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

: SGHI Identifier Code System - TTL Representation

Active as of 2026-09-15

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