Generated Narrative: Observation em-ed-high-risk-signs-example Profile: Observation - Emergency High-Risk Signs status: Final category: Survey code: High-risk signs assessment subject: Amina Atieno Female, DoB: 1992-05-16 ( http://hie.go.ke/fhir/identifier/patient-official-id#33445566) encounter: 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 --> 2026-06-29 14:10:00+0300 effective: 2026-06-29 12:41:00+0300 performer: Practitioner Grace Wanjiru value: true component code: Heart rate <60 or >130 value: false component code: Respiratory rate <10 or >30 value: false component code: SpO2 <92% on room air value: false component code: Not alert (AVPU) value: false component code: Stridor, voice change, or unable to swallow value: false component code: Respiratory distress (grunting in child, retractions, cyanosis) value: false component code: Poor perfusion, weak pulse, capillary refill >3 sec, MAP <65mmHg value: true component code: Vomits everything, cannot eat or drink value: false