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

Extension: Emergency Department Trauma Details

Official URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details Version: 0.1.0
Draft as of 2026-08-07 Computable Name: EMTraumaDetails

Mechanism, intent, timing, and recent substance use for a trauma presentation.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Emergency Department Trauma Details
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:isTrauma S 1..1 Extension Whether this presentation is trauma-related
..... extension 0..0 Extension
..... url 1..1 uri "isTrauma"
..... value[x] S 1..1 boolean Value of extension
.... extension:dateOfInjury S 0..1 Extension Date and time the injury occurred
..... extension 0..0 Extension
..... url 1..1 uri "dateOfInjury"
..... value[x] S 1..1 dateTime Value of extension
.... extension:mechanismOfInjury S 0..1 Extension Mechanism of injury
..... extension 0..0 Extension
..... url 1..1 uri "mechanismOfInjury"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Mechanism of Injury Value Set (required)
.... extension:otherMechanism S 0..1 Extension Free-text mechanism, used when mechanismOfInjury is coded 'other'
..... extension 0..0 Extension
..... url 1..1 uri "otherMechanism"
..... value[x] S 1..1 string Value of extension
.... extension:intent S 0..1 Extension Intent behind the injury
..... extension 0..0 Extension
..... url 1..1 uri "intent"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Injury Intent Value Set (required)
.... extension:otherIntent S 0..1 Extension Free-text intent, used when intent is coded 'other'
..... extension 0..0 Extension
..... url 1..1 uri "otherIntent"
..... value[x] S 1..1 string Value of extension
.... extension:substanceUsed S 0..1 Extension Whether the patient used a substance in the last 6 hours
..... extension 0..0 Extension
..... url 1..1 uri "substanceUsed"
..... value[x] S 1..1 boolean Value of extension
.... extension:substanceType S 0..* Extension Type of substance used, if substanceUsed is true
..... extension 0..0 Extension
..... url 1..1 uri "substanceType"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Substance Use Type Value Set (required)
... url 1..1 uri "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Emergency Department Trauma Details
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:isTrauma S 1..1 Extension Whether this presentation is trauma-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "isTrauma"
..... value[x] S 1..1 boolean Value of extension
.... extension:dateOfInjury S 0..1 Extension Date and time the injury occurred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "dateOfInjury"
..... value[x] S 1..1 dateTime Value of extension
.... extension:mechanismOfInjury S 0..1 Extension Mechanism of injury
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "mechanismOfInjury"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Mechanism of Injury Value Set (required)
.... extension:otherMechanism S 0..1 Extension Free-text mechanism, used when mechanismOfInjury is coded 'other'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "otherMechanism"
..... value[x] S 1..1 string Value of extension
.... extension:intent S 0..1 Extension Intent behind the injury
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "intent"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Injury Intent Value Set (required)
.... extension:otherIntent S 0..1 Extension Free-text intent, used when intent is coded 'other'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "otherIntent"
..... value[x] S 1..1 string Value of extension
.... extension:substanceUsed S 0..1 Extension Whether the patient used a substance in the last 6 hours
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "substanceUsed"
..... value[x] S 1..1 boolean Value of extension
.... extension:substanceType S 0..* Extension Type of substance used, if substanceUsed is true
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "substanceType"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Substance Use Type Value Set (required)
... url 1..1 uri "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Mechanism, intent, timing, and recent substance use for a trauma presentation.

  • isTrauma: boolean: An Extension
  • dateOfInjury: dateTime: An Extension
  • mechanismOfInjury: CodeableConcept: An Extension
  • otherMechanism: string: An Extension
  • intent: CodeableConcept: An Extension
  • otherIntent: string: An Extension
  • substanceUsed: boolean: Absence of this sub-extension means substance use was not asked about, not that it was confirmed absent — do not treat a missing value as 'no'.
  • substanceType: CodeableConcept: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Emergency Department Trauma Details
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:isTrauma S 1..1 Extension Whether this presentation is trauma-related
..... extension 0..0 Extension
..... url 1..1 uri "isTrauma"
..... value[x] S 1..1 boolean Value of extension
.... extension:dateOfInjury S 0..1 Extension Date and time the injury occurred
..... extension 0..0 Extension
..... url 1..1 uri "dateOfInjury"
..... value[x] S 1..1 dateTime Value of extension
.... extension:mechanismOfInjury S 0..1 Extension Mechanism of injury
..... extension 0..0 Extension
..... url 1..1 uri "mechanismOfInjury"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Mechanism of Injury Value Set (required)
.... extension:otherMechanism S 0..1 Extension Free-text mechanism, used when mechanismOfInjury is coded 'other'
..... extension 0..0 Extension
..... url 1..1 uri "otherMechanism"
..... value[x] S 1..1 string Value of extension
.... extension:intent S 0..1 Extension Intent behind the injury
..... extension 0..0 Extension
..... url 1..1 uri "intent"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Injury Intent Value Set (required)
.... extension:otherIntent S 0..1 Extension Free-text intent, used when intent is coded 'other'
..... extension 0..0 Extension
..... url 1..1 uri "otherIntent"
..... value[x] S 1..1 string Value of extension
.... extension:substanceUsed S 0..1 Extension Whether the patient used a substance in the last 6 hours
..... extension 0..0 Extension
..... url 1..1 uri "substanceUsed"
..... value[x] S 1..1 boolean Value of extension
.... extension:substanceType S 0..* Extension Type of substance used, if substanceUsed is true
..... extension 0..0 Extension
..... url 1..1 uri "substanceType"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Substance Use Type Value Set (required)
... url 1..1 uri "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Emergency Department Trauma Details
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:isTrauma S 1..1 Extension Whether this presentation is trauma-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "isTrauma"
..... value[x] S 1..1 boolean Value of extension
.... extension:dateOfInjury S 0..1 Extension Date and time the injury occurred
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "dateOfInjury"
..... value[x] S 1..1 dateTime Value of extension
.... extension:mechanismOfInjury S 0..1 Extension Mechanism of injury
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "mechanismOfInjury"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Mechanism of Injury Value Set (required)
.... extension:otherMechanism S 0..1 Extension Free-text mechanism, used when mechanismOfInjury is coded 'other'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "otherMechanism"
..... value[x] S 1..1 string Value of extension
.... extension:intent S 0..1 Extension Intent behind the injury
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "intent"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Injury Intent Value Set (required)
.... extension:otherIntent S 0..1 Extension Free-text intent, used when intent is coded 'other'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "otherIntent"
..... value[x] S 1..1 string Value of extension
.... extension:substanceUsed S 0..1 Extension Whether the patient used a substance in the last 6 hours
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "substanceUsed"
..... value[x] S 1..1 boolean Value of extension
.... extension:substanceType S 0..* Extension Type of substance used, if substanceUsed is true
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "substanceType"
..... value[x] S 1..1 CodeableConcept Value of extension
Binding: Emergency Department Substance Use Type Value Set (required)
... url 1..1 uri "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-trauma-details"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Mechanism, intent, timing, and recent substance use for a trauma presentation.

  • isTrauma: boolean: An Extension
  • dateOfInjury: dateTime: An Extension
  • mechanismOfInjury: CodeableConcept: An Extension
  • otherMechanism: string: An Extension
  • intent: CodeableConcept: An Extension
  • otherIntent: string: An Extension
  • substanceUsed: boolean: Absence of this sub-extension means substance use was not asked about, not that it was confirmed absent — do not treat a missing value as 'no'.
  • substanceType: CodeableConcept: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:mechanismOfInjury.​value[x] Base required Emergency Department Mechanism of Injury Value Set 📦0.1.0 This IG
Extension.extension:intent.​value[x] Base required Emergency Department Injury Intent Value Set 📦0.1.0 This IG
Extension.extension:substanceType.​value[x] Base required Emergency Department Substance Use Type Value Set 📦0.1.0 This IG

Constraints

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()