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 - XML Representation

Active as of 2026-09-15

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="identifier-codesystem"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.slade360.co.ke/fhir/CodeSystem/identifier-codesystem"/>
  <version value="0.1.0"/>
  <name value="SGHIIdentifierCodeSystem"/>
  <title value="SGHI Identifier Code System"/>
  <status value="active"/>
  <date value="2026-09-15T11:40:24+00:00"/>
  <publisher value="Kathurima Kimathi"/>
  <contact>
    <name value="Kathurima Kimathi"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kathurimakimathi415@gmail.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Oscar John"/>
    <telecom>
      <system value="email"/>
      <value value="oscarjohnotieno@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <contact>
    <name value="Kennedy Omondi"/>
    <telecom>
      <system value="email"/>
      <value value="kennankole@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="A single code system enumerating the many local identifier types used across SGHI's environment."/>
  <content value="complete"/>
  <count value="133"/>
  <concept>
    <code value="vtmid"/>
    <display value="VTM ID"/>
    <definition
                value="dm+d identifier for a Virtual Therapeutic Moiety (VTM) concept."/>
  </concept>
  <concept>
    <code value="vtmidprev"/>
    <display value="Previous VTM ID"/>
    <definition value="Deprecated VTM identifier retained for traceability."/>
  </concept>
  <concept>
    <code value="isid"/>
    <display value="IS ID"/>
    <definition
                value="dm+d identifier for an Ingredient Substance (IS) concept."/>
  </concept>
  <concept>
    <code value="isidprev"/>
    <display value="Previous IS ID"/>
    <definition value="Deprecated IS identifier retained for traceability."/>
  </concept>
  <concept>
    <code value="vpid"/>
    <display value="VP ID"/>
    <definition value="dm+d identifier for a Virtual Product (VP) concept."/>
  </concept>
  <concept>
    <code value="vpidprev"/>
    <display value="Previous VP ID"/>
    <definition value="Deprecated VP identifier retained for traceability."/>
  </concept>
  <concept>
    <code value="vppid"/>
    <display value="VPP ID"/>
    <definition value="dm+d identifier for a Virtual Product Pack (VPP)."/>
  </concept>
  <concept>
    <code value="apid"/>
    <display value="AP ID"/>
    <definition
                value="dm+d identifier for an Actual Medicinal Product (AMP)."/>
  </concept>
  <concept>
    <code value="appid"/>
    <display value="APP ID"/>
    <definition value="dm+d identifier for an Actual Product Pack (APP)."/>
  </concept>
  <concept>
    <code value="dbid"/>
    <display value="DB ID"/>
    <definition
                value="dm+d identifier referencing the primary key stored in our database."/>
  </concept>
  <concept>
    <code value="slade-concept-code"/>
    <display value="Slade Concept Code"/>
    <definition value="A unique drug identifier assigned by slade 360."/>
  </concept>
  <concept>
    <code value="stat"/>
    <display value="STAT"/>
    <definition
                value="A unique identifier assigned for highest priority cases (e.g., emergency)"/>
  </concept>
  <concept>
    <code value="asap"/>
    <display value="ASAP"/>
    <definition
                value="As soon as possible, next highest priority after STAT"/>
  </concept>
  <concept>
    <code value="urgent"/>
    <display value="Urgent"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="routine"/>
    <display value="Routine"/>
    <definition value="Routine service, do at usual work hours"/>
  </concept>
  <concept>
    <code value="preop"/>
    <display value="PREOP"/>
    <definition
                value="Used to indicate that a service is to be performed prior to a scheduled surgery"/>
  </concept>
  <concept>
    <code value="elective"/>
    <display value="Elective"/>
    <definition
                value="Low priority. Beneficial to the patient but not essential for survival"/>
  </concept>
  <concept>
    <code value="inpatient"/>
    <display value="In Patient"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="outpatient"/>
    <display value="Ambulatory (Out Patient)"/>
    <definition
                value="A comprehensive term for health care provided in a healthcare facility on a nonresident basis."/>
  </concept>
  <concept>
    <code value="emergency"/>
    <display value="Emergency"/>
    <definition
                value="A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment."/>
  </concept>
  <concept>
    <code value="closed"/>
    <display value="Closed"/>
    <definition value="Closed"/>
  </concept>
  <concept>
    <code value="housekeeping"/>
    <display value="Housekeeping"/>
    <definition
                value="Being cleaned between patients, and not offered at allocation. This is the concept a bed board labels 'cleaning'."/>
  </concept>
  <concept>
    <code value="occupied"/>
    <display value="Occupied"/>
    <definition value="Occupied"/>
  </concept>
  <concept>
    <code value="unoccupied"/>
    <display value="Unoccupied"/>
    <definition
                value="Free and offered at allocation. This is the concept a bed board labels 'available'."/>
  </concept>
  <concept>
    <code value="contaminated"/>
    <display value="Contaminated"/>
    <definition value="Contaminated"/>
  </concept>
  <concept>
    <code value="isolated"/>
    <display value="Isolated"/>
    <definition value="Isolated"/>
  </concept>
  <concept>
    <code value="reserved"/>
    <display value="Reserved"/>
    <definition
                value="Physically free but held for a named patient or admission, and so not offered to anyone else at allocation."/>
  </concept>
  <concept>
    <code value="maintenance"/>
    <display value="Maintenance"/>
    <definition
                value="Out of service for repair rather than cleaning, and not offered at allocation."/>
  </concept>
  <concept>
    <code value="instance"/>
    <display value="Instance"/>
    <definition
                value="The Location resource represents a specific instance of a location (e.g., Operating Theatre 1A)."/>
  </concept>
  <concept>
    <code value="kind"/>
    <display value="Kind"/>
    <definition
                value="The Location represents a class of locations (e.g., Any Operating Theatre)."/>
  </concept>
  <concept>
    <code value="work"/>
    <display value="Work"/>
    <definition
                value="An office contact point. First choice for business-related contacts during business hours."/>
  </concept>
  <concept>
    <code value="mobile"/>
    <display value="Mobile"/>
    <definition
                value="A telecommunication device that moves and stays with its owner."/>
  </concept>
  <concept>
    <code value="phone"/>
    <display value="Phone"/>
    <definition
                value="The value is a telephone number used for voice calls."/>
  </concept>
  <concept>
    <code value="email"/>
    <display value="Email"/>
    <definition value="The value is an email address."/>
  </concept>
  <concept>
    <code value="building"/>
    <display value="Building"/>
    <definition
                value="Any Building or structure. This may contain rooms, corridors, wings, etc."/>
  </concept>
  <concept>
    <code value="wing"/>
    <display value="Wing"/>
    <definition
                value="A Wing within a Building, often contains levels, rooms, and corridors."/>
  </concept>
  <concept>
    <code value="ward"/>
    <display value="Ward"/>
    <definition
                value="A section of a medical facility that may contain rooms and other types of location."/>
  </concept>
  <concept>
    <code value="room"/>
    <display value="Room"/>
    <definition value="A space that is allocated as a room."/>
  </concept>
  <concept>
    <code value="bed"/>
    <display value="Bed"/>
    <definition value="A space that is allocated for sleeping or laying on."/>
  </concept>
  <concept>
    <code value="cot"/>
    <display value="Cot"/>
    <definition
                value="A bed with raised sides, for an infant or a young child."/>
  </concept>
  <concept>
    <code value="incubator"/>
    <display value="Incubator"/>
    <definition
                value="A temperature- and humidity-controlled enclosure for a newborn."/>
  </concept>
  <concept>
    <code value="vehicle"/>
    <display value="Vehicle"/>
    <definition value="A means of transportation, e.g., mobile clinics."/>
  </concept>
  <concept>
    <code value="house"/>
    <display value="House"/>
    <definition
                value="A residential dwelling where a person/patient may reside."/>
  </concept>
  <concept>
    <code value="area"/>
    <display value="Area"/>
    <definition
                value="A defined physical boundary of something, such as a flood risk zone or region."/>
  </concept>
  <concept>
    <code value="virtual"/>
    <display value="Virtual"/>
    <definition
                value="A location that is virtual in nature, such as a conference call or virtual meeting space."/>
  </concept>
  <concept>
    <code value="doctor"/>
    <display value="Doctor"/>
    <definition value="A registered medical practitioner."/>
  </concept>
  <concept>
    <code value="nurse"/>
    <display value="Nurse"/>
    <definition value="A registered nurse."/>
  </concept>
  <concept>
    <code value="pharmacist"/>
    <display value="Pharmacist"/>
    <definition value="A registered pharmacist."/>
  </concept>
  <concept>
    <code value="researcher"/>
    <display value="Researcher"/>
    <definition value="A person carrying out clinical or health research."/>
  </concept>
  <concept>
    <code value="apply"/>
    <display value="Apply"/>
    <definition value="Administered by applying to a body surface."/>
  </concept>
  <concept>
    <code value="inject"/>
    <display value="Inject"/>
    <definition value="Administered by injection."/>
  </concept>
  <concept>
    <code value="dialysis"/>
    <display value="Dialysis"/>
    <definition value="Administered through a dialysis circuit."/>
  </concept>
  <concept>
    <code value="insert"/>
    <display value="Insert"/>
    <definition value="Administered by insertion into a body cavity."/>
  </concept>
  <concept>
    <code value="implant"/>
    <display value="Implant"/>
    <definition value="Administered by implantation into tissue."/>
  </concept>
  <concept>
    <code value="infuse"/>
    <display value="Infuse"/>
    <definition value="Administered by infusion over a period of time."/>
  </concept>
  <concept>
    <code value="powder"/>
    <display value="Powder"/>
    <definition value="A dry, loose preparation of fine particles."/>
  </concept>
  <concept>
    <code value="tablets"/>
    <display value="Tablets"/>
    <definition value="A solid dose pressed into a tablet."/>
  </concept>
  <concept>
    <code value="capsule"/>
    <display value="Capsule"/>
    <definition value="A dose enclosed in a soluble shell."/>
  </concept>
  <concept>
    <code value="solution"/>
    <display value="Solution"/>
    <definition
                value="A liquid in which the active ingredient is fully dissolved."/>
  </concept>
  <concept>
    <code value="lozenge"/>
    <display value="Lozenge"/>
    <definition value="A solid dose dissolved slowly in the mouth."/>
  </concept>
  <concept>
    <code value="suspension"/>
    <display value="Suspension"/>
    <definition
                value="A liquid carrying undissolved particles, requiring agitation before use."/>
  </concept>
  <concept>
    <code value="syrup"/>
    <display value="Syrup"/>
    <definition
                value="A concentrated sugar solution carrying the active ingredient."/>
  </concept>
  <concept>
    <code value="right"/>
    <display value="Right"/>
    <definition value="The right side of the body."/>
  </concept>
  <concept>
    <code value="left"/>
    <display value="Left"/>
    <definition value="The left side of the body."/>
  </concept>
  <concept>
    <code value="bilateral"/>
    <display value="Bilateral"/>
    <definition value="Both sides of the body."/>
  </concept>
  <concept>
    <code value="unknown"/>
    <display value="Unknown"/>
    <definition
                value="Laterality was not recorded or could not be determined."/>
  </concept>
  <concept>
    <code value="cnb"/>
    <display value="Core Needle Biopsy"/>
    <definition value="Tissue obtained with a hollow core needle."/>
  </concept>
  <concept>
    <code value="excision"/>
    <display value="Excision"/>
    <definition value="The whole lesion was removed."/>
  </concept>
  <concept>
    <code value="fna"/>
    <display value="Fine Needle Aspiration"/>
    <definition value="Cells drawn through a fine needle."/>
  </concept>
  <concept>
    <code value="ib"/>
    <display value="Incisional Biopsy"/>
    <definition value="Part of the lesion was removed."/>
  </concept>
  <concept>
    <code value="pb"/>
    <display value="Punch Biopsy"/>
    <definition value="A cylindrical sample taken with a punch instrument."/>
  </concept>
  <concept>
    <code value="sb"/>
    <display value="Shave Biopsy"/>
    <definition value="A sample shaved from the surface of a lesion."/>
  </concept>
  <concept>
    <code value="eb"/>
    <display value="Endoscopic Biopsy"/>
    <definition value="Tissue taken during an endoscopic procedure."/>
  </concept>
  <concept>
    <code value="ras"/>
    <display value="Resection Autopsy Specimen"/>
    <definition value="Tissue obtained at resection or autopsy."/>
  </concept>
  <concept>
    <code value="hematology"/>
    <display value="Hematology"/>
    <definition value="Testing of blood and blood-forming tissue."/>
  </concept>
  <concept>
    <code value="cytology"/>
    <display value="Cytology"/>
    <definition value="Examination of individual cells."/>
  </concept>
  <concept>
    <code value="histopathology"/>
    <display value="Histopathology"/>
    <definition value="Examination of tissue architecture."/>
  </concept>
  <concept>
    <code value="ich"/>
    <display value="Immunohistochemistry"/>
    <definition
                value="Detection of antigens in tissue using labelled antibodies."/>
  </concept>
  <concept>
    <code value="fc"/>
    <display value="Flow Cytometry"/>
    <definition
                value="Measurement of cell characteristics in a fluid stream."/>
  </concept>
  <concept>
    <code value="molecular"/>
    <display value="Molecular"/>
    <definition value="Testing of nucleic acids or other molecular targets."/>
  </concept>
  <concept>
    <code value="benign"/>
    <display value="Benign"/>
    <definition value="A non-invasive growth that does not metastasise."/>
  </concept>
  <concept>
    <code value="malignant"/>
    <display value="Malignant"/>
    <definition value="An invasive growth capable of metastasis."/>
  </concept>
  <concept>
    <code value="insitu"/>
    <display value="In Situ"/>
    <definition value="Malignant cells confined to their tissue of origin."/>
  </concept>
  <concept>
    <code value="borderline"/>
    <display value="Borderline"/>
    <definition value="Behaviour falls between benign and malignant."/>
  </concept>
  <concept>
    <code value="uncertain"/>
    <display value="Uncertain"/>
    <definition
                value="Behaviour could not be determined from the material examined."/>
  </concept>
  <concept>
    <code value="gradeI"/>
    <display value="Well Differentiated"/>
    <definition
                value="Grade I. Tumour cells closely resemble the tissue of origin."/>
  </concept>
  <concept>
    <code value="gradeII"/>
    <display value="Moderately Differentiated"/>
    <definition
                value="Grade II. Tumour cells partly resemble the tissue of origin."/>
  </concept>
  <concept>
    <code value="gradeIII"/>
    <display value="Poorly Differentiated"/>
    <definition
                value="Grade III. Tumour cells bear little resemblance to the tissue of origin."/>
  </concept>
  <concept>
    <code value="gradeIV"/>
    <display value="Undifferentiated / Anaplastic"/>
    <definition
                value="Grade IV. Tumour cells bear no resemblance to the tissue of origin."/>
  </concept>
  <concept>
    <code value="none"/>
    <display value="Not Graded"/>
    <definition value="No grade was assigned."/>
  </concept>
  <concept>
    <code value="positive"/>
    <display value="Positive"/>
    <definition value="Receptor expression was detected."/>
  </concept>
  <concept>
    <code value="negative"/>
    <display value="Negative"/>
    <definition value="Receptor expression was not detected."/>
  </concept>
  <concept>
    <code value="equivocal"/>
    <display value="Equivocal"/>
    <definition value="The result fell in the indeterminate range."/>
  </concept>
  <concept>
    <code value="nottested"/>
    <display value="Not Tested"/>
    <definition value="The receptor was not assayed."/>
  </concept>
  <concept>
    <code value="braf"/>
    <display value="BRAF Mutation"/>
    <definition value="A mutation in the BRAF gene."/>
  </concept>
  <concept>
    <code value="kras"/>
    <display value="KRAS Mutation"/>
    <definition value="A mutation in the KRAS gene."/>
  </concept>
  <concept>
    <code value="nras"/>
    <display value="NRAS Mutation"/>
    <definition value="A mutation in the NRAS gene."/>
  </concept>
  <concept>
    <code value="egfr"/>
    <display value="EGFR Mutation"/>
    <definition value="A mutation in the EGFR gene."/>
  </concept>
  <concept>
    <code value="alk"/>
    <display value="ALK Rearrangement"/>
    <definition value="A rearrangement involving the ALK gene."/>
  </concept>
  <concept>
    <code value="her2"/>
    <display value="HER2 Amplification"/>
    <definition value="Amplification of the HER2 gene."/>
  </concept>
  <concept>
    <code value="pik3ca"/>
    <display value="PIK3CA Mutation"/>
    <definition value="A mutation in the PIK3CA gene."/>
  </concept>
  <concept>
    <code value="pt53"/>
    <display value="TP53 Mutation"/>
    <definition value="A mutation in the TP53 gene."/>
  </concept>
  <concept>
    <code value="msi"/>
    <display value="Microsatellite Instability"/>
    <definition value="Instability in short repeated DNA sequences."/>
  </concept>
  <concept>
    <code value="pdli"/>
    <display value="PD-L1 Expression"/>
    <definition value="Expression of the PD-L1 protein."/>
  </concept>
  <concept>
    <code value="bone"/>
    <display value="Bone"/>
    <definition value="Metastasis to bone."/>
  </concept>
  <concept>
    <code value="liver"/>
    <display value="Liver"/>
    <definition value="Metastasis to the liver."/>
  </concept>
  <concept>
    <code value="lung"/>
    <display value="Lung"/>
    <definition value="Metastasis to the lung."/>
  </concept>
  <concept>
    <code value="brain"/>
    <display value="Brain"/>
    <definition value="Metastasis to the brain."/>
  </concept>
  <concept>
    <code value="skin"/>
    <display value="Skin"/>
    <definition value="Metastasis to the skin."/>
  </concept>
  <concept>
    <code value="dln"/>
    <display value="Distant Lymph Nodes"/>
    <definition value="Metastasis to lymph nodes beyond the regional field."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition
                value="A value outside those enumerated for the element being recorded."/>
  </concept>
  <concept>
    <code value="sghidefaultcode"/>
    <display value="SGHI Default Code"/>
    <definition
                value="A placeholder used where no more specific code is available."/>
  </concept>
  <concept>
    <code value="111002"/>
    <display value="Parathyroid gland"/>
    <definition value="One of the parathyroid glands."/>
  </concept>
  <concept>
    <code value="24642003"/>
    <display value="Psychiatry procedure or service"/>
    <definition value="A psychiatric procedure or service."/>
  </concept>
  <concept>
    <code value="409063005"/>
    <display value="Counseling"/>
    <definition value="A counselling procedure."/>
  </concept>
  <concept>
    <code value="409073007"/>
    <display value="Education"/>
    <definition value="A patient education procedure."/>
  </concept>
  <concept>
    <code value="387713003"/>
    <display value="Surgical procedure (procedure)"/>
    <definition value="A surgical procedure."/>
  </concept>
  <concept>
    <code value="103693007"/>
    <display value="Diagnostic procedure"/>
    <definition value="A procedure performed to establish a diagnosis."/>
  </concept>
  <concept>
    <code value="46947000"/>
    <display value="Chiropractic manipulation"/>
    <definition value="A chiropractic manipulation procedure."/>
  </concept>
  <concept>
    <code value="410606002"/>
    <display value="Social service procedure (procedure)"/>
    <definition value="A social service procedure."/>
  </concept>
  <concept>
    <code value="18949003"/>
    <display value="Change of dressing"/>
    <definition value="Replacement of a wound dressing."/>
  </concept>
  <concept>
    <code value="30549001"/>
    <display value="Removal of suture"/>
    <definition value="Removal of sutures from a wound."/>
  </concept>
  <concept>
    <code value="241031001"/>
    <display value="Removal of drain"/>
    <definition value="Removal of a surgical drain."/>
  </concept>
  <concept>
    <code value="35963001"/>
    <display value="Removal of staples"/>
    <definition value="Removal of surgical staples from a wound."/>
  </concept>
  <concept>
    <code value="225164002"/>
    <display value="Removal of ligature"/>
    <definition value="Removal of a ligature."/>
  </concept>
  <concept>
    <code value="447346005"/>
    <display value="Cardiopulmonary exercise test (procedure)"/>
    <definition
                value="A test of cardiac and respiratory function under exertion."/>
  </concept>
  <concept>
    <code value="229506003"/>
    <display value="Scar tissue massage"/>
    <definition value="Massage applied to scar tissue."/>
  </concept>
  <concept>
    <code value="274441001"/>
    <display value="Suction drainage"/>
    <definition value="Drainage of a cavity or wound by suction."/>
  </concept>
  <concept>
    <code value="394725008"/>
    <display value="Diabetes medication review (procedure)"/>
    <definition value="A review of a patient's diabetes medication."/>
  </concept>
  <concept>
    <code value="359825008"/>
    <display
             value="Cytopathology, review of bronchioalveolar lavage specimen"/>
    <definition
                value="Cytopathological review of a bronchoalveolar lavage specimen."/>
  </concept>
  <concept>
    <code value="385669000"/>
    <display value="Successful"/>
    <definition value="The procedure achieved what it was performed for."/>
  </concept>
  <concept>
    <code value="385671000"/>
    <display value="Unsuccessful"/>
    <definition
                value="The procedure did not achieve what it was performed for."/>
  </concept>
  <concept>
    <code value="385670004"/>
    <display value="Partially successful"/>
    <definition
                value="The procedure partly achieved what it was performed for."/>
  </concept>
</CodeSystem>