SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Active as of 2026-09-15 |
{
"resourceType" : "CodeSystem",
"id" : "inpatient-assessment-answer-codesystem",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem inpatient-assessment-answer-codesystem</b></p><a name=\"inpatient-assessment-answer-codesystem\"> </a><a name=\"hcinpatient-assessment-answer-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-assessment-answer-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\">asa-i<a name=\"inpatient-assessment-answer-codesystem-asa-i\"> </a></td><td>I — healthy</td><td>ASA physical status I: a normal healthy patient.</td></tr><tr><td style=\"white-space:nowrap\">asa-ii<a name=\"inpatient-assessment-answer-codesystem-asa-ii\"> </a></td><td>II — mild systemic disease</td><td>ASA physical status II: a patient with mild systemic disease.</td></tr><tr><td style=\"white-space:nowrap\">asa-iii<a name=\"inpatient-assessment-answer-codesystem-asa-iii\"> </a></td><td>III — severe systemic disease</td><td>ASA physical status III: a patient with severe systemic disease.</td></tr><tr><td style=\"white-space:nowrap\">asa-iv<a name=\"inpatient-assessment-answer-codesystem-asa-iv\"> </a></td><td>IV — life-threatening disease</td><td>ASA physical status IV: a patient with severe systemic disease that is a constant threat to life.</td></tr><tr><td style=\"white-space:nowrap\">asa-v<a name=\"inpatient-assessment-answer-codesystem-asa-v\"> </a></td><td>V — moribund</td><td>ASA physical status V: a moribund patient who is not expected to survive without the operation.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-room-air<a name=\"inpatient-assessment-answer-codesystem-oxygen-room-air\"> </a></td><td>Room air</td><td>Breathing room air, with no supplemental oxygen.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-nasal-cannula<a name=\"inpatient-assessment-answer-codesystem-oxygen-nasal-cannula\"> </a></td><td>Nasal cannula</td><td>Supplemental oxygen delivered by nasal cannula.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-face-mask<a name=\"inpatient-assessment-answer-codesystem-oxygen-face-mask\"> </a></td><td>Face mask</td><td>Supplemental oxygen delivered by face mask.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-high-flow-nasal<a name=\"inpatient-assessment-answer-codesystem-oxygen-high-flow-nasal\"> </a></td><td>High-flow nasal oxygen</td><td>Heated, humidified oxygen delivered at high flow by nasal interface.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-non-invasive-ventilation<a name=\"inpatient-assessment-answer-codesystem-oxygen-non-invasive-ventilation\"> </a></td><td>Non-invasive ventilation</td><td>Ventilatory support delivered without an artificial airway, by mask or hood.</td></tr><tr><td style=\"white-space:nowrap\">oxygen-invasive-ventilation<a name=\"inpatient-assessment-answer-codesystem-oxygen-invasive-ventilation\"> </a></td><td>Invasive ventilation</td><td>Ventilatory support delivered through an endotracheal tube or tracheostomy.</td></tr><tr><td style=\"white-space:nowrap\">immunisation-up-to-date<a name=\"inpatient-assessment-answer-codesystem-immunisation-up-to-date\"> </a></td><td>Up to date</td><td>Immunisations are complete for the child's age per the national schedule.</td></tr><tr><td style=\"white-space:nowrap\">immunisation-partial<a name=\"inpatient-assessment-answer-codesystem-immunisation-partial\"> </a></td><td>Partially immunised</td><td>Some but not all of the immunisations due for the child's age have been given.</td></tr><tr><td style=\"white-space:nowrap\">immunisation-none<a name=\"inpatient-assessment-answer-codesystem-immunisation-none\"> </a></td><td>Not immunised</td><td>No immunisations have been given.</td></tr><tr><td style=\"white-space:nowrap\">immunisation-unknown<a name=\"inpatient-assessment-answer-codesystem-immunisation-unknown\"> </a></td><td>Not known</td><td>Immunisation status could not be established from the carer or any record.</td></tr><tr><td style=\"white-space:nowrap\">self-harm-none<a name=\"inpatient-assessment-answer-codesystem-self-harm-none\"> </a></td><td>No current risk identified</td><td>No current risk of self-harm identified on assessment.</td></tr><tr><td style=\"white-space:nowrap\">self-harm-passive<a name=\"inpatient-assessment-answer-codesystem-self-harm-passive\"> </a></td><td>Passive thoughts, no plan</td><td>Passive thoughts of self-harm or of being better off dead, with no plan or intent.</td></tr><tr><td style=\"white-space:nowrap\">self-harm-active-plan<a name=\"inpatient-assessment-answer-codesystem-self-harm-active-plan\"> </a></td><td>Active thoughts with a plan</td><td>Active thoughts of self-harm together with a plan.</td></tr><tr><td style=\"white-space:nowrap\">self-harm-recent-act<a name=\"inpatient-assessment-answer-codesystem-self-harm-recent-act\"> </a></td><td>Recent act of self-harm</td><td>A recent act of self-harm, whether or not intent to die was expressed.</td></tr><tr><td style=\"white-space:nowrap\">capacity-has<a name=\"inpatient-assessment-answer-codesystem-capacity-has\"> </a></td><td>Has capacity for this decision</td><td>The patient can understand, retain and weigh the information for this decision and communicate a choice.</td></tr><tr><td style=\"white-space:nowrap\">capacity-fluctuating<a name=\"inpatient-assessment-answer-codesystem-capacity-fluctuating\"> </a></td><td>Capacity fluctuating</td><td>Capacity for this decision varies over time, so the assessment holds only for the moment it was made.</td></tr><tr><td style=\"white-space:nowrap\">capacity-lacks<a name=\"inpatient-assessment-answer-codesystem-capacity-lacks\"> </a></td><td>Lacks capacity for this decision</td><td>The patient cannot make this particular decision at this time.</td></tr></table></div>"
},
"url" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-assessment-answer-codesystem",
"version" : "0.1.0",
"name" : "SGHIInpatientAssessmentAnswerCodeSystem",
"title" : "SGHI Inpatient Assessment Answer Code System",
"status" : "active",
"experimental" : false,
"date" : "2026-09-15T11:40:24+00:00",
"publisher" : "Kathurima Kimathi",
"contact" : [
{
"name" : "Kathurima Kimathi",
"telecom" : [
{
"system" : "url",
"value" : "https://www.linkedin.com/in/kathurima-kimathi/"
},
{
"system" : "email",
"value" : "kathurimakimathi415@gmail.com"
}
]
},
{
"name" : "Oscar John",
"telecom" : [
{
"system" : "email",
"value" : "oscarjohnotieno@gmail.com",
"use" : "work"
}
]
},
{
"name" : "Kennedy Omondi",
"telecom" : [
{
"system" : "email",
"value" : "kennankole@gmail.com",
"use" : "work"
}
]
}
],
"description" : "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.",
"caseSensitive" : true,
"content" : "complete",
"count" : 22,
"concept" : [
{
"code" : "asa-i",
"display" : "I — healthy",
"definition" : "ASA physical status I: a normal healthy patient."
},
{
"code" : "asa-ii",
"display" : "II — mild systemic disease",
"definition" : "ASA physical status II: a patient with mild systemic disease."
},
{
"code" : "asa-iii",
"display" : "III — severe systemic disease",
"definition" : "ASA physical status III: a patient with severe systemic disease."
},
{
"code" : "asa-iv",
"display" : "IV — life-threatening disease",
"definition" : "ASA physical status IV: a patient with severe systemic disease that is a constant threat to life."
},
{
"code" : "asa-v",
"display" : "V — moribund",
"definition" : "ASA physical status V: a moribund patient who is not expected to survive without the operation."
},
{
"code" : "oxygen-room-air",
"display" : "Room air",
"definition" : "Breathing room air, with no supplemental oxygen."
},
{
"code" : "oxygen-nasal-cannula",
"display" : "Nasal cannula",
"definition" : "Supplemental oxygen delivered by nasal cannula."
},
{
"code" : "oxygen-face-mask",
"display" : "Face mask",
"definition" : "Supplemental oxygen delivered by face mask."
},
{
"code" : "oxygen-high-flow-nasal",
"display" : "High-flow nasal oxygen",
"definition" : "Heated, humidified oxygen delivered at high flow by nasal interface."
},
{
"code" : "oxygen-non-invasive-ventilation",
"display" : "Non-invasive ventilation",
"definition" : "Ventilatory support delivered without an artificial airway, by mask or hood."
},
{
"code" : "oxygen-invasive-ventilation",
"display" : "Invasive ventilation",
"definition" : "Ventilatory support delivered through an endotracheal tube or tracheostomy."
},
{
"code" : "immunisation-up-to-date",
"display" : "Up to date",
"definition" : "Immunisations are complete for the child's age per the national schedule."
},
{
"code" : "immunisation-partial",
"display" : "Partially immunised",
"definition" : "Some but not all of the immunisations due for the child's age have been given."
},
{
"code" : "immunisation-none",
"display" : "Not immunised",
"definition" : "No immunisations have been given."
},
{
"code" : "immunisation-unknown",
"display" : "Not known",
"definition" : "Immunisation status could not be established from the carer or any record."
},
{
"code" : "self-harm-none",
"display" : "No current risk identified",
"definition" : "No current risk of self-harm identified on assessment."
},
{
"code" : "self-harm-passive",
"display" : "Passive thoughts, no plan",
"definition" : "Passive thoughts of self-harm or of being better off dead, with no plan or intent."
},
{
"code" : "self-harm-active-plan",
"display" : "Active thoughts with a plan",
"definition" : "Active thoughts of self-harm together with a plan."
},
{
"code" : "self-harm-recent-act",
"display" : "Recent act of self-harm",
"definition" : "A recent act of self-harm, whether or not intent to die was expressed."
},
{
"code" : "capacity-has",
"display" : "Has capacity for this decision",
"definition" : "The patient can understand, retain and weigh the information for this decision and communicate a choice."
},
{
"code" : "capacity-fluctuating",
"display" : "Capacity fluctuating",
"definition" : "Capacity for this decision varies over time, so the assessment holds only for the moment it was made."
},
{
"code" : "capacity-lacks",
"display" : "Lacks capacity for this decision",
"definition" : "The patient cannot make this particular decision at this time."
}
]
}