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 Special Clinic Code System

Official URL: https://fhir.slade360.co.ke/fhir/CodeSystem/special-clinic-code-system Version: 0.1.0
Active as of 2026-09-15 Computable Name: SGHISpecialClinicCodeSystem

A code system enumerating local codes used across ANC, PNC, CWC and other special-clinic workflows within SGHI's environment. Codes are used wherever a suitable LOINC, SNOMED-CT or HL7 code does not exist.

This Code system is referenced in the content logical definition of the following value sets:

This code system https://fhir.slade360.co.ke/fhir/CodeSystem/special-clinic-code-system defines the following codes:

CodeDisplayDefinition
not-applicable Not Applicable Used when a concept does not apply in the current clinical context.
muac-green Green — Normal (≥23 cm) MUAC measurement indicating normal nutritional status (≥23 cm).
muac-yellow Yellow — Moderate Acute Malnutrition (20–22.9 cm) MUAC measurement indicating moderate acute malnutrition (20–22.9 cm).
muac-red Red — Severe Acute Malnutrition (<20 cm) MUAC measurement indicating severe acute malnutrition (<20 cm).
breast-normal Yes — Normal Breast examination result: normal findings.
breast-abnormal Yes — Abnormal Breast examination result: abnormal findings.
not-done Not Done The procedure or test was not performed.
fgm-scarring Scarring FGM complication: scarring.
fgm-keloid Keloid formation FGM complication: keloid formation.
fgm-dyspareunia Dyspareunia FGM complication: dyspareunia (painful intercourse).
fgm-uti Urinary tract infection FGM complication: urinary tract infection.
rbs-normal RBS < 11.1 mmol/L — No Diabetes Random blood sugar below 11.1 mmol/L; no diabetes indicated.
rbs-diabetes RBS ≥ 11.1 mmol/L — Has Diabetes Random blood sugar at or above 11.1 mmol/L; diabetes indicated.
rbs-not-done No RBS Done Random blood sugar test was not performed.
rpr RPR (Rapid Plasma Reagin) Syphilis test: Rapid Plasma Reagin.
vdrl VDRL (Venereal Disease Research Laboratory) Syphilis test: Venereal Disease Research Laboratory.
dual-testing Dual Testing (RPR + VDRL) Syphilis test: combined RPR and VDRL testing.
presumed-tb Presumed TB Clinically or radiologically suspected TB, not yet confirmed.
no-tb-signs No Signs of TB No clinical signs of tuberculosis detected.
on-tb-treatment Already on TB Treatment Patient is already receiving TB treatment.
hiv-known-positive Known Positive — Status before 1st ANC (KP) HIV-positive status known prior to the first ANC visit.
hiv-initial-test Initial Test (I) First HIV test performed at this visit.
hiv-retest Retest (R) HIV retest performed at this visit.
hiv-previously-positive Previously Positive (PrevP) Patient was previously known to be HIV-positive.
hiv-previously-negative Previously Negative (PrevN) Patient was previously known to be HIV-negative.
arv-yes Yes — On ARV/HAART Patient is currently on antiretroviral or HAART therapy.
arv-no No — Not on ARV/HAART Patient is not on antiretroviral or HAART therapy.
arv-revisit Revisit (already on treatment) Patient is revisiting and is already on ARV/HAART treatment.
partner-tested Yes — Partner Tested The patient's partner has been tested for HIV.
partner-not-tested No — Partner Not Tested The patient's partner has not been tested for HIV.
partner-not-present Not Applicable (Partner Not Present) Partner was not present; HIV testing status not applicable.
partner-known-positive Known Positive (KP) Partner is known to be HIV-positive.
fp-iud IUD (Intrauterine Device) Family planning method: intrauterine device.
fp-implants Implants (Subdermal) Family planning method: subdermal implants.
fp-btl BTL (Bilateral Tubal Ligation) Family planning method: bilateral tubal ligation.
fp-counselled-no-method Counselled — No Method Selected Patient was counselled on family planning but did not select a method.
fp-cocp Combined oral contraceptive pills Family planning method: combined oral contraceptive pills.
fp-pop Progestin only contraceptive pills Family planning method: progestin-only contraceptive pills.
fp-injectables Injectables Family planning method: injectable contraceptives.
fp-male-condom Male condom Family planning method: male condom.
fp-female-sterilization Female sterilization Family planning method: female sterilization.
fp-vasectomy Vasectomy Family planning method: vasectomy.
fp-fam Fertility awareness-based methods Family planning method: fertility awareness-based methods.
fp-ec Emergency contraception Family planning method: emergency contraception.
anc-hypertension Hypertension ANC comorbidity: hypertension.
anc-diabetes Diabetes Mellitus ANC comorbidity: diabetes mellitus.
anc-epilepsy Epilepsy ANC comorbidity: epilepsy.
anc-malaria Malaria in Pregnancy ANC comorbidity: malaria in pregnancy.
anc-sti-rti STIs / RTIs ANC comorbidity: sexually or reproductively transmitted infections.
anc-sickle-cell Sickle Cell Disease ANC comorbidity: sickle cell disease.
anc-cml Chronic Myelogenous Leukemia (CML) ANC comorbidity: chronic myelogenous leukemia.
anc-other Other (Specify) ANC comorbidity: other, to be specified.
ipt-dose-1 IPT Dose 1 (SP) Intermittent Preventive Treatment dose 1 (Sulfadoxine-Pyrimethamine).
ipt-dose-2 IPT Dose 2 (SP) Intermittent Preventive Treatment dose 2 (Sulfadoxine-Pyrimethamine).
ipt-dose-3 IPT Dose 3 (SP) Intermittent Preventive Treatment dose 3 (Sulfadoxine-Pyrimethamine).
tt-dose-1 TT Dose 1 Tetanus toxoid dose 1.
tt-dose-2 TT Dose 2 Tetanus toxoid dose 2.
tt-dose-3 TT Dose 3 Tetanus toxoid dose 3.
tt-dose-4 TT Dose 4 Tetanus toxoid dose 4.
tt-dose-5 TT Dose 5 Tetanus toxoid dose 5.
tt-none None / Not Applicable No tetanus toxoid dose administered; not applicable.
supp-ifa Combined Iron and Folic Acid (IFA) Supplementation: combined iron and folic acid.
supp-iron-only Iron Supplement Only Supplementation: iron only.
supp-folate-only Folate Supplement Only Supplementation: folate only.
supp-ferrous-sulphate-folic-acid Ferrous sulphate + Folic Acid Supplementation: ferrous sulphate and folic acid.
supp-iron-folate-sep Iron + Folate (Separately) Supplementation: iron and folate given as separate supplements.
supp-calcium Calcium Supplement Supplementation: calcium.
referral-community-unit Community Unit Referral source or destination: community health unit.
referral-another-facility Another Health Facility Referral source or destination: another health facility.
delivery-facility Facility Baby delivered in a health facility.
delivery-home Home Baby delivered at home.
delivery-bba BBA (Born Before Arrival) Baby born before arrival at a health facility.
delivery-svd SVD (Spontaneous Vaginal Delivery) Spontaneous vaginal delivery.
delivery-cs CS (Caesarean Section) Caesarean section delivery.
delivery-breech Breech Breech delivery.
delivery-avd AVD (Assisted Vaginal Delivery) Assisted vaginal delivery.
delivery-other Other (specify) Other mode of delivery, to be specified.
delivery-instr-vacuum Vacuum Assisted vaginal delivery by vacuum extraction.
delivery-instr-forceps Forceps Assisted vaginal delivery by forceps.
cs-kind-elective Elective A caesarean section booked in advance and performed before labour began or before an indication for urgent delivery arose.
cs-kind-emergency Emergency A caesarean section decided on after labour began or after an indication for urgent delivery arose.
delivery-other-assisted-breech-extraction Assisted breech extraction A breech birth the attendant assists, using manoeuvres to deliver the arms and head once the buttocks and trunk have descended. Distinct from #delivery-breech, which is the mode recorded when the breech birth needed no assistance.
delivery-other-internal-podalic-version Internal podalic version and breech extraction The attendant turns the fetus to a breech lie by hand inside the uterus and delivers it by breech extraction. In practice almost always the second of twins.
delivery-other-vbac Vaginal birth after caesarean A vaginal birth in a woman whose previous delivery was by caesarean section.
delivery-other-twin-second-cs Twin, second delivered by caesarean A twin birth in which the first twin was born vaginally and the second by caesarean section. It sits here because it is the one delivery that no single mode describes.
delivery-other-delivered-before-arrival Delivered before arrival The baby was born before the mother reached the facility, so no mode was observed by the staff who received her. Where the place of delivery is also being recorded, #delivery-bba says the same thing of the place.
delivery-other-symphysiotomy Symphysiotomy Vaginal birth achieved by surgically dividing the pubic symphysis to enlarge the pelvis.
delivery-other-destructive-operation Destructive operation Vaginal delivery of a dead fetus achieved by an operation that reduces its size, such as craniotomy.
pnc-0-48h 0–48 hours postpartum PNC visit occurring within 48 hours of delivery.
pnc-3d-6w 3 days to 6 weeks postpartum PNC visit occurring between 3 days and 6 weeks after delivery.
pnc-gt-6w More than 6 weeks postpartum PNC visit occurring more than 6 weeks after delivery.
pallor-mild Mild Mild pallor.
pallor-moderate Moderate Moderate pallor.
pallor-severe Severe Severe pallor.
pallor-absent Absent No pallor detected.
breast-state-normal Normal Breast state: normal.
breast-cracked-nipple Cracked nipple Breast state: cracked nipple.
breast-engorged Engorged Breast state: breast engorgement.
breast-mastitis Mastitis Breast state: mastitis.
uterus-contracted Contracted Uterus is contracted.
uterus-not-contracted Not contracted Uterus is not contracted.
uterus-other Other (specify) Uterus state: other, to be specified.
pph-present Present Postpartum haemorrhage is present.
pph-absent Absent Postpartum haemorrhage is absent.
cs-site-bleeding Bleeding C-section site state: bleeding.
cs-site-normal Normal C-section site state: normal.
cs-site-infected Infected C-section site state: infected.
cs-site-gaping Gaping C-section site state: gaping.
lochia-normal Normal Lochia state: normal.
lochia-foul-smelling Foul smelling Lochia state: foul smelling.
lochia-excessive Excessive Lochia state: excessive.
episiotomy-repaired Repaired Episiotomy state: repaired.
episiotomy-gaping Gaping Episiotomy state: gaping.
episiotomy-infected Infected Episiotomy state: infected.
episiotomy-healed Healed Episiotomy state: healed.
cx-normal Normal (1) Cervical cancer screening result: normal.
cx-suspected Suspected (2) Cervical cancer screening result: suspected.
cx-confirmed Confirmed (3) Cervical cancer screening result: confirmed.
cx-not-done Not Done (4) Cervical cancer screening was not performed.
wfa-normal Normal (1) Weight-for-age: normal.
wfa-underweight Underweight (2) Weight-for-age: underweight.
wfa-severe-underweight Severe Underweight (3) Weight-for-age: severe underweight.
wfa-overweight Overweight (4) Weight-for-age: overweight.
wfa-obese Obese (5) Weight-for-age: obese.
hfa-normal Normal (1) Height/length-for-age: normal.
hfa-stunted Stunted (2) Height/length-for-age: stunted.
hfa-severely-stunted Severely Stunted (3) Height/length-for-age: severely stunted.
vita-6-11m Supplemented — 6 to 11 months (1) Vitamin A supplementation given to a child aged 6–11 months.
vita-12-59m Supplemented — 12 to 59 months (2) Vitamin A supplementation given to a child aged 12–59 months.
vita-not-supplemented Not supplemented (3) Vitamin A supplementation not given.
milestone-head-control Head control (1) Developmental milestone: head control.
milestone-sitting Sitting (2) Developmental milestone: sitting.
milestone-talking Talking (3) Developmental milestone: talking.
cwc-danger-no-breastfeed Unable to breastfeed (1) CWC danger sign: child is unable to breastfeed.
cwc-danger-no-drink Unable to drink (2) CWC danger sign: child is unable to drink.
cwc-danger-vomits-all Vomits everything (3) CWC danger sign: child vomits everything.
cwc-danger-bloody-diarrhoea Bloody diarrhoea (4) CWC danger sign: bloody diarrhoea.
cwc-danger-oedema Oedema (5) CWC danger sign: oedema.
cwc-danger-convulsions Convulsions (6) CWC danger sign: convulsions.
cwc-danger-none None No CWC danger signs present.
disability-present Disability / Congenital deformity present (1) A disability or congenital deformity is present.
cwc-followup-nutrition Nutrition services (1) CWC follow-up: nutrition services.
cwc-followup-rehabilitation Rehabilitation services (2) CWC follow-up: rehabilitation services.
cx-visit-initial-screening Initial screening Cervical cancer visit type: initial screening.
cx-visit-routine-screening Routine screening Cervical cancer visit type: routine screening.
cx-visit-treatment Treatment visit Cervical cancer visit type: treatment visit.
cx-visit-post-treatment Post-treatment visit Cervical cancer visit type: post-treatment visit.
cx-visit-post-treatment-complications Post-treatment complications Cervical cancer visit type: post-treatment complications.
via-positive Positive VIA/VILI/HPV test result: positive.
via-negative Negative VIA/VILI/HPV test result: negative.
via-suspicious-cancer Suspicious for cancer VIA/VILI/HPV test result: suspicious for cancer.
pap-normal Normal Pap smear result: normal.
pap-ascus ASCUS/ASC-H (Atypical squamous cells of undetermined significance, high grade lesion not excluded) Pap smear result: ASCUS/ASC-H.
pap-lsil LSIL (Low grade squamous intraepithelial lesion) Pap smear result: LSIL.
pap-hsil HSIL/CIS (High grade squamous intraepithelial lesion) Pap smear result: HSIL/CIS.
pap-agus AGUS (Atypical glandular cells of undetermined significance) Pap smear result: AGUS.
pap-invasive-cancer Invasive cancer Pap smear result: invasive cancer.
pap-other Other, please specify Pap smear result: other, to be specified.
colpo-satisfactory Satisfactory Colposcopy/cervicography result: satisfactory.
colpo-unsatisfactory Unsatisfactory Colposcopy/cervicography result: unsatisfactory.
colpo-normal Normal Colposcopy/cervicography result: normal.
colpo-acetowhite Acetowhite Colposcopy/cervicography result: acetowhite.
colpo-leukoplakia Leukoplakia Colposcopy/cervicography result: leukoplakia.
colpo-punctuation Punctuation Colposcopy/cervicography result: punctuation.
colpo-abnormal-vessels Abnormal vessels Colposcopy/cervicography result: abnormal vessels.
colpo-mosaicism Mosaicism Colposcopy/cervicography result: mosaicism.
cx-activity-screening-cryo-done Screening today, with cryotherapy done today Cervical cancer activity: screening and cryotherapy both performed today.
cx-activity-screening-cryo-postponed Screening done today, with cryotherapy postponed Cervical cancer activity: screening done today, cryotherapy postponed.
cx-activity-treated-postponed-case Treated a previously screened and postponed case Cervical cancer activity: treated a previously screened and postponed case.
chronic-dm Diabetes mellitus (DM) Chronic care follow-up condition: diabetes mellitus.
chronic-htn Hypertension (HTN) Chronic care follow-up condition: hypertension.
chronic-dm-htn Both DM and HTN Chronic care follow-up condition: both diabetes mellitus and hypertension.
chronic-asthma Asthma Chronic care follow-up condition: asthma.
chronic-arthritis Arthritis Chronic care follow-up condition: arthritis.
chronic-other Other Chronic care follow-up condition: other.
scale-0-none 0 = None / Best possible 0–10 labelled scale: 0 = none / best possible.
scale-1-3-mild 1–3 = Mild / Manageable 0–10 labelled scale: 1–3 = mild / manageable.
scale-4-6-moderate 4–6 = Moderate (affects daily activities) 0–10 labelled scale: 4–6 = moderate, affects daily activities.
scale-7-9-severe 7–9 = Severe 0–10 labelled scale: 7–9 = severe.
scale-10-worst 10 = Worst / Completely limited 0–10 labelled scale: 10 = worst / completely limited.
pain-0-none 0 = No pain Pain scale: 0 = no pain.
pain-1-3-mild 1–3 = Mild pain (annoying but manageable) Pain scale: 1–3 = mild pain, annoying but manageable.
pain-4-6-moderate 4–6 = Moderate pain (affects daily activities) Pain scale: 4–6 = moderate pain, affects daily activities.
pain-10-worst 10 = Worst pain Pain scale: 10 = worst pain.
eye-swelling Eye swelling Eye complication: eye swelling.
eye-impaired-vision Impaired vision Eye complication: impaired vision.
eye-double-vision Double vision Eye complication: double vision.
renal-urine-volume Volume of urine Renal complication: abnormal volume of urine.
renal-facial-oedema Facial oedema Renal complication: facial oedema.
renal-pedal-oedema Pedal oedema Renal complication: pedal oedema.
cardiac-chest-pain Chest pain Cardiac complication: chest pain.
cardiac-difficulty-breathing Difficulty in breathing Cardiac complication: difficulty in breathing.
cardiac-orthopnea Orthopnea Cardiac complication: orthopnea.
cardiac-pnd Paroxysmal nocturnal dyspnea Cardiac complication: paroxysmal nocturnal dyspnea.
msk-lower-limb-swelling Lower limb swelling Musculoskeletal complication: lower limb swelling.
msk-numbness Numbness Musculoskeletal complication: numbness.
msk-burning-sensation Burning sensation in hands and feet Musculoskeletal complication: burning sensation in hands and feet.
cns-headaches Headaches CNS complication: headaches.
cns-tia Transient ischaemic attacks CNS complication: transient ischaemic attacks.
phys-sleepy Sleepy Physical health symptom: sleepy.
phys-breathing-difficulties Breathing difficulties Physical health symptom: breathing difficulties.
phys-low-energy Low energy Physical health symptom: low energy.
phys-no-appetite No appetite Physical health symptom: no appetite.
phys-pain Pain Physical health symptom: pain.
phys-normal Normal Physical health symptom: normal.
emot-sad Sad Emotional health symptom: sad.
emot-stressed Stressed Emotional health symptom: stressed.
emot-anxiety Anxiety Emotional health symptom: anxiety.
emot-worry Worry Emotional health symptom: worry.
emot-mood-swings Mood swings Emotional health symptom: mood swings.
vvf VVF (Vesicovaginal fistula) Fistula type: vesicovaginal fistula.
rvf RVF (Rectovaginal fistula) Fistula type: rectovaginal fistula.
vvr VVR (Vesicovaginal Reflux) Fistula type: vesicovaginal reflux.
result-positive Positive General test or examination result: positive.
result-negative Negative General test or examination result: negative.
result-not-applicable Not Applicable General test or examination result: not applicable in the current clinical context.
hiv-rapid-positive Positive (P) HIV rapid test result: positive.
hiv-rapid-negative Negative (N) HIV rapid test result: negative.
hiv-rapid-invalid Invalid (I) HIV rapid test result: invalid — the test did not produce a readable result.
hiv-rapid-not-applicable Not Applicable (NA) HIV rapid test result: not applicable.
VIA VIA (Visual Inspection with Acetic Acid) Cervical cancer screening method: VIA.
VILI VILI (Visual Inspection with Lugol's Iodine) Cervical cancer screening method: VILI.
HPV HPV DNA Testing Cervical cancer screening method: HPV DNA testing.
PAP-SMEAR Pap Smear Cervical cancer screening method: Pap smear.
ND Not Done Cervical cancer screening method: not done.
uterotonic-oxytocin Oxytocin Uterotonic drug: oxytocin.
uterotonic-carbetocin Carbetocin Uterotonic drug: carbetocin.
uterotonic-none None No uterotonic administered.
vaginal-exam-normal Normal Vaginal examination result: normal findings.
vaginal-exam-esiotomy Episiotomy Vaginal examination result: episiotomy.
vaginal-exam-tear Vaginal tear Vaginal examination result: vaginal tear.
vaginal-exam-fgm FGM Vaginal examination result: Female Genital Mutilation.
vaginal-exam-warts Vaginal warts Vaginal examination result: vaginal warts.
mother-baby-alive Alive Mother's baby is alive after delivery.
mother-baby-dead Dead Mother's baby is dead after delivery.
delivery-comp-aph APH (Ante Partum Haemorrhage) Delivery complication: Ante Partum Haemorrhage.
delivery-comp-pph PPH (Post Partum Haemorrhage) Delivery complication: Post Partum Haemorrhage.
delivery-comp-eclampsia Eclampsia Delivery complication: Eclampsia.
delivery-comp-ruptured-uterus Ruptured Uterus Delivery complication: Ruptured Uterus.
delivery-comp-obstructed-labour Obstructed Labour Delivery complication: Obstructed Labour.
delivery-comp-sepsis Sepsis Delivery complication: Sepsis.
delivery-comp-none None No delivery complications.
birth-outcome-lb Live Birth Live birth outcome.
birth-outcome-fsb Fresh Still Birth Fresh stillbirth outcome.
birth-outcome-msb Macerated Still Birth Macerated stillbirth outcome.
ros-respiratory Respiratory Review of Systems: Respiratory system.
ros-cardiovascular Cardiovascular Review of Systems: Cardiovascular system.
ros-nervous Nervous Review of Systems: Nervous system.
ros-abdominal Abdominal Review of Systems: Abdominal system.
ros-endocrine Endocrine Review of Systems: Endocrine system.
ros-ent ENT Review of Systems: Ear, Nose, Throat (ENT).
ros-ophthalmic Ophthalmic Review of Systems: Ophthalmic (Eye).
ros-genitourinary Genitourinary Review of Systems: Genitourinary system.
ros-musculoskeletal Musculoskeletal Review of Systems: Musculoskeletal system.
ros-skin Skin Review of Systems: Skin.
ros-reproductive Reproductive Review of Systems: Reproductive system.