td><td>Cytology</td><td>Examination of individual cells.</td></tr><tr><td style=\"white-space:nowrap\">histopathology<a name=\"identifier-codesystem-histopathology\"> </a></td><td>Histopathology</td><td>Examination of tissue architecture.</td></tr><tr><td style=\"white-space:nowrap\">ich<a name=\"identifier-codesystem-ich\"> </a></td><td>Immunohistochemistry</td><td>Detection of antigens in tissue using labelled antibodies.</td></tr><tr><td style=\"white-space:nowrap\">fc<a name=\"identifier-codesystem-fc\"> </a></td><td>Flow Cytometry</td><td>Measurement of cell characteristics in a fluid stream.</td></tr><tr><td style=\"white-space:nowrap\">molecular<a name=\"identifier-codesystem-molecular\"> </a></td><td>Molecular</td><td>Testing of nucleic acids or other molecular targets.</td></tr><tr><td style=\"white-space:nowrap\">benign<a name=\"identifier-codesystem-benign\"> </a></td><td>Benign</td><td>A non-invasive growth that does not metastasise.</td></tr><tr><td style=\"white-space:nowrap\">malignant<a name=\"identifier-codesystem-malignant\"> </a></td><td>Malignant</td><td>An invasive growth capable of metastasis.</td></tr><tr><td style=\"white-space:nowrap\">insitu<a name=\"identifier-codesystem-insitu\"> </a></td><td>In Situ</td><td>Malignant cells confined to their tissue of origin.</td></tr><tr><td style=\"white-space:nowrap\">borderline<a name=\"identifier-codesystem-borderline\"> </a></td><td>Borderline</td><td>Behaviour falls between benign and malignant.</td></tr><tr><td style=\"white-space:nowrap\">uncertain<a name=\"identifier-codesystem-uncertain\"> </a></td><td>Uncertain</td><td>Behaviour could not be determined from the material examined.</td></tr><tr><td style=\"white-space:nowrap\">gradeI<a name=\"identifier-codesystem-gradeI\"> </a></td><td>Well Differentiated</td><td>Grade I. Tumour cells closely resemble the tissue of origin.</td></tr><tr><td style=\"white-space:nowrap\">gradeII<a name=\"identifier-codesystem-gradeII\"> </a></td><td>Moderately Differentiated</td><td>Grade II. Tumour cells partly resemble the tissue of origin.</td></tr><tr><td style=\"white-space:nowrap\">gradeIII<a name=\"identifier-codesystem-gradeIII\"> </a></td><td>Poorly Differentiated</td><td>Grade III. Tumour cells bear little resemblance to the tissue of origin.</td></tr><tr><td style=\"white-space:nowrap\">gradeIV<a name=\"identifier-codesystem-gradeIV\"> </a></td><td>Undifferentiated / Anaplastic</td><td>Grade IV. Tumour cells bear no resemblance to the tissue of origin.</td></tr><tr><td style=\"white-space:nowrap\">none<a name=\"identifier-codesystem-none\"> </a></td><td>Not Graded</td><td>No grade was assigned.</td></tr><tr><td style=\"white-space:nowrap\">positive<a name=\"identifier-codesystem-positive\"> </a></td><td>Positive</td><td>Receptor expression was detected.</td></tr><tr><td style=\"white-space:nowrap\">negative<a name=\"identifier-codesystem-negative\"> </a></td><td>Negative</td><td>Receptor expression was not detected.</td></tr><tr><td style=\"white-space:nowrap\">equivocal<a name=\"identifier-codesystem-equivocal\"> </a></td><td>Equivocal</td><td>The result fell in the indeterminate range.</td></tr><tr><td style=\"white-space:nowrap\">nottested<a name=\"identifier-codesystem-nottested\"> </a></td><td>Not Tested</td><td>The receptor was not assayed.</td></tr><tr><td style=\"white-space:nowrap\">braf<a name=\"identifier-codesystem-braf\"> </a></td><td>BRAF Mutation</td><td>A mutation in the BRAF gene.</td></tr><tr><td style=\"white-space:nowrap\">kras<a name=\"identifier-codesystem-kras\"> </a></td><td>KRAS Mutation</td><td>A mutation in the KRAS gene.</td></tr><tr><td style=\"white-space:nowrap\">nras<a name=\"identifier-codesystem-nras\"> </a></td><td>NRAS Mutation</td><td>A mutation in the NRAS gene.</td></tr><tr><td style=\"white-space:nowrap\">egfr<a name=\"identifier-codesystem-egfr\"> </a></td><td>EGFR Mutation</td><td>A mutation in the EGFR gene.</td></tr><tr><td style=\"white-space:nowrap\">alk<a name=\"identifier-codesystem-alk\"> </a></td><td>ALK Rearrangement</td><td>A rearrangement involving the ALK gene.</td></tr><tr><td style=\"white-space:nowrap\">her2<a name=\"identifier-codesystem-her2\"> </a></td><td>HER2 Amplification</td><td>Amplification of the HER2 gene.</td></tr><tr><td style=\"white-space:nowrap\">pik3ca<a name=\"identifier-codesystem-pik3ca\"> </a></td><td>PIK3CA Mutation</td><td>A mutation in the PIK3CA gene.</td></tr><tr><td style=\"white-space:nowrap\">pt53<a name=\"identifier-codesystem-pt53\"> </a></td><td>TP53 Mutation</td><td>A mutation in the TP53 gene.</td></tr><tr><td style=\"white-space:nowrap\">msi<a name=\"identifier-codesystem-msi\"> </a></td><td>Microsatellite Instability</td><td>Instability in short repeated DNA sequences.</td></tr><tr><td style=\"white-space:nowrap\">pdli<a name=\"identifier-codesystem-pdli\"> </a></td><td>PD-L1 Expression</td><td>Expression of the PD-L1 protein.</td></tr><tr><td style=\"white-space:nowrap\">bone<a name=\"identifier-codesystem-bone\"> </a></td><td>Bone</td><td>Metastasis to bone.</td></tr><tr><td style=\"white-space:nowrap\">liver<a name=\"identifier-codesystem-liver\"> </a></td><td>Liver</td><td>Metastasis to the liver.</td></tr><tr><td style=\"white-space:nowrap\">lung<a name=\"identifier-codesystem-lung\"> </a></td><td>Lung</td><td>Metastasis to the lung.</td></tr><tr><td style=\"white-space:nowrap\">brain<a name=\"identifier-codesystem-brain\"> </a></td><td>Brain</td><td>Metastasis to the brain.</td></tr><tr><td style=\"white-space:nowrap\">skin<a name=\"identifier-codesystem-skin\"> </a></td><td>Skin</td><td>Metastasis to the skin.</td></tr><tr><td style=\"white-space:nowrap\">dln<a name=\"identifier-codesystem-dln\"> </a></td><td>Distant Lymph Nodes</td><td>Metastasis to lymph nodes beyond the regional field.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"identifier-codesystem-other\"> </a></td><td>Other</td><td>A value outside those enumerated for the element being recorded.</td></tr><tr><td style=\"white-space:nowrap\">sghidefaultcode<a name=\"identifier-codesystem-sghidefaultcode\"> </a></td><td>SGHI Default Code</td><td>A placeholder used where no more specific code is available.</td></tr><tr><td style=\"white-space:nowrap\">111002<a name=\"identifier-codesystem-111002\"> </a></td><td>Parathyroid gland</td><td>One of the parathyroid glands.</td></tr><tr><td style=\"white-space:nowrap\">24642003<a name=\"identifier-codesystem-24642003\"> </a></td><td>Psychiatry procedure or service</td><td>A psychiatric procedure or service.</td></tr><tr><td style=\"white-space:nowrap\">409063005<a name=\"identifier-codesystem-409063005\"> </a></td><td>Counseling</td><td>A counselling procedure.</td></tr><tr><td style=\"white-space:nowrap\">409073007<a name=\"identifier-codesystem-409073007\"> </a></td><td>Education</td><td>A patient education procedure.</td></tr><tr><td style=\"white-space:nowrap\">387713003<a name=\"identifier-codesystem-387713003\"> </a></td><td>Surgical procedure (procedure)</td><td>A surgical procedure.</td></tr><tr><td style=\"white-space:nowrap\">103693007<a name=\"identifier-codesystem-103693007\"> </a></td><td>Diagnostic procedure</td><td>A procedure performed to establish a diagnosis.</td></tr><tr><td style=\"white-space:nowrap\">46947000<a name=\"identifier-codesystem-46947000\"> </a></td><td>Chiropractic manipulation</td><td>A chiropractic manipulation procedure.</td></tr><tr><td style=\"white-space:nowrap\">410606002<a name=\"identifier-codesystem-410606002\"> </a></td><td>Social service procedure (procedure)</td><td>A social service procedure.</td></tr><tr><td style=\"white-space:nowrap\">18949003<a name=\"identifier-codesystem-18949003\"> </a></td><td>Change of dressing</td><td>Replacement of a wound dressing.</td></tr><tr><td style=\"white-space:nowrap\">30549001<a name=\"identifier-codesystem-30549001\"> </a></td><td>Removal of suture</td><td>Removal of sutures from a wound.</td></tr><tr><td style=\"white-space:nowrap\">241031001<a name=\"identifier-codesystem-241031001\"> </a></td><td>Removal of drain</td><td>Removal of a surgical drain.</td></tr><tr><td style=\"white-space:nowrap\">35963001<a name=\"identifier-codesystem-35963001\"> </a></td><td>Removal of staples</td><td>Removal of surgical staples from a wound.</td></tr><tr><td style=\"white-space:nowrap\">225164002<a name=\"identifier-codesystem-225164002\"> </a></td><td>Removal of ligature</td><td>Removal of a ligature.</td></tr><tr><td style=\"white-space:nowrap\">447346005<a name=\"identifier-codesystem-447346005\"> </a></td><td>Cardiopulmonary exercise test (procedure)</td><td>A test of cardiac and respiratory function under exertion.</td></tr><tr><td style=\"white-space:nowrap\">229506003<a name=\"identifier-codesystem-229506003\"> </a></td><td>Scar tissue massage</td><td>Massage applied to scar tissue.</td></tr><tr><td style=\"white-space:nowrap\">274441001<a name=\"identifier-codesystem-274441001\"> </a></td><td>Suction drainage</td><td>Drainage of a cavity or wound by suction.</td></tr><tr><td style=\"white-space:nowrap\">394725008<a name=\"identifier-codesystem-394725008\"> </a></td><td>Diabetes medication review (procedure)</td><td>A review of a patient's diabetes medication.</td></tr><tr><td style=\"white-space:nowrap\">359825008<a name=\"identifier-codesystem-359825008\"> </a></td><td>Cytopathology, review of bronchioalveolar lavage specimen</td><td>Cytopathological review of a bronchoalveolar lavage specimen.</td></tr><tr><td style=\"white-space:nowrap\">385669000<a name=\"identifier-codesystem-385669000\"> </a></td><td>Successful</td><td>The procedure achieved what it was performed for.</td></tr><tr><td style=\"white-space:nowrap\">385671000<a name=\"identifier-codesystem-385671000\"> </a></td><td>Unsuccessful</td><td>The procedure did not achieve what it was performed for.</td></tr><tr><td style=\"white-space:nowrap\">385670004<a name=\"identifier-codesystem-385670004\"> </a></td><td>Partially successful</td><td>The procedure partly achieved what it was performed for.</td></tr></table></div>"
},
"url" : "https://fhir.slade360.co.ke/fhir/CodeSystem/identifier-codesystem",
"version" : "0.1.0",
"name" : "SGHIIdentifierCodeSystem",
"title" : "SGHI Identifier Code System",
"status" : "active",
"date" : "2026-09-15T11:40:24+00:00",
"publisher" : "Kathurima Kimathi",
"contact" : [
{
"name" : "Kathurima Kimathi",
"telecom" : [
{
"system" : "url",
"value" : "https://www.linkedin.com/in/kathurima-kimathi/"
},
{
"system" : "email",
"value" : "kathurimakimathi415@gmail.com"
}
]
},
{
"name" : "Oscar John",
"telecom" : [
{
"system" : "email",
"value" : "oscarjohnotieno@gmail.com",
"use" : "work"
}
]
},
{
"name" : "Kennedy Omondi",
"telecom" : [
{
"system" : "email",
"value" : "kennankole@gmail.com",
"use" : "work"
}
]
}
],
"description" : "A single code system enumerating the many local identifier types used across SGHI's environment.",
"content" : "complete",
"count" : 133,
"concept" : [
{
"code" : "vtmid",
"display" : "VTM ID",
"definition" : "dm+d identifier for a Virtual Therapeutic Moiety (VTM) concept."
},
{
"code" : "vtmidprev",
"display" : "Previous VTM ID",
"definition" : "Deprecated VTM identifier retained for traceability."
},
{
"code" : "isid",
"display" : "IS ID",
"definition" : "dm+d identifier for an Ingredient Substance (IS) concept."
},
{
"code" : "isidprev",
"display" : "Previous IS ID",
"definition" : "Deprecated IS identifier retained for traceability."
},
{
"code" : "vpid",
"display" : "VP ID",
"definition" : "dm+d identifier for a Virtual Product (VP) concept."
},
{
"code" : "vpidprev",
"display" : "Previous VP ID",
"definition" : "Deprecated VP identifier retained for traceability."
},
{
"code" : "vppid",
"display" : "VPP ID",
"definition" : "dm+d identifier for a Virtual Product Pack (VPP)."
},
{
"code" : "apid",
"display" : "AP ID",
"definition" : "dm+d identifier for an Actual Medicinal Product (AMP)."
},
{
"code" : "appid",
"display" : "APP ID",
"definition" : "dm+d identifier for an Actual Product Pack (APP)."
},
{
"code" : "dbid",
"display" : "DB ID",
"definition" : "dm+d identifier referencing the primary key stored in our database."
},
{
"code" : "slade-concept-code",
"display" : "Slade Concept Code",
"definition" : "A unique drug identifier assigned by slade 360."
},
{
"code" : "stat",
"display" : "STAT",
"definition" : "A unique identifier assigned for highest priority cases (e.g., emergency)"
},
{
"code" : "asap",
"display" : "ASAP",
"definition" : "As soon as possible, next highest priority after STAT"
},
{
"code" : "urgent",
"display" : "Urgent",
"definition" : "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."
},
{
"code" : "routine",
"display" : "Routine",
"definition" : "Routine service, do at usual work hours"
},
{
"code" : "preop",
"display" : "PREOP",
"definition" : "Used to indicate that a service is to be performed prior to a scheduled surgery"
},
{
"code" : "elective",
"display" : "Elective",
"definition" : "Low priority. Beneficial to the patient but not essential for survival"
},
{
"code" : "inpatient",
"display" : "In Patient",
"definition" : "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."
},
{
"code" : "outpatient",
"display" : "Ambulatory (Out Patient)",
"definition" : "A comprehensive term for health care provided in a healthcare facility on a nonresident basis."
},
{
"code" : "emergency",
"display" : "Emergency",
"definition" : "A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment."
},
{
"code" : "closed",
"display" : "Closed",
"definition" : "Closed"
},
{
"code" : "housekeeping",
"display" : "Housekeeping",
"definition" : "Being cleaned between patients, and not offered at allocation. This is the concept a bed board labels 'cleaning'."
},
{
"code" : "occupied",
"display" : "Occupied",
"definition" : "Occupied"
},
{
"code" : "unoccupied",
"display" : "Unoccupied",
"definition" : "Free and offered at allocation. This is the concept a bed board labels 'available'."
},
{
"code" : "contaminated",
"display" : "Contaminated",
"definition" : "Contaminated"
},
{
"code" : "isolated",
"display" : "Isolated",
"definition" : "Isolated"
},
{
"code" : "reserved",
"display" : "Reserved",
"definition" : "Physically free but held for a named patient or admission, and so not offered to anyone else at allocation."
},
{
"code" : "maintenance",
"display" : "Maintenance",
"definition" : "Out of service for repair rather than cleaning, and not offered at allocation."
},
{
"code" : "instance",
"display" : "Instance",
"definition" : "The Location resource represents a specific instance of a location (e.g., Operating Theatre 1A)."
},
{
"code" : "kind",
"display" : "Kind",
"definition" : "The Location represents a class of locations (e.g., Any Operating Theatre)."
},
{
"code" : "work",
"display" : "Work",
"definition" : "An office contact point. First choice for business-related contacts during business hours."
},
{
"code" : "mobile",
"display" : "Mobile",
"definition" : "A telecommunication device that moves and stays with its owner."
},
{
"code" : "phone",
"display" : "Phone",
"definition" : "The value is a telephone number used for voice calls."
},
{
"code" : "email",
"display" : "Email",
"definition" : "The value is an email address."
},
{
"code" : "building",
"display" : "Building",
"definition" : "Any Building or structure. This may contain rooms, corridors, wings, etc."
},
{
"code" : "wing",
"display" : "Wing",
"definition" : "A Wing within a Building, often contains levels, rooms, and corridors."
},
{
"code" : "ward",
"display" : "Ward",
"definition" : "A section of a medical facility that may contain rooms and other types of location."
},
{
"code" : "room",
"display" : "Room",
"definition" : "A space that is allocated as a room."
},
{
"code" : "bed",
"display" : "Bed",
"definition" : "A space that is allocated for sleeping or laying on."
},
{
"code" : "cot",
"display" : "Cot",
"definition" : "A bed with raised sides, for an infant or a young child."
},
{
"code" : "incubator",
"display" : "Incubator",
"definition" : "A temperature- and humidity-controlled enclosure for a newborn."
},
{
"code" : "vehicle",
"display" : "Vehicle",
"definition" : "A means of transportation, e.g., mobile clinics."
},
{
"code" : "house",
"display" : "House",
"definition" : "A residential dwelling where a person/patient may reside."
},
{
"code" : "area",
"display" : "Area",
"definition" : "A defined physical boundary of something, such as a flood risk zone or region."
},
{
"code" : "virtual",
"display" : "Virtual",
"definition" : "A location that is virtual in nature, such as a conference call or virtual meeting space."
},
{
"code" : "doctor",
"display" : "Doctor",
"definition" : "A registered medical practitioner."
},
{
"code" : "nurse",
"display" : "Nurse",
"definition" : "A registered nurse."
},
{
"code" : "pharmacist",
"display" : "Pharmacist",
"definition" : "A registered pharmacist."
},
{
"code" : "researcher",
"display" : "Researcher",
"definition" : "A person carrying out clinical or health research."
},
{
"code" : "apply",
"display" : "Apply",
"definition" : "Administered by applying to a body surface."
},
{
"code" : "inject",
"display" : "Inject",
"definition" : "Administered by injection."
},
{
"code" : "dialysis",
"display" : "Dialysis",
"definition" : "Administered through a dialysis circuit."
},
{
"code" : "insert",
"display" : "Insert",
"definition" : "Administered by insertion into a body cavity."
},
{
"code" : "implant",
"display" : "Implant",
"definition" : "Administered by implantation into tissue."
},
{
"code" : "infuse",
"display" : "Infuse",
"definition" : "Administered by infusion over a period of time."
},
{
"code" : "powder",
"display" : "Powder",
"definition" : "A dry, loose preparation of fine particles."
},
{
"code" : "tablets",
"display" : "Tablets",
"definition" : "A solid dose pressed into a tablet."
},
{
"code" : "capsule",
"display" : "Capsule",
"definition" : "A dose enclosed in a soluble shell."
},
{
"code" : "solution",
"display" : "Solution",
"definition" : "A liquid in which the active ingredient is fully dissolved."
},
{
"code" : "lozenge",
"display" : "Lozenge",
"definition" : "A solid dose dissolved slowly in the mouth."
},
{
"code" : "suspension",
"display" : "Suspension",
"definition" : "A liquid carrying undissolved particles, requiring agitation before use."
},
{
"code" : "syrup",
"display" : "Syrup",
"definition" : "A concentrated sugar solution carrying the active ingredient."
},
{
"code" : "right",
"display" : "Right",
"definition" : "The right side of the body."
},
{
"code" : "left",
"display" : "Left",
"definition" : "The left side of the body."
},
{
"code" : "bilateral",
"display" : "Bilateral",
"definition" : "Both sides of the body."
},
{
"code" : "unknown",
"display" : "Unknown",
"definition" : "Laterality was not recorded or could not be determined."
},
{
"code" : "cnb",
"display" : "Core Needle Biopsy",
"definition" : "Tissue obtained with a hollow core needle."
},
{
"code" : "excision",
"display" : "Excision",
"definition" : "The whole lesion was removed."
},
{
"code" : "fna",
"display" : "Fine Needle Aspiration",
"definition" : "Cells drawn through a fine needle."
},
{
"code" : "ib",
"display" : "Incisional Biopsy",
"definition" : "Part of the lesion was removed."
},
{
"code" : "pb",
"display" : "Punch Biopsy",
"definition" : "A cylindrical sample taken with a punch instrument."
},
{
"code" : "sb",
"display" : "Shave Biopsy",
"definition" : "A sample shaved from the surface of a lesion."
},
{
"code" : "eb",
"display" : "Endoscopic Biopsy",
"definition" : "Tissue taken during an endoscopic procedure."
},
{
"code" : "ras",
"display" : "Resection Autopsy Specimen",
"definition" : "Tissue obtained at resection or autopsy."
},
{
"code" : "hematology",
"display" : "Hematology",
"definition" : "Testing of blood and blood-forming tissue."
},
{
"code" : "cytology",
"display" : "Cytology",
"definition" : "Examination of individual cells."
},
{
"code" : "histopathology",
"display" : "Histopathology",
"definition" : "Examination of tissue architecture."
},
{
"code" : "ich",
"display" : "Immunohistochemistry",
"definition" : "Detection of antigens in tissue using labelled antibodies."
},
{
"code" : "fc",
"display" : "Flow Cytometry",
"definition" : "Measurement of cell characteristics in a fluid stream."
},
{
"code" : "molecular",
"display" : "Molecular",
"definition" : "Testing of nucleic acids or other molecular targets."
},
{
"code" : "benign",
"display" : "Benign",
"definition" : "A non-invasive growth that does not metastasise."
},
{
"code" : "malignant",
"display" : "Malignant",
"definition" : "An invasive growth capable of metastasis."
},
{
"code" : "insitu",
"display" : "In Situ",
"definition" : "Malignant cells confined to their tissue of origin."
},
{
"code" : "borderline",
"display" : "Borderline",
"definition" : "Behaviour falls between benign and malignant."
},
{
"code" : "uncertain",
"display" : "Uncertain",
"definition" : "Behaviour could not be determined from the material examined."
},
{
"code" : "gradeI",
"display" : "Well Differentiated",
"definition" : "Grade I. Tumour cells closely resemble the tissue of origin."
},
{
"code" : "gradeII",
"display" : "Moderately Differentiated",
"definition" : "Grade II. Tumour cells partly resemble the tissue of origin."
},
{
"code" : "gradeIII",
"display" : "Poorly Differentiated",
"definition" : "Grade III. Tumour cells bear little resemblance to the tissue of origin."
},
{
"code" : "gradeIV",
"display" : "Undifferentiated / Anaplastic",
"definition" : "Grade IV. Tumour cells bear no resemblance to the tissue of origin."
},
{
"code" : "none",
"display" : "Not Graded",
"definition" : "No grade was assigned."
},
{
"code" : "positive",
"display" : "Positive",
"definition" : "Receptor expression was detected."
},
{
"code" : "negative",
"display" : "Negative",
"definition" : "Receptor expression was not detected."
},
{
"code" : "equivocal",
"display" : "Equivocal",
"definition" : "The result fell in the indeterminate range."
},
{
"code" : "nottested",
"display" : "Not Tested",
"definition" : "The receptor was not assayed."
},
{
"code" : "braf",
"display" : "BRAF Mutation",
"definition" : "A mutation in the BRAF gene."
},
{
"code" : "kras",
"display" : "KRAS Mutation",
"definition" : "A mutation in the KRAS gene."
},
{
"code" : "nras",
"display" : "NRAS Mutation",
"definition" : "A mutation in the NRAS gene."
},
{
"code" : "egfr",
"display" : "EGFR Mutation",
"definition" : "A mutation in the EGFR gene."
},
{
"code" : "alk",
"display" : "ALK Rearrangement",
"definition" : "A rearrangement involving the ALK gene."
},
{
"code" : "her2",
"display" : "HER2 Amplification",
"definition" : "Amplification of the HER2 gene."
},
{
"code" : "pik3ca",
"display" : "PIK3CA Mutation",
"definition" : "A mutation in the PIK3CA gene."
},
{
"code" : "pt53",
"display" : "TP53 Mutation",
"definition" : "A mutation in the TP53 gene."
},
{
"code" : "msi",
"display" : "Microsatellite Instability",
"definition" : "Instability in short repeated DNA sequences."
},
{
"code" : "pdli",
"display" : "PD-L1 Expression",
"definition" : "Expression of the PD-L1 protein."
},
{
"code" : "bone",
"display" : "Bone",
"definition" : "Metastasis to bone."
},
{
"code" : "liver",
"display" : "Liver",
"definition" : "Metastasis to the liver."
},
{
"code" : "lung",
"display" : "Lung",
"definition" : "Metastasis to the lung."
},
{
"code" : "brain",
"display" : "Brain",
"definition" : "Metastasis to the brain."
},
{
"code" : "skin",
"display" : "Skin",
"definition" : "Metastasis to the skin."
},
{
"code" : "dln",
"display" : "Distant Lymph Nodes",
"definition" : "Metastasis to lymph nodes beyond the regional field."
},
{
"code" : "other",
"display" : "Other",
"definition" : "A value outside those enumerated for the element being recorded."
},
{
"code" : "sghidefaultcode",
"display" : "SGHI Default Code",
"definition" : "A placeholder used where no more specific code is available."
},
{
"code" : "111002",
"display" : "Parathyroid gland",
"definition" : "One of the parathyroid glands."
},
{
"code" : "24642003",
"display" : "Psychiatry procedure or service",
"definition" : "A psychiatric procedure or service."
},
{
"code" : "409063005",
"display" : "Counseling",
"definition" : "A counselling procedure."
},
{
"code" : "409073007",
"display" : "Education",
"definition" : "A patient education procedure."
},
{
"code" : "387713003",
"display" : "Surgical procedure (procedure)",
"definition" : "A surgical procedure."
},
{
"code" : "103693007",
"display" : "Diagnostic procedure",
"definition" : "A procedure performed to establish a diagnosis."
},
{
"code" : "46947000",
"display" : "Chiropractic manipulation",
"definition" : "A chiropractic manipulation procedure."
},
{
"code" : "410606002",
"display" : "Social service procedure (procedure)",
"definition" : "A social service procedure."
},
{
"code" : "18949003",
"display" : "Change of dressing",
"definition" : "Replacement of a wound dressing."
},
{
"code" : "30549001",
"display" : "Removal of suture",
"definition" : "Removal of sutures from a wound."
},
{
"code" : "241031001",
"display" : "Removal of drain",
"definition" : "Removal of a surgical drain."
},
{
"code" : "35963001",
"display" : "Removal of staples",
"definition" : "Removal of surgical staples from a wound."
},
{
"code" : "225164002",
"display" : "Removal of ligature",
"definition" : "Removal of a ligature."
},
{
"code" : "447346005",
"display" : "Cardiopulmonary exercise test (procedure)",
"definition" : "A test of cardiac and respiratory function under exertion."
},
{
"code" : "229506003",
"display" : "Scar tissue massage",
"definition" : "Massage applied to scar tissue."
},
{
"code" : "274441001",
"display" : "Suction drainage",
"definition" : "Drainage of a cavity or wound by suction."
},
{
"code" : "394725008",
"display" : "Diabetes medication review (procedure)",
"definition" : "A review of a patient's diabetes medication."
},
{
"code" : "359825008",
"display" : "Cytopathology, review of bronchioalveolar lavage specimen",
"definition" : "Cytopathological review of a bronchoalveolar lavage specimen."
},
{
"code" : "385669000",
"display" : "Successful",
"definition" : "The procedure achieved what it was performed for."
},
{
"code" : "385671000",
"display" : "Unsuccessful",
"definition" : "The procedure did not achieve what it was performed for."
},
{
"code" : "385670004",
"display" : "Partially successful",
"definition" : "The procedure partly achieved what it was performed for."
}
]
}