Kenya Emergency Care Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Emergency Care Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/IntelliSOFT-Consulting/Kenya-Emergency-FHIR-IG/ and changes regularly. See the Directory of published versions

: Emergency ABCDE Assessment Field - TTL Representation

Active as of 2026-08-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/em-abcde-field> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-abcde-field"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem em-abcde-field</b></p><a name=\"em-abcde-field\"> </a><a name=\"hcem-abcde-field\"> </a><p>This case-sensitive code system <code>https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">airway-obstruction-cause<a name=\"em-abcde-field-airway-obstruction-cause\"> </a></td><td>Airway - obstruction cause</td></tr><tr><td style=\"white-space:nowrap\">chest-rise-pattern<a name=\"em-abcde-field-chest-rise-pattern\"> </a></td><td>Breathing - chest rise pattern</td></tr><tr><td style=\"white-space:nowrap\">trachea-position<a name=\"em-abcde-field-trachea-position\"> </a></td><td>Breathing - trachea position</td></tr><tr><td style=\"white-space:nowrap\">breath-sounds-left<a name=\"em-abcde-field-breath-sounds-left\"> </a></td><td>Breathing - left breath sounds</td></tr><tr><td style=\"white-space:nowrap\">breath-sounds-right<a name=\"em-abcde-field-breath-sounds-right\"> </a></td><td>Breathing - right breath sounds</td></tr><tr><td style=\"white-space:nowrap\">capillary-refill-seconds<a name=\"em-abcde-field-capillary-refill-seconds\"> </a></td><td>Circulation - capillary refill time</td></tr><tr><td style=\"white-space:nowrap\">skin-findings<a name=\"em-abcde-field-skin-findings\"> </a></td><td>Circulation - skin findings</td></tr><tr><td style=\"white-space:nowrap\">jvd<a name=\"em-abcde-field-jvd\"> </a></td><td>Circulation - jugular venous distension</td></tr><tr><td style=\"white-space:nowrap\">pulses<a name=\"em-abcde-field-pulses\"> </a></td><td>Circulation - pulse quality/asymmetry</td></tr><tr><td style=\"white-space:nowrap\">fluids-given-volume<a name=\"em-abcde-field-fluids-given-volume\"> </a></td><td>Circulation - IV fluids given (volume)</td></tr><tr><td style=\"white-space:nowrap\">fluids-type<a name=\"em-abcde-field-fluids-type\"> </a></td><td>Circulation - IV fluids given (type)</td></tr><tr><td style=\"white-space:nowrap\">blood-ordered<a name=\"em-abcde-field-blood-ordered\"> </a></td><td>Circulation - blood ordered</td></tr><tr><td style=\"white-space:nowrap\">ecg-done<a name=\"em-abcde-field-ecg-done\"> </a></td><td>Circulation - ECG done</td></tr><tr><td style=\"white-space:nowrap\">avpu<a name=\"em-abcde-field-avpu\"> </a></td><td>Disability - AVPU</td></tr><tr><td style=\"white-space:nowrap\">pupil-size-left<a name=\"em-abcde-field-pupil-size-left\"> </a></td><td>Disability - left pupil size</td></tr><tr><td style=\"white-space:nowrap\">pupil-size-right<a name=\"em-abcde-field-pupil-size-right\"> </a></td><td>Disability - right pupil size</td></tr><tr><td style=\"white-space:nowrap\">pupil-reactivity-left<a name=\"em-abcde-field-pupil-reactivity-left\"> </a></td><td>Disability - left pupil reactivity</td></tr><tr><td style=\"white-space:nowrap\">pupil-reactivity-right<a name=\"em-abcde-field-pupil-reactivity-right\"> </a></td><td>Disability - right pupil reactivity</td></tr><tr><td style=\"white-space:nowrap\">moves-extremities<a name=\"em-abcde-field-moves-extremities\"> </a></td><td>Disability - limbs moved spontaneously</td></tr><tr><td style=\"white-space:nowrap\">fully-exposed<a name=\"em-abcde-field-fully-exposed\"> </a></td><td>Exposure - fully exposed</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "EMABCDEFieldCS"] ;
  fhir:CodeSystem.title [ fhir:value "Emergency ABCDE Assessment Field"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-08-07T11:54:11+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Identifies the specific structured field carried by a component on\nEMABCDEAssessmentObservation. Which fields are applicable depends on the\nparent Observation.code (airway/breathing/circulation/disability/exposure)."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "20"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "airway-obstruction-cause" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Airway - obstruction cause" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "chest-rise-pattern" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breathing - chest rise pattern" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "trachea-position" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breathing - trachea position" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "breath-sounds-left" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breathing - left breath sounds" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "breath-sounds-right" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breathing - right breath sounds" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "capillary-refill-seconds" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - capillary refill time" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "skin-findings" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - skin findings" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "jvd" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - jugular venous distension" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulses" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - pulse quality/asymmetry" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "fluids-given-volume" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - IV fluids given (volume)" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "fluids-type" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - IV fluids given (type)" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "blood-ordered" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - blood ordered" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "ecg-done" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Circulation - ECG done" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "avpu" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - AVPU" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "pupil-size-left" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - left pupil size" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "pupil-size-right" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - right pupil size" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "pupil-reactivity-left" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - left pupil reactivity" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "pupil-reactivity-right" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - right pupil reactivity" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "moves-extremities" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability - limbs moved spontaneously" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "fully-exposed" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exposure - fully exposed" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/em-abcde-field.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/em-abcde-field.ttl> .