{
  "resourceType" : "Encounter",
  "id" : "em-ed-encounter-example",
  "meta" : {
    "profile" : ["https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-encounter"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Encounter em-ed-encounter-example</b></p><a name=\"em-ed-encounter-example\"> </a><a name=\"hcem-ed-encounter-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-em-ed-encounter.html\">Encounter - Emergency Department</a></p></div><p><b>Emergency Department Payment Method</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-payment-method govt-insurance}\">Government insurance</span></p><p><b>Emergency Department Arrival Mode</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-arrival-mode ambulance}\">Ambulance</span></p><p><b>Emergency Department Mobility Status</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mobility-status non-ambulatory}\">Non-ambulatory</span></p><p><b>Emergency Department Presentation Type</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-presentation-type acute}\">Acute</span></p><p><b>Emergency Department Referral Information</b>: false</p><blockquote><p><b>Emergency Department Trauma Details</b></p><ul><li>isTrauma: true</li><li>dateOfInjury: 2026-06-29 11:55:00+0300</li><li>mechanismOfInjury: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mechanism-of-injury road-traffic-crash}\">Road traffic crash</span></li><li>intent: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-injury-intent unintentional}\">Unintentional</span></li><li>substanceUsed: false</li></ul></blockquote><blockquote><p><b>Emergency Department Disposition Details</b></p><ul><li>dischargePlanDiscussed: false</li></ul></blockquote><p><b>identifier</b>: <code>http://hie.go.ke/fhir/identifier/hospital-registration-number</code>/KNH-ED-2026-004417</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">ActCode: EMER</a> (emergency)</p><p><b>priority</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-clinical-acuity orange}\">Orange - Very urgent</span></p><p><b>subject</b>: <a href=\"Patient-pat-0712345678.html\">Amina Atieno Female, DoB: 1992-05-16 ( http://hie.go.ke/fhir/identifier/patient-official-id#33445566)</a></p><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role triage-staff}\">Triage staff</span></p><p><b>individual</b>: <a href=\"Practitioner-em-ed-nurse-example.html\">Practitioner Grace Wanjiru </a></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role provider}\">Provider</span></p><p><b>individual</b>: <a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role nurse}\">Nurse</span></p><p><b>individual</b>: <a href=\"Practitioner-em-ed-nurse-example.html\">Practitioner Grace Wanjiru </a></p></blockquote><p><b>period</b>: 2026-06-29 12:40:00+0300 --&gt; 2026-06-29 14:10:00+0300</p><p><b>reasonReference</b>: <a href=\"Condition-em-ed-condition-chief-complaint-example.html\">Condition </a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-em-ed-condition-discharge-diagnosis-example.html\">Condition </a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-disposition admit-icu}\">Admit - ICU</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-org-knh.html\">Organization Kenyatta National Hospital</a></p><p><b>partOf</b>: <a href=\"Encounter-em-poc-encounter-example.html\">Encounter: identifier = http://hie.go.ke/fhir/identifier/incident-id#INC-20260629120000-0712345678-abc123; status = finished; class = Emergency medical services field response (Emergency Encounter Class#FLD); type = Scene and transport care; priority = Orange - Very urgent; period = 2026-06-29 12:08:00+0300 --&gt; 2026-06-29 12:38:00+0300</a></p></div>"
  },
  "extension" : [{
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-payment-method",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-payment-method",
        "code" : "govt-insurance",
        "display" : "Government insurance"
      }]
    }
  },
  {
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-arrival-mode",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-arrival-mode",
        "code" : "ambulance",
        "display" : "Ambulance"
      }]
    }
  },
  {
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-mobility-status",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mobility-status",
        "code" : "non-ambulatory",
        "display" : "Non-ambulatory"
      }]
    }
  },
  {
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-presentation-type",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-presentation-type",
        "code" : "acute",
        "display" : "Acute"
      }]
    }
  },
  {
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-referral-info",
    "valueBoolean" : false
  },
  {
    "extension" : [{
      "url" : "isTrauma",
      "valueBoolean" : true
    },
    {
      "url" : "dateOfInjury",
      "valueDateTime" : "2026-06-29T11:55:00+03:00"
    },
    {
      "url" : "mechanismOfInjury",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mechanism-of-injury",
          "code" : "road-traffic-crash",
          "display" : "Road traffic crash"
        }]
      }
    },
    {
      "url" : "intent",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-injury-intent",
          "code" : "unintentional",
          "display" : "Unintentional"
        }]
      }
    },
    {
      "url" : "substanceUsed",
      "valueBoolean" : false
    }],
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details"
  },
  {
    "extension" : [{
      "url" : "dischargePlanDiscussed",
      "valueBoolean" : false
    }],
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details"
  }],
  "identifier" : [{
    "system" : "http://hie.go.ke/fhir/identifier/hospital-registration-number",
    "value" : "KNH-ED-2026-004417"
  }],
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "EMER",
    "display" : "emergency"
  },
  "priority" : {
    "coding" : [{
      "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-clinical-acuity",
      "code" : "orange",
      "display" : "Orange - Very urgent"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-0712345678"
  },
  "participant" : [{
    "type" : [{
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role",
        "code" : "triage-staff"
      }]
    }],
    "individual" : {
      "reference" : "Practitioner/em-ed-nurse-example"
    }
  },
  {
    "type" : [{
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role",
        "code" : "provider"
      }]
    }],
    "individual" : {
      "reference" : "Practitioner/em-practitioner-example"
    }
  },
  {
    "type" : [{
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role",
        "code" : "nurse"
      }]
    }],
    "individual" : {
      "reference" : "Practitioner/em-ed-nurse-example"
    }
  }],
  "period" : {
    "start" : "2026-06-29T12:40:00+03:00",
    "end" : "2026-06-29T14:10:00+03:00"
  },
  "reasonReference" : [{
    "reference" : "Condition/em-ed-condition-chief-complaint-example"
  }],
  "diagnosis" : [{
    "condition" : {
      "reference" : "Condition/em-ed-condition-discharge-diagnosis-example"
    }
  }],
  "hospitalization" : {
    "dischargeDisposition" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-disposition",
        "code" : "admit-icu",
        "display" : "Admit - ICU"
      }]
    }
  },
  "serviceProvider" : {
    "reference" : "Organization/org-knh"
  },
  "partOf" : {
    "reference" : "Encounter/em-poc-encounter-example"
  }
}