<status value="active"/> <date value="2026-05-12T08:26:02+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="A code system enumerating the different visit types used across SGHI's environment."/> <content value="complete"/> <count value="129"/> <concept> <code value="AMB"/> <display value="Ambulatory"/> <definition value="A healthcare encounter where the patient is not admitted to a hospital or equivalent facility and receives care on a non-resident basis."/> </concept> <concept> <code value="IMP"/> <display value="Inpatient"/> <definition value="A healthcare encounter where the patient is admitted to a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service."/> </concept> <concept> <code value="EMER"/> <display value="Emergency"/> <definition value="A healthcare encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment."/> </concept> <concept> <code value="FLD"/> <display value="Field"/> <definition value="A healthcare encounter that takes place outside of a traditional healthcare facility, such as in a mobile clinic or during a home visit."/> </concept> <concept> <code value="VR"/> <display value="Virtual"/> <definition value="A healthcare encounter that takes place in a virtual environment, such as through telemedicine or a virtual consultation."/> </concept> <concept> <code value="HH"/> <display value="Home Health"/> <definition value="A healthcare encounter that takes place in a patient's home, typically involving healthcare services provided by visiting nurses or other healthcare professionals."/> </concept> <concept> <code value="ACUTE"/> <display value="Acute"/> <definition value="A healthcare encounter that is characterized by a sudden onset and severe symptoms."/> </concept> <concept> <code value="NONAC"/> <display value="Inpatient Non-Acute"/> <definition value="A healthcare encounter where the patient is admitted for care that does not require the intensity of an acute setting, such as rehabilitation or long-term care."/> </concept> <concept> <code value="OBSENC"/> <display value="Observation Encounter"/> <definition value="A healthcare encounter where the patient is under observation to determine the need for further treatment or admission."/> </concept> <concept> <code value="PRENC"/> <display value="Pre-Admission"/> <definition value="A healthcare encounter that occurs prior to a scheduled admission for tests or evaluations."/> </concept> <concept> <code value="SS"/> <display value="Short Stay"/> <definition value="A healthcare encounter intended to be of short duration, typically less than 24 hours, but requiring more than basic outpatient care."/> </concept> <concept> <code value="CHEMO"/> <display value="Chemotherapy"/> <definition value="A visit specifically for the administration of chemotherapy treatments."/> </concept> <concept> <code value="RADIO"/> <display value="Radiotherapy"/> <definition value="A visit specifically for the administration of radiotherapy treatments."/> </concept> <concept> <code value="SURG"/> <display value="Surgery"/> <definition value="A visit for a surgical procedure, whether minor or major."/> </concept> <concept> <code value="imaging_only"/> <display value="Imaging visit"/> <definition value="A visit exclusively for diagnostic imaging services such as X-rays, MRIs, or CT scans."/> </concept> <concept> <code value="vaccination"/> <display value="Vaccination visit"/> <definition value="A visit primarily for the administration of vaccines."/> </concept> <concept> <code value="lab_only"/> <display value="Laboratory visit"/> <definition value="A visit exclusively for the collection of specimens or performing laboratory tests."/> </concept> <concept> <code value="pharmacy_only"/> <display value="Pharmacy visit"/> <definition value="A visit to a pharmacy for the purpose of picking up or consulting on medications."/> </concept> <concept> <code value="community_outreach"/> <display value="Community outreach visit"/> <definition value="A healthcare encounter that occurs in a community setting as part of an outreach program."/> </concept> <concept> <code value="phone_consultation"/> <display value="Phone consultation"/> <definition value="A healthcare encounter conducted over the telephone."/> </concept> <concept> <code value="inpatient_review"/> <display value="Inpatient review"/> <definition value="A visit to a patient currently admitted in an inpatient setting for the purpose of progress review."/> </concept> <concept> <code value="teleconsultation"/> <display value="Teleconsultation"/> <definition value="A healthcare encounter conducted via video conferencing or other telecommunication technologies."/> </concept> <concept> <code value="trauma"/> <display value="Trauma visit"/> <definition value="A visit for the evaluation and treatment of physical injuries caused by external force."/> </concept> <concept> <code value="home_visit"/> <display value="Home visit"/> <definition value="A visit by a healthcare provider to a patient's place of residence."/> </concept> <concept> <code value="day_case"/> <display value="Day case / same-day admission"/> <definition value="A visit where the patient is admitted and discharged on the same day for a procedure or treatment."/> </concept> <concept> <code value="procedure_visit"/> <display value="Outpatient procedure visit"/> <definition value="A visit for a specific outpatient procedure that does not require overnight stay."/> </concept> <concept> <code value="urgent_care"/> <display value="Urgent care visit"/> <definition value="A visit for a medical condition that requires prompt attention but is not a life-threatening emergency."/> </concept> <concept> <code value="chronic_care"/> <display value="Chronic care visit"/> <definition value="A visit for the ongoing management of a chronic disease or condition."/> </concept> <concept> <code value="preventive"/> <display value="Preventive / wellness visit"/> <definition value="A visit focused on disease prevention and health maintenance, such as annual check-ups."/> </concept> <concept> <code value="inpatient_admission"/> <display value="Inpatient admission"/> <definition value="A visit for the purpose of admitting a patient to an inpatient facility."/> </concept> <concept> <code value="outpatient_consultation"/> <display value="Outpatient consultation"/> <definition value="A visit for a consultation with a specialist or general practitioner in an outpatient setting."/> </concept> <concept> <code value="emergency_visit"/> <display value="Emergency visit"/> <definition value="A visit for immediate medical attention due to an acute illness or injury."/> </concept> <concept> <code value="follow_up"/> <display value="Follow-up visit"/> <definition value="A visit to review the progress of a patient after a previous encounter or treatment."/> </concept> <concept> <code value="26436-6"/> <display value="Laboratory studies (set)"/> <definition value="Laboratory studies (set)"/> </concept> <concept> <code value="18748-4"/> <display value="Diagnostic imaging study"/> <definition value="Diagnostic imaging study"/> </concept> <concept> <code value="21938-6"/> <display value="Surgical approach"/> <definition value="Surgical approach"/> </concept> <concept> <code value="24642003"/> <display value="Psychiatry procedure or service"/> <definition value="Psychiatry procedure or service"/> </concept> <concept> <code value="409063005"/> <display value="Counseling"/> <definition value="Counseling"/> </concept> <concept> <code value="409073007"/> <display value="Education"/> <definition value="Education"/> </concept> <concept> <code value="387713003"/> <display value="Surgical procedure (procedure)"/> <definition value="Surgical procedure (procedure)"/> </concept> <concept> <code value="103693007"/> <display value="Diagnostic procedure"/> <definition value="Diagnostic procedure"/> </concept> <concept> <code value="46947000"/> <display value="Chiropractic manipulation"/> <definition value="Chiropractic manipulation"/> </concept> <concept> <code value="410606002"/> <display value="Social service procedure (procedure)"/> <definition value="Social service procedure (procedure)"/> </concept> <concept> <code value="385669000"/> <display value="Successful"/> <definition value="Successful"/> </concept> <concept> <code value="385671000"/> <display value="Unsuccessful"/> <definition value="Unsuccessful"/> </concept> <concept> <code value="385670004"/> <display value="Partially successful"/> <definition value="Partially successful"/> </concept> <concept> <code value="18949003"/> <display value="Change of dressing"/> <definition value="The process of replacing or altering a wound dressing."/> </concept> <concept> <code value="30549001"/> <display value="Removal of suture"/> <definition value="The process of removing sutures (stitches) from a wound."/> </concept> <concept> <code value="241031001"/> <display value="Removal of drain"/> <definition value="The process of removing a drainage device from a body cavity or wound."/> </concept> <concept> <code value="35963001"/> <display value="Removal of staples"/> <definition value="The process of removing surgical staples from a wound."/> </concept> <concept> <code value="225164002"/> <display value="Removal of ligature"/> <definition value="The process of removing a ligature (tie) used to bind tissue or vessels."/> </concept> <concept> <code value="447346005"/> <display value="Cardiopulmonary exercise test (procedure)"/> <definition value="A test to assess the performance of the heart and lungs during physical exertion."/> </concept> <concept> <code value="229506003"/> <display value="Scar tissue massage"/> <definition value="Therapeutic massage applied to scar tissue to improve mobility and reduce discomfort."/> </concept> <concept> <code value="274441001"/> <display value="Suction drainage"/> <definition value="The process of removing fluid or debris from a body cavity using suction."/> </concept> <concept> <code value="394725008"/> <display value="Diabetes medication review (procedure)"/> <definition value="A review of medications prescribed for diabetes management."/> </concept> <concept> <code value="359825008"/> <display value="Cytopathology, review of bronchioalveolar lavage specimen"/> <definition value="The examination of cells obtained from a bronchioalveolar lavage specimen for diagnostic purposes."/> </concept> <concept> <code value="doctor"/> <display value="Doctor"/> <definition value="A qualified/registered medical practitioner."/> </concept> <concept> <code value="nurse"/> <display value="Nurse"/> <definition value="A practitioner with nursing experience that may be qualified/registered."/> </concept> <concept> <code value="pharmacist"/> <display value="Pharmacist"/> <definition value="A qualified/registered/licensed pharmacist."/> </concept> <concept> <code value="researcher"/> <display value="Researcher"/> <definition value="A practitioner that may perform research."/> </concept> <concept> <code value="408467006"/> <display value="Adult mental illness"/> <definition value="Specialty focused on the diagnosis and treatment of mental illnesses in adults."/> </concept> <concept> <code value="394577000"/> <display value="Anesthetics"/> <definition value="Specialty focused on administering anesthesia and managing pain during surgical procedures."/> </concept> <concept> <code value="394578005"/> <display value="Audiological medicine"/> <definition value="Specialty focused on the diagnosis and treatment of hearing and balance disorders."/> </concept> <concept> <code value="421661004"/> <display value="Blood banking and transfusion medicine"/> <definition value="Specialty focused on the collection, storage, and transfusion of blood and blood products."/> </concept> <concept> <code value="408462000"/> <display value="Burns care"/> <definition value="Specialty focused on the treatment and management of burn injuries."/> </concept> <concept> <code value="111002"/> <display value="Parathyroid gland"/> <definition value="Parathyroid gland"/> </concept> <concept> <code value="apply"/> <display value="Apply"/> <definition value="Apply"/> </concept> <concept> <code value="inject"/> <display value="Inject"/> <definition value="Inject"/> </concept> <concept> <code value="dialysis"/> <display value="Dialysis"/> <definition value="Dialysis"/> </concept> <concept> <code value="insert"/> <display value="Insert"/> <definition value="Insert"/> </concept> <concept> <code value="implant"/> <display value="Implant"/> <definition value="Implant"/> </concept> <concept> <code value="infuse"/> <display value="Infuse"/> <definition value="Infuse"/> </concept> <concept> <code value="chemo"/> <display value="Chemotherapy"/> </concept> <concept> <code value="surg"/> <display value="Surgery"/> </concept> <concept> <code value="radio"/> <display value="Radiotherapy"/> </concept> <concept> <code value="braf"/> <display value="BRAF Mutation"/> </concept> <concept> <code value="kras"/> <display value="KRAS Mutation"/> </concept> <concept> <code value="nras"/> <display value="NRAS Mutation"/> </concept> <concept> <code value="egfr"/> <display value="EGFR Mutation"/> </concept> <concept> <code value="alk"/> <display value="ALK Rearrangement"/> </concept> <concept> <code value="her2"/> <display value="HER2 Amplification"/> </concept> <concept> <code value="pik3ca"/> <display value="PIK3CA Mutation"/> </concept> <concept> <code value="pt53"/> <display value="TP53 Mutation"/> </concept> <concept> <code value="msi"/> <display value="Microsatellite Instability"/> </concept> <concept> <code value="pdli"/> <display value="PD-L1 Expression"/> </concept> <concept> <code value="other"/> <display value="Other"/> </concept> <concept> <code value="bone"/> <display value="Bone"/> </concept> <concept> <code value="liver"/> <display value="Liver"/> </concept> <concept> <code value="lung"/> <display value="Lung"/> </concept> <concept> <code value="brain"/> <display value="Brain"/> </concept> <concept> <code value="skin"/> <display value="Skin"/> </concept> <concept> <code value="dln"/> <display value="Distant Lymph Nodes"/> </concept> <concept> <code value="gradeI"/> <display value="Well Differentiated"/> </concept> <concept> <code value="gradeII"/> <display value="Moderately Differentiated"/> </concept> <concept> <code value="gradeIII"/> <display value="Poorly Differentiated"/> </concept> <concept> <code value="gradeIV"/> <display value="Undifferentiated/ Anaplastic"/> </concept> <concept> <code value="none"/> <display value="Not Graded"/> </concept> <concept> <code value="benign"/> <display value="Benign"/> </concept> <concept> <code value="malignant"/> <display value="Malignant"/> </concept> <concept> <code value="insitu"/> <display value="In Situ"/> </concept> <concept> <code value="borderline"/> <display value="Borderline"/> </concept> <concept> <code value="uncertain"/> <display value="Uncertain"/> </concept> <concept> <code value="positive"/> <display value="Positive"/> </concept> <concept> <code value="negative"/> <display value="Negative"/> </concept> <concept> <code value="equivocal"/> <display value="Equivocal"/> </concept> <concept> <code value="nottested"/> <display value="Not Tested"/> </concept> <concept> <code value="cnb"/> <display value="Core Needle Biopsy"/> </concept> <concept> <code value="excision"/> <display value="Excision"/> </concept> <concept> <code value="fna"/> <display value="Fine Needle Aspiration"/> </concept> <concept> <code value="ib"/> <display value="Incisional Biopsy"/> </concept> <concept> <code value="pb"/> <display value="Punch Biopsy"/> </concept> <concept> <code value="sb"/> <display value="Shave Biopsy"/> </concept> <concept> <code value="eb"/> <display value="Endoscopic Biopsy"/> </concept> <concept> <code value="ras"/> <display value="Resection Autopsy Specimen"/> </concept> <concept> <code value="hematology"/> <display value="Hematology"/> </concept> <concept> <code value="cytology"/> <display value="Cytology"/> </concept> <concept> <code value="histopathology"/> <display value="Histopathology"/> </concept> <concept> <code value="ich"/> <display value="Immunohistochemistry"/> </concept> <concept> <code value="fc"/> <display value="Flow Cytometry"/> </concept> <concept> <code value="molecular"/> <display value="Molecular"/> </concept> <concept> <code value="right"/> <display value="Right"/> </concept> <concept> <code value="left"/> <display value="Left"/> </concept> <concept> <code value="bilateral"/> <display value="Bilateral"/> </concept> <concept> <code value="unknown"/> <display value="Unknown"/> </concept> <concept> <code value="stage1"/> <display value="Stage 1"/> </concept> <concept> <code value="stage2"/> <display value="Stage 2"/> </concept> <concept> <code value="stage3"/> <display value="Stage 3"/> </concept> <concept> <code value="stage4"/> <display value="Stage 4"/> </concept> <concept> <code value="sghidefaultcode"/> <display value="SGHI Default Code"/> </concept> </CodeSystem>

Generated Narrative: CodeSystem visit-type-codesystem

This code system https://fhir.slade360.co.ke/fhir/CodeSystem/visit-type-codesystem defines the following codes:

Code	Display	Definition
AMB	Ambulatory	A healthcare encounter where the patient is not admitted to a hospital or equivalent facility and receives care on a non-resident basis.
IMP	Inpatient	A healthcare encounter where the patient is admitted to a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
EMER	Emergency	A healthcare encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment.
FLD	Field	A healthcare encounter that takes place outside of a traditional healthcare facility, such as in a mobile clinic or during a home visit.
VR	Virtual	A healthcare encounter that takes place in a virtual environment, such as through telemedicine or a virtual consultation.
HH	Home Health	A healthcare encounter that takes place in a patient's home, typically involving healthcare services provided by visiting nurses or other healthcare professionals.
ACUTE	Acute	A healthcare encounter that is characterized by a sudden onset and severe symptoms.
NONAC	Inpatient Non-Acute	A healthcare encounter where the patient is admitted for care that does not require the intensity of an acute setting, such as rehabilitation or long-term care.
OBSENC	Observation Encounter	A healthcare encounter where the patient is under observation to determine the need for further treatment or admission.
PRENC	Pre-Admission	A healthcare encounter that occurs prior to a scheduled admission for tests or evaluations.
SS	Short Stay	A healthcare encounter intended to be of short duration, typically less than 24 hours, but requiring more than basic outpatient care.
CHEMO	Chemotherapy	A visit specifically for the administration of chemotherapy treatments.
RADIO	Radiotherapy	A visit specifically for the administration of radiotherapy treatments.
SURG	Surgery	A visit for a surgical procedure, whether minor or major.
imaging_only	Imaging visit	A visit exclusively for diagnostic imaging services such as X-rays, MRIs, or CT scans.
vaccination	Vaccination visit	A visit primarily for the administration of vaccines.
lab_only	Laboratory visit	A visit exclusively for the collection of specimens or performing laboratory tests.
pharmacy_only	Pharmacy visit	A visit to a pharmacy for the purpose of picking up or consulting on medications.
community_outreach	Community outreach visit	A healthcare encounter that occurs in a community setting as part of an outreach program.
phone_consultation	Phone consultation	A healthcare encounter conducted over the telephone.
inpatient_review	Inpatient review	A visit to a patient currently admitted in an inpatient setting for the purpose of progress review.
teleconsultation	Teleconsultation	A healthcare encounter conducted via video conferencing or other telecommunication technologies.
trauma	Trauma visit	A visit for the evaluation and treatment of physical injuries caused by external force.
home_visit	Home visit	A visit by a healthcare provider to a patient's place of residence.
day_case	Day case / same-day admission	A visit where the patient is admitted and discharged on the same day for a procedure or treatment.
procedure_visit	Outpatient procedure visit	A visit for a specific outpatient procedure that does not require overnight stay.
urgent_care	Urgent care visit	A visit for a medical condition that requires prompt attention but is not a life-threatening emergency.
chronic_care	Chronic care visit	A visit for the ongoing management of a chronic disease or condition.
preventive	Preventive / wellness visit	A visit focused on disease prevention and health maintenance, such as annual check-ups.
inpatient_admission	Inpatient admission	A visit for the purpose of admitting a patient to an inpatient facility.
outpatient_consultation	Outpatient consultation	A visit for a consultation with a specialist or general practitioner in an outpatient setting.
emergency_visit	Emergency visit	A visit for immediate medical attention due to an acute illness or injury.
follow_up	Follow-up visit	A visit to review the progress of a patient after a previous encounter or treatment.
26436-6	Laboratory studies (set)	Laboratory studies (set)
18748-4	Diagnostic imaging study	Diagnostic imaging study
21938-6	Surgical approach	Surgical approach
24642003	Psychiatry procedure or service	Psychiatry procedure or service
409063005	Counseling	Counseling
409073007	Education	Education
387713003	Surgical procedure (procedure)	Surgical procedure (procedure)
103693007	Diagnostic procedure	Diagnostic procedure
46947000	Chiropractic manipulation	Chiropractic manipulation
410606002	Social service procedure (procedure)	Social service procedure (procedure)
385669000	Successful	Successful
385671000	Unsuccessful	Unsuccessful
385670004	Partially successful	Partially successful
18949003	Change of dressing	The process of replacing or altering a wound dressing.
30549001	Removal of suture	The process of removing sutures (stitches) from a wound.
241031001	Removal of drain	The process of removing a drainage device from a body cavity or wound.
35963001	Removal of staples	The process of removing surgical staples from a wound.
225164002	Removal of ligature	The process of removing a ligature (tie) used to bind tissue or vessels.
447346005	Cardiopulmonary exercise test (procedure)	A test to assess the performance of the heart and lungs during physical exertion.
229506003	Scar tissue massage	Therapeutic massage applied to scar tissue to improve mobility and reduce discomfort.
274441001	Suction drainage	The process of removing fluid or debris from a body cavity using suction.
394725008	Diabetes medication review (procedure)	A review of medications prescribed for diabetes management.
359825008	Cytopathology, review of bronchioalveolar lavage specimen	The examination of cells obtained from a bronchioalveolar lavage specimen for diagnostic purposes.
doctor	Doctor	A qualified/registered medical practitioner.
nurse	Nurse	A practitioner with nursing experience that may be qualified/registered.
pharmacist	Pharmacist	A qualified/registered/licensed pharmacist.
researcher	Researcher	A practitioner that may perform research.
408467006	Adult mental illness	Specialty focused on the diagnosis and treatment of mental illnesses in adults.
394577000	Anesthetics	Specialty focused on administering anesthesia and managing pain during surgical procedures.
394578005	Audiological medicine	Specialty focused on the diagnosis and treatment of hearing and balance disorders.
421661004	Blood banking and transfusion medicine	Specialty focused on the collection, storage, and transfusion of blood and blood products.
408462000	Burns care	Specialty focused on the treatment and management of burn injuries.
111002	Parathyroid gland	Parathyroid gland
apply	Apply	Apply
inject	Inject	Inject
dialysis	Dialysis	Dialysis
insert	Insert	Insert
implant	Implant	Implant
infuse	Infuse	Infuse
chemo	Chemotherapy
surg	Surgery
radio	Radiotherapy
braf	BRAF Mutation
kras	KRAS Mutation
nras	NRAS Mutation
egfr	EGFR Mutation
alk	ALK Rearrangement
her2	HER2 Amplification
pik3ca	PIK3CA Mutation
pt53	TP53 Mutation
msi	Microsatellite Instability
pdli	PD-L1 Expression
other	Other
bone	Bone
liver	Liver
lung	Lung
brain	Brain
skin	Skin
dln	Distant Lymph Nodes
gradeI	Well Differentiated
gradeII	Moderately Differentiated
gradeIII	Poorly Differentiated
gradeIV	Undifferentiated/ Anaplastic
none	Not Graded
benign	Benign
malignant	Malignant
insitu	In Situ
borderline	Borderline
uncertain	Uncertain
positive	Positive
negative	Negative
equivocal	Equivocal
nottested	Not Tested
cnb	Core Needle Biopsy
excision	Excision
fna	Fine Needle Aspiration
ib	Incisional Biopsy
pb	Punch Biopsy
sb	Shave Biopsy
eb	Endoscopic Biopsy
ras	Resection Autopsy Specimen
hematology	Hematology
cytology	Cytology
histopathology	Histopathology
ich	Immunohistochemistry
fc	Flow Cytometry
molecular	Molecular
right	Right
left	Left
bilateral	Bilateral
unknown	Unknown
stage1	Stage 1
stage2	Stage 2
stage3	Stage 3
stage4	Stage 4
sghidefaultcode	SGHI Default Code