Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
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
| Official URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details | Version: 0.1.0 | |||
| Draft as of 2026-08-07 | Computable Name: EMDispositionDetails | |||
Supplementary detail for the ED encounter disposition that does not fit Encounter.hospitalization.dischargeDisposition alone — the discharge-plan discussion flag, and the reason text for the leave-without-being-seen, death, and transfer dispositions.
Context of Use
This extension may be used on the following element(s)
Encounter
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Emergency Department Disposition Details | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:dischargePlanDiscussed |
S | 0..1 | Extension | Whether the discharge plan was discussed with the patient — applies when disposition is discharge |
   extension |
0..0 | Extension | ||
| url |
1..1 | uri | "dischargePlanDiscussed" | |
  value[x] |
S | 1..1 | boolean | Value of extension |
| extension:leftWithoutBeingSeenReason |
S | 0..1 | Extension | Reason recorded for leaving without being seen or before treatment was complete |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "leftWithoutBeingSeenReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:deathCause |
S | 0..1 | Extension | Cause of death recorded at disposition |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "deathCause" | |
| value[x] |
S | 1..1 | string | Value of extension |
 extension:transferReason |
S | 0..1 | Extension | Reason recorded for transfer to another facility |
 extension |
0..0 | Extension | ||
| url |
1..1 | uri | "transferReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
 url |
1..1 | uri | "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details" | |
 value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Emergency Department Disposition Details | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:dischargePlanDiscussed |
S | 0..1 | Extension | Whether the discharge plan was discussed with the patient — applies when disposition is discharge |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "dischargePlanDiscussed" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:leftWithoutBeingSeenReason |
S | 0..1 | Extension | Reason recorded for leaving without being seen or before treatment was complete |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "leftWithoutBeingSeenReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:deathCause |
S | 0..1 | Extension | Cause of death recorded at disposition |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "deathCause" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:transferReason |
S | 0..1 | Extension | Reason recorded for transfer to another facility |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "transferReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| url |
1..1 | uri | "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Supplementary detail for the ED encounter disposition that does not fit Encounter.hospitalization.dischargeDisposition alone — the discharge-plan discussion flag, and the reason text for the leave-without-being-seen, death, and transfer dispositions.
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Emergency Department Disposition Details | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:dischargePlanDiscussed |
S | 0..1 | Extension | Whether the discharge plan was discussed with the patient — applies when disposition is discharge |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "dischargePlanDiscussed" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:leftWithoutBeingSeenReason |
S | 0..1 | Extension | Reason recorded for leaving without being seen or before treatment was complete |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "leftWithoutBeingSeenReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:deathCause |
S | 0..1 | Extension | Cause of death recorded at disposition |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "deathCause" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:transferReason |
S | 0..1 | Extension | Reason recorded for transfer to another facility |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "transferReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| url |
1..1 | uri | "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Emergency Department Disposition Details | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:dischargePlanDiscussed |
S | 0..1 | Extension | Whether the discharge plan was discussed with the patient — applies when disposition is discharge |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "dischargePlanDiscussed" | |
| value[x] |
S | 1..1 | boolean | Value of extension |
| extension:leftWithoutBeingSeenReason |
S | 0..1 | Extension | Reason recorded for leaving without being seen or before treatment was complete |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "leftWithoutBeingSeenReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:deathCause |
S | 0..1 | Extension | Cause of death recorded at disposition |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "deathCause" | |
| value[x] |
S | 1..1 | string | Value of extension |
| extension:transferReason |
S | 0..1 | Extension | Reason recorded for transfer to another facility |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "transferReason" | |
| value[x] |
S | 1..1 | string | Value of extension |
| url |
1..1 | uri | "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-disposition-details" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Supplementary detail for the ED encounter disposition that does not fit Encounter.hospitalization.dischargeDisposition alone — the discharge-plan discussion flag, and the reason text for the leave-without-being-seen, death, and transfer dispositions.
Other representations of profile: CSV, Excel, Schematron
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|