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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="inpatient-assessment-answer-codesystem"/>
<text>
<status value="generated"/>
<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>
</text>
<url
value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-assessment-answer-codesystem"/>
<version value="0.1.0"/>
<name value="SGHIInpatientAssessmentAnswerCodeSystem"/>
<title value="SGHI Inpatient Assessment Answer Code System"/>
<status value="active"/>
<experimental value="false"/>
<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="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 value="true"/>
<content value="complete"/>
<count value="22"/>
<concept>
<code value="asa-i"/>
<display value="I — healthy"/>
<definition value="ASA physical status I: a normal healthy patient."/>
</concept>
<concept>
<code value="asa-ii"/>
<display value="II — mild systemic disease"/>
<definition
value="ASA physical status II: a patient with mild systemic disease."/>
</concept>
<concept>
<code value="asa-iii"/>
<display value="III — severe systemic disease"/>
<definition
value="ASA physical status III: a patient with severe systemic disease."/>
</concept>
<concept>
<code value="asa-iv"/>
<display value="IV — life-threatening disease"/>
<definition
value="ASA physical status IV: a patient with severe systemic disease that is a constant threat to life."/>
</concept>
<concept>
<code value="asa-v"/>
<display value="V — moribund"/>
<definition
value="ASA physical status V: a moribund patient who is not expected to survive without the operation."/>
</concept>
<concept>
<code value="oxygen-room-air"/>
<display value="Room air"/>
<definition value="Breathing room air, with no supplemental oxygen."/>
</concept>
<concept>
<code value="oxygen-nasal-cannula"/>
<display value="Nasal cannula"/>
<definition value="Supplemental oxygen delivered by nasal cannula."/>
</concept>
<concept>
<code value="oxygen-face-mask"/>
<display value="Face mask"/>
<definition value="Supplemental oxygen delivered by face mask."/>
</concept>
<concept>
<code value="oxygen-high-flow-nasal"/>
<display value="High-flow nasal oxygen"/>
<definition
value="Heated, humidified oxygen delivered at high flow by nasal interface."/>
</concept>
<concept>
<code value="oxygen-non-invasive-ventilation"/>
<display value="Non-invasive ventilation"/>
<definition
value="Ventilatory support delivered without an artificial airway, by mask or hood."/>
</concept>
<concept>
<code value="oxygen-invasive-ventilation"/>
<display value="Invasive ventilation"/>
<definition
value="Ventilatory support delivered through an endotracheal tube or tracheostomy."/>
</concept>
<concept>
<code value="immunisation-up-to-date"/>
<display value="Up to date"/>
<definition
value="Immunisations are complete for the child's age per the national schedule."/>
</concept>
<concept>
<code value="immunisation-partial"/>
<display value="Partially immunised"/>
<definition
value="Some but not all of the immunisations due for the child's age have been given."/>
</concept>
<concept>
<code value="immunisation-none"/>
<display value="Not immunised"/>
<definition value="No immunisations have been given."/>
</concept>
<concept>
<code value="immunisation-unknown"/>
<display value="Not known"/>
<definition
value="Immunisation status could not be established from the carer or any record."/>
</concept>
<concept>
<code value="self-harm-none"/>
<display value="No current risk identified"/>
<definition
value="No current risk of self-harm identified on assessment."/>
</concept>
<concept>
<code value="self-harm-passive"/>
<display value="Passive thoughts, no plan"/>
<definition
value="Passive thoughts of self-harm or of being better off dead, with no plan or intent."/>
</concept>
<concept>
<code value="self-harm-active-plan"/>
<display value="Active thoughts with a plan"/>
<definition value="Active thoughts of self-harm together with a plan."/>
</concept>
<concept>
<code value="self-harm-recent-act"/>
<display value="Recent act of self-harm"/>
<definition
value="A recent act of self-harm, whether or not intent to die was expressed."/>
</concept>
<concept>
<code value="capacity-has"/>
<display value="Has capacity for this decision"/>
<definition
value="The patient can understand, retain and weigh the information for this decision and communicate a choice."/>
</concept>
<concept>
<code value="capacity-fluctuating"/>
<display value="Capacity fluctuating"/>
<definition
value="Capacity for this decision varies over time, so the assessment holds only for the moment it was made."/>
</concept>
<concept>
<code value="capacity-lacks"/>
<display value="Lacks capacity for this decision"/>
<definition
value="The patient cannot make this particular decision at this time."/>
</concept>
</CodeSystem>