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

ValueSet: SGHI Medication Not Given Reason

Official URL: https://fhir.slade360.co.ke/fhir/ValueSet/medication-not-given-reason Version: 0.1.0
Active as of 2026-09-15 Computable Name: SGHIMedicationNotGivenReason

Every reason a dose was not given, across held, refused and omitted. Bound at MedicationAdministration.statusReason, where the HL7 binding is example strength. Which outcome a reason implies comes from the narrower set it belongs to.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 12 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  nil-by-mouthNil by mouthThe patient is nil by mouth, so an oral dose cannot be given.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  vomitingVomitingThe 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.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  observations-out-of-rangeObservations out of rangeAn observation the dose depends on is outside the range it may be given in.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  awaiting-resultAwaiting a resultA result the dose depends on has not come back yet.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  prescriber-asked-to-holdPrescriber asked to holdThe prescriber asked for the dose to be held.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  patient-refusedPatient refusedThe patient declined the dose.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  unable-to-swallowUnable to swallowThe patient could not swallow the dose.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  adverse-effect-reportedAdverse effect reported by patientThe patient declined the dose, reporting an adverse effect from it.
http://hl7.org/fhir/reason-medication-not-given  cAsleepThe patient was asleep when the dose was scheduled.
http://hl7.org/fhir/reason-medication-not-given  bPatient off the wardThe patient was not available when the dose was scheduled.
http://hl7.org/fhir/reason-medication-not-given  aDose missed, no reason recorded at the timeNo reason known.
https://fhir.slade360.co.ke/fhir/CodeSystem/medication-administration-codesystem  drug-not-availableDrug not availableThe drug was not available to give. A supply failure rather than a clinical decision: escalated to pharmacy and counted as a stock-out.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code