SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

CodeSystem: SGHI Inpatient Assessment Answer Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-assessment-answer-codesystem Version: 0.1.0
Active as of 2026-09-15 Computable Name: SGHIInpatientAssessmentAnswerCodeSystem

The single-select answers offered by the inpatient assessments that are not part of a scored instrument: ASA grade, oxygen support, immunisation status, risk of self-harm and capacity to consent. Local pick lists get local codes. The displays are the wording shown to the clinician and should not be reworded without changing the form. Scored-instrument answers live in SGHIClinicalScoreCodeSystem instead, because they also carry an ordinal weight.

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

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

CodeDisplayDefinition
asa-i I — healthy ASA physical status I: a normal healthy patient.
asa-ii II — mild systemic disease ASA physical status II: a patient with mild systemic disease.
asa-iii III — severe systemic disease ASA physical status III: a patient with severe systemic disease.
asa-iv IV — life-threatening disease ASA physical status IV: a patient with severe systemic disease that is a constant threat to life.
asa-v V — moribund ASA physical status V: a moribund patient who is not expected to survive without the operation.
oxygen-room-air Room air Breathing room air, with no supplemental oxygen.
oxygen-nasal-cannula Nasal cannula Supplemental oxygen delivered by nasal cannula.
oxygen-face-mask Face mask Supplemental oxygen delivered by face mask.
oxygen-high-flow-nasal High-flow nasal oxygen Heated, humidified oxygen delivered at high flow by nasal interface.
oxygen-non-invasive-ventilation Non-invasive ventilation Ventilatory support delivered without an artificial airway, by mask or hood.
oxygen-invasive-ventilation Invasive ventilation Ventilatory support delivered through an endotracheal tube or tracheostomy.
immunisation-up-to-date Up to date Immunisations are complete for the child's age per the national schedule.
immunisation-partial Partially immunised Some but not all of the immunisations due for the child's age have been given.
immunisation-none Not immunised No immunisations have been given.
immunisation-unknown Not known Immunisation status could not be established from the carer or any record.
self-harm-none No current risk identified No current risk of self-harm identified on assessment.
self-harm-passive Passive thoughts, no plan Passive thoughts of self-harm or of being better off dead, with no plan or intent.
self-harm-active-plan Active thoughts with a plan Active thoughts of self-harm together with a plan.
self-harm-recent-act Recent act of self-harm A recent act of self-harm, whether or not intent to die was expressed.
capacity-has Has capacity for this decision The patient can understand, retain and weigh the information for this decision and communicate a choice.
capacity-fluctuating Capacity fluctuating Capacity for this decision varies over time, so the assessment holds only for the moment it was made.
capacity-lacks Lacks capacity for this decision The patient cannot make this particular decision at this time.