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

: Observation - ABCDE Circulation Assessment - 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/Observation/em-ed-abcde-circulation-example> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-ed-abcde-circulation-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-abcde-assessment-observation" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-abcde-assessment-observation>
     ]
  ] ;
  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: Observation em-ed-abcde-circulation-example</b></p><a name=\"em-ed-abcde-circulation-example\"> </a><a name=\"hcem-ed-abcde-circulation-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-abcde-assessment-observation.html\">Observation - Emergency ABCDE Assessment</a></p></div><p><b>Emergency No Findings On Exam</b>: false</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-component circulation}\">Circulation</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><p><b>encounter</b>: <a href=\"Encounter-em-ed-encounter-example.html\">Encounter: extension = Government insurance,Ambulance,Non-ambulatory,Acute,false,,; identifier = http://hie.go.ke/fhir/identifier/hospital-registration-number#KNH-ED-2026-004417; status = finished; class = emergency (ActCode#EMER); priority = Orange - Very urgent; period = 2026-06-29 12:40:00+0300 --&gt; 2026-06-29 14:10:00+0300</a></p><p><b>effective</b>: 2026-06-29 12:46:00+0300</p><p><b>performer</b>: <a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></p><p><b>value</b>: <span title=\"Codes:\">Delayed capillary refill, cool peripheries</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field capillary-refill-seconds}\">Circulation - capillary refill time</span></p><p><b>value</b>: 4 seconds<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codes = 's')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field skin-findings}\">Circulation - skin findings</span></p><p><b>value</b>: <span title=\"Codes:\">Cool, pale</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field jvd}\">Circulation - jugular venous distension</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field pulses}\">Circulation - pulse quality/asymmetry</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state weak}\">Weak</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field fluids-given-volume}\">Circulation - IV fluids given (volume)</span></p><p><b>value</b>: 500 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field fluids-type}\">Circulation - IV fluids given (type)</span></p><p><b>value</b>: <span title=\"Codes:\">Normal saline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field blood-ordered}\">Circulation - blood ordered</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field ecg-done}\">Circulation - ECG done</span></p><p><b>value</b>: true</p></blockquote></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-no-findings-on-exam" ] ;
     fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "exam" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-component" ] ;
       fhir:Coding.code [ fhir:value "circulation" ] ;
       fhir:Coding.display [ fhir:value "Circulation" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat-0712345678> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-0712345678" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/em-ed-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/em-ed-encounter-example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-06-29T12:46:00+03:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/em-practitioner-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/em-practitioner-example" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.text [ fhir:value "Delayed capillary refill, cool peripheries" ]
  ] ;
  fhir:Observation.component [
     fhir:index 0 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "capillary-refill-seconds" ]
       ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "4"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "seconds" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "s" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "skin-findings" ]
       ]
     ] ;
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "Cool, pale" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "jvd" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 3 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "pulses" ]
       ]
     ] ;
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state" ] ;
         fhir:Coding.code [ fhir:value "weak" ] ;
         fhir:Coding.display [ fhir:value "Weak" ]
       ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "fluids-given-volume" ]
       ]
     ] ;
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "500"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "mL" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "mL" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "fluids-type" ]
       ]
     ] ;
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "Normal saline" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "blood-ordered" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ], [
     fhir:index 7 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field" ] ;
         fhir:Coding.code [ fhir:value "ecg-done" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ] .

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

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

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

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

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