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 Document Type Code System

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

The notes and assessments written against an inpatient stay. LOINC already names four of these — progress note, history and physical, nurse note and discharge summary — and each carries its LOINC code alongside its SGHI code. The other eleven have no LOINC equivalent that says the same thing. It is a document classification, so it serves Composition.type and DocumentReference.type once a note is filed.

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-document-type-codesystem defines the following codes:

CodeDisplayDefinition
progress-note Progress note Interval change since the last entry, and the plan from here.
admission-note Admission note The narrative account of why the patient was admitted.
nursing-note Nursing note Nursing observation and care given during a shift.
ward-round-note Ward round The consultant round entry: findings, decisions and jobs for the team.
shift-handover-note Shift handover What the next shift needs to know about the patient.
discharge-note Discharge note The summary the patient and their next clinician leave with.
death-note Death note The record of a death, its circumstances and who was informed. Distinct from the death certificate, which is a civil registration document.
adult-general-admission-assessment Adult general admission assessment The baseline taken on arrival to the ward, for any adult admission.
obstetric-admission-assessment Obstetric admission assessment Taken on admission to the maternity ward, before the first review.
surgical-preoperative-assessment Surgical pre-operative assessment Completed before theatre, confirming fitness and consent.
critical-care-assessment Critical care assessment Organ support and conscious level, for a patient in critical care.
paediatric-admission-assessment Paediatric admission assessment The baseline for a child, including who is staying with them.
falls-and-pressure-ulcer-risk-assessment Falls and pressure ulcer risk Braden and falls risk together, reassessed daily and on any change.
nutrition-screening Nutrition screening (MUST) Malnutrition screening, repeated weekly for an inpatient.
mental-health-risk-assessment Mental health risk assessment Mood, risk and capacity, with any safeguarding concern.