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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
| Emergency Assessment Questionnaire |
These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles but do not declare conformance to the abstract profiles themselves.
| Observation - Caller Reported |
Represents unverified clinical information reported by a caller or dispatcher before physical patient assessment by an emergency medical practitioner. Caller-reported observations must remain distinct from observations recorded after direct clinical assessment. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
| AllergyIntolerance - Emergency Allergy or Intolerance |
Represents a patient's allergy or intolerance recorded during Kenya emergency medical services and facility workflows. Criticality and reaction detail are must-fetch on patient lookup and must never be silently dropped. By the time the allergy-history section of an assessment is marked complete, the patient must have either one or more EMAllergyIntolerance instances with a real allergen code, or exactly one EMNoKnownAllergy instance — never both, never neither. |
| AllergyIntolerance - No Known Allergy |
An explicit record asserting that a full allergy history was taken and nothing was found, distinct from simply having zero AllergyIntolerance resources. The absence of any AllergyIntolerance resource is ambiguous — it could mean 'confirmed none' or 'never asked' — and that ambiguity is exactly the kind of gap that can lead to a contraindicated drug being administered. |
| Case Assessment - Kenya |
Kenya Case Assessment profile representing structured clinical assessments. |
| Composition - Emergency Department Patient Record |
Represents the complete emergency department patient chart as a single document, mirroring the WHO-adapted Emergency Department Patient Record paper form: a fixed section list, each referencing the relevant clinical resource instances captured during the encounter. History of Present Illness, Trauma narrative, Management Plan, Final Reassessment comment, Additional Notes, and Nursing Progress Notes are captured as section narrative text (section.text) rather than as separate resource types — these are free-text-only fields on the source form with no checkbox/coded structure to model. |
| Composition - Kenya |
Kenya Composition profile representing a clinical or administrative entry composition. |
| Condition - Emergency Diagnosis Staging |
A specialization of Condition for emergency diagnosis staging. Do not reuse this profile for a generic/routine-visit Condition. One emergency encounter (EMIncidentEncounter/EMPOCEncounter/EMEDEncounter) is expected to produce multiple Condition instances over time — one per diagnostic stage — distinguished by category and verificationStatus, and never overwritten in place: chief-complaint (minimum 1), past-medical-history (0.., pre-existing comorbidities captured during intake rather than staged diagnoses of this presentation), working-diagnosis or differential-diagnosis (0..), and discharge-diagnosis (0..*, required before the encounter can be considered diagnostically closed for claims purposes, though that is an encounter-closure business rule rather than a FHIR cardinality constraint on this profile). |
| DiagnosticReport - Emergency Investigation Result |
Represents an emergency investigation result, e.g. a 12-lead ECG, laboratory result, or imaging report, generated during pre-hospital or facility-based emergency care. |
| DocumentReference - Kenya |
Kenya DocumentReference profile for clinical and administrative documents. |
| Encounter - Emergency Department |
Represents the facility-based emergency department encounter, from registration and triage through provider assessment, treatment, and disposition. Distinct from EMIncidentEncounter (dispatch/field response) and EMPOCEncounter (pre-hospital point-of-care care): this profile represents the receiving facility's own chart, adapted from the WHO Emergency Unit Patient Record form. When the patient arrived by EMS, link back to the pre-hospital chain through partOf rather than duplicating dispatch/field data here. |
| Encounter - Emergency Medical Incident |
Represents the complete emergency medical services incident from dispatch initiation through handover at the receiving facility. This Encounter is the root encounter for an EMS episode. It captures dispatch information, the reporting caller, the dispatcher, responding units, participating emergency agencies, scene information, and the destination facility. Clinical care performed by the responding emergency team should be represented using a separate point-of-care Encounter whose partOf element references this Encounter. |
| Encounter - Emergency Point of Care |
Represents the direct patient-care encounter performed by an emergency medical team at the scene or during transport. The point-of-care Encounter is subordinate to the root emergency incident Encounter and references it through Encounter.partOf. |
| Flag - Emergency Allergy Criticality Alert |
A prominent, must-see alert referencing a high-criticality EMAllergyIntolerance record. Reuses the base FHIR Flag resource, designed exactly for prominent alerts, rather than requiring every consuming system to know a local convention on AllergyIntolerance. Intended for use specifically with EMAllergyIntolerance instances where criticality = high. |
| Kenya Ambulance Encounter |
Encounter profile for ambulance services in Kenya. |
| Location - Emergency Destination Facility |
Represents the physical healthcare facility or emergency-care location intended to receive, or that actually received, a patient transported by emergency medical services. The Location identifies the physical destination. The organization operating the facility is referenced through Location.managingOrganization. |
| Location - Emergency Incident Scene |
Represents the physical location at which an emergency incident occurred or at which the patient was found. The location supports coordinates, landmarks, descriptive directions, and administrative geographic details. |
| Location - Emergency Responder Unit Position |
Represents the real-time geographic position and response status of an emergency responder unit, referenced from EMResponderUnit.location. |
| MedicationAdministration - Emergency Medication Administration |
Represents a medication administered to a patient during Kenya emergency medical services and facility clinical workflows. Used instead of MedicationRequest because emergency care is administration-heavy — drugs are given in real time, not merely prescribed. |
| Observation - Caller-Reported Active Bleeding |
Represents whether active bleeding was reported by the caller or dispatcher before direct clinical assessment. |
| Observation - Caller-Reported Breathing Status |
Represents the patient's apparent breathing status as reported by a caller or dispatcher before direct clinical assessment. |
| Observation - Caller-Reported Level of Consciousness |
Represents the patient's apparent level of consciousness as reported by the caller or dispatcher before direct clinical assessment. |
| Observation - Emergency ABCDE Assessment |
Represents the provider's structured resuscitation assessment of a single ABCDE letter (Airway, Breathing, Circulation, Disability, or Exposure) — one Observation instance per letter, not one Observation for the whole ABCDE assessment, mirroring the one-instance-per-region pattern already used by EMSecondarySurveyObservation. Reuses the same explicit "NML" (no findings) idiom as EMSecondarySurveyObservation via the EMNoFindingsOnExam extension. Which component slices are populated depends on Observation.code: airway, breathing, and exposure typically populate only a few of the fields below, while circulation and disability are the most component-heavy. Airway, breathing, and circulation interventions performed (repositioning, suction, OPA/NPA/BVM/LMA/ETT, chest tube, IV line placement) are recorded as EMProcedure instances referenced separately, not duplicated here; medications and blood products given are recorded as EMMedicationAdministration. |
| Observation - Emergency High-Risk Signs |
Represents the WHO Emergency Unit high-risk-signs checklist performed at triage: a single Observation per triage event carrying one boolean component per high-risk sign, plus a top-level summary flag for whether any sign is present. |
| Observation - Emergency POCUS |
Represents a single point-of-care ultrasound view (abdomen/FAST, chest, or cardiac) performed during the ED assessment — one Observation instance per view. The trace/clip image itself, if transmitted, belongs on the referencing EMDiagnosticReport.presentedForm rather than on this Observation. |
| Observation - Emergency Physical Exam |
Represents the ED provider's physical examination of a single body system/region — one Observation instance per system, not one Observation for the whole exam. Distinct from EMSecondarySurveyObservation, which represents the pre-hospital secondary survey (a different clinical event, performed earlier, organized by EMS body region rather than by ED exam system); kept as a separate profile rather than widening EMSecondarySurveyObservation's region value set. Reuses the same explicit "NML" idiom via EMNoFindingsOnExam. |
| Observation - Emergency Review of Systems |
Represents the review of a single body system during the ED provider assessment — one Observation instance per system, not one Observation for the whole review of systems. Reuses the same explicit "NML" idiom as EMSecondarySurveyObservation and EMABCDEAssessmentObservation via the EMNoFindingsOnExam extension. |
| Observation - Emergency Secondary Survey |
Represents the examination of a single body region during an emergency secondary survey — one Observation instance per body region examined (head, neck, chest, back-and-spine, abdomen, pelvis, upper-extremities, lower-extremities), not one Observation for the whole secondary survey. Mirrors the explicit-absence pattern used on EMAllergyIntolerance: a region with nothing abnormal found must be recorded as an explicit "examined, no findings" Observation, never left as a silently-missing resource. A full-body exam is expected to produce exactly 8 Observation instances (fewer only if the survey was genuinely partial, e.g. limited by scene safety) — that expectation is a workflow-completeness rule, not a FHIR structural constraint on this profile. |
| Observation - Emergency Triage Acuity |
A standalone, trendable triage acuity record, separate from EMIncidentEncounter.priority (dispatch) and EMPOCEncounter.priority (on-scene). Only create this Observation when the workflow needs acuity trending as discrete timestamped events; if a single current-priority value per encounter is sufficient, Encounter.priority alone is enough and this Observation is unnecessary. |
| Observation - Emergency Urinalysis Dipstick |
Represents a urine dipstick panel performed during the ED assessment, one component per analyte (glucose, ketones, blood, nitrite, leukocytes, protein). |
| Observation - Emergency Vital Signs |
Represents a single vital-sign measurement (heart rate, respiratory rate, temperature, SpO2, blood pressure, or Glasgow Coma Scale) captured during Kenya emergency medical services and point-of-care workflows. Largely reuses the standard FHIR vital-signs pattern rather than inventing new structure. One Observation instance is created per measurement, per reading time, so trends across the episode (dispatch snapshot, on-scene, in-transit, ED arrival) can be reconstructed. |
| Patient - Kenya Emergency |
Represents a patient receiving pre-hospital or emergency services in Kenya. The profile supports identified and unidentified patients, temporary emergency tracking, identity verification, minimal emergency demographics, and reconciliation of temporary Patient records with verified Patient records. |
| Procedure - Emergency Clinical Procedure |
Represents a clinical procedure performed during Kenya emergency medical services and point-of-care workflows, e.g. CPR, endotracheal intubation, wound dressing, or splinting. |
| QuestionnaireResponse - Kenya |
Kenya QuestionnaireResponse profile representing captured questionnaire responses. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| Ambulance Case Status |
The detailed lifecycle status of a Kenya ambulance case, using the Kenya-specific status codes that do not map one-to-one onto the base FHIR Encounter.status ValueSet. |
| Emergency Centre Capability |
Describes whether a destination facility provides emergency-care services and the level of emergency capability available. |
| Emergency Clinical Guidance Message |
Auto-generated clinical guidance text tied to an observation's severity flag, e.g. instructions to start supplemental oxygen and reassess airway and breathing. |
| Emergency Department Arrival Mode |
How the patient arrived at the emergency department. |
| Emergency Department Disposition Details |
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. |
| Emergency Department Mobility Status |
Patient's mobility status recorded at emergency department registration, independent of triage acuity. |
| Emergency Department Payment Method |
Payment method recorded at emergency department registration. |
| Emergency Department Presentation Type |
Whether the presenting problem is acute or chronic, recorded at registration. |
| Emergency Department Referral Information |
Whether the patient was referred to the emergency department, e.g. from another facility or a clinic. |
| Emergency Department Trauma Details |
Mechanism, intent, timing, and recent substance use for a trauma presentation. |
| Emergency Destination Facility Level |
Represents the Kenya health-system level assigned to a receiving healthcare facility. |
| Emergency Incident Caller |
Captures the person who reported the emergency incident. The caller may be the Patient, a person related to the Patient, or an unlinked person such as a bystander. This extension is necessary because the base Encounter.participant.individual element does not permit Patient or Person references in FHIR R4/R4B. |
| Emergency Medication Administration Attempts |
Number of attempts made to administer a medication, relevant for repeated-dose protocols and difficult-access scenarios. |
| Emergency No Findings On Exam |
Explicit flag confirming that a body region was examined and that nothing abnormal was found. |
| Emergency Patient Adult Status |
Indicates whether the patient is considered an adult during emergency assessment or triage. |
| Emergency Patient Approximate Age |
Represents the patient's estimated age when the exact date of birth is unknown or has not been verified. |
| Emergency Patient Identity Verified |
Indicates whether the patient's identity has been verified through an appropriate identification or verification process. |
| Emergency Responder Crew Member |
Represents a practitioner or practitioner role assigned to an emergency responder unit. The extension records both the assigned person or role and their operational crew function. |
| Emergency Responder Unit Last Location Updated At |
Date and time the responder unit's geographic position was last refreshed. |
| Emergency Responder Unit Ownership Type |
Ownership category of the organization operating an emergency responder unit, e.g. government, private, or NGO. |
| Emergency Responder Unit Relieved Status |
Indicates whether a responder unit has been stood down or replaced by another unit during the incident. |
| Emergency Responder Unit Response Status |
The responder unit's current response state, e.g. dispatched, en-route, on-scene, transporting, or at-facility. |
| Emergency Responder Unit Telematics Device Identifier |
Identifier of the onboard telematics or tracking device fitted to an emergency responder unit, if present. |
| Emergency Responding Unit |
References an ambulance or other emergency-response vehicle assigned to the incident. |
| Emergency Supporting Agency |
References another emergency-response organization participating in the incident, such as fire services, police, security services, or disaster management services. |
| Emergency Unidentified Patient |
Indicates whether the Patient resource represents an individual whose identity has not yet been established. |
| Emergency Vital Sign Age Group |
Age-group bucket used to select the applicable reference range for a vital-sign reading, e.g. adult versus paediatric. |
| Emergency Vital Sign Qualitative State |
Qualitative descriptor of a vital-sign reading, independent of its numeric value, e.g. a pulse described as weak or a breathing pattern described as labored. |
| Incident Priority |
Dispatcher-assigned priority at call intake. Maps to incident.priority_level. Represents the INITIAL priority only — do not overwrite with on-scene EMT triage acuity. |
| Number of Patients |
Number of patients associated with this incident/dispatch. Maps to incident.number_of_patients. Kept at the EpisodeOfCare (incident) level, not duplicated on child Encounters. If >1, expect multiple EMEpisodeOfCare/Patient chains linked via identifier:groupIncidentId. |
These define sets of codes used by systems conforming to this implementation guide.
| AVPU Scale Value Set |
Permitted AVPU responsiveness values. |
| Active Components Value Set |
Drug/allergen active-component codes used for allergen and medication coding. |
| Allergy Reporter |
ValueSet identifying who reported an allergy. |
| Ambulance Case Rejection Reason |
ValueSet for ambulance case rejection reasons. |
| Ambulance Case Status |
ValueSet for ambulance case status. |
| Assessment Types |
ValueSet for types of clinical assessments. |
| Breathing State Classification |
ValueSet for breathing state classification. |
| Case Priority |
ValueSet for prioritizing cases. |
| Coding System Source |
ValueSet identifying the source coding system. |
| Condition Statuses |
ValueSet for condition severity statuses. |
| Dose Units |
ValueSet for units used in medication dosing. |
| EM Priority Level ValueSet |
Value set for the incidentPriority extension. Maps to incident.priority_level. |
| Emergency ABCDE Assessment Component Value Set |
Permitted ABCDE assessment letters. |
| Emergency Age Group Value Set |
Permitted age-group buckets used to select a reference range. |
| Emergency Body Region Value Set |
Permitted body regions examined during an emergency secondary survey. |
| Emergency Breathing Status Value Set |
Permitted breathing-status values. |
| Emergency Caller Relationship Value Set |
Permitted relationships between an emergency caller and the patient. |
| Emergency Centre Capability Value Set |
Permitted emergency-care capability classifications for destination facilities. |
| Emergency Clinical Acuity Value Set | |
| Emergency Department Arrival Mode Value Set |
Permitted modes of arrival at the emergency department. |
| Emergency Department Disposition Value Set |
Permitted ED encounter dispositions. |
| Emergency Department Injury Intent Value Set |
Permitted injury intents for a trauma presentation. |
| Emergency Department Mechanism of Injury Value Set |
Permitted mechanisms of injury for a trauma presentation. |
| Emergency Department Mobility Status Value Set |
Permitted mobility statuses recorded at ED registration. |
| Emergency Department Patient Record Section Value Set |
Fixed section list for EMEDPatientRecordComposition. |
| Emergency Department Payment Method Value Set |
Permitted payment methods recorded at ED registration. |
| Emergency Department Presentation Type Value Set |
Permitted presentation types (acute/chronic). |
| Emergency Department Substance Use Type Value Set |
Permitted substance-use types. |
| Emergency Destination Facility Type Value Set |
Permitted facility types for an emergency transport destination. |
| Emergency Diagnosis Staging Category Value Set |
Permitted diagnostic stages for an emergency Condition instance. |
| Emergency Dispatch Priority Value Set |
Permitted dispatch priorities assigned during emergency call intake. |
| Emergency High-Risk Sign Value Set |
Permitted WHO Emergency Unit high-risk sign codes. |
| Emergency Incident Type Value Set |
Permitted high-level classifications of emergency incidents. |
| Emergency POCUS Cardiac Activity Value Set |
Permitted cardiac-activity findings on a cardiac POCUS view. |
| Emergency POCUS Finding Value Set |
Permitted structured POCUS findings. |
| Emergency POCUS Right Ventricular Function Value Set |
Permitted RV-function findings on a cardiac POCUS view. |
| Emergency POCUS View Value Set |
Permitted point-of-care ultrasound views. |
| Emergency Patient Identifier Type ValueSet |
Allowed official identifier types for an emergency patient in Kenya. |
| Emergency Physical Exam System Value Set |
Permitted ED Physical Exam body systems/regions. |
| Emergency Point-of-Care Encounter Type Value Set | |
| Emergency Responder Crew Role Value Set |
Permitted roles for personnel assigned to an emergency responder unit. |
| Emergency Responder Unit Ownership Type Value Set |
Permitted ownership categories for an emergency responder unit. |
| Emergency Responder Unit Response Status Value Set |
Permitted real-time response states for an emergency responder unit. |
| Emergency Responder Unit Type Value Set |
Permitted types of vehicles and mobile units participating in an emergency response. |
| Emergency Review of Systems Body System Value Set |
Permitted Review of Systems body systems. |
| Emergency Scene Location Type Value Set |
Permitted classifications for emergency incident scene locations. |
| Emergency Secondary Survey Region Value Set |
Permitted secondary-survey region examination codes. |
| Emergency Supporting Agency Type Value Set |
Permitted types of emergency-response organizations participating in an incident. |
| Emergency Urinalysis Dipstick Result Value Set |
Permitted semi-quantitative dipstick results. |
| Emergency Vital Sign Qualitative State Value Set |
Permitted qualitative descriptors for a vital-sign reading. |
| Entry Types |
ValueSet for types of clinical entries in the health record. |
| Investigation Codes ValueSet |
ValueSet containing investigation codes for procedures. |
| Kenya Health Facility Level Value Set |
Permitted Kenya health-system facility levels. |
| Manifestation or Symptom ValueSet |
Clinical manifestations and symptoms. |
| Medication Administration Route |
ValueSet for routes of medication administration. |
| Procedure Code Value Set |
Local procedure code list, supplementing SNOMED CT procedure codes. |
| Pulse State Classification |
ValueSet for pulse state classification. |
| Questionnaire Category |
ValueSet for classifying types of questionnaires. |
| Vital Signs ValueSet |
List of Vital Signs LOINC codes |
These define new code systems used by systems conforming to this implementation guide.
| AVPU Scale |
AVPU scale used to describe a patient's responsiveness. |
| Active Components CodeSystem |
Active pharmaceutical ingredient codes from MOH PPB OCL. |
| Additional Instruction Codes CodeSystem |
Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES. |
| Address Use Code System |
Codes for the use of an address. Codes align with FHIR address-use to allow required binding as a subset. |
| Adjudication Code System |
Codes for adjudication result categories. Codes align with FHIR adjudication. |
| Adjustment Type |
Locally defined financial adjustment types |
| Administration Method Code System |
Codes for the method of medication administration, replacing SNOMED CT-based HL7 ValueSet |
| Administrative Gender Code System |
Codes for administrative gender. Codes align with FHIR administrative-gender to allow required binding as a subset. |
| Allergy Reporter |
Identifies the source reporting an allergy. |
| Ambulance Case Rejection Reason |
Defines reasons for rejecting an ambulance case. |
| Ambulance Case Status |
Defines the lifecycle statuses of an ambulance case. |
| Annual Quantity Type |
Units of measurement for annual service quantities |
| Approach Site Codes CodeSystem |
Body site codes for site of medication administration. Source: MOH-KENYA OCL APPROACH-SITE-CODES. |
| As Needed Reason Code System |
Codes for the condition that triggers as-needed medication use, replacing SNOMED CT-based HL7 ValueSet |
| Assessment Types |
Specifies types of clinical assessments for patient evaluation. |
| Attachment Type Code System |
Codes classifying the type of attachment submitted with a claim (e.g. Discharge Summary, Final Bill). |
| Authorization Failure Reason |
Locally defined reasons for failed authorization attempts |
| Authorization Status |
Locally defined status values for authorization workflows |
| Authorization Type |
Types of authentication or authorization used for healthcare access |
| BodySite Code System |
A code system that defines categories for Institutional Body Sites |
| Breathing State Classification |
Clinical classification of breathing rate states. |
| Bulk Remittance Status |
Statuses used to track bulk remittance processing |
| Care Plan Category CodeSystem |
Category codes for care plan types. Source: MOH-KENYA OCL CARE-PLAN-CATEGORY. |
| Case Priority |
Defines priority levels for cases. |
| Civil Status Code System |
Codes for civil/marital status (MOH-Kenya OCL: CIVIL-STATUS) |
| Claim Care Team Role Code System |
Codes for the role of a care team member in a claim (MOH-Kenya OCL: CLAIM-CARE-TEAM-ROLE) |
| Claim Expiry Code System |
Codes for claim or preauthorization expiry types in Kenya eClaims. |
| Claim Information Category Code System |
Codes for claim supporting information categories. Codes align with FHIR claiminformationcategory. |
| Claim State Code System |
Codes for the specific workflow state of a claim in Kenya eClaims. |
| Claim Status Code System |
Codes for the status of a claim. Codes align with FHIR fm-status to allow required binding as a subset. |
| Claim Subtype Code System |
Kenya-specific codes for the subtype of claim (MOH-Kenya OCL: CLAIM-SUBTYPE). |
| Claim Type Code System |
Codes for the type of claim. Codes align with FHIR claim-type to allow required binding as a subset. |
| Claim Use Code System |
Codes for the intended use of a claim. Codes align with FHIR claim-use to allow required binding as a subset. |
| Claims Departments |
Locally defined healthcare service departments for claims |
| CodeSystem for Code systems |
CodeSystem for Code systems |
| CodeSystem for Contact Relationship |
CodeSystem for Contact Relationship |
| CodeSystem for patient's identifier Types |
CodeSystem for patient's identifier Types |
| CodeSystem for patient's title |
CodeSystem for patient's title |
| Coding System Source |
Identifies the terminology source from which a clinical code originates. |
| Condition Category Code System |
A code system that defines categories for Social Health Authority Interventions |
| Condition Category CodeSystem |
Category codes for Condition resources. Based on FHIR standard condition-category codes (OCL collection was empty). |
| Condition Clinical Status CodeSystem |
Clinical status codes for Condition resources. Source: MOH-KENYA OCL CONDITION-CLINICAL-STATUS (supplemented with standard FHIR codes). |
| Condition Codes Code System |
Local codes for conditions/diagnoses (MOH-Kenya: CONDITION-CODES) |
| Condition Severity Code System |
Codes for the clinical severity of a condition, replacing SNOMED CT-based HL7 ValueSet |
| Condition Stage CodeSystem |
Staging codes for oncology and other staged conditions. Source: MOH-KENYA OCL CONDITION-STAGE. |
| Condition Statuses |
Clinical severity statuses for a patient condition. |
| Condition Verification Status Code System |
Codes for the verification status of a condition. Codes align with FHIR condition-ver-status to allow required binding as a subset. |
| Contact Point System Code System |
Codes for contact point systems. Codes align with FHIR contact-point-system to allow required binding as a subset. |
| Contact Point Use Code System |
Codes for contact point use. Codes align with FHIR contact-point-use to allow required binding as a subset. |
| Copay Types |
Locally defined types of copay sources |
| Coverage Class Code System |
Codes for insurance coverage class categories (MOH-Kenya OCL: COVERAGE-CLASS) |
| Coverage Member Status Code System |
Codes for the status of a coverage member (MOH-Kenya OCL: COVERAGE-MEMBER-STATUS) |
| Coverage Plan Type Code System |
Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE) |
| Coverage Type Code System |
Codes for the type of insurance coverage (MOH-Kenya OCL: COVERAGE-TYPE) |
| Diagnosis Kind |
Levels or types of ICD diagnosis classifications |
| Diagnosis Type Code System |
Codes for diagnosis type. Codes align with FHIR ex-diagnosistype. |
| Dosage Additional Instruction Code System |
Codes for additional dispensing/dosage instructions, replacing SNOMED CT-based HL7 ValueSet |
| Dose Units |
Units used to specify medication doses. |
| EM Priority Level Code System |
Dispatcher-assigned priority levels at call intake. |
| Emergency ABCDE Assessment Component |
Which letter of the ABCDE resuscitation assessment an Observation instance represents. |
| Emergency ABCDE Assessment Field |
Identifies the specific structured field carried by a component on EMABCDEAssessmentObservation. Which fields are applicable depends on the parent Observation.code (airway/breathing/circulation/disability/exposure). |
| Emergency Age Group |
Age-group bucket used to select the applicable clinical reference range for an emergency observation. |
| Emergency Body Region |
Body regions examined during an emergency secondary survey. |
| Emergency Breathing Status |
Caller- or practitioner-reported categories describing the patient's apparent breathing status. |
| Emergency Caller Relationship |
Relationship of an emergency caller to the patient. |
| Emergency Centre Capability |
Emergency-care capabilities available at a receiving health facility. |
| Emergency Clinical Acuity |
Clinical acuity assigned by an emergency practitioner after patient assessment. This terminology is distinct from dispatch priority. |
| Emergency Department Arrival Mode |
How the patient arrived at the emergency department. |
| Emergency Department Disposition |
Outcome of the emergency department encounter. |
| Emergency Department Injury Intent |
Intent behind a trauma presentation. |
| Emergency Department Mechanism of Injury |
Mechanism of injury for a trauma presentation. |
| Emergency Department Mobility Status |
Patient's mobility status recorded at ED registration. |
| Emergency Department Patient Record Section |
Fixed section list for EMEDPatientRecordComposition, mirroring the paper ED Patient Record form. |
| Emergency Department Payment Method |
Payment method recorded at ED registration. |
| Emergency Department Presentation Type |
Whether the presenting problem is acute or chronic. |
| Emergency Department Substance Use Type |
Type of substance used in the last 6 hours, if reported. |
| Emergency Destination Facility Type |
Types of healthcare locations that may receive an emergency patient. |
| Emergency Diagnosis Staging Category |
Diagnostic stage represented by an emergency Condition instance, from initial chief complaint through discharge diagnosis. |
| Emergency Dispatch Priority |
Priority assigned to an emergency incident during call intake. |
| Emergency Encounter Class |
Codes identifying emergency encounter settings that are not adequately represented by the standard ActCode code system. |
| Emergency Encounter Participant Role |
Roles performed by people or organizations involved in an emergency incident. |
| Emergency High-Risk Sign |
Identifies which WHO Emergency Unit high-risk sign a component on EMHighRiskSignsObservation represents. |
| Emergency Incident Type |
High-level classification of an emergency incident. |
| Emergency Observation Category |
Categories used to distinguish emergency observations by their source and clinical verification status. |
| Emergency Observation Code |
Local codes for emergency medical observations not adequately represented by a single preferred external terminology code. |
| Emergency POCUS Cardiac Activity |
Whether cardiac activity was visualized on a cardiac POCUS view. |
| Emergency POCUS Field |
Identifies the specific structured field carried by a component on EMPOCUSObservation. |
| Emergency POCUS Finding |
Structured POCUS findings, shared across the abdomen and chest views. Which codes are clinically applicable depends on which component (abdomenFinding or chestFinding) carries the value. |
| Emergency POCUS Right Ventricular Function |
Qualitative right ventricular function on a cardiac POCUS view. |
| Emergency POCUS View |
Which point-of-care ultrasound view an EMPOCUSObservation instance represents. |
| Emergency Patient Identifier Type |
Identifier types used to identify patients receiving emergency or pre-hospital services in Kenya. |
| Emergency Physical Exam System |
Body system/region covered by a single ED Physical Exam Observation instance. |
| Emergency Point-of-Care Encounter Type |
Types of direct patient-care interactions performed during emergency response. |
| Emergency Responder Crew Role |
Operational roles performed by personnel assigned to an emergency responder unit. |
| Emergency Responder Unit Ownership Type |
Ownership category of an organization operating an emergency responder unit. |
| Emergency Responder Unit Response Status |
Current operational response state of an emergency responder unit during an incident. |
| Emergency Responder Unit Type |
Types of vehicles and mobile units used during emergency response. |
| Emergency Review of Systems Body System |
Body system covered by a single Review of Systems Observation instance. |
| Emergency Scene Location Type |
Types of physical locations at which emergency incidents may occur. |
| Emergency Secondary Survey Region |
Identifies a secondary-survey physical examination as pertaining to a specific body region. |
| Emergency Supporting Agency Type |
Types of organizations that may participate in an emergency response. |
| Emergency Urinalysis Dipstick Analyte |
Identifies which dipstick analyte a component on EMUrinalysisObservation represents. |
| Emergency Urinalysis Dipstick Result |
Semi-quantitative dipstick result scale. |
| Emergency Vital Sign Qualitative State |
Qualitative descriptor of a vital-sign reading that is independent of, and supplements, its numeric value. |
| Encounter Status Code System |
Codes for the status of an encounter. Codes align with FHIR encounter-status to allow required binding as a subset. |
| Entry Types |
Defines the type of clinical entry recorded in the health record. |
| Episode of Care Status Code System |
Codes for the status of an episode of care. Codes align with FHIR episode-of-care-status to allow required binding as a subset. |
| Episode of Care Type Code System |
Codes for the type of episode of care (MOH-Kenya OCL: EPISODE-OF-CARE-TYPE) |
| Exclusion Code System |
A code system that defines Exclusion |
| Flag Types |
Local flag types for marking entities with special statuses |
| Formulation CodeSystem |
Pharmaceutical formulation/dosage form codes from MOH PPB OCL. |
| Fund Choices |
Locally defined codes representing patient funding mechanisms |
| Gender Code System |
Extended gender identity codes for Kenya (MOH-Kenya OCL: GENDER). Extends beyond FHIR administrative-gender with additional local codes. |
| Generic Products CodeSystem |
Generic medicinal product codes from MOH PPB OCL. |
| Identifier Types Code System |
Codes for types of identifiers used in Kenya (MOH-Kenya OCL: IDENTIFIER-TYPES) |
| Identifier Use Code System |
Codes for the use of an identifier. Codes align with FHIR identifier-use to allow required binding as a subset. |
| Investigation Codes |
Defines Investigation Codes for Procedures. |
| KHTS.A CodeSystem for Counties in Kenya |
CodeSystem for KHTS.A Counties in Kenya |
| KPS Clinical Condition Status CodeSystem | |
| KPS Condition Verification CodeSystem | |
| KPS Service Type |
Locally defined health service types used for scheduling, classification, or registration. |
| KPS.A Client Registration Data Elements |
CodeSystem representing data elements used in KPS.A Client Registration. |
| KPS.B Clinical Consultation Data Elements |
CodeSystem representing clinical consultation data elements under the Kenya Patient Summary (KPS.B). |
| KPS.B Clinical Consultation Data Elements |
CodeSystem representing clinical status |
| KPS.C Diagnostics Data Elements |
CodeSystem representing diagnostic data elements under the Kenya Patient Summary (KPS.C). |
| KPS.D Treatment Data Elements |
CodeSystem representing treatment and medication-related data elements under the Kenya Patient Summary (KPS.D). |
| KPS.E Immunization Data Elements |
CodeSystem representing immunization-related data elements under the Kenya Patient Summary (KPS.E). |
| KPS.G Referral Data Elements |
CodeSystem representing referral-related data elements under the Kenya Patient Summary (KPS.G). |
| Kenya Health Facility Level |
Levels used to classify health facilities in the Kenya health system. |
| Manifestation or Symptom CodeSystem |
Clinical manifestations and symptoms used in allergy reactions, conditions, and observations. Source: MOH-KENYA OCL MANIFESTATION-OR-SYMPTOM. |
| Medication Administration Route |
Specifies the route by which a medication is administered. |
| Medication Administration Route CodeSystem |
Route of administration codes used in MedicationAdministration. Source: MOH-KENYA OCL MEDICATION-ADMINISTRATION-ROUTE. |
| Medication Request Priority CodeSystem |
Codes representing priority levels for MedicationRequest. |
| Medication Status Reason Code System |
Codes for the reason a medication was stopped or paused, replacing SNOMED CT-based HL7 ValueSet |
| MedicationAdministration Status Reason CodeSystem |
Reasons for a MedicationAdministration status (e.g. patient refused, not available). Source: MOH-KENYA OCL MEDICATION-ADMIN-STATUS-REASON. |
| MedicationDispense Status Reason CodeSystem |
Reasons for a MedicationDispense status (e.g. out-of-stock, patient refused). Source: MOH-KENYA OCL MEDICATIONDISPENSE-STATUS-REASON. |
| MedicationRequest Status CodeSystem |
Status codes used for MedicationRequest resources. |
| MedicationRequest Status Reason CodeSystem |
Reasons for a MedicationRequest status change (e.g. cancelled, on-hold). Source: MOH-KENYA OCL MEDICATIONREQUEST-STATUS-REASON. |
| Name Use Code System |
Codes for the use of a name. Codes align with FHIR name-use to allow required binding as a subset. |
| Non-EDI Claim Status |
Status codes for non-EDI claim workflows |
| Observation Methods CodeSystem |
Methods used to perform clinical observations. Source: MOH-KENYA OCL OBSERVATION-METHODS. |
| Payee Type Code System |
Codes for the party to be reimbursed. Codes align with FHIR payeetype. |
| Payment Mechanism |
Locally defined payment mechanisms for healthcare services |
| Payment Method Code System |
Codes for payment methods (MOH-Kenya OCL: PAYMENT-METHOD) |
| PreAuthExclusions Code System |
A code system that defines PreAuth Exclusions |
| Procedure Code CodeSystem |
Clinical procedure codes used in care plan activities and service requests. Source: MOH-KENYA OCL PROCEDURE-CODE. |
| Process Priority Code System |
Codes for financial processing priority. Codes align with FHIR processpriority to avoid dependencies on draft core artifacts. |
| Pulse State Classification |
Clinical classification of pulse rate states. |
| Questionnaire Category |
Categories used to classify questionnaires or assessments. |
| Reason Medication Status CodeSystem |
Reasons for a MedicationStatement status (e.g. stopped, completed). Source: MOH-KENYA OCL REASON-MEDICATION-STATUS-CODES. |
| Related Claim Relationship Code System |
Codes for the relationship between related claims (MOH-Kenya OCL: RELATED-CLAIM-RELATIONSHIP) |
| Remittance Choice |
Locally defined remittance payment channels |
| Remittance Status |
Locally defined remittance processing statuses |
| Route of Administration CodeSystem |
Route of administration codes from MOH PPB OCL. |
| Schemes |
Locally defined codes for scheme classifications |
| Service Access Point |
Locally defined codes for health service access points |
| Subsite Code System |
A code system that defines Subsite |
| Subsite Code System |
A code system that defines Subsite |
| Unit of Measure CodeSystem |
Unit of measure codes from MOH PPB OCL. |
| Usage Frequency |
Locally defined frequencies for service or product usage |
| Vital Signs LOINC Codes |
LOINC codes commonly used for vital signs observations. |
| Waiver Type Code System |
A code system that defines Waiver Type |
These define identifier and/or code system identities used by systems conforming to this implementation guide.
| NamingSystem - Kenya Emergency Record Identifier |
Identifier system for records created within the Kenya emergency and ambulance services workflow. |
| NamingSystem - Kenya National ID |
Unique national identifier assigned to Kenyan citizens and residents. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| AllergyIntolerance - Domiphen Allergy |
Example confirmed severe allergy resulting in anaphylaxis. |
| AllergyIntolerance - Invalid Example |
Invalid allergy example demonstrating a missing required criticality. |
| AllergyIntolerance - No Known Allergy |
Example explicit no-known-allergy assertion recorded after a full allergy history was taken. |
| Composition - Emergency Department Patient Record |
Example composed ED chart tying together the resources above. |
| Condition - Chief Complaint |
Example chief-complaint Condition captured from caller-reported information at T0. |
| Condition - Discharge Diagnosis |
Example confirmed discharge-diagnosis Condition recorded at facility handover. |
| Condition - ED Chief Complaint |
Example chief complaint recorded at ED registration. |
| Condition - ED Discharge Diagnosis |
Example confirmed discharge diagnosis recorded at ED disposition. |
| Condition - Invalid Example |
Invalid discharge-diagnosis example demonstrating verificationStatus left as 'provisional' instead of 'confirmed', violating invariant em-condition-1. |
| Condition - Past Medical History, Hypertension |
Example pre-existing comorbidity captured from the ED intake checklist. |
| Condition - Working Diagnosis |
Example working-diagnosis Condition recorded after on-scene assessment. |
| DiagnosticReport - 12-Lead ECG Showing STEMI |
Example ECG investigation result flagging an anterior STEMI. |
| DiagnosticReport - Complete Blood Count |
Example CBC investigation result ordered during the ED assessment. |
| DiagnosticReport - Invalid Example |
Invalid diagnostic report example demonstrating a missing required category, tightened to 1..1 on this profile though optional in base DiagnosticReport. |
| Encounter - Emergency Department |
Example ED encounter following handover from the pre-hospital point-of-care Encounter. |
| Encounter - Emergency Incident |
Example root emergency incident Encounter for a road traffic trauma case. |
| Encounter - Emergency Point of Care |
Example point-of-care Encounter for direct patient assessment and treatment during the incident above. |
| Flag - High-Criticality Allergy Alert |
Example must-see alert referencing the high-criticality Domiphen allergy above. |
| Invalid Emergency Patient |
An intentionally non-conformant Patient instance used to demonstrate validation errors against the Emergency Patient profile. |
| Location - Kenyatta National Hospital Emergency Centre |
Example receiving facility for emergency transport. |
| Location - Mbagathi Road Incident Scene |
Example emergency incident scene location. |
| Location - Responder Unit Real-Time Position |
Example real-time position of the ambulance responding to the incident. |
| MedicationAdministration - Analgesia |
Example analgesia given after chest tube insertion. |
| MedicationAdministration - Epinephrine |
Example emergency medication administration during resuscitation. |
| MedicationAdministration - Invalid Example |
Invalid medication administration example demonstrating a missing encounter context, tightened to 1..1 on this profile though optional in base MedicationAdministration. |
| Observation - ABCDE Breathing Assessment |
Example breathing assessment showing reduced right-sided breath sounds, consistent with the suspected pneumothorax. |
| Observation - ABCDE Circulation Assessment |
Example circulation assessment during initial resuscitation. |
| Observation - Blood Pressure Panel |
Example blood-pressure panel with systolic and diastolic components. |
| Observation - ED Arrival Heart Rate |
Example heart rate recorded at ED arrival. |
| Observation - ED Final Reassessment Heart Rate |
Example heart rate recorded at final reassessment prior to disposition. |
| Observation - Glasgow Coma Scale |
Example GCS total with eye/verbal/motor sub-scores captured separately. |
| Observation - Heart Rate |
Example heart-rate vital sign showing a critical qualitative pulse state. |
| Observation - High-Risk Signs at Triage |
Example high-risk-signs checklist showing poor perfusion present. |
| Observation - POCUS Chest View |
Example POCUS chest view confirming a right pneumothorax. |
| Observation - Physical Exam, General (No Findings) |
Example general exam with no findings, explicitly recorded. |
| Observation - Physical Exam, Respiratory |
Example respiratory exam finding correlating with the suspected pneumothorax. |
| Observation - Review of Systems, GI (No Findings) |
Example GI review of systems with no findings, explicitly recorded. |
| Observation - Review of Systems, Respiratory |
Example respiratory review of systems with a positive finding. |
| Observation - Secondary Survey Invalid Example |
Invalid exam example: a finding is coded but noFindingsOnExam is left true, violating invariant em-exam-1. |
| Observation - Secondary Survey, Head (No Findings) |
Example head examination with no abnormal findings, explicitly recorded. |
| Observation - Secondary Survey, Upper Extremities (Finding Present) |
Example upper-extremities examination with a coded abnormal finding. |
| Observation - Triage Acuity Reassessment |
Example standalone triage acuity reassessment, distinct from EMPOCEncounter.priority. |
| Observation - Urinalysis Dipstick |
Example urinalysis dipstick panel. |
| Observation - Vital Signs Invalid Example |
Invalid vital signs example demonstrating a missing required value. |
| Organization - Kenyatta National Hospital |
Example facility operating the emergency department. |
| Organization - Nairobi County EMS |
Example emergency medical services provider and dispatch organization. |
| Patient - Identified Emergency Patient |
An identified adult patient receiving emergency care, referenced across the supporting example chain. |
| Practitioner - Ambulance Clinician |
Example paramedic involved in ambulance response and emergency handover. |
| Practitioner - Emergency Department Nurse |
Example nurse responsible for the patient during the ED encounter. |
| Procedure - Chest Tube Insertion |
Example chest tube insertion for the confirmed right pneumothorax. |
| Procedure - Endotracheal Intubation |
Example emergency airway procedure performed during transport. |
| Procedure - Invalid Example |
Invalid procedure example demonstrating a missing required code, the specific procedure performed. |
| Valid Unidentified Emergency Patient |
A valid unidentified emergency patient with a temporary tracking number, approximate age, and triage-level adult status. |