Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
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
{
"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 --> 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 --> 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"
}
}