<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="braden-scale-answer"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet braden-scale-answer</b></p><a name="braden-scale-answer"> </a><a name="hcbraden-scale-answer"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-clinical-score-codesystem.html"><code>https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem</code></a><span title="Version is not explicitly stated, which means it is fixed to the version provided in this specification"> version &#x1F4E6;0.1.0</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-sensory-1">braden-sensory-1</a></td><td>Completely limited</td><td>Braden sensory perception: unresponsive to painful stimuli, or limited ability to feel pain over most of the body.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-sensory-2">braden-sensory-2</a></td><td>Very limited</td><td>Braden sensory perception: responds only to painful stimuli, or a sensory impairment over half the body.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-sensory-3">braden-sensory-3</a></td><td>Slightly limited</td><td>Braden sensory perception: responds to verbal commands but cannot always communicate discomfort.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-sensory-4">braden-sensory-4</a></td><td>No impairment</td><td>Braden sensory perception: responds to verbal commands, no sensory deficit.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-moisture-1">braden-moisture-1</a></td><td>Constantly moist</td><td>Braden moisture: skin kept moist almost constantly by perspiration or urine.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-moisture-2">braden-moisture-2</a></td><td>Often moist</td><td>Braden moisture: skin often but not always moist; linen changed at least once a shift.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-moisture-3">braden-moisture-3</a></td><td>Occasionally moist</td><td>Braden moisture: skin occasionally moist, requiring an extra linen change about once a day.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-moisture-4">braden-moisture-4</a></td><td>Rarely moist</td><td>Braden moisture: skin usually dry; linen changed at routine intervals.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-activity-1">braden-activity-1</a></td><td>Bedfast</td><td>Braden activity: confined to bed.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-activity-2">braden-activity-2</a></td><td>Chairfast</td><td>Braden activity: ability to walk severely limited or non-existent; cannot bear own weight.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-activity-3">braden-activity-3</a></td><td>Walks occasionally</td><td>Braden activity: walks short distances during the day, with or without assistance.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-activity-4">braden-activity-4</a></td><td>Walks frequently</td><td>Braden activity: walks outside the room at least twice a day and inside it every two hours while awake.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-mobility-1">braden-mobility-1</a></td><td>Completely immobile</td><td>Braden mobility: makes no change in body or extremity position without assistance.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-mobility-2">braden-mobility-2</a></td><td>Very limited</td><td>Braden mobility: makes occasional slight changes in position but cannot make frequent or significant changes independently.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-mobility-3">braden-mobility-3</a></td><td>Slightly limited</td><td>Braden mobility: makes frequent though slight changes in position independently.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-mobility-4">braden-mobility-4</a></td><td>No limitation</td><td>Braden mobility: makes major and frequent changes in position without assistance.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-nutrition-1">braden-nutrition-1</a></td><td>Very poor</td><td>Braden nutrition: never eats a complete meal, or is nil by mouth or on clear fluids for more than five days.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-nutrition-2">braden-nutrition-2</a></td><td>Probably inadequate</td><td>Braden nutrition: rarely eats a complete meal; generally eats about half of what is offered.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-nutrition-3">braden-nutrition-3</a></td><td>Adequate</td><td>Braden nutrition: eats over half of most meals, or is fed by tube or parenterally to meet most needs.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-nutrition-4">braden-nutrition-4</a></td><td>Excellent</td><td>Braden nutrition: eats most of every meal and never refuses one.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-friction-1">braden-friction-1</a></td><td>Problem</td><td>Braden friction and shear: requires moderate to maximum assistance to move; slides against sheets and cannot lift clear of them.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-friction-2">braden-friction-2</a></td><td>Potential problem</td><td>Braden friction and shear: moves feebly or requires minimum assistance; skin probably slides against sheets to some extent.</td></tr><tr><td><a href="CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-braden-friction-3">braden-friction-3</a></td><td>No apparent problem</td><td>Braden friction and shear: moves independently in bed and chair, with enough muscle strength to lift clear of the sheets.</td></tr></table></li></ul></div>
  </text>
  <url value="https://fhir.slade360.co.ke/fhir/ValueSet/braden-scale-answer"/>
  <version value="0.1.0"/>
  <name value="SGHIBradenScaleAnswer"/>
  <title value="SGHI Braden Scale Answer"/>
  <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 answers to the six Braden pressure ulcer scale items. The extracted Observation carries the total as its value and these as component values, coded against the LOINC Braden panel."/>
  <compose>
    <include>
      <system value="https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem"/>
      <concept>
        <code value="braden-sensory-1"/>
        <display value="Completely limited"/>
      </concept>
      <concept>
        <code value="braden-sensory-2"/>
        <display value="Very limited"/>
      </concept>
      <concept>
        <code value="braden-sensory-3"/>
        <display value="Slightly limited"/>
      </concept>
      <concept>
        <code value="braden-sensory-4"/>
        <display value="No impairment"/>
      </concept>
      <concept>
        <code value="braden-moisture-1"/>
        <display value="Constantly moist"/>
      </concept>
      <concept>
        <code value="braden-moisture-2"/>
        <display value="Often moist"/>
      </concept>
      <concept>
        <code value="braden-moisture-3"/>
        <display value="Occasionally moist"/>
      </concept>
      <concept>
        <code value="braden-moisture-4"/>
        <display value="Rarely moist"/>
      </concept>
      <concept>
        <code value="braden-activity-1"/>
        <display value="Bedfast"/>
      </concept>
      <concept>
        <code value="braden-activity-2"/>
        <display value="Chairfast"/>
      </concept>
      <concept>
        <code value="braden-activity-3"/>
        <display value="Walks occasionally"/>
      </concept>
      <concept>
        <code value="braden-activity-4"/>
        <display value="Walks frequently"/>
      </concept>
      <concept>
        <code value="braden-mobility-1"/>
        <display value="Completely immobile"/>
      </concept>
      <concept>
        <code value="braden-mobility-2"/>
        <display value="Very limited"/>
      </concept>
      <concept>
        <code value="braden-mobility-3"/>
        <display value="Slightly limited"/>
      </concept>
      <concept>
        <code value="braden-mobility-4"/>
        <display value="No limitation"/>
      </concept>
      <concept>
        <code value="braden-nutrition-1"/>
        <display value="Very poor"/>
      </concept>
      <concept>
        <code value="braden-nutrition-2"/>
        <display value="Probably inadequate"/>
      </concept>
      <concept>
        <code value="braden-nutrition-3"/>
        <display value="Adequate"/>
      </concept>
      <concept>
        <code value="braden-nutrition-4"/>
        <display value="Excellent"/>
      </concept>
      <concept>
        <code value="braden-friction-1"/>
        <display value="Problem"/>
      </concept>
      <concept>
        <code value="braden-friction-2"/>
        <display value="Potential problem"/>
      </concept>
      <concept>
        <code value="braden-friction-3"/>
        <display value="No apparent problem"/>
      </concept>
    </include>
  </compose>
</ValueSet>