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-document-type-codesystem",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem inpatient-document-type-codesystem</b></p><a name=\"inpatient-document-type-codesystem\"> </a><a name=\"hcinpatient-document-type-codesystem\"> </a><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-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\">progress-note<a name=\"inpatient-document-type-codesystem-progress-note\"> </a></td><td>Progress note</td><td>Interval change since the last entry, and the plan from here.</td></tr><tr><td style=\"white-space:nowrap\">admission-note<a name=\"inpatient-document-type-codesystem-admission-note\"> </a></td><td>Admission note</td><td>The narrative account of why the patient was admitted.</td></tr><tr><td style=\"white-space:nowrap\">nursing-note<a name=\"inpatient-document-type-codesystem-nursing-note\"> </a></td><td>Nursing note</td><td>Nursing observation and care given during a shift.</td></tr><tr><td style=\"white-space:nowrap\">ward-round-note<a name=\"inpatient-document-type-codesystem-ward-round-note\"> </a></td><td>Ward round</td><td>The consultant round entry: findings, decisions and jobs for the team.</td></tr><tr><td style=\"white-space:nowrap\">shift-handover-note<a name=\"inpatient-document-type-codesystem-shift-handover-note\"> </a></td><td>Shift handover</td><td>What the next shift needs to know about the patient.</td></tr><tr><td style=\"white-space:nowrap\">discharge-note<a name=\"inpatient-document-type-codesystem-discharge-note\"> </a></td><td>Discharge note</td><td>The summary the patient and their next clinician leave with.</td></tr><tr><td style=\"white-space:nowrap\">death-note<a name=\"inpatient-document-type-codesystem-death-note\"> </a></td><td>Death note</td><td>The record of a death, its circumstances and who was informed. Distinct from the death certificate, which is a civil registration document.</td></tr><tr><td style=\"white-space:nowrap\">adult-general-admission-assessment<a name=\"inpatient-document-type-codesystem-adult-general-admission-assessment\"> </a></td><td>Adult general admission assessment</td><td>The baseline taken on arrival to the ward, for any adult admission.</td></tr><tr><td style=\"white-space:nowrap\">obstetric-admission-assessment<a name=\"inpatient-document-type-codesystem-obstetric-admission-assessment\"> </a></td><td>Obstetric admission assessment</td><td>Taken on admission to the maternity ward, before the first review.</td></tr><tr><td style=\"white-space:nowrap\">surgical-preoperative-assessment<a name=\"inpatient-document-type-codesystem-surgical-preoperative-assessment\"> </a></td><td>Surgical pre-operative assessment</td><td>Completed before theatre, confirming fitness and consent.</td></tr><tr><td style=\"white-space:nowrap\">critical-care-assessment<a name=\"inpatient-document-type-codesystem-critical-care-assessment\"> </a></td><td>Critical care assessment</td><td>Organ support and conscious level, for a patient in critical care.</td></tr><tr><td style=\"white-space:nowrap\">paediatric-admission-assessment<a name=\"inpatient-document-type-codesystem-paediatric-admission-assessment\"> </a></td><td>Paediatric admission assessment</td><td>The baseline for a child, including who is staying with them.</td></tr><tr><td style=\"white-space:nowrap\">falls-and-pressure-ulcer-risk-assessment<a name=\"inpatient-document-type-codesystem-falls-and-pressure-ulcer-risk-assessment\"> </a></td><td>Falls and pressure ulcer risk</td><td>Braden and falls risk together, reassessed daily and on any change.</td></tr><tr><td style=\"white-space:nowrap\">nutrition-screening<a name=\"inpatient-document-type-codesystem-nutrition-screening\"> </a></td><td>Nutrition screening (MUST)</td><td>Malnutrition screening, repeated weekly for an inpatient.</td></tr><tr><td style=\"white-space:nowrap\">mental-health-risk-assessment<a name=\"inpatient-document-type-codesystem-mental-health-risk-assessment\"> </a></td><td>Mental health risk assessment</td><td>Mood, risk and capacity, with any safeguarding concern.</td></tr></table></div>"
},
"url" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem",
"version" : "0.1.0",
"name" : "SGHIInpatientDocumentTypeCodeSystem",
"title" : "SGHI Inpatient Document Type 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 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.",
"caseSensitive" : true,
"content" : "complete",
"count" : 15,
"concept" : [
{
"code" : "progress-note",
"display" : "Progress note",
"definition" : "Interval change since the last entry, and the plan from here."
},
{
"code" : "admission-note",
"display" : "Admission note",
"definition" : "The narrative account of why the patient was admitted."
},
{
"code" : "nursing-note",
"display" : "Nursing note",
"definition" : "Nursing observation and care given during a shift."
},
{
"code" : "ward-round-note",
"display" : "Ward round",
"definition" : "The consultant round entry: findings, decisions and jobs for the team."
},
{
"code" : "shift-handover-note",
"display" : "Shift handover",
"definition" : "What the next shift needs to know about the patient."
},
{
"code" : "discharge-note",
"display" : "Discharge note",
"definition" : "The summary the patient and their next clinician leave with."
},
{
"code" : "death-note",
"display" : "Death note",
"definition" : "The record of a death, its circumstances and who was informed. Distinct from the death certificate, which is a civil registration document."
},
{
"code" : "adult-general-admission-assessment",
"display" : "Adult general admission assessment",
"definition" : "The baseline taken on arrival to the ward, for any adult admission."
},
{
"code" : "obstetric-admission-assessment",
"display" : "Obstetric admission assessment",
"definition" : "Taken on admission to the maternity ward, before the first review."
},
{
"code" : "surgical-preoperative-assessment",
"display" : "Surgical pre-operative assessment",
"definition" : "Completed before theatre, confirming fitness and consent."
},
{
"code" : "critical-care-assessment",
"display" : "Critical care assessment",
"definition" : "Organ support and conscious level, for a patient in critical care."
},
{
"code" : "paediatric-admission-assessment",
"display" : "Paediatric admission assessment",
"definition" : "The baseline for a child, including who is staying with them."
},
{
"code" : "falls-and-pressure-ulcer-risk-assessment",
"display" : "Falls and pressure ulcer risk",
"definition" : "Braden and falls risk together, reassessed daily and on any change."
},
{
"code" : "nutrition-screening",
"display" : "Nutrition screening (MUST)",
"definition" : "Malnutrition screening, repeated weekly for an inpatient."
},
{
"code" : "mental-health-risk-assessment",
"display" : "Mental health risk assessment",
"definition" : "Mood, risk and capacity, with any safeguarding concern."
}
]
}