<?xml version="1.0" encoding="UTF-8"?>

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