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