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 High-Risk Sign - JSON Representation

Active as of 2026-08-07

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{
  "resourceType" : "CodeSystem",
  "id" : "em-high-risk-sign",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem em-high-risk-sign</b></p><a name=\"em-high-risk-sign\"> </a><a name=\"hcem-high-risk-sign\"> </a><p>This case-sensitive code system <code>https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign</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\">abnormal-heart-rate<a name=\"em-high-risk-sign-abnormal-heart-rate\"> </a></td><td>Heart rate &lt;60 or &gt;130</td></tr><tr><td style=\"white-space:nowrap\">abnormal-respiratory-rate<a name=\"em-high-risk-sign-abnormal-respiratory-rate\"> </a></td><td>Respiratory rate &lt;10 or &gt;30</td></tr><tr><td style=\"white-space:nowrap\">low-spo2<a name=\"em-high-risk-sign-low-spo2\"> </a></td><td>SpO2 &lt;92% on room air</td></tr><tr><td style=\"white-space:nowrap\">not-alert<a name=\"em-high-risk-sign-not-alert\"> </a></td><td>Not alert (AVPU)</td></tr><tr><td style=\"white-space:nowrap\">stridor-or-swallow-difficulty<a name=\"em-high-risk-sign-stridor-or-swallow-difficulty\"> </a></td><td>Stridor, voice change, or unable to swallow</td></tr><tr><td style=\"white-space:nowrap\">respiratory-distress<a name=\"em-high-risk-sign-respiratory-distress\"> </a></td><td>Respiratory distress (grunting in child, retractions, cyanosis)</td></tr><tr><td style=\"white-space:nowrap\">poor-perfusion<a name=\"em-high-risk-sign-poor-perfusion\"> </a></td><td>Poor perfusion, weak pulse, capillary refill &gt;3 sec, MAP &lt;65mmHg</td></tr><tr><td style=\"white-space:nowrap\">cannot-eat-or-drink<a name=\"em-high-risk-sign-cannot-eat-or-drink\"> </a></td><td>Vomits everything, cannot eat or drink</td></tr></table></div>"
  },
  "url" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
  "version" : "0.1.0",
  "name" : "EMHighRiskSignCS",
  "title" : "Emergency High-Risk Sign",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-08-07T11:54:11+00:00",
  "publisher" : "Digital Health Agency (DHA), Kenya",
  "contact" : [
    {
      "name" : "Digital Health Agency (DHA), Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://dha.go.ke"
        },
        {
          "system" : "email",
          "value" : "info@dha.go.ke"
        }
      ]
    },
    {
      "name" : "Digital Health Agency Kenya – FHIR Team",
      "telecom" : [
        {
          "system" : "email",
          "value" : "info@dha.go.ke",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://dha.go.ke",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Identifies which WHO Emergency Unit high-risk sign a component on EMHighRiskSignsObservation represents.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "abnormal-heart-rate",
      "display" : "Heart rate <60 or >130"
    },
    {
      "code" : "abnormal-respiratory-rate",
      "display" : "Respiratory rate <10 or >30"
    },
    {
      "code" : "low-spo2",
      "display" : "SpO2 <92% on room air"
    },
    {
      "code" : "not-alert",
      "display" : "Not alert (AVPU)"
    },
    {
      "code" : "stridor-or-swallow-difficulty",
      "display" : "Stridor, voice change, or unable to swallow"
    },
    {
      "code" : "respiratory-distress",
      "display" : "Respiratory distress (grunting in child, retractions, cyanosis)"
    },
    {
      "code" : "poor-perfusion",
      "display" : "Poor perfusion, weak pulse, capillary refill >3 sec, MAP <65mmHg"
    },
    {
      "code" : "cannot-eat-or-drink",
      "display" : "Vomits everything, cannot eat or drink"
    }
  ]
}