em-ed-high-risk-signs-example
type: Observation
node role: treeRoot
resource.id:
  value: em-ed-high-risk-signs-example
resource.meta:
  meta.profile:
    value: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-high-risk-signs-observation
    index: 0
    link: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-high-risk-signs-observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: 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
observation.status:
  value: final
observation.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/observation-category
    coding.code:
      value: survey
observation.code:
  codeable concept.coding:
    index: 0
    coding.system:
      value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-observation-code
    coding.code:
      value: high-risk-signs-assessment
observation.subject:
  link: https://fhir.dha.go.ke/ig/emergency/Patient/pat-0712345678
  reference.reference:
    value: Patient/pat-0712345678
observation.encounter:
  link: https://fhir.dha.go.ke/ig/emergency/Encounter/em-ed-encounter-example
  reference.reference:
    value: Encounter/em-ed-encounter-example
observation.effective date time:
  value: 2026-06-29T12:41:00+03:00
observation.performer:
  index: 0
  link: https://fhir.dha.go.ke/ig/emergency/Practitioner/em-ed-nurse-example
  reference.reference:
    value: Practitioner/em-ed-nurse-example
observation.value boolean:
  value: true
observation.component:
  index: 0
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: abnormal-heart-rate
  observation.component.value boolean:
    value: false
observation.component:
  index: 1
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: abnormal-respiratory-rate
  observation.component.value boolean:
    value: false
observation.component:
  index: 2
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: low-spo2
  observation.component.value boolean:
    value: false
observation.component:
  index: 3
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: not-alert
  observation.component.value boolean:
    value: false
observation.component:
  index: 4
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: stridor-or-swallow-difficulty
  observation.component.value boolean:
    value: false
observation.component:
  index: 5
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: respiratory-distress
  observation.component.value boolean:
    value: false
observation.component:
  index: 6
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: poor-perfusion
  observation.component.value boolean:
    value: true
observation.component:
  index: 7
  observation.component.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign
      coding.code:
        value: cannot-eat-or-drink
  observation.component.value boolean:
    value: false