Kenya Emergency FHIR Implementation Guide
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Kenya Emergency FHIR 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-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions

: AVPU Scale - TTL Representation

Active as of 2026-07-20

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/avpu-scale> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "avpu-scale"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem avpu-scale</b></p><a name=\"avpu-scale\"> </a><a name=\"hcavpu-scale\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/avpu-scale</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">A<a name=\"avpu-scale-A\"> </a></td><td>Alert</td><td>The patient is alert and responds spontaneously.</td></tr><tr><td style=\"white-space:nowrap\">V<a name=\"avpu-scale-V\"> </a></td><td>Responds to voice</td><td>The patient responds when spoken to.</td></tr><tr><td style=\"white-space:nowrap\">P<a name=\"avpu-scale-P\"> </a></td><td>Responds to pain</td><td>The patient responds only to painful stimulation.</td></tr><tr><td style=\"white-space:nowrap\">U<a name=\"avpu-scale-U\"> </a></td><td>Unresponsive</td><td>The patient does not respond to voice or painful stimulation.</td></tr><tr><td style=\"white-space:nowrap\">unknown<a name=\"avpu-scale-unknown\"> </a></td><td>Unknown</td><td>The patient's responsiveness could not be established.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/avpu-scale"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "EMAVPUScaleCS"] ;
  fhir:CodeSystem.title [ fhir:value "AVPU Scale"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-20T11:03:05+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "AVPU scale used to describe a patient's responsiveness."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "5"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "A" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Alert" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient is alert and responds spontaneously." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "V" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Responds to voice" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient responds when spoken to." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "P" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Responds to pain" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient responds only to painful stimulation." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "U" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Unresponsive" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient does not respond to voice or painful stimulation." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "unknown" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Unknown" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient's responsiveness could not be established." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/avpu-scale.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/avpu-scale.ttl> .