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Source1

{
  "resourceType": "CodeSystem",
  "id": "inpatient-assessment-answer-codesystem",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-assessment-answer-codesystem",
  "version": "0.1.0",
  "name": "SGHIInpatientAssessmentAnswerCodeSystem",
  "title": "SGHI Inpatient Assessment Answer Code System",
  "status": "active",
  "experimental": false,
  "date": "2026-10-02T07:33:51+00:00",
  "publisher": "Kathurima Kimathi",
  "contact": [
    {
      "name": "Kathurima Kimathi",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system": "email",
          "value": "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name": "Oscar John",
      "telecom": [
        {
          "system": "email",
          "value": "oscarjohnotieno@gmail.com",
          "use": "work"
        }
      ]
    },
    {
      "name": "Kennedy Omondi",
      "telecom": [
        {
          "system": "email",
          "value": "kennankole@gmail.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The single-select answers offered by the inpatient assessments that are not part of a scored instrument: ASA grade, oxygen support, immunisation status, risk of self-harm and capacity to consent. Local pick lists get local codes. The displays are the wording shown to the clinician and should not be reworded without changing the form. Scored-instrument answers live in SGHIClinicalScoreCodeSystem instead, because they also carry an ordinal weight.",
  "caseSensitive": true,
  "content": "complete",
  "count": 22,
  "concept": [
    {
      "code": "asa-i",
      "display": "I — healthy",
      "definition": "ASA physical status I: a normal healthy patient."
    },
    {
      "code": "asa-ii",
      "display": "II — mild systemic disease",
      "definition": "ASA physical status II: a patient with mild systemic disease."
    },
    {
      "code": "asa-iii",
      "display": "III — severe systemic disease",
      "definition": "ASA physical status III: a patient with severe systemic disease."
    },
    {
      "code": "asa-iv",
      "display": "IV — life-threatening disease",
      "definition": "ASA physical status IV: a patient with severe systemic disease that is a constant threat to life."
    },
    {
      "code": "asa-v",
      "display": "V — moribund",
      "definition": "ASA physical status V: a moribund patient who is not expected to survive without the operation."
    },
    {
      "code": "oxygen-room-air",
      "display": "Room air",
      "definition": "Breathing room air, with no supplemental oxygen."
    },
    {
      "code": "oxygen-nasal-cannula",
      "display": "Nasal cannula",
      "definition": "Supplemental oxygen delivered by nasal cannula."
    },
    {
      "code": "oxygen-face-mask",
      "display": "Face mask",
      "definition": "Supplemental oxygen delivered by face mask."
    },
    {
      "code": "oxygen-high-flow-nasal",
      "display": "High-flow nasal oxygen",
      "definition": "Heated, humidified oxygen delivered at high flow by nasal interface."
    },
    {
      "code": "oxygen-non-invasive-ventilation",
      "display": "Non-invasive ventilation",
      "definition": "Ventilatory support delivered without an artificial airway, by mask or hood."
    },
    {
      "code": "oxygen-invasive-ventilation",
      "display": "Invasive ventilation",
      "definition": "Ventilatory support delivered through an endotracheal tube or tracheostomy."
    },
    {
      "code": "immunisation-up-to-date",
      "display": "Up to date",
      "definition": "Immunisations are complete for the child's age per the national schedule."
    },
    {
      "code": "immunisation-partial",
      "display": "Partially immunised",
      "definition": "Some but not all of the immunisations due for the child's age have been given."
    },
    {
      "code": "immunisation-none",
      "display": "Not immunised",
      "definition": "No immunisations have been given."
    },
    {
      "code": "immunisation-unknown",
      "display": "Not known",
      "definition": "Immunisation status could not be established from the carer or any record."
    },
    {
      "code": "self-harm-none",
      "display": "No current risk identified",
      "definition": "No current risk of self-harm identified on assessment."
    },
    {
      "code": "self-harm-passive",
      "display": "Passive thoughts, no plan",
      "definition": "Passive thoughts of self-harm or of being better off dead, with no plan or intent."
    },
    {
      "code": "self-harm-active-plan",
      "display": "Active thoughts with a plan",
      "definition": "Active thoughts of self-harm together with a plan."
    },
    {
      "code": "self-harm-recent-act",
      "display": "Recent act of self-harm",
      "definition": "A recent act of self-harm, whether or not intent to die was expressed."
    },
    {
      "code": "capacity-has",
      "display": "Has capacity for this decision",
      "definition": "The patient can understand, retain and weigh the information for this decision and communicate a choice."
    },
    {
      "code": "capacity-fluctuating",
      "display": "Capacity fluctuating",
      "definition": "Capacity for this decision varies over time, so the assessment holds only for the moment it was made."
    },
    {
      "code": "capacity-lacks",
      "display": "Lacks capacity for this decision",
      "definition": "The patient cannot make this particular decision at this time."
    }
  ]
}