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 - XML Representation

Active as of 2026-08-07

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="em-high-risk-sign"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign"/>
  <version value="0.1.0"/>
  <name value="EMHighRiskSignCS"/>
  <title value="Emergency High-Risk Sign"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-08-07T11:54:11+00:00"/>
  <publisher value="Digital Health Agency (DHA), Kenya"/>
  <contact>
    <name value="Digital Health Agency (DHA), Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="Digital Health Agency Kenya – FHIR Team"/>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Identifies which WHO Emergency Unit high-risk sign a component on EMHighRiskSignsObservation represents."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="8"/>
  <concept>
    <code value="abnormal-heart-rate"/>
    <display value="Heart rate &lt;60 or &gt;130"/>
  </concept>
  <concept>
    <code value="abnormal-respiratory-rate"/>
    <display value="Respiratory rate &lt;10 or &gt;30"/>
  </concept>
  <concept>
    <code value="low-spo2"/>
    <display value="SpO2 &lt;92% on room air"/>
  </concept>
  <concept>
    <code value="not-alert"/>
    <display value="Not alert (AVPU)"/>
  </concept>
  <concept>
    <code value="stridor-or-swallow-difficulty"/>
    <display value="Stridor, voice change, or unable to swallow"/>
  </concept>
  <concept>
    <code value="respiratory-distress"/>
    <display
             value="Respiratory distress (grunting in child, retractions, cyanosis)"/>
  </concept>
  <concept>
    <code value="poor-perfusion"/>
    <display
             value="Poor perfusion, weak pulse, capillary refill &gt;3 sec, MAP &lt;65mmHg"/>
  </concept>
  <concept>
    <code value="cannot-eat-or-drink"/>
    <display value="Vomits everything, cannot eat or drink"/>
  </concept>
</CodeSystem>