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

: SGHI Medication Administration Code System - TTL Representation

Active as of 2026-09-15

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/medication-administration-codesystem> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "medication-administration-codesystem"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem medication-administration-codesystem</b></p><a name=\"medication-administration-codesystem\"> </a><a name=\"hcmedication-administration-codesystem\"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>supply-failure</td><td>supply-failure</td><td>https://fhir.slade360.co.ke/fhir/concept-properties#supply-failure</td><td>boolean</td><td>True where the dose was not given because the drug was not there to give. These are stock failures rather than clinical decisions, and are escalated to pharmacy and counted.</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-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><td><b>supply-failure</b></td></tr><tr><td style=\"white-space:nowrap\">given<a name=\"medication-administration-codesystem-given\"> </a></td><td>Given</td><td>The dose was administered. Carried on MedicationAdministration.status as #completed.</td><td/></tr><tr><td style=\"white-space:nowrap\">held<a name=\"medication-administration-codesystem-held\"> </a></td><td>Held</td><td>A clinical decision to withhold the dose, expecting to give it later. Carried as #on-hold, whose definition — temporarily halted but expected to continue — is exactly this.</td><td/></tr><tr><td style=\"white-space:nowrap\">refused<a name=\"medication-administration-codesystem-refused\"> </a></td><td>Refused</td><td>The patient declined the dose. Carried as #not-done, which it shares with #omitted; the two are told apart by the reason recorded, not by the status.</td><td/></tr><tr><td style=\"white-space:nowrap\">omitted<a name=\"medication-administration-codesystem-omitted\"> </a></td><td>Omitted</td><td>The dose passed without being given. Carried as #not-done, shared with #refused as above.</td><td/></tr><tr><td style=\"white-space:nowrap\">nil-by-mouth<a name=\"medication-administration-codesystem-nil-by-mouth\"> </a></td><td>Nil by mouth</td><td>The patient is nil by mouth, so an oral dose cannot be given.</td><td/></tr><tr><td style=\"white-space:nowrap\">vomiting<a name=\"medication-administration-codesystem-vomiting\"> </a></td><td>Vomiting</td><td>The patient is vomiting and would not keep the dose down. Not HL7's reason-medication-not-given #d, which is the opposite case: a dose that was given and then vomited back.</td><td/></tr><tr><td style=\"white-space:nowrap\">observations-out-of-range<a name=\"medication-administration-codesystem-observations-out-of-range\"> </a></td><td>Observations out of range</td><td>An observation the dose depends on is outside the range it may be given in.</td><td/></tr><tr><td style=\"white-space:nowrap\">awaiting-result<a name=\"medication-administration-codesystem-awaiting-result\"> </a></td><td>Awaiting a result</td><td>A result the dose depends on has not come back yet.</td><td/></tr><tr><td style=\"white-space:nowrap\">prescriber-asked-to-hold<a name=\"medication-administration-codesystem-prescriber-asked-to-hold\"> </a></td><td>Prescriber asked to hold</td><td>The prescriber asked for the dose to be held.</td><td/></tr><tr><td style=\"white-space:nowrap\">patient-refused<a name=\"medication-administration-codesystem-patient-refused\"> </a></td><td>Patient refused</td><td>The patient declined the dose.</td><td/></tr><tr><td style=\"white-space:nowrap\">unable-to-swallow<a name=\"medication-administration-codesystem-unable-to-swallow\"> </a></td><td>Unable to swallow</td><td>The patient could not swallow the dose.</td><td/></tr><tr><td style=\"white-space:nowrap\">adverse-effect-reported<a name=\"medication-administration-codesystem-adverse-effect-reported\"> </a></td><td>Adverse effect reported by patient</td><td>The patient declined the dose, reporting an adverse effect from it.</td><td/></tr><tr><td style=\"white-space:nowrap\">drug-not-available<a name=\"medication-administration-codesystem-drug-not-available\"> </a></td><td>Drug not available</td><td>The drug was not available to give. A supply failure rather than a clinical decision: escalated to pharmacy and counted as a stock-out.</td><td>true</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [ fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "SGHIMedicationAdministrationCodeSystem"] ; # 
  fhir:title [ fhir:v "SGHI Medication Administration Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-09-15T11:40:24+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Kathurima Kimathi"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "Kathurima Kimathi" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://www.linkedin.com/in/kathurima-kimathi/" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "kathurimakimathi415@gmail.com" ]
     ] )
  ] [
     fhir:name [ fhir:v "Oscar John" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "oscarjohnotieno@gmail.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] [
     fhir:name [ fhir:v "Kennedy Omondi" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "kennankole@gmail.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "A code system enumerating what happened to a medication dose at the drug round, and the reasons a dose was held, refused or omitted that have no home in HL7 terminology."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "13"^^xsd:nonNegativeInteger] ; # 
  fhir:property ( [
     fhir:code [ fhir:v "supply-failure" ] ;
     fhir:uri [ fhir:v "https://fhir.slade360.co.ke/fhir/concept-properties#supply-failure"^^xsd:anyURI ] ;
     fhir:description [ fhir:v "True where the dose was not given because the drug was not there to give. These are stock failures rather than clinical decisions, and are escalated to pharmacy and counted." ] ;
     fhir:type [ fhir:v "boolean" ]
  ] ) ; # 
  fhir:concept ( [
     fhir:code [ fhir:v "given" ] ;
     fhir:display [ fhir:v "Given" ] ;
     fhir:definition [ fhir:v "The dose was administered. Carried on MedicationAdministration.status as #completed." ]
  ] [
     fhir:code [ fhir:v "held" ] ;
     fhir:display [ fhir:v "Held" ] ;
     fhir:definition [ fhir:v "A clinical decision to withhold the dose, expecting to give it later. Carried as #on-hold, whose definition — temporarily halted but expected to continue — is exactly this." ]
  ] [
     fhir:code [ fhir:v "refused" ] ;
     fhir:display [ fhir:v "Refused" ] ;
     fhir:definition [ fhir:v "The patient declined the dose. Carried as #not-done, which it shares with #omitted; the two are told apart by the reason recorded, not by the status." ]
  ] [
     fhir:code [ fhir:v "omitted" ] ;
     fhir:display [ fhir:v "Omitted" ] ;
     fhir:definition [ fhir:v "The dose passed without being given. Carried as #not-done, shared with #refused as above." ]
  ] [
     fhir:code [ fhir:v "nil-by-mouth" ] ;
     fhir:display [ fhir:v "Nil by mouth" ] ;
     fhir:definition [ fhir:v "The patient is nil by mouth, so an oral dose cannot be given." ]
  ] [
     fhir:code [ fhir:v "vomiting" ] ;
     fhir:display [ fhir:v "Vomiting" ] ;
     fhir:definition [ fhir:v "The patient is vomiting and would not keep the dose down. Not HL7's reason-medication-not-given #d, which is the opposite case: a dose that was given and then vomited back." ]
  ] [
     fhir:code [ fhir:v "observations-out-of-range" ] ;
     fhir:display [ fhir:v "Observations out of range" ] ;
     fhir:definition [ fhir:v "An observation the dose depends on is outside the range it may be given in." ]
  ] [
     fhir:code [ fhir:v "awaiting-result" ] ;
     fhir:display [ fhir:v "Awaiting a result" ] ;
     fhir:definition [ fhir:v "A result the dose depends on has not come back yet." ]
  ] [
     fhir:code [ fhir:v "prescriber-asked-to-hold" ] ;
     fhir:display [ fhir:v "Prescriber asked to hold" ] ;
     fhir:definition [ fhir:v "The prescriber asked for the dose to be held." ]
  ] [
     fhir:code [ fhir:v "patient-refused" ] ;
     fhir:display [ fhir:v "Patient refused" ] ;
     fhir:definition [ fhir:v "The patient declined the dose." ]
  ] [
     fhir:code [ fhir:v "unable-to-swallow" ] ;
     fhir:display [ fhir:v "Unable to swallow" ] ;
     fhir:definition [ fhir:v "The patient could not swallow the dose." ]
  ] [
     fhir:code [ fhir:v "adverse-effect-reported" ] ;
     fhir:display [ fhir:v "Adverse effect reported by patient" ] ;
     fhir:definition [ fhir:v "The patient declined the dose, reporting an adverse effect from it." ]
  ] [
     fhir:code [ fhir:v "drug-not-available" ] ;
     fhir:display [ fhir:v "Drug not available" ] ;
     fhir:definition [ fhir:v "The drug was not available to give. A supply failure rather than a clinical decision: escalated to pharmacy and counted as a stock-out." ] ;
     fhir:property ( [
       fhir:code [ fhir:v "supply-failure" ] ;
       fhir:value [
         a fhir:boolean ;
         fhir:v true
       ]
     ] )
  ] ) . #