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-codesystem Version: 0.1.0
Active as of 2026-04-24 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-codesystem 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-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-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.
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.
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.
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.