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

: Encounter - Emergency Department - TTL Representation

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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/Encounter/em-ed-encounter-example> a fhir:Encounter ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-ed-encounter-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-encounter" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-encounter>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-payment-method" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-payment-method" ] ;
         fhir:Coding.code [ fhir:value "govt-insurance" ] ;
         fhir:Coding.display [ fhir:value "Government insurance" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-arrival-mode" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-arrival-mode" ] ;
         fhir:Coding.code [ fhir:value "ambulance" ] ;
         fhir:Coding.display [ fhir:value "Ambulance" ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-mobility-status" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mobility-status" ] ;
         fhir:Coding.code [ fhir:value "non-ambulatory" ] ;
         fhir:Coding.display [ fhir:value "Non-ambulatory" ]
       ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-presentation-type" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-presentation-type" ] ;
         fhir:Coding.code [ fhir:value "acute" ] ;
         fhir:Coding.display [ fhir:value "Acute" ]
       ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-referral-info" ] ;
     fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 5 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "isTrauma" ] ;
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "dateOfInjury" ] ;
       fhir:Extension.valueDateTime [ fhir:value "2026-06-29T11:55:00+03:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:Extension.url [ fhir:value "mechanismOfInjury" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-mechanism-of-injury" ] ;
           fhir:Coding.code [ fhir:value "road-traffic-crash" ] ;
           fhir:Coding.display [ fhir:value "Road traffic crash" ]
         ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Extension.url [ fhir:value "intent" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-injury-intent" ] ;
           fhir:Coding.code [ fhir:value "unintentional" ] ;
           fhir:Coding.display [ fhir:value "Unintentional" ]
         ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Extension.url [ fhir:value "substanceUsed" ] ;
       fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
     ] ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details" ]
  ], [
     fhir:index 6 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "dischargePlanDiscussed" ] ;
       fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
     ] ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details" ]
  ] ;
  fhir:Encounter.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://hie.go.ke/fhir/identifier/hospital-registration-number" ] ;
     fhir:Identifier.value [ fhir:value "KNH-ED-2026-004417" ]
  ] ;
  fhir:Encounter.status [ fhir:value "finished"] ;
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
     fhir:Coding.code [ fhir:value "EMER" ] ;
     fhir:Coding.display [ fhir:value "emergency" ]
  ] ;
  fhir:Encounter.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-clinical-acuity" ] ;
       fhir:Coding.code [ fhir:value "orange" ] ;
       fhir:Coding.display [ fhir:value "Orange - Very urgent" ]
     ]
  ] ;
  fhir:Encounter.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat-0712345678> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-0712345678" ]
  ] ;
  fhir:Encounter.participant [
     fhir:index 0 ;
     fhir:Encounter.participant.type [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role" ] ;
         fhir:Coding.code [ fhir:value "triage-staff" ]
       ]
     ] ;
     fhir:Encounter.participant.individual [
       fhir:link <http://hl7.org/fhir/Practitioner/em-ed-nurse-example> ;
       fhir:Reference.reference [ fhir:value "Practitioner/em-ed-nurse-example" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Encounter.participant.type [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role" ] ;
         fhir:Coding.code [ fhir:value "provider" ]
       ]
     ] ;
     fhir:Encounter.participant.individual [
       fhir:link <http://hl7.org/fhir/Practitioner/em-practitioner-example> ;
       fhir:Reference.reference [ fhir:value "Practitioner/em-practitioner-example" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Encounter.participant.type [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-participant-role" ] ;
         fhir:Coding.code [ fhir:value "nurse" ]
       ]
     ] ;
     fhir:Encounter.participant.individual [
       fhir:link <http://hl7.org/fhir/Practitioner/em-ed-nurse-example> ;
       fhir:Reference.reference [ fhir:value "Practitioner/em-ed-nurse-example" ]
     ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2026-06-29T12:40:00+03:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2026-06-29T14:10:00+03:00"^^xsd:dateTime ]
  ] ;
  fhir:Encounter.reasonReference [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Condition/em-ed-condition-chief-complaint-example> ;
     fhir:Reference.reference [ fhir:value "Condition/em-ed-condition-chief-complaint-example" ]
  ] ;
  fhir:Encounter.diagnosis [
     fhir:index 0 ;
     fhir:Encounter.diagnosis.condition [
       fhir:link <http://hl7.org/fhir/Condition/em-ed-condition-discharge-diagnosis-example> ;
       fhir:Reference.reference [ fhir:value "Condition/em-ed-condition-discharge-diagnosis-example" ]
     ]
  ] ;
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-disposition" ] ;
         fhir:Coding.code [ fhir:value "admit-icu" ] ;
         fhir:Coding.display [ fhir:value "Admit - ICU" ]
       ]
     ]
  ] ;
  fhir:Encounter.serviceProvider [
     fhir:link <http://hl7.org/fhir/Organization/org-knh> ;
     fhir:Reference.reference [ fhir:value "Organization/org-knh" ]
  ] ;
  fhir:Encounter.partOf [
     fhir:link <http://hl7.org/fhir/Encounter/em-poc-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/em-poc-encounter-example" ]
  ] .

<http://hl7.org/fhir/Patient/pat-0712345678> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/em-ed-nurse-example> a fhir:Practitioner .

<http://hl7.org/fhir/Practitioner/em-practitioner-example> a fhir:Practitioner .

<http://hl7.org/fhir/Condition/em-ed-condition-chief-complaint-example> a fhir:Condition .

<http://hl7.org/fhir/Condition/em-ed-condition-discharge-diagnosis-example> a fhir:Condition .

<http://hl7.org/fhir/Organization/org-knh> a fhir:Organization .

<http://hl7.org/fhir/Encounter/em-poc-encounter-example> a fhir:Encounter .

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

<http://hl7.org/fhir/Encounter/em-ed-encounter-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Encounter/em-ed-encounter-example.ttl> .